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Chapter 29. Psychodynamic Psychotherapy

Robert J. Ursano, M.D.; Stephen M. Sonnenberg, M.D.; Susan G. Lazar, M.D.
DOI: 10.1176/appi.books.9781585623402.301305

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The beginning therapist often does not have an extensive psychoanalytic background as was the case in previous years. There may be limited opportunity during training to learn a particular psychotherapy in detail. Yet, as a clinician, he or she may want to understand and use psychodynamic psychotherapy as a part of the therapeutic armamentarium and also use psychodynamic techniques in the evaluation and treatment of patients for whom a full psychotherapy may not be appropriate or may not be possible.

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CME Activity

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Sample questions:
1.
The theoretical constructs of psychodynamic therapy involve the understanding of the unconscious. Specifically, the classification of wishes into the libidinal and aggressive group may reflect in the patient's contemporary experiences. Which of the following would be a manifestation of aggressive, as opposed to libidinal, wishes?
2.
Which of the following statements regarding use of psychotropic medication in the context of psychodynamic psychotherapy is true?
3.
The clinical indications for psychodynamic psychotherapy generally include patients with "neurotic-level disorders." These disorders may span both Axis I and Axis II disorders. Which of the following would not be considered a "neurotic-level disorder" and thus would be inappropriate for psychodynamic psychotherapy as a primary intervention?
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