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Excerpt
In psychodynamic psychotherapy for depression, the therapist maintains a continued focus on understanding depressive symptoms, gradually linking these to the core depressive dynamics delineated in Chapter 2 (“Development of a Psychodynamic Model of Depression”) of this volume. As the treatment progresses, the patient achieves greater insight into the ways in which these dynamics have become the scaffolding for self-perceptions and aspects of relationships with others. During the middle and termination phases of the treatment, there is opportunity to explore the manifestations of these conflicts in multiple and varied circumstances, including in the relationship with the therapist. Gradually, the patient begins to recognize the contexts that tend to elicit depression, to understand what is happening internally during these times, and to feel more in control of the depressed feelings.
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