Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-27T23:57:28.440Z Has data issue: false hasContentIssue false

Chapter 2 - The Supporting Theory of Psychodynamic Psychotherapy

from Part 1: - An Overview of the Model

Published online by Cambridge University Press:  25 August 2023

Adam Polnay
Affiliation:
The State Hospital, Carstairs and Royal Edinburgh Hospital, Edinburgh
Victoria Barker
Affiliation:
East London NHS Foundation Trust, London
David Bell
Affiliation:
British Psychoanalytic Society
Allan Beveridge
Affiliation:
Royal College of Psychiatrists, London
Adam Burley
Affiliation:
Rivers Centre, Edinburgh
Allyson Lumsden
Affiliation:
NHS Greater Glasgow and Clyde
C. Susan Mizen
Affiliation:
Devon and Exeter NHS Foundation Trust, Exeter
Lauren Wilson
Affiliation:
Royal Edinburgh Hospital, Edinburgh
Get access

Summary

This chapter provides an overview of current thinking regarding the supporting theory of psychodynamic psychotherapy. Rather than going through theoretical constructs in historical order of when each theory was proposed, they are presented as a composite of past and present thinking that the authors have found to be clinically relevant. It commences by describing theories on the early development of the infant and the creation of the internal world and object relations. The chapter them moves on to the issue of accommodating to the world as it is experienced by the infant, outlining circumstances leading to adaptive and less adaptive development. The chapter then outlines ‘core theory’ which covers more traditional psychodynamic concepts such as conflict, resistance, and defence mechanisms with an emphasis on projective identification. The role of this latter defence mechanism is linked with the theoretical constructs of transference and countertransference. There is a section on the narcissistic constellation in order to help the reader negotiate later sections in the book. Finally the chapter concludes with an introduction to theories as to how change is effected in psychodynamic psychotherapy.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hughes, K, Bellis, MA, Hardcastle, KA et al. The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. The Lancet Public Health 2017;2(8):e356–66.CrossRefGoogle Scholar
Papadopoulos, RK. Refugees, trauma and adversity-activated development. European Journal of Psychotherapy & Counselling 2007;9(3):301–12.Google Scholar
Solms, M. The scientific standing of psychoanalysis. BJPsych Int 2018;15(1):58.CrossRefGoogle ScholarPubMed
Suttie, I. The Origins of Love and Hate. Harmondsworth, Middlesex: Peregrine Books; 1963.Google Scholar
Adshead, G, Sarkar, J. The nature of personality disorder. Advances in Psychiatric Treatment 2012;18(3):162–72.Google Scholar
Gallese, V. Theshared manifold’ hypothesis. From mirror neurons to empathy. Journal of Consciousness Studies 2001;8(5–6):3350.Google Scholar
Singer, T, Seymour, B, O’Doherty, J et al. Empathy for pain involves the affective but not sensory components of pain. Science 2004;303(5661):1157–62.Google Scholar
Bateman, AW, Fonagy, P. Handbook of Mentalizing in Mental Health Practice. 1st edition. Washington, DC: American Psychiatric Publishing Inc; 2011.Google Scholar
Bion, W. The psycho-analytic study of thinking. International Journal of Psychoanalysis 1962;43:306–10.Google Scholar
Fonagy, P, Allison, E. What is mentalization? The concept and its foundations in developmental research. In Minding the Child: Mentalization-Based Interventions with Children, Young People and Their Families. New York, NY, US: Routledge/Taylor & Francis Group; 2012. pp. 1134.Google Scholar
Fonagy, P, Steele, M, Moran, G et al. Measuring the ghost in the nursery: an empirical study of the relation between parents’ mental representations of childhood experiences and their infants’ security of attachment. J Am Psychoanal Assoc 1993;41(4):957–89.CrossRefGoogle ScholarPubMed
Winnicott, DW. Transitional objects and transitional phenomena; a study of the first not-me possession. Int J Psychoanal 1953;34(2):8997.Google Scholar
Gabbard, GO. Long-Term Psychodynamic Psychotherapy: A Basic Text. Arlington, VA, US: American Psychiatric Publishing, Inc.; 2010.Google Scholar
Gabbard, GO, Westen, D. Rethinking therapeutic action. The International Journal of Psychoanalysis 2003;84(4):823–41.CrossRefGoogle ScholarPubMed
Freud, S. Mourning and melancholia. In Strachey, J. (Ed. & Trans.). In The Standard Edition of the Complete Psychological Works of Sigmund Freud. London: Hogarth Press (original work published 1917); 1957. pp. 237–58.Google Scholar
Rycroft, C. A Critical Dictionary of Psychoanalysis. Harmondsworth, Middlesex: Penguin; 1968.Google Scholar
Ogden, TH. The concept of internal object relations. Int J Psychoanal 1983;64 (Pt 2):227–41.Google ScholarPubMed
Leiper, R, Maltby, M. The Psychodynamic Approach to Therapeutic Change. London: Sage Publications Ltd; 2004.Google Scholar
Ogden, TH. Instinct, phantasy, and psychological deep structure. Contemporary Psychoanalysis 1984;20(4):500–25.Google Scholar
Operationalized psychodynamic diagnosis OPD-2: Manual of diagnosis and treatment planning. Ashland, OH, US: Hogrefe & Huber Publishers; 2008.Google Scholar
RCPsych. Psychotherapy, counselling, and psychological treatment in the NHS (online leaflet) [Internet]. 2021; Available from www.rcpsych.ac.uk/members/your-faculties/medical-psychotherapy/psychotherapy-counselling-and-psychological-treatment-in-the-nhsGoogle Scholar
Ainsworth, MDS, Blehar, MC, Waters, E et al. Patterns of Attachment: A Psychological Study of the Strange Situation. New York: Psychology Press; 2015.Google Scholar
Chopik, WJ, Edelstein, RS, Grimm, KJ. Longitudinal changes in attachment orientation over a 59-year period. Journal of Personality and Social Psychology 2019;116(4):598611.CrossRefGoogle Scholar
Freud, S. The ego and the id. In Strachey, J. (Ed. & Trans.). In The Standard Edition of the Complete Psychological Works of Sigmund Freud. London: Hogarth Press (original work published 1923); 1961. pp. 366.Google Scholar
Kernberg, OF. Some implications of object relations theory for psychoanalytic technique. J Am Psychoanal Assoc 1979;27 Suppl:207–39.Google ScholarPubMed
Freud, S. New introductory lectures on psycho-analysis and other works (1932–1936). In Strachey, J. (Ed. & Trans.). In Complete Psychological Works of Sigmund Freud. London: Hogarth Press (original work published 1932); 1964.Google Scholar
Di Giuseppe, M, Perry, JC. The hierarchy of defense mechanisms: assessing defensive functioning with the defense mechanisms rating scales Q-sort. Frontiers in Psychology 2021;12:4728.Google Scholar
Cramer, P. Anger and the use of defense mechanisms in college students. Journal of Personality 1991;59(1):3955.Google Scholar
Bateman, A. Defences mechanisms. In Forensic Psychotherapy: Crime, Psychodynamics and the Offender Patient by Christopher Cordess. London: Karnac Books; 1995. pp. 4152.Google Scholar
OPD Task Force, Kernberg, OF, Clarkin, JF, Cierpka, M et al. Operationalized Psychodynamic Diagnostics (OPD), Foundations and Practical Handbook. Seattle: Hogrefe & Huber; 2000.Google Scholar
McWilliams, N. Secondary defensive processes. In Psychoanalytic Diagnosis, Second Edition: Understanding Personality Structure in the Clinical Process. New York: The Guilford Press; 2011. pp. 126–50.Google Scholar
Vaillant, GE. Involuntary coping mechanisms: a psychodynamic perspective. Dialogues Clin Neurosci 2011;13(3):366–70.Google Scholar
Lemma, A. Introduction to the Practice of Psychoanalytic Psychotherapy, 2nd ed. West Sussex: Wiley Blackwell; 2016.Google Scholar
Tynan, K. The Life of Kenneth Tynan. Phoenix; 1995.Google Scholar
Cramer, P. Understanding defense mechanisms. Psychodyn Psychiatry 2015;43(4):523–52.CrossRefGoogle ScholarPubMed
Glover, E. The Technique of Psycho-Analysis/Edward Glover. London: Baillière, Tindall & Cox; 1955.Google Scholar
Sandler, J, Dare, C, Holder, A et al. The Patient and the Analyst: The Basis of the Psychoanalytic Process. 2nd ed. London: Routledge; 1992.Google Scholar
Schafer, R. The Analytic Attitude. London: Routledge; 1983.Google Scholar
Spillius, B, Milton, J, Garvey, P et al. The New Dictionary of Kleinian Thought. London: Routledge; 2011.Google Scholar
Klein, M. Envy and gratitude. In Envy and Gratitude and Other Works 1946–1963, Eds. Masud, M., Khan, R.. London: The Hogarth Press and the Institute of Psycho-Analysis; 1957.Google Scholar
Steiner, J. The equilibrium between the paranoid-schizoid and the depressive positions. In Clinical Lectures on Klein and Bion, Eds. Anderson, R, Segal, H. London: Routledge; 1991.Google Scholar
Gay, P. Freud: A Life for Our Time. Cambridge: Dent; 1988.Google Scholar
Perelberg, RJ. Murdered Father, Dead Father: Revisiting the Oedipus Complex. New York, NY, US: Routledge/Taylor & Francis Group; 2015.Google Scholar
Grosz, S. The Examined Life: How We Lose and Find Ourselves. New York, NY, US: W W Norton & Co; 2013.Google Scholar
Hinshelwood, RD. A Dictionary of Kleinian Thought. Oxford, England: Free Association Books; 1989.Google Scholar
Projection, McWilliams N. [Internet]. Encyclopedia Britannica [cited 2022 Jan 9]; Available from. www.britannica.com/science/projection-psychologyGoogle Scholar
Hinshelwood, RD. Abusive help – helping abuse: the psychodynamic impact of severe personality disorder on caring institutions. Crim Behav Ment Health 2002;12(2 Suppl):S2030.CrossRefGoogle ScholarPubMed
Bateman, A, Fonagy, P. Psychotherapy for Borderline Personality Disorder: Mentalization Based Treatment. First Edition. Oxford: Oxford University Press; 2009.Google Scholar
Greenson, R. The Technique and Practice of Psychoanalysis. New York: International Universities Press; 1967.Google Scholar
Høglend, P. Exploration of the patient-therapist relationship in psychotherapy. AJP 2014;171(10):1056–66.Google ScholarPubMed
Kernberg, OF, Yeomans, FE, Clarkin, JF et al. Transference focused psychotherapy: overview and update. Int J Psychoanal 2008;89(3):601–20.CrossRefGoogle ScholarPubMed
Freud, A. The widening scope of indications for psychoanalysis: discussion. In The Writings of Anna Freud, vol. 4. New York: International Universities Press; 1954. pp. 356–79.Google Scholar
Heimann, P. On counter-transference. International Journal of Psychoanalysis 1950;31:81.Google Scholar
Racker, H. The meanings and uses of countertransference. The Psychoanalytic Quarterly 1957;26:303–57.CrossRefGoogle ScholarPubMed
Casement, P. Learning from the Patient. New edition. New York: Guilford Publications; 1992.Google Scholar
Pine, F. Developmental Theory and Clinical Process. New Haven: Yale University Press; 1985.Google Scholar
O’Shaughnessy, E. Enclaves and excursions. Int J Psychoanal 1992;73 (Pt 4):603–11.Google Scholar
Bateman, AW. Thick- and thin-skinned organisations and enactment in borderline and narcissistic disorders. Int J Psychoanal 1998;79 (Pt 1):1325.Google Scholar
McWilliams, N. Psychoanalytic Diagnosis: Understanding Personality Structure in the Clinical Process. 2nd edition. New York: The Guilford Press; 2011.Google Scholar
Russell, GA. Narcissism and the narcissistic personality disorder: a comparison of the theories of Kernberg and Kohut. British Journal of Medical Psychology 1985;58(2):137–48.Google Scholar
Welldon, EV. Mother, Madonna, Whore: The Idealization and Denigration of Motherhood. 1st edition. London: Routledge; 2018.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×