Book contents
- Cambridge Guide to Psychodynamic Psychotherapy
- Cambridge Guides to the Psychological Therapies
- Reviews
- Cambridge Guide to Psychodynamic Psychotherapy
- Copyright page
- Dedication
- Contents
- Foreword
- Preface
- A Note from the Series Editor
- Acknowledgements
- Part 1: An Overview of the Model
- Part 2: The Model of Psychodynamic Psychotherapy into Practice
- Part 3: Application for Mental Health Presentations
- Applications of Psychodynamic Psychotherapy with Accompanying Case Study Description for Each Presentation
- Chapter 11 Psychodynamic Approaches to Anxiety
- Chapter 12 The Psychodynamics of Depressing/Depressed States
- Chapter 13 Dynamics of Borderline States of Mind
- Chapter 14 Narcissistic Difficulties, a Trans-Diagnostic Presentation Requiring a System-Wide Approach
- Part 4: Application of Psychodynamic Psychotherapy in Different Populations and in Different Settings
- Glossary of Terms
- Index
- References
Chapter 11 - Psychodynamic Approaches to Anxiety
from Applications of Psychodynamic Psychotherapy with Accompanying Case Study Description for Each Presentation
Published online by Cambridge University Press: 25 August 2023
Book contents
- Cambridge Guide to Psychodynamic Psychotherapy
- Cambridge Guides to the Psychological Therapies
- Reviews
- Cambridge Guide to Psychodynamic Psychotherapy
- Copyright page
- Dedication
- Contents
- Foreword
- Preface
- A Note from the Series Editor
- Acknowledgements
- Part 1: An Overview of the Model
- Part 2: The Model of Psychodynamic Psychotherapy into Practice
- Part 3: Application for Mental Health Presentations
- Applications of Psychodynamic Psychotherapy with Accompanying Case Study Description for Each Presentation
- Chapter 11 Psychodynamic Approaches to Anxiety
- Chapter 12 The Psychodynamics of Depressing/Depressed States
- Chapter 13 Dynamics of Borderline States of Mind
- Chapter 14 Narcissistic Difficulties, a Trans-Diagnostic Presentation Requiring a System-Wide Approach
- Part 4: Application of Psychodynamic Psychotherapy in Different Populations and in Different Settings
- Glossary of Terms
- Index
- References
Summary
A psychodynamic approach to anxiety is not disorder specific; anxiety can and usually is present to varying degrees in all patients that are seen for psychodynamic psychotherapy. This chapter aims to shed some light on some psychodynamic approaches to thinking about anxieties. Using theory and clinical examples we think about how difficulties in containing processes between caregiver and infant early in the infant’s life may predispose to the persistence of archaic anxieties. We go on to explore the nature of separation and loss in relation to anxiety and finally, we reflect on how internal conflict and the role of a critical internal object can bring about anxiety. The clinical examples illustrate how wider variation in anxieties may present in therapy and the last section focuses on how the therapist may experience and respond to these different anxieties.
Keywords
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- Cambridge Guide to Psychodynamic Psychotherapy , pp. 171 - 183Publisher: Cambridge University PressPrint publication year: 2023
References
Solms, M. The neurobiological underpinnings of psychoanalytic theory and therapy. Frontiers in Behavioral Neuroscience. 2018;12.Google Scholar
Glick, R, Roose, S. Anxiety as signal, symptom and syndrome. In Simpson, H, Neria, Y, Lewis-Fernandez, R et al., eds. Anxiety Disorders Theory, Research and Clinical Perspectives. London: Cambridge University Press; 2010. pp. 50–59.Google Scholar
Perelberg, R. The riddle of anxiety: between the familiar and the unfamiliar. The International Journal of Psychoanalysis. 2018;99(4):810–27.Google Scholar
Freud, S, Strachey, J, Freud, A et al. The Standard Edition of the Complete Psychological Works of Sigmund Freud.Vol. 20, An Autobiographical Study, Inhibitions, Symptoms and Anxiety, Lay Analysis and Other Works (1925–1926). London: The Hogarth Press and the Institute of Psychoanalysis; 2001.Google Scholar
Gabbard, G. Psychodynamic Psychiatry in Clinical Practice. 5th ed. Washington, DC: American Psychiatric Press; 2000. p. 259.Google Scholar
Bion, W. The psycho-analytic study of thinking. International Journal of Psychoanalysis. 1962;43:306–10.Google Scholar
Killick, K. Soundless screaming: psychotic anxiety and analytic containment. In Kiehl, E, ed. Copenhagen 2013: 100 years on: Origins, Innovations and Controversies Proceedings of the 19th Congress of the International Association for Analytical Psychology. Daimon Verlag; 2014.Google Scholar
Winnicott, D. The theory of the parent-infant relationship. International Journal of Psychoanalysis. 1960;41:585–95.Google Scholar
Klein, M. On the theory of anxiety and guilt. In Klein, M, Isaacs, S, Heimann, P et al., eds. Developments in Psychoanalysis. London: Routledge; 1989. p. 276.Google Scholar
Solms, M. Link between depression and anxiety [Internet]. University of Cape Town, Centre for Innovation in Learning and Teaching. 2017 [cited 28 April 2022]. www.youtube.com/watch?v=XEG1rkx4oBcGoogle Scholar
Bowlby, J. Separation anxiety. The International Journal of Psychoanalysis. 1960;41:89–113.Google Scholar
Fairbairn, W. Psychoanalytic Studies of the Personality. Tavistock Publications Ltd. London: Routledge. Kegan Paul Ltd.; 1952.Google Scholar
Quinodoz, J. The Taming of Solitude: Separation Anxiety in Psychoanalysis. London: Routledge; 1993.Google Scholar
Celani, D. Applying Fairbairn’s object relations theory to the dynamics of the battered woman. American Journal of Psychotherapy. 1999;53(1):60–73.Google Scholar
Celani, D. Fairbairn’s Object Relations Theory in the Clinical Setting. New York: Columbia University Press; 2010.Google Scholar
Leiper, R, Maltby, M. The Psychodynamic Approach to Therapeutic Change. London: SAGE Publications Ltd; 2004.Google Scholar
McWilliams, N. Psychoanalytic Diagnosis: Understanding Personality Structure in the Clinical Process. New York: Guilford Publications; 2011.Google Scholar
Joseph, B, Feldman, M, Bott Spillius, E. Psychic Equilibrium and Psychic Change. London: Routledge; 1989.Google Scholar
Gabbard, G, Westen, D. Rethinking therapeutic action. The International Journal of Psychoanalysis. 2003;84(4):823–41(832).Google Scholar
O’Shaughnessy, E. Enclaves and Excursions. The International Journal of Psychoanalysis. 1992;73:603–11.Google Scholar