Document Detail

Cognitive therapy of postmanic and postdepressive dysphoria in bipolar illness.
MedLine Citation:
PMID:  7158668     Owner:  NLM     Status:  MEDLINE    
This paper describes a common dysphoric syndrome occurring during the remission from manic-depressive episodes. Its affective, cognitive and behavioral aspects represent a significant vulnerability to further relapses. It does not respond to pharmacotherapy and requires individual psychotherapy over a period of two to four years. Such therapy usually has three phases. Initially erroneous assumptions concerning bipolar illness and magic expectations regarding treatment are identified and corrected to resolve a negative transference. The main therapeutic focus then shifts to the patient's sense of emptiness. To foster a continuous and integrated sense of self, the patient is advised to write a diary, cultivate memories of competence and recognition, remember previous sessions, develop realistic goals, and read relevant problem-related novels. Finally, improvement in tolerance for ambiguity and accuracy in perceiving self and others, move the patient from the despair of "everydayness" to more serenity and a sense of mastery over his destiny.
L I Jacobs
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of psychotherapy     Volume:  36     ISSN:  0002-9564     ISO Abbreviation:  Am J Psychother     Publication Date:  1982 Oct 
Date Detail:
Created Date:  1983-03-11     Completed Date:  1983-03-11     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0110672     Medline TA:  Am J Psychother     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  450-8     Citation Subset:  IM    
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MeSH Terms
Bipolar Disorder / psychology,  therapy*
Depressive Disorder / psychology,  therapy
Professional-Patient Relations
Psychotherapy / methods*
Social Adjustment
Transference (Psychology)

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