Document Detail


Psychodynamic psychiatry in the general medical setting.
MedLine Citation:
PMID:  21434742     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
For more than half a century analytically trained psychiatrists have been making observations about psychodynamic factors impacting on medical illness and treatment. Some of these reports have been subsequently supported by evidence-based research while others have been found to be clinically useful to varying degrees even if not substantiated by research. In this article we have presented some of the highlights of the application of psychodynamics to the treatment of physical illness in the general medical setting. It is not meant to be a comprehensive review but we hope it will demonstrate how psychodynamic thinking has permeated many aspects of care in the general medical setting. Topics considered include onset of disease (giving up complex, specificity, role of stress, anniversary reactions), reactions to illness (psychological defenses, fantasies, role of psychotherapy), specific conditions (pregnancy, cancer, human immunodeficiency virus, conversion and alexithymia, heart disease, death and dying), and the doctor-patient relationship.
Authors:
Laura K Kent; Michael Blumenfield
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry     Volume:  39     ISSN:  1943-2852     ISO Abbreviation:  J Am Acad Psychoanal Dyn Psychiatry     Publication Date:  2011  
Date Detail:
Created Date:  2011-03-25     Completed Date:  2011-07-22     Revised Date:  2012-03-21    
Medline Journal Info:
Nlm Unique ID:  101177980     Medline TA:  J Am Acad Psychoanal Dyn Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  41-62     Citation Subset:  IM    
Affiliation:
Columbia Presbyterian Medical Center/New York State Psychiatric Institute, New York, NY 10032, USA. lk2129@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological*
Anxiety / prevention & control
Conversion Disorder / psychology,  therapy
Defense Mechanisms
Depression / prevention & control
Disease / psychology*
Female
HIV Infections / psychology,  therapy
Heart Diseases / psychology,  therapy
Humans
Neoplasms / psychology,  therapy
Physician-Patient Relations
Pregnancy / psychology
Psychoanalytic Therapy*
Terminal Care

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