Document Detail

Use of a psychodynamic life narrative in the treatment of depression in the physically ill.
MedLine Citation:
PMID:  7429146     Owner:  NLM     Status:  MEDLINE    
Depression, unlike grief, is a maladaptive response to the crisis of illness. This crisis has certain characteristics: (a) psychic disequilibrium with confusion and uncertainty; (b) regression with intensified transferences; and (c) a tendency to examine the trajectory of one's life. This situation makes the patient not only more vulnerable but also more responsive to intervention. These characteristic reactions of illness can be considered in designing a therapeutic maneuver to treat depression. Three cases are used for illustration. In each case a depressed patient was presented a statement that placed his physical illness in the context of his life trajectory and demonstrated the psychodynamic logic of his depression. We call this intervention a "psychodynamic life narrative." The therapeutic effect of such a narrative and the type of patient most likely to benefit from such an intervention are discussed.
M Viederman; S W Perry
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  General hospital psychiatry     Volume:  2     ISSN:  0163-8343     ISO Abbreviation:  Gen Hosp Psychiatry     Publication Date:  1980 Sep 
Date Detail:
Created Date:  1981-01-26     Completed Date:  1981-01-26     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7905527     Medline TA:  Gen Hosp Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  177-85     Citation Subset:  IM    
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MeSH Terms
Attitude to Health
Depressive Disorder / psychology,  therapy*
Disease / psychology*
Life Change Events*
Self Concept
Transference (Psychology)
Grant Support
2 T01 MH 14747-04/MH/NIMH NIH HHS

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