우울의 주요 정신역동 모델과 치료적 개입
Core Psychodynamic Models of Depression and Their Therapeutic Implications
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Understanding core psychodynamic models of depression in the transference is a central process of psychodynamic psychotherapy for depressed patients. Aim: This paper reviews updated psychodynamic models of depression such as 1) narcissis- tic vulnerability and shame, 2) managing conflicted anger and anger directed toward the self, 3) excessive guilt, 4) idealization and devaluation, 5) defenses employed in coping with painful affects, 6) anaclitic or dependent depression, 7) introjective or self-critical depression. This paper also shows clinical implications of these models and important therapeutic tasks for facilitating therapeutic al- liance and the ego observational capacities.
Abstract
Background: Understanding core psychodynamic models of depression in the transference is a central process of psychodynamic psychotherapy for depressed patients. Aim: This paper reviews updated psychodynamic models of depression such as 1) narcissis- tic vulnerability and shame, 2) managing conflicted anger and anger directed toward the self, 3) excessive guilt, 4) idealization and devaluation, 5) defenses employed in coping with painful affects, 6) anaclitic or dependent depression, 7) introjective or self-critical depression. This paper also shows clinical implications of these models and important therapeutic tasks for facilitating therapeutic al- liance and the ego observational capacities.
참고문헌 (35)
- Abraham K, "Notes on the psycho-analytical investigation and treatment of manic-depressive insanity and allied conditions (1911);Selected papers on Psychoanalysis. 1st ed", pp.137~156 (1927), Hogarth Press
- Abraham K, "A short study of the development of the libido, viewed in the light of mental disorders (1924);Selected papers on psychoanalysis. 1st ed", pp.418~501 (1927), Hogarth Press
- Bibring E, "The mechanism of depression;Affective disorders. Psychoanalytic contributions to their study", pp.13~48 (1953), International Universities Press
- Blatt SJ, "Levels of object representation in anaclitic and introjective depression", Psychoanal Study Child, 29, pp.107~157 (1974)[DOI]
- Blatt SJ, "Dependency and self-criticism: psychological dimensions of depression", J Consult Clin Psychol, 50, pp.113~124 (1982)[DOI]
- Blatt SJ, "Experiences of depression: theoretical, clinical, and research perspectives" (2004), American Psychological Association
- Bowlby J, "Processes of mourning", Int J Psychoanal, 42, pp.317~340 (1961)
- Brenner C, "Affects and psychic conflict", Psychoanal Q, 44, pp.5~28 (1975)[DOI]
- Brenner C, "Depressive affect, anxiety, and psychic conflict in the phallicoedipal phase", Psychoanal Q, 48, pp.177~197 (1979)[DOI]
- Busch FN, "Psychodynamic treatment of depression. 2nd ed" (2016), American Psychiatric Association Publishing
- Davanloo H, "Short-term dynamic psychotherapy" (1980), Jason Aronson Press
- De Jonghe F, "Psychoanalytic supportive psychotherapy", J Am Psychoanal Assoc, 42, pp.421~446 (1994)[DOI]
- Driessen E, "The efficacy of short-term psychodynamic psychotherapy for depression: a meta-analysis", Clin Psychol Rev, 30, pp.25~36 (2010)[DOI]
- Fazaa N, "Dependency and self-criticism as predictors of suicidal behavior", Suicide Life Threat Behav, 33, pp.172~185 (2003)[DOI]
- Fonagy P, "Attachment and reflective function: their role in self-organization", Dev Psychopathol, 9, pp.679~700 (1997)
- Freud S, "The ego and the id. SE 19" (1923), Hogarth Press
- Freud S, "Inhibitions, symptoms and anxiety;The standard edition of the complete psychological works of Sigmund Freud" (1926), The Hogarth Press
- Freud S, "Some character-types met with in psychoanalytic work (1916);The standard edition of the complete psychological works of Sigmund Freud, vol 14" (1957), Hogarth Press
- Freud S, "Mourning and melancholia (1917);The standard edition of the complete psychological works of Sigmund Freud, vol 14", pp.239~258 (1957), Hogarth Press
- Jacobson E, "Transference problems in the psychoanalytic treatment of severely depressive patients", J Am Psychoanal Assoc, 2, pp.595~606 (1954)[DOI]
- Jacobson E, "Depression: comparative studies of normal, neurotic, and psychotic conditions" (1971), International Universities Press
- Jacobson E, "The psychoanalytic treatment of depressive patients;Depression and human existence", pp.431~443 (1975), Little, Brown & Co
- Kernberg O, "Some observations on the process of mourning", Int J Psychoanal, 91, pp.601~619 (2010)[DOI]
- Klein M, "Mourning and its relation to manic-depressive states", Int J Psychoanal, 21, pp.125~153 (1940)
- Kohut H, "The analysis of the self: a systematic approach to the psychoanalytic treatment of narcissistic personality disorders" (1971), International Universities Press
- Levenson H, "Concise guide to brief dynamic and interpersonal therapy. 2nd ed" (2002), American Psychiatric Association Publishing
- Luborsky L, "Principles of psychoanalytic psychotherapy: a manual for supportive-expressive treatment" (1984), Basic Books
- Malan DH, "A study of brief psychotherapy" (1963), Tavistock Publications
- Mann J, "Time limited psychotherapy" (1973), Harvard University Press
- Pollack J, "Brief adaptation-oriented psychotherapy;Clinical and research issues in short-term dynamic psychotherapy (Clinical insights)" (1985), American Psychiatric Press
- Rado S, "The problem of melancholia", Int J Psychoanal, 9, pp.420~438 (1928)
- Sifneos PE, "Short-term dynamic psychotherapy: evaluation and technique" (1979), Plenum Medical
- Strupp HH, "Psychotherapy in a new key: a guide to time-limited dynamic psychotherapy" (1984), Basic Books
- Stone L, "Psychoanalytic observations on the pathology of depressive illness: selected spheres of ambiguity or disagreement", J Am Psychoanal Assoc, 34, pp.329~362 (1986)[DOI]
- Sandler J, "Notes on childhood depression", Int J Psychoanal, 46, pp.88~96 (1965)