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PSYCHOANALYTIC PSYCHOTHERAPY STUDY CENTER OF NORTH CAROLINA CURRICULUM FOR THE SPRING 2006 INTRODUCTION TO PSYCHOANALYTIC PRINCIPLES Theory Course Coordinator: Harold Kudler, M.D. Dodson Conference Room, Fourth Floor White Zone, Duke University Medical Center, South Theory Course Objectives: To promote the understanding of psychoanalysis and psychoanalytic psychotherapy by introducing: theoretical and practical contexts for psychoanalytic concepts principles of psychoanalytic listening and formulation theories of psychoanalytic intervention an integrated approach to descriptive and psychoanalytic concepts of mental disorder Text: Gabbard, Glenn O. (2005) Psychodynamic Psychiatry In Clinical Practice: Fourth Edition. American Psychiatric Press, Washington, DC DATE January 9 January 16 January 23 (Double Session) January 30 February 6 (Double Session) February 13 February 20 February 27 March 6 March 13 March 20 (Double Session) March 27 April 3 SUBJECT The Theoretical Basis of Dynamic Psychiatry: The basic concepts of ego psychology, object relations theory, and self psychology. Psychoanalytic theory as the foundation of dynamic psychiatry: its ability to inform the choice of treatment; its provision of a rationale for the type, timing, and depth of intervention; its transcendence of descriptive psychopathology. Reading: Chapter 2 (pp. 31-68) DOUBLE SESSION FOR BILL Psychodynamic Assessment of the Patient: Understanding rather than describing. The meaning and use of rapport. The relationship between assessment and treatment planning. Reading: Chapter 3 (pp. 69-91) Treatments in Dynamic Psychiatry I: Individual Psychotherapy: Support and insight. The therapist's goal. Neutrality. An introduction to dream interpretation. Reading: Chapter 4 (pp. 93-127) THE FOLLOWING IS A SUGGESTED READING SCHEDULE FOR THE REMAINDER OF THE SEMESTER- THE FINAL READING LIST FOR THESE DATES WILL BE DECIDED BY THE CLASS Treatments in Dynamic Psychiatry II: Group Therapy, Family/Marital Therapy, and Pharmacotherapy: Understanding the application of psychodynamic principles in settings other than 1:1 encounters. The marriage of psychotherapy and psychopharmacology. Reading: Chapter 5 (pp. 129-155) Schizophrenia: This diagnosis accounts for more hospital days of care than any other single disorder and yet experts continue to debate its cause, its features and its treatment. While psychodynamic psychotherapy may not be the cure it once promised to be, it is an often-neglected element of what can help. Reading: Chapter 6 (pp. 181-212) Affective Disorders: The dynamics of affective disorders and their interaction with biological factors to produce symptoms and syndromes. Discussion of suicide in dynamic terms. Reading: Chapter 8 (pp. 213-247) DOUBLE SESSION FOR BILL Anxiety Disorders: The evolution of the psychodynamic theory of anxiety. When is psychodynamic psychotherapy indicated in the treatment of anxiety disorders? Is anxiety “a window into the unconscious?” The question of psychological trauma. Reading: Chapter 9 (pp. 249-282) DOUBLE SESSION FOR BILL CLASS BREAK Paraphilias and Sexual Dysfunctions: Psychiatry and society at large maintain an active interest in disorders of sex and gender but their origins, their treatment and, in some cases, their very legitimacy as a focus for treatment remain controversial. Psychoanalytic psychotherapy provides a theoretical and clinical bridge that can be of vital importance when working with patients who request help with these issues. Reading: Chapter 11 (pp. 313-343) Substance-Related Disorders and Eating Disorders: How are these two disorders, often referred to as disorders of impulse control, understood in psychodynamic terms? What is the role of psychotherapy in the acute and long-term management of each? How are the self-destructive aspects of these disorders understood and addressed? Reading: Chapter 12 (pp. 345-377) Cluster A Personality Disorders: Paranoid, Schizoid, and Schizotypal: There is a group of patients who seen to live just at or just beyond the fringes of normal mental life. The way in which they relate to ideas and to the people around them often confuses and mystifies those who encounter them, including their clinicians. We will review the definitions of these personality disorders, discuss them from a psychodynamic perspective, and consider when to intervene and how to form a therapeutic relationship with such patients. Reading: Chapter 14 (pp. 401-426) Cluster B Personality Disorders: Borderline: A “waste basket” diagnosis, a separate kingdom of psychopathology, or a discrete personality disorder? History of the concept and a rational approach to diagnosis and treatment. Reading: Chapter 15 (pp. 427-481) Cluster B Personality Disorders: Narcissistic: Defining narcissism within the context of its conceptual history and current clinical meanings. Identifying clinical signs and symptoms typical of pathological narcissism and relating them to narcissistic development. A review of the basic therapeutic strategies used in dealing with narcissistic issues in the broad range of patients who present for psychotherapy. Reading: Chapter 16 (pp. 483-512) |
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