Development of a psychodynamic model of depression -- Overview of psychodynamic psychotherapy for depression -- Getting started with psychodynamic treatment of depression -- The middle phase of treatment -- Addressing narcissistic vulnerability -- Addressing angry reactions to narcissistic injury -- The severe superego and guilt -- Idealization and devaluation -- Defense mechanisms in depressed patients -- The termination phase -- Managing impasses and negative reactions to treatment -- Psychodynamic approaches to suicidality -- Use of psychodynamic psychotherapy with other treatment approaches
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Offers a psychotherapeutic approach to the dynamics observed in patients with depression that can sharpen clinicians' skills in treating this disorder. Intended for use by students, residents, or clinicians who are trained in the practice of psychotherapy and in the diagnosis of depression, the book describes how to tailor the psychodynamic psychotherapeutic approach to the treatment of patients with depression. The authors use many vivid clinical case vignettes based on their clinical work to illustrate common dynamic constellations and techniques for engaging patients in depression-focused psychodynamic psychotherapy. Because a major disparity exists between the widespread use of psychodynamic psychotherapy in clinical practice and the few systematic studies of this treatment, the authors recommend using this approach mainly in patients with mild or moderate major depression and dysthymic disorder