Psychodynamic Psychiatry in Clinical Practice

by Glen O. Gabbard MD

Overview

It is difficult to improve on a classic, but the fifth edition of Psychodynamic Psychiatry in Clinical Practice does just that, offering the updates readers expect with a deft reorganization that integrates DSM-5® with the author's emphasis on psychodynamic thinking. The individual patient is never sacrificed to the diagnostic category, yet clinicians will find the guidance they need to apply DSM-5® appropriately. Each chapter has been systematically updated to reflect the myriad and manifold changes in the 9 years since the previous edition's publication. All 19 chapters have new references and cutting-edge material that will prepare psychiatrists and residents to treat patients with compassion and skill. The book offers the following features:

• Each chapter integrates new neurobiological findings with psychodynamic understanding so that clinicians can approach their patients with a truly biopsychosocial treatment plan.• Excellent writing and an intuitive structure make complicated psychodynamic concepts easy to understand so that readers can grasp the practical application of theory in everyday practice.• The book links clinical understanding to the new DSM-5® nomenclature so that clinicians and trainees can adapt psychodynamic thinking to the new conceptual models of disorders.• New coverage of psychodynamic thinking with relation to the treatment of patients on the autism spectrum addresses an increasingly important practice area.• Posttraumatic stress and dissociative disorders have been combined to allow for integrated coverage of primary psychiatric disorders related to trauma and stressors.

A boon to clinicians in training and practice, the book has been meticulously edited and grounded in the latest research. The author firmly believes that clinicians must not lose the complexities of the person in the process of helping the patient. Psychodynamic Psychiatry in Clinical Practice, Fifth Edition, keeps this approach front and center as it engages, instructs, and exhorts the reader in the thoughtful, humane practice of psychodynamic psychiatry.

Product Details

ISBN-13:	9781585625376
Publisher:	American Psychiatric Publishing, Incorporated
Publication date:	04/16/2014
Sold by:	Barnes & Noble
Format:	eBook
Pages:	653
Sales rank:	451,381
File size:	2 MB
Age Range:	18 Years

About the Author

Glen O. Gabbard, M.D., is Clinical Professor of Psychiatry at Baylor College of Medicine in Houston, Texas and Professor of Psychiatry at State University of New York in Syracuse. He is also Training and Supervising Analyst at the Center for Psychoanalytic Studies in Houston.

Table of Contents

Preface to the Fifth EditionSource AcknowledgmentsSection I: BASIC PRINCIPLES AND TREATMENT APPROACHES IN DYNAMIC PSYCHIATRYChapter 1. Basic Principles of Dynamic PsychiatryChapter 2. The Theoretical Basis of Dynamic PsychiatryChapter 3. Psychodynamic Assessment of the PatientChapter 4. Treatments in Dynamic Psychiatry: Individual PsychotherapyChapter 5. Treatments in Dynamic Psychiatry: Group Therapy, Family/Marital Therapy, and PharmacotherapyChapter 6. Treatments in Dynamic Psychiatry: Multiple Treater SettingsSection II: DYNAMIC APPROACHES TO DSM-5 DISORDERSChapter 7. SchizophreniaChapter 8. Affective DisordersChapter 9. Anxiety DisordersChapter 10. Trauma- and Stressor-Related Disorders and Dissociative DisordersChapter 11. Paraphilias and Sexual DysfunctionsChapter 12. Substance-Related Disorders and Eating DisordersChapter 13. Neurodevelopmental and Neurocognitive DisordersSection III: DYNAMIC APPROACHES TO PERSONALITY DISORDERSChapter 14. Cluster A Personality Disorders: Paranoid, Schizoid, and SchizotypalChapter 15. Cluster B Personality Disorders: Borderline Personality DisorderChapter 16. Cluster B Personality Disorders: NarcissisticChapter 17. Cluster B Personality Disorders: AntisocialChapter 18. Cluster B Personality Disorders: Hysterical and HistrionicChapter 19. Cluster C Personality Disorders: Obsessive-Compulsive, Avoidant, and DependentIndex

What People are Saying About This

Elizabeth L. Auchincloss

In Psychodynamic Psychotherapy in Clinical Practice, Fifth Edition, Gabbard has given us a book that is both perfect for beginners and interesting to those advanced in their work with patients. This is a tremendous accomplishment! The book is both sophisticated and user-friendly. It is a must-have for the library of every serious mental health professional, who will refer to it many, many times.

Arnold M. Cooper

Arnold M. Cooper, M.D., Professor Emeritus in Consultation-Liaison Psychiatry, Cornell University Medical College, New York, New York
This remarkable book is scholarly, lucid, and offers a compelling description of the central role of psychodynamic psychiatry in every aspect of modern psychiatric practice. Dr. Gabbard's prose and up-to-the-minute scholarship provides the intellectual foundation and clinical opportunity for the psychiatrist to focus on the individual needs of each of his patients with the depth of understanding that a knowledge of psychodynamics can provide. This volume covers the full range of psychiatric disorders and clinical situations, and provides every clinician with the opportunity to understand his patients more deeply and treat them more effectively. The book can be read as a whole or dipped into as a reference. Either way, it is invaluable.

John G. Gunderson

John G. Gunderson, M.D., Professor of Psychiatry, Harvard Medical School/Director, Psychosocial and Personality Research, McLean Hospital,, Belmont, Massachusetts
Remarkably clear, readable, and scholarly, this generation's foremost teacher of psychodynamic theory and practice makes their role in psychiatry more recognizable, compelling, and up-to-date than ever. Gabbard again deploys his talents to create a unique resource for every clinician who works -or who wants to work - within this sector of mental health.

David A. Goldberg

Psychodynamic psychiatry takes the next step towards becoming an integrative modern clinical discipline in this revision of Dr. Gabbard's landmark text. Psychodynamic theory and applications to clinical practice are lucidly described within a biopsychosocial context that is informed by the most recent clinical evidence and links to evolving neuroscience. This book should be read and re-read by students, clinicians and educators both for its immense clinical applications and for its vision for the evolution of our field.

David Spiegel

David Spiegel, M.D., Professor and Associate Chair of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California
Once again Dr. Gabbard has given us a text that is dynamic in two senses. He clearly presents the theory and practice of psychotherapy involving unconscious and conscious dynamic conflict, transference and countertransference. His writing is lucid, his thinking clear, his use of the literature scholarly. Dr. Gabbard provides us with a dynamic read about psychodynamics.

Robert Michels

Glen Gabbard's Psychodynamic Psychiatry in Clinical Practice has become a classic -- the basic formulation of what psychodynamics is and what it can contribute to modern psychiatry. It is a must for psychoanalysts, psychotherapists, and all psychiatrists who talk to patients.

The new fourth edition maintains and develops the virtues of the earlier ones. Contemporary psychoanalytic theory is pluralistic, and Gabbard is at home in ego psychology, modern Kleinian theory, self-psychology, object relations, and relational thinking. Moreover he is a genius at explicating the essentials of each, comparing their perspectives, and guiding the clinician in feeling comfortable in drawing upon each in clinical work.

Gabbard also provides summaries of the contributions of developmental and neurobiologic research, emphasizing their relevance for the thinking and practice of the dynamic clinician. Residents often complain that there is little relationship between the science that they learn in seminars and the practice they are taught in clinics. This book addresses that question head on, and builds the bridges so important for the future of the field.

The book is organized by the major DSM-IV clinical entities but does not hesitate to expand and develop its descriptions. It not only reviews the psychodynamic theory and neurobiologic models for each, but also summarizes the available research on treatment efficacy. Gabbard's psychodynamic clinician is comfortable with the full range of patients, treated in outpatient, inpatient and day hospital settings, with individual, family and group methods, and with medication as well as psychotherapy.

There may be no single book that can itself teach one to be an effective psychodynamic clinician, but this is clearly the best.

Editorial Reviews

4 Stars! from Doody

Discusses the basic theoretical principles of dynamic psychiatry and the major treatment modalities, including individual psychotherapy, group psychotherapy, family/marital therapy, pharmaco-therapy, and dynamically informed hospital treatment, and applies the principles and therapeutic approaches to the major Axis I and Axis II disorders in DSM-III-R. Annotation c. Book News, Inc., Portland, OR (booknews.com)

Booknews

Reviewer: Brett C. Plyler, M.D.(Northwestern Memorial Hospital)
Description: This is the fifth edition of a book that examines the application of psychodynamic psychiatry to a wide range of mental health problems. The previous edition was published in 2005.
Purpose: The purpose is to understand the application of psychodynamic psychiatry in the field as a model of thought and practice.
Audience: The book is written for beginning level psychiatrists learning about dynamic psychiatry up to advanced practitioners looking for a review.
Features: A discussion of the basic principles and theoretical basis of dynamic psychiatry begins the book. There is an excellent definition of dynamic psychiatry, and the author discusses how to "integrate the domain of the mind with the domain of the brain." The next chapter details how to do a psychodynamic assessment of a patient and how it differs from medical history taking. Subsequent sections discuss treatments with an individual therapist, with couples, and with inpatients, along with clinical examples to illustrate the different approaches. The middle portion of the book examines the majority of axis I adult mental health problems, according to the organization of DSM-5. Each chapter has a section on the psychodynamic understanding of the disorder, a review of treatment approaches of all types, and a case example. There is a significant amount of supportive data, usually focusing on the results of psychodynamic research. The end of the book is devoted to the personality disorders. The chapters here are organized similarly with discussion of the disorder, psychodynamic understanding of the illness, then treatment approaches and case examples. There are more charts and tables in these chapters. The book ends with the cluster C personality section. There is no summary.
Assessment: This is a remarkable book. It should be used with all psychiatrists in training as a methodology for understanding dynamic psychiatry, and learning how well it works when used appropriately. I do appreciate that the author states there are patients for whom this is not the best approach. He does a good job of presenting supportive research about the benefits of dynamic therapy/psychiatry, though it is a bit overstated at times. I really enjoyed reading about the psychodynamic understanding of each illness/disorder. The author comments that the book was delayed until DSM-5 was widely circulated, while voicing his disagreements with the new criteria. All in all, this is an excellent book that I will recommend to trainees and attendings alike.

Doody's Review Service

I would recommend this book to anyone interested in the interface between psychiatry and the psychotherapies. For trainees, in particular, it provides an integrative appreciation of psychodynamic psychiatry in an accessible style that does not assume a lot of prior knowledge.

Australia and New Zealand Journal of Psychiatry

It is rare to find a large, single authored text book in this era of edited texts. It was a treat to discover that Glenn Gabbard continues to update his classic text, now in its fourth edition... With this volume, Gabbard continues the project of relating the findings of neuroscience to the dynamic understanding of the individual, which be began in his third edition. Ever a consummate teacher, he weaves recent research into a practical approach to the psychodynamics of psychiatric care. He uses a good number of clinical examples.

Canadian Journal of Psychiatry