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- Title
Using psychodynamic formulation concepts to enrich the relationship between the therapist and the patient in psychiatry.
- Authors
Farnam, Alireza; Heidarzadeh, Azar
- Abstract
As we know, establishing an effective therapeutic relationship between the therapist and the patient is the first and most basic step in the diagnosis and treatment of psychiatric disorders. In this regard, psychodynamic formulation is a method based on the principles of psychoanalysis and an analytical approach that, along with the usual psychiatric interview, can be helpful in improving the relationship with the patient and general attitude toward his problems. Psychodynamic formulations can be applied, not in a purely psychoanalytic way, but even in the approach of a non-psychoanalytic psychiatrist, which leads to a deep and comprehensive understanding of the patient's problems and psychosocial processes, enabling admission to a more rigorous and deeper relationship between the therapist and the patient. In this method, the primary goal is not to treat the disease, but to help you understand the patient as a human being. In this approach, psycho-psychological forces are explored in the depths of the psyche of the individual in order to reveal resistances and penetrate into the subconscious mental depths, transfusion and interplay effects, and defense mechanisms; it tries to predict probable issues that are present in the treatment process and take necessary measures to manage them, and establish a safe and proportionate relationship with the patient through understanding the meaning of the treatment from the patient's perspective. In this regard, the therapist should be able to put patient issues in form of formulation models, including Ego psychology, self-psychology, Object-Relational Model; the, he/she must implement the appropriate process to form the most effective therapeutic relationship. Given the importance of dreams in accessing unconscious psychology, this aspect should also be used in the psychodynamic approach. Conclusion:Psychodynamic formulation is an effective and efficient way of understanding the patient and his problems comprehensively; by providing a profound understanding of the patient's mental health, this approach helps the therapist to adopt a technique that leads to more patient collaboration and more effective treatment.
- Subjects
PSYCHODYNAMIC psychotherapy; SUBCONSCIOUSNESS; PSYCHIATRY; PATIENTS' attitudes; EGO (Psychology); PSYCHIATRIC treatment
- Publication
Iranian Journal of Psychiatry & Behavioral Sciences / Progress in Psychiatry & Behavioral Sciences, 2018, p171
- ISSN
1735-8639
- Publication type
Article