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Integrative psychodynamic therapy
Published in Stacy K. Nakell, Treatment for Body-Focused Repetitive Behaviors, 2023
Psychodynamic treatment is continuously evolving, integrating new techniques and deepening the clinical understanding of the workings of the human psyche. In this way, it’s an ideal model that allows us to embrace clients where they are and offer them a blend of various approaches to suit their needs.
Bouffée Délirante
Published in Alice Bullard, Spiritual and Mental Health Crisis in Globalizing Senegal, 2022
Collomb proposed bouffée délirante as a quintessential aspect of “African psychiatry,” stretching his Dakar-based case studies to underpin a theory meant to cover the entire continent. If this seems an overly ambitious generalization, it is worth considering that in years since Collomb’s theorization, bouffée délirante has become a prominent diagnosis in developing countries around the globe, and continues to be a prominent diagnosis for African and Caribbean immigrants to France. This widespread use of bouffée délirante owes much to the processes of globalization, that have taken local psychiatric insights and adopted them into wide-ranging theories and that have also increased the migratory flows of people, uprooting individuals and relocating them in foreign lands, with strange laws, climates, and habits. As a malady of migration, dislocation, and loss of home and of familiar settings, bouffée délirante is apt for the era of globalization. Its transitory nature exhibits resilience that Western psyches frequently lack.
Breathing Lessons: Skills for Activating Parasympathetic Recovery
Published in Brian C. Miller, Reducing Secondary Traumatic Stress, 2021
The concept of “balance” has no basis in the physiological reality of stress. Stress is a demand placed on the body and psyche within a dynamic environment. It rises like a wave (sometimes a tsunami), and it fades away. Sometimes the demands placed upon us by our work are at near-crisis levels, and sometimes the demands recede and become less intense. There is no reasonable way you can establish a durable and sustainable “balance”. It isn’t about balance at all, or any other noun for that matter. In an ever-changing, dynamic environment, we need an action verb, not a noun: We must be able to manage the daily demands placed on us by rebalancing, not by establishing a “balance”.
Relational Work Through Technology: Understanding the Impact of Telemental Health on the Therapeutic Alliance
Published in Smith College Studies in Social Work, 2023
As psychoanalysis and psychodynamic therapy models evolved, some found that a one-person psychology was incomplete and the remoteness of a neutral therapist could leave patients feeling cold, unsatisfied, and failing to improve (Safran & Muran, 2000). Therapists began to perceive the potential of using the relationship with the patient as a tool to heal psychic wounds and shift relational patterns. The concept first gained traction in writings by Zetzel (1956), who observed the therapeutic alliance as a “non-neurotic and non-transferential relational component established between patient and therapist that allows the patient to follow the therapist and use his or her interpretations” (cited in Ardito & Rabellino, 2011, p. 1). In 1965, Greenson (2008) began writing on the lack of change in some patients noting “the key to understanding the essential pathology as well as the therapeutic stalemate was in the failure of the patient to develop a reliable working relation with the analyst” (p. 77). The focus for a new approach then became one of shared responsibility and personal connection. Bordin (1979) established a definition for the therapeutic alliance as the ability of the therapist and patient to collaborate on goals, agree on tasks, and establish a positive bond. Bordin’s inclusion of the bond pulls the relationship into the mechanics of a practice of psychotherapy that views patient collaboration as a key ingredient to the success of treatment.
Have We Neglected a Foundational Best-Practice? Facing the Deficiency of Psychotherapy Education and Training for Psychiatric Mental Health Nurse Practitioners
Published in Issues in Mental Health Nursing, 2022
Despite the lack of CEUs, these trainings were invaluable and crucial to my growth personally and professionally. After gaining confidence and skill in my psychotherapy practice and weekly clinical case supervision, I established an incredibly fulfilling holistic self-pay private practice. My current practice provides long-term individual and group psychodynamic psychotherapy focusing primarily on psychic healing and working through trauma. After seeing me weekly for a few months, most of my patients stop problematic use of substances (e.g. drugs, alcohol, food) and behaviors (e.g. shopping, sexual compulsion, gambling) and can safely reduce or discontinue psychotropic medication. Because my patients are truly healing, I have considerably more job satisfaction along with better patient experiences and patient outcomes. I also work fewer hours a week and my hourly income is nearly 3x more than when I was in a traditional prescriber role. Respectively, there has been much psychic relief on my end knowing that I am providing best practice, evidence-based care with the fewest side effects and greatest long-term therapeutic gains to patients (Shedler, 2010).
From “Patient” to “Activist”: Treatment Experiences, Changing Perceptions, and Resistance of Mental Health Survivors
Published in Journal of Progressive Human Services, 2022
The psyche is described as an essential component of the personality, through human thought, behavior, and actions. It is a meaningful layer within one’s identity, a deep and hidden part. This part of the human being is responsible for the capacity to reach decisions, the ability to analyze data, social conduct, and many other actions (Audi, 1999). When a person’s psyche is diagnosed as ill, society conveys the message that the person is incapable of carrying out all these operations. Moreover, the psyche is not an actual human body part. Those authorized to diagnose mental illness rely on behavioral rather than physiological measures (Szasz, 1997). Unlike other medical fields, where the specialist can indicate the location of the sick body part and utilize objective physiological measures that indicate the existence of an illness, psychiatrists would find it hard to locate the psyche in the human body and even harder to base their diagnoses on objective measures. In fact, the physician of the psyche utilizes indirect measurement (representative indicators), such as human behavior, in order to diagnose illness (Gambrill, 2014). These measures are culture and context dependent and subjective; a reality used by the physician of the psyche as a defense against claims of misdiagnosis.