Handbook of Psychodynamic Approaches to Psychopathology

Edited by Patrick Luyten, Linda C. Mayes, Peter Fonagy, Mary Target, and Sidney J. Blatt

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August 19, 2015
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578 Pages
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May 4, 2017
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Authoritative and comprehensive, this volume provides a contemporary psychodynamic perspective on frequently encountered psychological disorders in adults, children, and adolescents. Leading international authorities review the growing evidence base for psychoanalytic theories and therapeutic models. Chapters examine the etiology and psychological mechanisms of each disorder and thoroughly describe effective treatment strategies. Highly accessible, the book is richly illustrated with clinical case material. It demonstrates ways in which psychodynamic theory and therapy are enhanced by integrating ideas and findings from neuroscience, social and personality psychology, cognitive-behavioral therapy, and other fields.

Winner—Goethe Award for Psychoanalytic and Psychodynamic Scholarship

“The greatest contribution of this volume is its in-depth empirical evaluation of the many theoretical and clinical concepts it presents….Can promote the reintegration of psychodynamic principles into the general mental health field and encourage the further development of an empirical basis for psychodynamic constructs and techniques.”

Journal of the American Psychoanalytic Association


“Bringing together some of our most distinguished psychoanalytic clinicians and researchers, this volume is a rare treasure trove of contemporary psychodynamic thinking and practice rooted in an evidence-based framework. It is set to become essential reading for mental health professionals in training and beyond.”

—Alessandra Lemma, DClinPsych, Visiting Professor, Psychoanalysis Unit, University College London, United Kingdom


“This volume is a landmark contribution and an essential resource for all clinicians, researchers, and trainees. Leaders in the field provide the most comprehensive, up-to-date synthesis currently available of relevant research and its implications for psychoanalytic theory and practice. The Handbook will become the standard reference in this area and will have a significant impact on the way in which the broader mental health field approaches the etiology, conceptualization, classification, and treatment of psychological and psychiatric problems.”

—Jeremy D. Safran, PhD, Department of Psychology, The New School for Social Research


“This magnificent handbook not only demonstrates the tremendous richness of psychodynamic thinking about psychopathology, but also links it to empirical research and to neighboring disciplines like personality and social psychology, psychiatry, and neuroscience. I highly recommend this unique volume to anyone interested in the empirical validation of contemporary psychodynamic concepts.”

—Stephan Doering, MD, Professor and Director, Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Austria


“From stellar editors and contributors, this impressive volume is a thoughtful gift to the field. Its perspectives on psychopathology are cutting edge and empirically supported. Readers from graduate students to senior clinicians and researchers will find this book invaluable.”

—J. Christopher Muran, PhD, Derner Institute of Advanced Psychological Studies, Adelphi University; Director, Mount Sinai Beth Israel Psychotherapy Research Program

Table of Contents

I. Theoretical Background

1. Theoretical and Empirical Foundations of Contemporary Psychodynamic Approaches, Patrick Luyten, Linda C. Mayes, Sidney J. Blatt, Mary Target, & Peter Fonagy

2. Attachment-Related Contributions to the Study of Psychopathology, Mario Mikulincer & Phillip R. Shaver

3. The Developmental Perspective, Norka Malberg & Linda C. Mayes

4. Neuroscience and Psychoanalysis, Andrew J. Gerber, Jane Viner, & Joshua Roffman

5. The Psychodynamic Approach to Diagnosis and Classification, Patrick Luyten & Sidney J. Blatt

6. Defenses as a Transdiagnostic Window on Psychopathology, Robert J. Waldinger & Marc S. Schulz

II. Psychopathology in Adults

7. Depression, Sidney J. Blatt

8. Generalized Anxiety Disorder and Other Anxiety Disorders, Fredric N. Busch & Barbara L. Milrod

9. Trauma, Jon G. Allen & Peter Fonagy

10. Obsessive–Compulsive Disorder, Guy Doron, Mario Mikulincer, Michael Kyrios, & Dar Sar-El

11. Substance Use Disorders, William H. Gottdiener & Jesse J. Suh

12. Eating Disorders, Heather Thompson-Brenner & Lauren K. Richards

13. Psychosis, Susanne Harder & Bent Rosenbaum

14. Functional Somatic Disorders, Patrick Luyten, Manfred Beutel, & Golan Shahar

15. Personality Disorders, Kevin B. Meehan & Kenneth N. Levy

16. Dependent Personality Disorder, Robert F. Bornstein

17. Borderline Personality Disorder, John F. Clarkin, Peter Fonagy, Kenneth N. Levy, & Anthony Bateman

III. Psychopathology in Childhood and Adolescence

18. Child–Parent Psychotherapy in the Treatment of Infants and Young Children with Internalizing Disorders, Maria S. St. John & Alicia F. Lieberman

19. Conduct Disorders, Jonathan Hill & Helen Sharp

20. Attachment Disorders, Miriam Steele & Howard Steele

21. Reflective and Mindful Parenting: A New Relational Model of Assessment, Prevention, and Early Intervention, John Grienenberger, Wendy Denham, & Diane Reynolds

22. Working with Families, Trudie Rossouw

IV. Process and Outcome in Psychodynamic Psychotherapies

23. Efficacy of Psychodynamic Psychotherapy in Specific Mental Disorders: An Update, Falk Leichsenring, Johannes Kruse, & Sven Rabung

24. Beyond Transference: Fostering Growth through Therapeutic Immediacy, Jared A. DeFife, Mark J. Hilsenroth, & Klara Kuutmann

25. Future Perspectives, Linda C. Mayes, Patrick Luyten, Sidney J. Blatt, Peter Fonagy, & Mary Target


About the Editors

Patrick Luyten, PhD, is Associate Professor in the Faculty of Psychology and Educational Sciences, University of Leuven; Reader in the Research Department of Clinical, Educational, and Health Psychology, University College London; and Visiting Professor at the Yale Child Study Center. His research focuses on the role of personality, stress, and interpersonal processes in depression, chronic fatigue syndrome, and fibromyalgia. He is also currently involved in studies on mentalization-based treatment of patients with borderline personality disorder. Dr. Luyten serves on the editorial boards of several scientific journals and is a recipient of the Psychoanalytic Research Exceptional Contribution Award from the International Psychoanalytical Association. He also maintains a private practice.

Linda C. Mayes, MD, is the Arnold Gesell Professor of Child Psychiatry, Pediatrics, and Psychology in the Yale Child Study Center and Special Advisor to the Dean, Yale School of Medicine. Dr. Mayes’s research integrates perspectives from child development, behavioral neuroscience, psychophysiology and neurobiology, developmental psychopathology, and neurobehavioral teratology. Her work focuses on stress-response and regulatory mechanisms in young children at both biological and psychosocial risk. She also focuses on how adults transition to parenthood and the basic neural circuitry of early parent-infant attachment. She and her colleagues have developed a series of interventions for parents, including Minding the Baby, an intensive home-based program, and Discover Together, a program to enhance community and family resilience.

Peter Fonagy, OBE, FMedSci, FBA, PhD, is Freud Memorial Professor of Psychoanalysis and Head of the Research Department of Clinical, Educational, and Health Psychology, University College London; Chief Executive of the Anna Freud Centre; Consultant to the Child and Family Program at the Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine; and Visiting Professor at Yale, Harvard, and Emory Medical Schools. Dr. Fonagy's clinical interests center on early attachment relationships, social cognition, borderline personality disorder, and violence. With collaborators in the United Kingdom and United States, he co-developed an innovative research-based dynamic therapeutic approach, mentalization-based treatment. He has published more than 400 scientific papers, 250 chapters, and 17 books.

Mary Target, MSc, PhD, is Professor of Psychoanalysis in the Research Department of Clinical, Educational, and Health Psychology, University College London; Clinical Professor at Yale Medical School; and Visiting Professor at the University of Vienna. She has held several leadership positions in psychology and psychoanalytic organizations. She has a half-time psychoanalytic practice, with clinical interests in early attachment relationships, personality disorders, and disturbances of adult attachment and social cognition. Dr. Target's research interests include child and adult attachment and mentalization, treatment outcomes in children and adolescents, and the development and evaluation of models of psychotherapy. She has published more than 100 scientific papers and 11 books in collaboration, many with Peter Fonagy.

Sidney J. Blatt, PhD, until his death in 2014, was Professor Emeritus in the Departments of Psychiatry and Psychology at Yale University. Dr. Blatt published extensively in a wide range of journals in psychology, psychiatry, and psychoanalysis, and authored several books. He was a recipient of the Mary S. Sigourney Foundation Award for distinguished contributions to psychoanalysis, among other honors.

Contributors

Jon G. Allen, PhD, The Menninger Clinic, Houston, Texas

Anthony Bateman, MA, FRCPsych, Halliwick Psychological Therapies Service, St. Ann’s Hospital, London, United Kingdom

Manfred Beutel, MD, DiplPsych, Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Johannes Gutenberg University, Mainz, Germany

Sidney J. Blatt, PhD (deceased), Departments of Psychiatry and Psychology, Yale University, New Haven, Connecticut

Robert F. Bornstein, PhD, Derner Institute of Advanced Psychological Studies, Department of Psychology, Adelphi University, Garden City, New York

Fredric N. Busch, MD, Department of Psychiatry, Weill Cornell Medical College, New York, New York; Center for Psychoanalytic Training and Research, Columbia University, New York, New York

John F. Clarkin, PhD, Department of Psychiatry, New York Presbyterian Hospital—Westchester Division, Weill Cornell Medical College, White Plains, New York

Jared A. DeFife, PhD, private practice, Atlanta, Georgia

Wendy Denham, PhD, Center for Reflective Communities, Los Angeles, California

Guy Doron, PhD, Baruch Ivcher School of Psychology, Interdisciplinary Center, Herzlyia, Israel

Peter Fonagy, OBE, FMedSci, FBA, PhD, Psychoanalysis Unit, Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom

Andrew J. Gerber, MD, PhD, New York State Psychiatric Institute, Columbia University, New York, New York

William H. Gottdiener, PhD, Department of Psychology, John Jay College of Criminal Justice, City University of New York, New York, New York

John Grienenberger, PhD, Center for Reflective Communities, Los Angeles, California

Susanne Harder, PhD, Department of Psychology, University of Copenhagen, Copenhagen, Denmark

Jonathan Hill, MB, BChir, MRCPsych, School of Psychology and Clinical Language Sciences, University of Reading, Reading, United Kingdom

Mark J. Hilsenroth, PhD, Derner Institute of Advanced Psychological Studies, Department of Psychology, Adelphi University, Garden City, New York

Johannes Kruse, MD, Department of Psychosomatics and Psychotherapy, University of Giessen, Giessen, Germany

Klara Kuutmann, MS, Department of Psychology, Uppsala University, Uppsala, Sweden

Michael Kyrios, PhD, School of Psychology, College of Medicine, Biology and Environment, Australian National University, Canberra, Australia

Falk Leichsenring, DSc, Department of Psychosomatics and Psychotherapy, University of Giessen, Giessen, Germany

Kenneth N. Levy, PhD, Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania

Alicia F. Lieberman, PhD, Department of Psychiatry, University of California, San Francisco, San Francisco, California

Patrick Luyten, PhD, Faculty of Psychology and Educational Sciences, University of Leuven,Leuven, Belgium; Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom

Norka Malberg, PsyD, Yale Child Study Center, Yale University School of Medicine, New Haven, Connecticut

Linda C. Mayes, MD, Yale Child Study Center and Departments of Child Psychiatry, Pediatrics, and Psychology, Yale University School of Medicine, New Haven, Connecticut

Kevin B. Meehan, PhD, Department of Psychology, Long Island University, Brooklyn, New York

Mario Mikulincer, PhD, Baruch Ivcher School of Psychology, Interdisciplinary Center, Herzlyia, Israel

Barbara L. Milrod, MD, Department of Psychiatry, Weill Cornell Medical College, New York, New York; New York Psychoanalytic Society & Institute, New York, New York

Sven Rabung, PhD, Department of Psychology, Alpen-Adria-Universität Klagenfurt,

Klagenfurt, Austria; Department of Medical Psychology, University Medical Center Hamburg–Eppendorf, Hamburg, Germany

Diane Reynolds, MFT, Center for Reflective Communities, Los Angeles, California

Lauren K. Richards, PhD, Red Sox Foundation/Massachusetts General Hospital Home Base Program and Department of Psychiatry, Harvard Medical School, Boston, Massachusetts

Joshua Roffman, MD, Martinos Center for Biomedical Imaging, Charlestown, Massachusetts

Bent Rosenbaum, MD, Department of Psychology, University of Copenhagen, Copenhagen, Denmark

Trudie Rossouw, MD, North East London NHS Foundation Trust, London, United Kingdom

Dar Sar-El, PhD, Baruch Ivcher School of Psychology, Interdisciplinary Center, Herzlyia, Israel

Marc S. Schulz, PhD, Department of Psychology, Bryn Mawr College, Bryn Mawr, Pennsylvania

Golan Shahar, PhD, Department of Psychology, Ben-Gurion University of the Negev, Beer-Sheva, Israel

Helen Sharp, PhD, Institute of Psychology, Health and Society, University of Liverpool, Liverpool, United Kingdom

Phillip R. Shaver, PhD, DClinPsy, Department of Psychology, University of California, Davis, Davis, California

Maria S. St. John, PhD, MFT, Department of Psychiatry, University of California, San Francisco, San Francisco, California

Howard Steele, PhD, Department of Psychology, New School for Social Research, New York, New York

Miriam Steele, PhD, Department of Psychology, New School for Social Research, New York, New York

Jesse J. Suh, PsyD, Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania

Mary Target, MSc, PhD, Psychoanalysis Unit, Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom

Heather Thompson-Brenner, PhD, Center for Anxiety and Related Disorders, Department of Psychology, Boston University, Boston, Massachusetts

Jane Viner, MD, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts

Robert J. Waldinger, MD, Center for Psychodynamic Therapy and Research, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts

Audience

Clinical psychologists, psychiatrists, clinical social workers, counselors, and psychiatric nurses; psychotherapy researchers and students.

Course Use

May serve as a text in graduate-level courses.