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Psychodynamic Psychiatry in Clinical Practice » (4th Edition)

Book cover image of Psychodynamic Psychiatry in Clinical Practice by Glen O. Gabbard

Authors: Glen O. Gabbard
ISBN-13: 9781585621859, ISBN-10: 1585621854
Format: Hardcover
Publisher: American Psychiatric Publishing, Incorporated
Date Published: January 2005
Edition: 4th Edition

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Author Biography: Glen O. Gabbard

Glen O. Gabbard, M.D., Brown Foundation Chair of Psychoanalysis and Professor, Department of Psychiatry and Behavioral Sciences, and Director, Baylor Psychiatric Clinic, Baylor College of Medicine; Training and Supervising Analyst, Houston-Galveston Psychoanalytic Institute, Houston, Texas.

Book Synopsis

This new edition of the classic psychodynamic psychiatry text, Psychodynamic Psychiatry in Clinical Practice, continues its tradition as the most readable, scholarly, and practical introduction to psychodynamic theory and practice available. Kept within arm's reach of all mental health professionals, this invaluable “one-stop” reference will prepare you to teach students and treat patients more effectively with its truly integrative psychodynamic approach.

The author has meticulously updated every chapter of the previous edition, adding new illustrative case examples and discussing the most recent research findings and concepts in psychodynamic psychiatry. It introduces the basic principles of psychodynamic psychiatry and the four fundamental theoretical frameworks derived from psychoanalytic theory: ego psychology, object relations theory, self psychology, and attachment theory. Drawing on the latest breakthroughs in neuroscience to validate the latest psychodynamic thinking, the author includes neuroanatomical illustrations that highlight the need to integrate psychoanalytic theories of development with brain development and the impact of environment on gene expression.

The eminently practical Psychodynamic Psychiatry in Clinical Practice is organized into three distinct sections based on DSM-IV diagnoses:


    • Section I, Basic Principles and Treatment Approaches in Dynamic Psychiatry, begins by laying a foundation in psychoanalytic theory. It focuses on how to apply psychoanalytic theory to specific types of evaluation and treatment, including psychodynamic assessment, brief therapy, individual and group psychotherapy, family and marital therapy, pharmacotherapy, and hospital/partial hospital treatment.
    • Section II, Dynamic Approaches to Axis I Disorders, covers the major psychiatric disorders and discusses how to apply psychodynamic understanding to the treatment of patients with these disorders.
    • Section III, Dynamic Approaches to Axis II Disorders, provides a psychodynamic understanding of personality disorders and covers in detail the principles of psychodynamic psychotherapy for these conditions.

The fourth edition of Psychodynamic Psychiatry in Clinical Practice details the theory of psychodynamic psychotherapy and the adaptation of psychodynamic thinking to specific disorders. As such, it is an ideal companion to Dr. Gabbard's Long-Term Psychodynamic Psychotherapy: A Basic Text, which details the techniques of dynamic psychotherapy.

The bestselling Psychodynamic Psychiatry in Clinical Practice is the definitive reference for training programs of all kinds at all levels. This new edition provides a clear synthesis of diagnostic understanding and treatment unmatched in the literature. Marked by Dr. Gabbard's distinctly lucid and compelling prose, it is the ultimate psychiatric guide for the busy clinician and mental health student.

Doody Review Services

Reviewer:David A. Garfield, M.D.(Rosalind Franklin University of Medicine and Science)
Description:This is the fourth edition of a classic staple of psychiatric education in psychodynamic psychiatry. Its unique contribution is to meld pertinent neuroscience findings with psychoanalytic knowledge and to bring it to bear on the clinical setting.
Purpose:The purpose of this new edition is to more fully incorporate the findings of biological psychiatry into theories about the human mind and to illustrate how the interaction between genes and the environment are confirming and shaping psychoanalytic views of development. These are the most pertinent questions that face the field of psychiatry today and the author adeptly and cogently meets these important objectives.
Audience:This book is primarily written for psychiatrists and psychiatric students. It is however, of tremendous value for psychoanalysts, psychologists, social workers and other psychotherapists. The author, Glen Gabbard, MD, is the Brown Foundation Chair of Psychoanalysis and Professor in the Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine. Dr. Gabbard has become the leading spokesman for the clinical and theoretical integration of psychoanalysis in modern psychiatry.
Features:The book is divided into three sections: Basic Principles and Treatment Approaches in Dynamic Psychiatry; Dynamic Approaches to Axis I Disorders; and Dynamic Approaches to Axis II Disorders. The fourth edition significantly revamps each chapter. New empirical findings have been added and less relevant material has been pruned. The author's easy to understand explanation of how the environment impacts on gene expression is brilliant and innovative. It brings a new feel and in-depth understanding to how nature and nurture are mutually influencing. New graphics in this edition include brain scans and diagrams that are crisp and helpful.
Assessment:The fourth edition is worth owning and represents a real difference from previous editions. Dr. Gabbard is one of the few people in psychoanalysis today who can selectively present essential material that brings psychoanalytic ideas into the twenty-first century. Findings from animal studies bring focus to the importance of attachment in psychotherapy and fMRI studies on empathy reveal clinically relevant distinctions and similarities between physical and emotional pain. These are but a few of the "not to be missed" pearls of integration that the author delivers.

Table of Contents

1Basic principles of dynamic psychiatry3
2The theoretical basis of dynamic psychiatry31
3Psychodynamic assessment of the patient69
4Treatments in dynamic psychiatry : individual psychotherapy93
5Treatments in dynamic psychiatry : group therapy, family/marital therapy, and pharmacotherapy129
6Treatments in dynamic psychiatry : dynamically informed hospital and partial hospital treatment157
7Schizophrenia181
8Affective disorders213
9Anxiety disorders249
10Dissociative disorders283
11Paraphilias and sexual dysfunctions313
12Substance-related disorders and eating disorders345
13Dementia and other cognitive disorders379
14Cluster A personality disorders : paranoid, schizoid, and schizotypal401
15Cluster B personality disorders : borderline427
16Cluster B personality disorders : narcissistic483
17Cluster B personality disorders : antisocial513
18Cluster B personality disorders : hysterical and histrionic541
19Cluster C personality disorders : obsessive-compulsive, avoidant, and dependent571

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