Combined treatment: psychopharmacology and psychotherapy
DOI:
https://doi.org/10.25118/2763-9037.2013.v3.318Keywords:
Combined Treatment, Psychopharmacology, PsychotherapyAbstract
From a position of conflict to a position of greater integration, psychotherapy combined with medication is attracting more psychiatric practitioners. Their clinical practice has been characterized by a non- dichotomous approach using both psychodynamic and biological psychiatry. The objective of this paper is to review psychodynamic and psychopharmalogical evolution when involved in a combined treatment programme. The second part of this paper presents an integrated therapeutic psychiatric model. The history of both these two approaches goes back to their origins with subsequent consequences in psychiatric capacity and skills. The psychiatric practitioner should integrate a clinical diagnosis with a structural diagnosis as well as using distinct techniques. To better understand how this model functions the author has included two clinical illustrations.
Downloads
Metrics
References
• 1. Mabilde LC, Kapczinski F, Ribeiro R, Tocchetto A. Considerações sobre o tratamento farmacológico e psicodinâmico dos transtornos de ansiedade. Rev. Psiquiatr. RS. 1999; 21: 41-51.
• 2. Classificação de transtornos mentais e de comportamento da CID-10. Porto Alegre: Artes Médicas; 1993: 132-149.
• 3. Frey BN, Mabilde LC, Eizirik CL. A Integração da psicofarmacoterapia e psicoterapia de orientação analítica: uma revisão crítica. Rev. Bras. Psiquiatr. 2004; 26: 118-123. DOI: https://doi.org/10.1590/S1516-44462004000200009
• 4. Freud S. (1914). Sobre o narcisismo: uma introdução. In: Edição Standard Brasileira das Obras Psicológicas Completas de Sigmund Freud. Rio de Janeiro: Imago; 1972; 14: 89-119.
• 5. Meyer A. Progress in teaching psychiatry. JAMA 1917; 69: 861-3. DOI: https://doi.org/10.1001/jama.1917.02590380003002
• 6. Hoffman JS. Integrating biologic and psychologic treatment: the need for a unitary model. Psychiatr Clin North Am 1990; 13:369-72. DOI: https://doi.org/10.1016/S0193-953X(18)30374-5
• 7. Marmor J. The adjunctive use of drugs in psychotherapy. J. Clin Psychopharmacol 1981; 1: 312-5. DOI: https://doi.org/10.1097/00004714-198109000-00007
• 8. Karasu, TB. Psychoterapy and pharmacotherapy: toward an integrative model. Am J Psychiatry. 1982; 139: 1102-13. DOI: https://doi.org/10.1176/ajp.139.9.1102
• 9. Bellak L, Chassan JB, Gediman HK, Hurvich M. Ego function assessment of analytic psychotherapy combined with drug therapy. J Nerv Ment Dis 1973; 157: 465-9. DOI: https://doi.org/10.1097/00005053-197312000-00008
• 10. Marcus ER. Integrating psychopharmacotherapy, psychotherapy and mental structure in the treatment of patients with personality disorders and depression. Psychiatr Clin North Am 1990; 13: 255-63. DOI: https://doi.org/10.1016/S0193-953X(18)30365-4
• 11. Donavan SJ, Roose SP. Medication use during psychoanalysis: a survey. J Clin Psychiatry 1995; 56: 177-8.
• 12. Guimón J, Fischer W, Zbinden E, George D. Therapeutic practice profiles, theoretical models and representations of the psychiatrists . Schweizer Archiv fur Neurologie und Psychiatrie 1988; 149: 41-50. DOI: https://doi.org/10.4414/sanp.1998.01017
• 13. Busch FN, Gould E. Treatment by a psychotherapist and a psychopharmacologist: transference and countertransference issues. Hosp Community Psychiatry 1993; 44: 772-4. DOI: https://doi.org/10.1176/ps.44.8.772
• 14. Greene MA. The effects of the introduction of medication on psychoanalytic process: a case study. J Am Psychoanal Assoc 1998; 49: 607-27. DOI: https://doi.org/10.1177/00030651010490020901
• 15. Hamilton NG, Sacks LH, Hamilton CA. Object relations theory and pharmacopsychoterapy of anxiety disorders. Am J Psychother 1994; 48: 380-91. DOI: https://doi.org/10.1176/appi.psychotherapy.1994.48.3.380
• 16. Lipowski ZJ. To reduce or to integrate: psychiatry’s dilemma. Can J Psychiatry 1986; 31: 347-51. DOI: https://doi.org/10.1177/070674378603100414
• 17. Kandel ER. Biology and the future of psychoanalysis: a new intellectual framework for psychiatry revisited. Am J Psychiatry 1999; 156: 505-24. DOI: https://doi.org/10.1176/ajp.156.4.505
• 18. Drob SL. The dilemma of contemporary psychiatry. Am J Psychoter 1989; 43: 54-67. DOI: https://doi.org/10.1176/appi.psychotherapy.1989.43.1.54
• 19. Fonagy P. An open door review of outcome studies in psychoanalysis. 2nd revisited. 2002 Feb. Available from: URL.
• 20. Bergeret J. A personalidade normal e patológica. Porto Alegre: Artmed; 1998: 66-116.
• 21. Kohut H. Análise do self. Rio de Janeiro: Imago, 1988: 18-21.
Downloads
Published
How to Cite
Conference Proceedings Volume
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Debates em Psiquiatria allows the author (s) to keep their copyrights unrestricted. Allows the author (s) to retain their publication rights without restriction. Authors should ensure that the article is an original work without fabrication, fraud or plagiarism; does not infringe any copyright or right of ownership of any third party. Authors should also ensure that each one complies with the authorship requirements as recommended by the ICMJE and understand that if the article or part of it is flawed or fraudulent, each author shares responsibility.
Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) - Debates em Psiquiatria is governed by the licencse CC-By-NC
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
The licensor cannot revoke these freedoms as long as you follow the license terms. Under the following terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
