Psychodynamic Formulation - IUC

1 Psychodynamic FormulationPsychodynamicFormulationByDeb orah L. CabanissandSabrina CherryCarolyn J. DouglasRuth L. GraverAnna R. SchwartzColumbia University, Department of Psychiatry, New York, USAA John Wiley & Sons, Ltd., PublicationThis edition first published 2013, 2013 by John Wiley & Sons is an imprint of John Wiley & Sons, formed by the merger of Wiley s global Scientific, Technical andMedical business with Blackwell office:John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UKEditorial offices:9600 Garsington Road, Oxford, OX4 2DQ, UKThe Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK2121 State Avenue, Ames, Iowa 50014-8300, USAFor details of our global editorial offices, for customer services and for information about how to apply for permission toreuse the copyright material in this book please see our website at right of the author to be identified as the author of this work has been asserted in accordance with the UKCopyright, Designs and Patents Act rights reserved.

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6 3. Patient Care Planning. 4. PsychoanalyticTherapy methods. WM 141] dc232012047255A catalogue record for this book is available from the British also publishes its books in a variety of electronic formats. Some content that appears in print may not be availablein electronic image: Nicki Averill Design & IllustrationCover design by Nicki Averill Design & IllustrationSet in 10/12 Palatino by Laserwords Private Limited, Chennai, 2013 For our families:Thomas, William and DanielMarc, Rebecca and RuthJon, William and BenMichael, Sam and JacobEric, Lena and MaiaThis book may be seen as a companion to Psychodynamic psychotherapy : A clinicalmanual.

7 For details, see or scan this QR code:ContentsAcknowledgmentsixIntroducti onxiPART ONE Introduction to the Psychodynamic Formulation11 What is a Psychodynamic Formulation ?32 How do We Use Psychodynamic Formulations?83 How do We Construct a Psychodynamic Formulation ?12 PART TWO DESCRIBE174 Self235 Relationships326 Adapting417 Cognition528 Work and Play61 Putting it Together A Description of Problems and Patterns69 PART THREE REVIEW759 What We re Born with Genetics and Prenatal Development8110 The Earliest Years9011 Middle Childhood10112 Later Childhood, Adolescence.

8 And Adulthood113 Putting it Together A Developmental History123viiiCONTENTSPART FOUR LINK13513 Trauma14314 Early Cognitive and Emotional Difficulties15215 Conflict and Defense16316 Relationships with Others17317 The Development of the Self18218 Attachment191 Putting it Together A Psychodynamic Formulation201 PART FIVE Psychodynamic Formulations in Clinical Practice21319 Psychodynamic Formulations in Acute Care Settings21520 Psychodynamic Formulation in Pharmacologic Treatment22221 Psychodynamic Formulation in Long-Term PsychodynamicPsychotherapy: Revising Over Time23022 Sharing Formulations with Our Patients238 Epilogue247 Appendix How to UsePsychodynamic Formulation : A Guide forEducators249 Recommended Reading253 Index259 AcknowledgmentsConstructing a Psychodynamic Formulation is one thing, but trying to teach someoneelse to construct one is something else entirely.

9 It s like trying to teach someone to tie ashoe. You know how to do it, but what are the steps? How do you put things together?What do you have to know in order to do it? This is what my coauthors and I triedto figure out. The result is our DESCRIBE/REVIEW/LINK method and a curriculumthat helps students learn why Psychodynamic formulations are important and howto construct them from the bottom up. Along the way, Sabrina Cherry and I wroteformulations and discussed our thought process over countless phone calls; CarolynDouglas helped to keep us balanced between nature and nurture; Ruth Graver helpedto devise a wonderful, dimensional way to describe function; and Anna Schwartzreminded us of the centrality of trauma and the utility of formulations in multiplesettings.

10 BothPsychodynamic psychotherapy : A Clinical ManualandPsychodynamicFormulationwould not be what they are if not for this incredible team of women whoare outstanding clinicians, educators, and writers. I am, as ever, grateful for theirtime, effort, creativity, and of this book was road-tested by our terrific Columbia residents,and I thank them for putting up with early drafts riddled with typos. Having theopportunity to teach them day in and day out, year after year, keeps us asking theimportant questions about education. I owe many thanks to Justin Richardson, whohelped me to conceptualize new ways of teaching Formulation and with whom Itaught for 5 years.