The aim is to identify and illustrate the place of psychodynamic practice and the therapeutic relationship in psychiatry, including consideration of the need for psychodynamic formulation and longer-term psychotherapies, in the context of debate over guidelines for depression management.
Conclusions
Effective psychiatric practice requires a working understanding of psychodynamic principles. Effective management planning is underpinned by psychodynamic formulation. A full range of therapeutic options need to be available for optimal care.
EisenbergL. Mindlessness and Brainlessness in Psychiatry. Br J Psychiatry1986; 148: 497–508. DOI: 10.1192/bjp.148.5.497
2.
WalmsleyT. Historical Introduction. Chapter 1. In: KendallREZealleyAK (eds). Companion to Psychiatric Studies. 4th ed.Edinburgh, London & New York: Churchill Livingstone, 1988.
3.
LawnSKaineCStafraceS, et al.Why talking about loneliness matters to the mental health of consumers and to the work of the psychiatrist. Aust N Z J Psychiatry2023; 57(4): 469–471. DOI: 10.1177/00048674231159622
4.
KornerA. Communicative exchange, psychotherapy and the resonant self. London: Routledge, 2021.
5.
SackettDLRosenbergWMGrayJA, et al.Evidence based medicine: what it is and what it isn’t. Br Med J1996; 312(7023): 71–72. DOI: 10.1136/bmj.312.7023.71
6.
ThomasPBrackenPTiminiS. The Limits of Evidence-Based Medicine in Psychiatry. Philos Psychiatr Psychol2013; 19: 295–308.
7.
MalhiGSBellEBassettD, et al.The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders. Aust N Z J Psychiatry2021; 55(1): 7–117. DOI: 10.1177/0004867420979353
8.
WampoldBE. How important are the common factors in psychotherapy? An update. World Psychiatr2015; 14: 270–277.
9.
LeichsenringFAbbassAHeimN, et al.The status of psychodynamic psychotherapy as an empirically supported treatment for common mental disorders - an umbrella review based on updated criteria. World Psychiatr2023; 22: 286–304.
10.
WollCSchönbrodtF. A series of meta-analytic tests of the efficacy of long-term psychoanalytic psychotherapy. Eur Psychol2020; 25(1): 51–72. DOI: 10.1027/1016-9040/a000385
11.
SteinertCMunderTRabungS, et al.Psychodynamic therapy: as efficacious as other empirically supported treatments? A meta-analysis testing equivalence of outcomes. Am J Psychiatry2017; 174: 943–953.
LeichsenringFLewekeFKleinS, et al.The empirical status of psychodynamic psychotherapy – an update: Bambi's alive and kicking. Psychother Psychosom2015; 84: 129.
14.
ShedlerJ. The efficacy of psychodynamic psychotherapy. Am Psychol2010; 65: 98–109.