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how does psychodynamic theory explain depression

by Thurman Witting Published 3 years ago Updated 2 years ago
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There are multiple explanations that fall under the psychodynamic "umbrella" that explain why a person develops depressive symptoms. Psychoanalysts

Psychoanalysis

Psychoanalysis is a set of theories and therapeutic techniques related to the study of the unconscious mind, which together form a method of treatment for mental-health disorders. The discipline was established in the early 1890s by Austrian neurologist Sigmund Freud and stemmed partly from the clinical work of Josef Breuer and others. Psychoanalysis was later developed in different directions, mostly b…

historically believed that depression was caused by anger converted into self-hatred ("anger turned inward").

Psychodynamic theories view depression in terms of inwardly directed anger, loss of self-esteem or self-worth, egotistic or excessive narcissistic or personality demand, or deprivation in mother-child relationship (loss or rejection by a parent).

Full Answer

How does the psychodynamic approach explain depression?

This approach focuses on people’s beliefs rather than their behavior. Depression results from systematic negative bias in thinking processes. Emotional, behavioral (and possibly physical) symptoms result from cognitive abnormality. This means that depressed patients think differently to clinically normal people.

What is the psychodynamic approach to depression?

The goal of psychodynamic therapy is to help the client understand and cope with their repressed feelings. It also aims to help the patient learn how to control and challenge their negative thoughts. In doing so, the client can potentially see the following results: Decreased prevalence of depressive symptoms Reduced anxiety

How is psychodynamic therapy used to treat depression?

Through psychodynamic therapy for depression, you may learn healthier ways to cope with issues in your life that bring up repressed and subconscious emotions. This may lead to you being able to live a more fulfilling life. Psychodynamic therapy for depression helps to promote self-examination and self-reflection.

What are the psychological theories of depression?

The Psychodynamic Theory of Depression, presented by Freud, states that depression is a result of anger from imbalanced cognitions and behavior in childhood. Biological anthropologists have argued that depression is an adaptive response to adversity and not a mental disorder. In October, the British Psychological Society published a new report on.

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How does the psychodynamic approach explain mental illness?

The psychodynamic approach views abnormality as a result of conflict between unconscious urges and conscious desires. Sigmund Freud, the founder of psychodynamic theory, said that when conflict in early life is not resolved, we repress things and that leads to mental illness.

How does psychoanalytic perspective explain depression?

Psychoanalysts historically believed that depression was caused by anger converted into self-hatred ("anger turned inward"). A typical scenario regarding how this transformation was thought to play out may be helpful is further explaining this theory.

What theory best explains depression?

According to Seligman's learned helplessness theory, depression occurs when a person learns that their attempts to escape negative situations make no difference. As a consequence they become passive and will endure aversive stimuli or environments even when escape is possible.

How do you explain psychodynamic theory?

A general definition of psychodynamic theory is that forces outside of a person's awareness explain why they behave a certain way. Today psychodynamic theory is not a unified theory open_in_new. Instead, there are many related theories regarding human development and personality.

What are the psychological theories of depression?

In short, according to the different theories, depression may be due to (1) biological reasons; (2) insecure attachment; (3) lack of reinforcement of previously-reinforced behaviors; (4) negative interpersonal relations and relations with one's environment and the resulting negative consequences; (5) attributions made ...

Is Psychoanalysis effective for depression?

Key practitioner message: Psychoanalytic therapy is an effective treatment for major depression, especially in the long run. The differential effectiveness of psychoanalytic therapy cannot be fully explained by its higher dose.

How do cognitive theorists explain depression?

Cognitive behavioral theorists suggest that depression results from maladaptive, faulty, or irrational cognitions taking the form of distorted thoughts and judgments.

What is an example of psychodynamic theory?

Psychodynamic Theory Examples Some examples include: Early childhood events may cause some people to develop a nail-biting habit. A childhood incident that caused fear in the past may trigger anxiety in adulthood. Behaviors such as obsessive handwashing are often linked to may be linked to childhood trauma in the past.

How is the psychodynamic theory used today?

Studies have found that other effective applications of psychodynamic therapy include social anxiety disorder, eating disorders, problems with pain, relationship difficulties, and other areas of concern. This therapy is used with children and adolescents; it is also useful in cases of borderline personality disorder.

What are the key points of psychodynamic theory of personality?

Psychodynamic theory (sometimes called psychoanalytic theory) explains personality in terms of unconscious psychological processes (for example, wishes and fears of which we're not fully aware), and contends that childhood experiences are crucial in shaping adult personality.

Is psychoanalysis used to treat depression?

Development of Psychoanalysis Psychoanalysis was a theory first and is a therapy as well. It's a type of therapy that is used to treat depression and anxiety disorders. This type of therapy promotes awareness of unconscious, unproductive, recurring patterns of emotion and behavior.

What are the psychological theories of depression?

In short, according to the different theories, depression may be due to (1) biological reasons; (2) insecure attachment; (3) lack of reinforcement of previously-reinforced behaviors; (4) negative interpersonal relations and relations with one's environment and the resulting negative consequences; (5) attributions made ...

What is meant by psychoanalytic perspective?

The Approach: Psychoanalytic Perspective. In the psychoanalytic approach, the focus is on the unconscious mind rather than the conscious mind. It is built on the foundational idea that your behavior is determined by experiences from your past that are lodged in your unconscious mind.

How does the humanistic perspective explain depression?

Humanistic approaches would look on depression as a disturbance in a person's ability to grow to their full potential. Every individual holds the key to their own ability to facilitate change given the right conditions for growth and self-actualisation.

What is psychodynamic therapy?

Psychodynamic therapy for depression refers to a type of therapy that involves examining a person's past in order to fix their present situation. This type of therapy has its origin in Freudian psychoanalysis .

Who Might Not Be Suited to Psychodynamic Therapy for Depression?

How do you know if this type of therapy might be wrong for you? Below are some cases in which psychodynamic therapy may not be the best fit for you. Read through the list and see if any seem to describe your situation.

What is the best therapy for depression?

Psychodynamic therapy for depression might be suitable for you if you struggle to make sense of your depression and need help to dig into your feelings and discover underlying issues that may be influencing your thoughts and behaviors.

Why is psychodynamic therapy important?

Psychodynamic therapy may also be helpful for you if you have a history of problematic relationships with other people in your life that are contributing to your depression. The reason for this is that your therapist will be watching how you interact with them.

Why is it harder to make connections in therapy?

Making these types of connections in other types of therapy may be harder since the therapist isn't using the relationship inside therapy to inform what you do outside therapy. This type of therapy will also give you the chance to try out new ways of relating to people that might help to alleviate your depression.

Is short term psychodynamic therapy effective?

In a review of 54 studies with 3946 subjects examining the use of short-term psychodynamic therapy for depression, it was found that short-term psychodynamic therapy was more effective than a control condition, and no different from other forms of therapy 3 .

Is psychodynamic therapy for depression a research study?

Research on Psychodynamic Therapy for Depression. Psychodynamic therapy for depression has received less research attention than other types of therapy. However, in the past few decades, more studies have been completed.

What are the symptoms of depression?

Common features of all depressive disorders include the presence of sad or irritable mood, accompanied by somatic and cognitive changes that significantly affect the individual’s capacity to function.6Overall, depression is characterized by a general feeling of sadness, anhedonia, avolition, worthlessness, and hopelessness. Cognitive and neurovegetative symptoms, such as difficulty in concentrating, memory alterations, anorexia, and sleep disturbances, are also present.

How does depression differ from mourning?

Plainly, he tried to explain why some people react with a mourning affect (surpassed after a period of time) and others succumb into melancholy (depression, as we now call it). Mourning is the reaction to the loss of a loved one or the loss of an abstraction, which has taken the place of something (a country, freedom, or an ideal, for example), and although it involves significant disruptions from one’s normal attitude towards life, it should not be regarded as pathological. Thus, mourning occurs following loss of an external object. Melancholy, on the other hand, arises from the loss of the object’s love and is an unconscious process where a remarkable decrease in self-esteem is observed. Culpability is also a feature clearly present in melancholic processes, as the loss of the object comes with feelings of guilt, stressing the ambivalent feelings towards the lost object; not only because the individual knows that he or she attacked (in fantasy or in reality) the lost object, but mostly because he or she desired that very loss (due to the object’s unsatisfactory presence and love). Freud clearly outlined the symptoms of melancholy: “... a profoundly painful dejection, cessation of interest in the outside world, loss of capacity to love, inhibition of all activity, and lowering of the self-regarding feelings to a degree that finds utterance in self-reproaches and self-revilings and culminates in delusional expectations of punishment.”17These features seem to resemble the current DSM definition of depression.

What is PDP therapy?

Gabbard12described PDP’s basic principles as: much of mental life is unconscious; childhood experiences, in concert with genetic factors, shape the adult; the patient’s transference to the therapist is a primary source of understanding; the therapist’s countertransference provides valuable understanding about what the patient induces in others; the patient’s resistance to the therapeutic process is a major focus of therapy; symptoms and behaviors serve multiple functions, and are determined by complex and often unconscious forces; finally, the psychodynamic therapist assists the patient in achieving a sense of authenticity and uniqueness.

Why is PDP so difficult to isolate?

The effectiveness of PDP has been found difficult to isolate due to its limitations as a measurable intervention, which has led to the proposition of unified protocols both to facilitate training and to improve the status of evidence.22The quality of PDP trials published from 1974 to 2010 was assessed in a review paper37which concluded that the existing RCTs of PDP mostly show superiority of PDP to an inactive comparator. Studies concerning longer-term treatments are scarce but highly relevant, as they focus on important individual aspects like chronic mood problems, which often result from a combination of depression, anxiety, and significant personality and relational problems.15

What is interpretive support in PDP?

PDP operates on an interpretive-supportive continuum. Interpretive interventions enhance the patient’s insight about repetitive conflicts sustaining his or her problems. The prototypic insight-enhancing intervention is an interpretation by which unconscious wishes, impulses, or defense mechanisms are made conscious. Supportive interventions aim to strengthen abilities (“ego functions”) that are temporarily not accessible to a patient due to acute stress or that have not been sufficiently developed. Thus, supportive interventions maintain or build ego functions. Supportive interventions include, for example, fostering a therapeutic alliance, setting goals, or strengthening ego functions such as reality testing or impulse control. The use of more supportive or more interpretive (insight-enhancing) interventions depends on the patient’s needs.13

Is psychotherapy effective for depression?

A meta-analysis of direct comparisons found psychotherapy about as effective as pharmacotherapies for depressive disorders.20 In another meta-analysis, Cuijpers et al.21included 92 different randomized controlled trials (RCTs) and demonstrated the efficacy of psychotherapy in comparison with pharmacotherapy – equal in the short-term and superior in the long-term, regarding relapse prevention. Different forms of psychotherapy have been compared, with no clear differences observed or, when so, with certain methodological specificities pointed out.22Nevertheless, the effectiveness of many well-recognized interventions has been regarded as possibly overestimated, considering that most evidence is based on symptom reduction.23A comprehensive meta-analysis24has highlighted the effectiveness of Interpersonal Psychotherapy (which has its structure and theoretical roots in PDP) in depression, as compared to other psychotherapies and vs. combined treatment, as well its role in preventing onset or relapse after successful treatment.

Is psychotherapy a biological treatment?

The classical biological/psychosocial distinction, which separates psychotherapy from pharmacotherapy as treatment options for depression, is fading out. Growing evidence from the neuroscientific literature supports similar (and different) changes in brain functioning with these approaches, concluding that both psychotherapy and pharmacotherapy are biological treatments, and that there is no legitimate ideological justification for the decline of the former.9

Why do people use psychodynamic therapy?

It’s designed to help you find relief from mental or emotional stress. For example, your doctor may recommend it if you have depression. Proponents of psychodynamic therapy believe your present day problems are linked to unconscious conflicts arising from events in your past. They believe you must identify the roots of your psychological pain ...

What type of therapy is used for depression?

Depending on your condition, they may prescribe a combination of medication and therapy. Psychodynamic therapy is a common type of therapy.

Is psychodynamic therapy the same as psychotherapy?

Psychodynamic therapy is similar to other forms of psychotherapy. It poses minimal risk. You may struggle with the emotional impact of reliving or sharing the past. But it may improve your long-term well-being and ability to cope.

What is the theory of depression?

Psychodynamic theories view depression in terms of inwardly directed anger, loss of self-esteem or self-worth, egotistic or excessive narcissistic or personality demand, or deprivation in mother-child relationship (loss or rejection by a parent). Freud’s (1917) psychoanalytic theory is an example of the psychodynamic approach. Repressed anger at a loss (symbolic or actual loss of a loved one during childhood, for example) is directed inwards, reduces self-esteem and increases vulnerability to further experiences in the future, causing the individual to ‘re-experience’ (symbolic or actual) the loss when encountering similar triggering stimuli during adulthood. The theory argues that people prone to depression have an excessively high interpersonal dependency (i.e. they seek approval and reassurance from others – to be loved, respected, admired, appreciated,etc. and depression arises when they fail to receive it). Those who may depend on others for their sense of self-esteem may therefore remain in a more vulnerable ‘depression-prone’ state. Alternatively, they may hold lofty ideals, standards and goals, in which case depression arises when they fail to achieve these. Congruency models view both a high dependency on social sources of approval, and a high dependency on achievement outcomes as important aspects of depression. The main problems with the psychodynamic approach relate to difficulties in testing the theories scientifically, using operational definitions that allow empirical (clinical and experimental) investigation. A lack of emphasis on distressing life events and conscious negative rumination and ‘self-verbalisation’ are further criticisms. Beck’s model of depression, which we will examine shortly, was heavily influenced by psychodynamic theories.

What are the problems with psychodynamics?

The main problems with the psychodynamic approach relate to difficulties in testing the theories scientifically, using operational definitions that allow empirical (clinical and experimental) investigation.

What is Freud's psychoanalytic theory?

Freud’s (1917) psychoanalytic theory is an example of the psychodynamic approach. Repressed anger at a loss (symbolic or actual loss of a loved one during childhood, for example) is directed inwards, reduces self-esteem and increases vulnerability to further experiences in the future, causing the individual to ‘re-experience’ (symbolic or actual) ...

What is psychodynamic therapy?

Psychodynamic therapy is the kind of talk therapy many people imagine when they think of psychological treatment for depression. That's because the image of the psychiatrist and patient probing the past is a staple of our popular culture. It can be found on sitcoms or in jokes. And psychodynamic therapy has been a major element in movies like Good Will Hunting and Ordinary People and on the stage in plays like Equus.

What is the difference between psychodynamic and psychodynamic therapy?

Psychodynamic therapy, on the other hand, grew out of the theories and practices of Freudian psychoanalysis. Psycho analysis is based on the idea that a person's behavior is affected by the unconscious mind and by past experiences.

What Are the Main Features of Psychodynamic Therapy?

Psychodynamic therapy involves an exploration of the entire range of a patient's emotions. With the help of the therapist, the patient finds ways to talk about feelings that include contradictory feelings, feelings that are troubling or threatening, and feelings that the patient may not have recognized or acknowledged in the past. This exploration takes place in a context that recognizes the fact that being able to explain the reason for an emotional difficulty does not mean the person is capable of doing anything about it. The goal then is to foster the internal resources needed to deal with and effectively manage those difficulties.

How does psychodynamic therapy help people?

By making the unconscious elements of their life a part of their present experience, psychodynamic therapy helps people understand how their behavior and mood are affected by unresolved issues and unconscious feelings.

How long does psychodynamic therapy last?

While some courses of therapy may end after 16 to 20 weeks, other instances may go on for more than a year.

Why is psychodynamic therapy important?

An aim in psychodynamic therapy is to recognize those difficulties and to find ways to resolve them or cope with them better.

What is psychoanalysis based on?

Psycho analysis is based on the idea that a person's behavior is affected by the unconscious mind and by past experiences. Psychoanalysis involves an intense, open-ended exploration of a patient's feelings, often with multiple sessions in a week.

What is depression in psychology?

Depression is a mood disorder which prevents individuals from leading a normal life, at work socially or within their family. Seligman (1973) referred to depression as the ‘common cold’ of psychiatry because of its frequency of diagnosis. Depending on how data are gathered and how diagnoses are made, as many as 27% of some population groups may be ...

What was the psychodynamic approach in the 1960s?

During the 1960's psychodynamic theories dominated psychology and psychiatry. Depression was understood in terms of: deprivation in the mother child relationship during the first year (Kleine, 1934). Freud’s psychoanalytic theory is an example of the psychodynamic approach.

What are the problems with behaviorist psychology?

nothing bad has happened to the person). An additional problem of the behaviorist approach is that it fails to take into account cognitions (thoughts) influence on mood.

How does depression cause inactivity?

In addition depression can also be caused through inadvertent reinforcement of depressed behavior by others. For example, when a loved one is lost, an important source of positive reinforcement has lost as well. This leads to inactivity.

Why is Freud's theory that depression is like grief?

Depression is like grief, in that it often occurs as a reaction to the loss of an important relationship. However, there is an important difference, because depressed people regard themselves as worthless.

Why did Freud say depression is normal?

Later, Freud modified his theory stating that the tendency to internalize loss objects is normal, and that depression is simply due to an excessively severe super-ego. Thus, the depressive phase occurs when the individual’s super-ego or conscience is dominant.

How does Freud distinguish between actual and symbolic losses?

Freud distinguished between actual losses (e.g. death of a loved one) and symbolic losses (e.g. loss of a job). Both kinds of losses can produce depression by causing the individual to re-experience childhood episodes when they experienced loss of affection from some significant person (e.g. a parent).

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