Conference paper

PSYCHODYNAMICS AND PSYCHOPHARMACOTHERAPY IN THE TREATMENT OF DIFFICULT PATIENTS WITH PERSONALITY AND EATING DISORDERS

Darko Marčinko ; Department of Psychiatry, University Hospital Center Zagreb, Zagreb, Croatia

Abstract

The complex inter-relationship between external and internal reality, a source of interest and controversy in psychiatry, has
come to the foreground more prominently in the context of more integrative understanding of psychopharmacotherapy. This paper
discusses the meaning and clinical applications of the psychodynamic related to psychopharmacotherapy for difficult personality and
eating disorders patients. The one of the psychodynamic explanations for patients’being difficult is related to their perceived lack of
mentalizing (reflective) capacities. Lack of mentalizing capacity implies disturbed view of psychopharmacotherapy. Therapeutic
relationship and optimal alliance offers the frame for acceptance of psychiatric drugs as positive and useful for personality and
eating disorder patients. Mentalization and intersubjectivity theories have direct implications for clinical practice, and that the
notion of the third is particularly useful in understanding what happens in the patient-doctor relationship.

Keywords

psychodynamics – psychopharmacotherapy – mentalization – intersubjectivity - psychoanalytic psychotherapy - difficult patient - personality disorder - eating disorder

Hrčak ID:

162494

URI

https://hrcak.srce.hr/162494

Publication date:

23.9.2015.

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