Conference paper

EFFECTS OF MEANING OR PSYCHODYNAMIC PSYCOPHARMACOTHERAPY

Mirela Vlastelica ; Department of Psychiatry, University Hospital Centre Zagreb, Croatia

Abstract

Despite advances in psychiatry, treatment outcomes are still a big problem, and are not always substantially better than it was in the past time. Treatment resistance remains a serious psychiatric problem. One of the reasons for that is that the pendulum has swung from a psychodynamic framework to a biological one, and the impact of meaning (i.e. the role of psychodynamic and psychosocial factors in treatment-refractory illness) has been relatively neglected. Dynamic factors in psychopharmacology play a pivotal role in pharmacological treatment responsiveness. There is a small but impressive evidence base that shows that psychological and interpersonal factors play that role. Psychodynamic psycho pharmacotherapy combines rational prescribing with tools to identify irrational interferences with effective use of medications, i.e. to resolve the problems of the pharmacologicaltreatment resistance. Psychodynamic psychopharmacology represents an integration of biological psychiatry and psychodynamic insights and techniques.

Keywords

psychodynamic psychopharmacology; placebo - nocebo; transference-therapeutic alliance; resistance; psychotherapeutic frame

Hrčak ID:

55842

URI

https://hrcak.srce.hr/55842

Publication date:

30.6.2010.

Visits: 889 *