Psychodynamic Psychiatry in Clinical Practice / Edition 4

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This new edition of the classic psychodynamic psychiatry text, Psychodynamic Psychiatry in Clinical Practice, continues its tradition as the most readable, scholarly, and practical introduction to psychodynamic theory and practice available. Kept within arm's reach of all mental health professionals, this invaluable “one-stop” reference will prepare you to teach students and treat patients more effectively with its truly integrative psychodynamic approach.

The author has meticulously updated every chapter, adding new case examples and discussing the most recent research findings and concepts in psychodynamic psychiatry. Drawing on the latest breakthroughs in neuroscience to validate current psychodynamic thinking, the author includes neuroanatomical illustrations that highlight the need to integrate psychoanalytic theories of development with brain development and the impact of environment on gene expression. Clearly organized into three distinct sections based on DSM-IV diagnoses—fundamentals, Axis I disorders, Axis II disorders (personality disorders)—the best-selling Psychodynamic Psychiatry in Clinical Practice is the definitive reference for training programs of all kinds at all levels and an ideal companion to the author's Long-Term Psychodynamic Psychotherapy: A Basic Text.

This new edition provides a clear synthesis of diagnostic understanding and treatment unmatched in the literature. Marked by Dr. Gabbard's distinctly lucid and compelling prose, it is the ultimate psychiatric guide for the busy clinician and mental health student.

The book contains black-and-white illustrations.

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Editorial Reviews

Australia and New Zealand Journal of Psychiatry

I would recommend this book to anyone interested in the interface between psychiatry and the psychotherapies. For trainees, in particular, it provides an integrative appreciation of psychodynamic psychiatry in an accessible style that does not assume a lot of prior knowledge.

Canadian Journal of Psychiatry

It is rare to find a large, single authored text book in this era of edited texts. It was a treat to discover that Glenn Gabbard continues to update his classic text, now in its fourth edition... With this volume, Gabbard continues the project of relating the findings of neuroscience to the dynamic understanding of the individual, which be began in his third edition. Ever a consummate teacher, he weaves recent research into a practical approach to the psychodynamics of psychiatric care. He uses a good number of clinical examples.

Discusses the basic theoretical principles of dynamic psychiatry and the major treatment modalities, including individual psychotherapy, group psychotherapy, family/marital therapy, pharmaco-therapy, and dynamically informed hospital treatment, and applies the principles and therapeutic approaches to the major Axis I and Axis II disorders in DSM-III-R. Annotation c. Book News, Inc., Portland, OR (
Doody's Review Service
Reviewer: Brett C. Plyler, M.D.(Northwestern Memorial Hospital)
Description: This is the fifth edition of a book that examines the application of psychodynamic psychiatry to a wide range of mental health problems. The previous edition was published in 2005.
Purpose: The purpose is to understand the application of psychodynamic psychiatry in the field as a model of thought and practice.
Audience: The book is written for beginning level psychiatrists learning about dynamic psychiatry up to advanced practitioners looking for a review.
Features: A discussion of the basic principles and theoretical basis of dynamic psychiatry begins the book. There is an excellent definition of dynamic psychiatry, and the author discusses how to "integrate the domain of the mind with the domain of the brain." The next chapter details how to do a psychodynamic assessment of a patient and how it differs from medical history taking. Subsequent sections discuss treatments with an individual therapist, with couples, and with inpatients, along with clinical examples to illustrate the different approaches. The middle portion of the book examines the majority of axis I adult mental health problems, according to the organization of DSM-5. Each chapter has a section on the psychodynamic understanding of the disorder, a review of treatment approaches of all types, and a case example. There is a significant amount of supportive data, usually focusing on the results of psychodynamic research. The end of the book is devoted to the personality disorders. The chapters here are organized similarly with discussion of the disorder, psychodynamic understanding of the illness, then treatment approaches and case examples. There are more charts and tables in these chapters. The book ends with the cluster C personality section. There is no summary.
Assessment: This is a remarkable book. It should be used with all psychiatrists in training as a methodology for understanding dynamic psychiatry, and learning how well it works when used appropriately. I do appreciate that the author states there are patients for whom this is not the best approach. He does a good job of presenting supportive research about the benefits of dynamic therapy/psychiatry, though it is a bit overstated at times. I really enjoyed reading about the psychodynamic understanding of each illness/disorder. The author comments that the book was delayed until DSM-5 was widely circulated, while voicing his disagreements with the new criteria. All in all, this is an excellent book that I will recommend to trainees and attendings alike.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781585621859
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 1/28/2005
  • Edition description: Fourth Edition
  • Edition number: 4
  • Pages: 652
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.50 (d)

Meet the Author

Glen O. Gabbard, M.D., Brown Foundation Chair of Psychoanalysis and Professor, Department of Psychiatry and Behavioral Sciences, and Director, Baylor Psychiatric Clinic, Baylor College of Medicine; Training and Supervising Analyst, Houston-Galveston Psychoanalytic Institute, Houston, Texas.

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Table of Contents

Part I: Basic Principles and Treatment Approaches in Dynamic Psychiatry. Basic principles of dynamic psychiatry. The theoretical basis of dynamic psychiatry. Psychodynamic assessment of the patient. Treatments in dynamic psychiatry: individual psychotherapy. Treatments in dynamic psychiatry: group therapy, family/marital therapy, and pharmacotherapy. Treatments in dynamic psychiatry: dynamically informed hospital and partial hospital treatment. Part II: Dynamic Approaches to Axis I Disorders. Schizophrenia. Affective disorders. Anxiety disorders. Dissociative disorders. Paraphilias and sexual dysfunctions. Substance-related disorders and eating disorders. Dementia and other cognitive disorders. Part III: Dynamic Approaches to Axis II Disorders. Cluster A personality disorders: paranoid, schizoid, and schizotypal. Cluster B personality disorders: borderline. Cluster B personality disorders: narcissistic. Cluster B personality disorders: antisocial. Cluster B personality disorders: hysterical and histrionic. Cluster C personality disorders: obsessive-compulsive, avoidant, and dependent. Index.

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Customer Reviews

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