Psychodynamic interpretative

Exploration of early life and re-experiencing habitual patterns in the current relationship with the therapist are used to explain and relieve symptoms. Modern psychodynamic methods, although based on those of Freud and the post-Freudians, use shorter and more eclectic treatment, such as cognitive analytic therapy (Ryle).

Before a patient is taken on for psychodynamic therapy, a detailed initial assessment should be carried out by an experienced therapist. Presenting symptoms should be considered in the light of early experience, use of psychological defence mechanisms, and personality traits. Subsequent treatment may, in training units, be carried out by a more junior therapist under supervision. Duration of treatment in the NHS, previously a year or more, now tends to be measured in months.

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