Psychodynamic Formulation

A leading text for psychodynamic clinicians and practitioners

Psychodynamic Formulation: An Expanded Approach delivers an exceptional exploration of psychodynamic explanations and hypotheses that seek to explain how a person’s conscious and unconscious thoughts and feelings may have developed and may be causing or contributing to the challenges they face.

This latest edition of the leading reference includes a refreshed and reinvigorated emphasis on the impacts of culture and society, as well as the importance of diversity and inclusion, on psychodynamic formulation. It puts new focus on lived experience, including trauma, and on how clinical bias can contribute to the perpetuation of trauma.

In addition to newly included activities and exercises, readers will find:

• A practical, step-by-step guide to collaboratively creating psychodynamic formulations
• Comprehensive discussions about how what we’re born with and environmental influences contribute to development
• Suggestions for using psychodynamic formulations in many clinical settings, including acute care and psychopharmacologic treatment
• An educator’s guide to teaching psychodynamic formulation
• Perfect for mental health practitioners with a professional or personal interest in psychodynamics/psychoanalysis, Psychodynamic Formulation: An Expanded Approach will earn a place in the libraries of trainees in all mental health fields.

Preface x

Acknowledgments xiv

PART ONE Introduction to the Psychodynamic Formulation 1

1 What Is a Psychodynamic Formulation? 3

2 How Do We Create a Psychodynamic Formulation? 10

3 How Do We Use Psychodynamic Formulations? 14

4 Psychodynamic Formulation and Bias 18

5 Who We Are Affects Our Formulations 23

PART TWO DESCRIBE 29

6 Self 35

7 Relationships 44

8 Adapting 53

9 Cognition 62

10 Values 76

11 Work and Play 84

Putting It Together--DESCRIBE Problems And Patterns 93

PART THREE REVIEW 97

12 What We’re Born With 105

13 The Earliest Years 121

14 Middle Childhood 135

15 Later Childhood 143

16 Adolescence 149

17 Adulthood 155

Putting It Together--REVIEW a Life Story 161

PART FOUR LINK 165

18 Trauma 169

19 Early Cognitive and Emotional Difficulties 181

20 The Effects of Culture and Society 193

21 Conflict and Defense 205

22 Relationships with Others 214

23 The Development of the Self 225

24 Attachment 235

Putting It Together--LINK to Collaboratively

Create Psychodynamic Formulations 247

PART FIVE Psychodynamic Formulations in Clinical Practice 261

25 Psychodynamic Formulations in Acute Care Settings 263

26 Psychodynamic Formulations in Pharmacologic Treatment 273

27 Psychodynamic Formulations in Long-Term Psychodynamic Psychotherapy 282

28 Collaborative Formulations in Clinical Practice 291

End Note 298

Appendix A - An Educator`s Guide to Using Psychodynamic Formulation: An Expanded Approach 299

Appendix B - DESCRIBE, REVIEW, LINK--An Outline 305

Recommended Reading 307

Index 316

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