[Read]✔EBOOK⚡ Psychodynamic Psychopharmacology: Caring for the Treatment-Resistant Patient

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Psychodynamic Psychopharmacology: Caring for the
Treatment-Resistant Patient
Sinopsis :
The troubling increase in treatment resistance in psychiatry
has many culprits: the rise of biomedical psychiatry and
corresponding sidelining of psychodynamic and psychosocial
factors the increased emphasis on treating the symptoms
rather than the person and a greater focus on the electronic
medical record rather than the patient, all of which point to a
breakdown in the person-centered prescriber&#8211paient
relationship. Psychodynamic Psychopharmacology illuminates
a new path forward. It examines the psychological and
interpersonal mechanisms of pharmacological treatment
resistance, integrating research on evidence-based prescribing

processes with psychodynamic insights and skills to enhance
treatment outcomes for patients who are difficult to treat. The
first part of the book explores the evidence base that guides
how, rather than simply what, to prescribe. It describes
precisely what psychodynamic psychopharmacology is and
why its emphasis on combining the often-neglected
psychosocial aspects of medication with biomedical
considerations provides a more optimized approach to
addressing treatment resistance. Part II delves into the
psychodynamics that contribute to pharmacological treatment
resistance, both when patients' ambivalence about their
illness, the medication itself, or their prescriber manifests in
nonadherence and when medications support a negative
identity or are used as replacements for healthy capacities.
Readers will gain basic skills for addressing the psychological
and interpersonal dynamics that underpin both scenarios and
will be better positioned to ameliorate interferences with the
healthy use of medications. The final section of the book offers
detailed technical recommendations for addressing
pharmacological treatment resistance. It tackles issues that
include countertransference-driven irrational prescribing
primitive dynamics, such as splitting and projective
identification and the overlap between psychopharmacological
treatment resistance and the dynamics of treatment
nonadherence and nonresponse in integrated and
collaborative medical care settings. By putting the individual
patient back at the center of the therapeutic equation,
psychodynamic psychopharmacology, as outlined in this book,
offers a model that moves beyond compliance and
emphasizes instead the alliance between patient and
prescriber. In doing so, it empowers patients to become more
active contributors in their own recovery.