000			04342nam a22003258i 4500
008			211014s2022 dcu b 001 0 eng
020			_a9781615371525 _q(paperback)
020			_z9781615374007 _q(ebook)
060	0	0	_aWM 402.
100	1		_aMintz, David L
245	1	0	_aPsychodynamic psychopharmacology : _bcaring for the treatment-resistant patient
263			_a2203
264		1	_aWashington, DC : _bAmerican Psychiatric Association Publishing, _c2022
300			_axiii, 281p.
336			_atext _btxt _2rdacontent
337			_aunmediated _bn _2rdamedia
338			_avolume _bnc _2rdacarrier
504			_aIncludes bibliographical references and index.
505	0		_aWhat Is Psychodynamic Psychopharmacology? -- Why Psychodynamic Psychopharmacology? -- What Is Psychodynamic About Psychodynamic Psychopharmacology? -- Psychodynamics of Pharmacological Treatment Resistance -- Treatment Resistance to Medications -- Treatment Resistance From Medications -- The Prescriber's Contribution to Treatment Resistance -- Avoid a Mind-Body Split -- Know Who the Patient Is -- Attend to Patients' Ambivalence -- Cultivate the Pharmacotherapeutic Alliance -- Attend to Countertherapeutic Uses of Medications -- Identify, Contain, and Use Countertransference -- Who Is Psychodynamic Psychopharmacology For? Patient Characteristics -- Before Initiating Treatment -- The Engagement Phase -- The Maintenance Phase -- Split and Combined Treatments -- Psychodynamic Psychopharmacology and Integrated Care.
520			_a"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-patient 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"-- _cProvided by publisher.
650	1	2	_aDrug therapy
650	1	2	_aMental disorders
650	2	2	_aPsychotropic drugs _97615
650	2	2	_aPsychopharmacology
650	2	2	_aTreatment refusal
650	2	2	_aPhysician-patient relations
710	2		_aAmerican Psychiatric Association Publishing _eissuing body
942			_n0 _02
999			_c79454 _d79454