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(p. 66) Psychodynamic Case Formulation 

(p. 66) Psychodynamic Case Formulation
Chapter:
(p. 66) Psychodynamic Case Formulation
Author(s):

Dolores O. Morris

DOI:
10.1093/med:psych/9780199766475.003.0004
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date: 09 December 2019

Psychodynamic case formulation is a vital component of the assessment process and is used to inform the treatment and prognosis. The chapter defines the concept and reviews its history in the literature regarding clinician agreement, needs assessment, and more recently, reliability, validity, and prediction of treatment, to the contemporary understanding of the generic components, with the difference in theoretical approaches. A case example is illustrated by Summer’s updated psychodynamic formulation approach. It covers: (1) a summary of the patient’s current problems in the context of her current life and developmental history, described psychodynamically; (2) a description of nondynamic factors that may have contributed to the psychiatric disorder; (3) an integrative inference based on psychoanalytic principles that considers unconscious fantasies and motives; and (4) the use that the patient will make of treatment. Particular emphasis is placed on understanding manifestations of transference and the forms and modes of resistance.

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