Process theory as a framework for comprehensive psychodynamic formulations

In this article, we have proposed a method for developing integrative psychiatric formulations based on process theory, as contrasted to eclectic attempts to combine separate, often disparate, theories. Congruent with chaos theory and "far from equilibrium" thermodynamics, process theory proposes that normal development and psychopathology are creative processes open to chance, choice, and meaningful coincidences and governed by harmonious and conflictual interactions between opposites. We have illustrated our method by discussing a case, previously described by Perry, Cooper, and Michels (1987) from three psychoanalytic perspectives. We interpret this case to result from a possible neuroamine depletion, poor family life, social defects, and habitual conflictual/depressive patterns of interaction.