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Published on: January 18, 2021
Trauma-Focused Psychodynamic Psychotherapy
Fredric N Busch1, Barbara L Milrod2
165 East 76th Street, Suite 1B, New York, NY 10021, USA; Weill Cornell Medical College, 525 East 68th Street, New York, NY 10021, USA; Columbia University Center for Psychoanalytic Training and Research, 1051 Riverside Drive, New York, NY 10032, USA.
Abstract:
The authors describe a psychodynamic psychotherapeutic approach to posttraumatic stress disorder (PTSD), trauma-focused psychodynamic psychotherapy. This psychotherapy addresses disruptions in narrative coherence and affective dysregulation by exploring the psychological meanings of symptoms and their relation to traumatic events. The therapist works to identify intrapsychic conflicts, intense negative affects, and defense mechanisms related to the PTSD syndrome using a psychodynamic formulation that provides a framework for intervention. The transference provides a forum for patients to address feelings of mistrust, difficulties with authority, fears of abuse, angry and guilty feelings, and fantasies.
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