Cyclical psychodynamics and the triangle of insight: an integration

This paper attempts to integrate a recent dynamic conceptualization of patients' problems known as "cyclical maladaptive pattern" (Strupp and Binder 1984) with a more traditional model, the "triangle of insight" (Menninger 1958). The integration is offered as an effort to illustrate the theoretical continuity of the two models. The integrated model also serves as a useful step toward improved specification of the principles and procedures implicit in the creation of a comprehensive psychodynamic formulation, potentially enhancing research, training, and the clinical practice of psychodynamic psychotherapy. An illustrative case is presented.