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Medication use during psychoanalysis: a survey

S J Donovan1, S P Roose

  • 1New York State Psychiatric Institute, N.Y., USA.

The Journal of Clinical Psychiatry
|May 1, 1995
PubMed
Summary
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Psychoanalysts increasingly combine psychotropic medication with psychoanalytic treatment. This approach, particularly with antidepressants for mood disorders, was found to enhance, not hinder, the analytic process.

Area of Science:

  • Psychiatry
  • Psychoanalysis

Background:

  • Historically, psychoanalysis eschewed psychotropic medication, fearing it would impede treatment by suppressing symptoms.
  • A shift in perspective has occurred, with many psychoanalysts now integrating medication into treatment.

Purpose of the Study:

  • To conduct the first systematic survey on the use of psychotropic medication in psychoanalysis.
  • To investigate the perceived impact of medication on psychoanalytic treatment.

Main Methods:

  • A survey was distributed to 45 training analysts at the Columbia University Center for Psychoanalytic Training and Research.
  • Analysts reported on the number of patients in analysis over 5 years and details of those using psychotropic medication.

Main Results:

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  • 18% (51 of 277) of patients in analysis also took psychotropic medication over the past 5 years.
  • Most patients had unipolar mood disorders and were treated with antidepressants.
  • Psychoanalysts judged that medication improved both mood disorders and the analytic process in 84% of treated patients.

    • Conclusions:

    • The combination of medication and psychoanalysis is now a common practice.
    • Prescribing medication is generally seen by analysts as enhancing the psychoanalytic process, rather than undermining it.