Psychotherapy for Depression(S2637)

by T.(Toksoz) Byram Karasu, M.D. | Health, Mind & Body | This book has not been rated.
ISBN: 0876686919 Global Overview for this book
Registered by SAMMY-SAMSEL of St. Louis, Missouri USA on 4/3/2006
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Journal Entry 1 by SAMMY-SAMSEL from St. Louis, Missouri USA on Monday, April 3, 2006
Pre-numbered label used for registration.

hardback
199pp including index
published, 1990

Inside dust jacket:
Karasu explores the current status of psychotherapy for depression, describing and contrasting the three predominant psychotherapeutic approaches – psychodynamic, cognitive, and interpersonal. They are conceptually different but complementary with regard to theory, major strategies, goals, mechanisms of change, and advantages and limitations. While certain forms of depressive illness (e.g., bipolar mood disorder) still respond much better to somatic approaches (e.g., lithium), other types of depressive psychopathology can be successfully treated by psychological means. Karasu presents advantages and disadvantages of each of the three psychotherapeutic approaches.

Problems of a psychodynamic approach are: overuse of catharsis, pitfalls of a regressive transference, negative response to therapist silence, and undue priority given to individual dynamics and the dyadic relationship. Its introspective strategy encourages an inward search for solutions as an adaptive alternative to pathological reliance on external sources of esteem. Goals that transcend symptom relief can be useful to strengthen general ego capacities.

A major advantage of cognitive therapy is that the therapist intervenes directly; it is used to interrupt thought patterns and actively help patients learn and practice logical alternatives. A fundamental asset of interpersonal therapy is that it addresses the broader social context of depressive risk and engages the family in treatment. But in both of these approaches the highly focused aims may be too restricted, superficial, or temporary: emphasis on current problem areas or recent stresses can camouflage significant long-standing conflicts that need attention, a very directive approach may preempt patient initiative, and brief therapy can prematurely close off deeply concealed issues and allow less time for correcting diagnostic errors or overcoming resistances.

No single therapy is uniformly successful for all the concomitants of the depressive disorder. The therapist must recognize the increasing diversity in the treatment armamentarium for depressive disorders, both within the psychotherapeutic domain and outside its boundaries (e.g., pharmacotherapy). Maximum therapeutic effectiveness necessitates not only knowledge of one’s own theoretical orientation but also an appreciation of what other modalities and techniques have to offer.

Karasu shows that it is crucial to take an individualized approach to meet each depressed individual’s needs, using a broad-based but selective shifting and sharing of therapeutic perspectives.

Released 14 yrs ago (6/7/2009 UTC) at -- Mail or by hand-rings, RABCK, meetings, swap etc, Missouri USA

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