Posted by Amelia_in_StPaul on June 18, 2009, at 0:19:47
In reply to Re: New psychiatrist/analyst can't treat me » BirdSong, posted by Amelia_in_StPaul on June 17, 2009, at 23:40:04
Hmmm...okay, I saw your posts on Social about DBT. They demonstrate that you do understand that DBT can be used for diagnoses other than BPD. That understanding didn't come through at all in your reply to me. And while I thought you were unnecessarily harsh with Deneb, I agree that stigmas exist even within communities of people with mental illness.
What did come through is that you are a treatment provider. I'm not sure why you post here regularly, I don't know your story, but understand that some of us also have advanced education in psychology, even if we are not practicing therapists.
And since this board since heavily tilted toward psychodynamic approaches, I am going to continue to post about other modalities. Informed consumer = empowered consumer.
> I should not have used the terms interchangeably, as psychodynamic theory comes out of psychoanalysis. But you are dead wrong to describe transference and the unconscious as being a part of psychodynamics and not psychoanalytics, as it was Freud, who built his original system of psychology on notions of the unconscious and subconscious, etc. That he abandoned his work on the unconscious later doesn't mitigate that fact. Period.
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> Yes, the diagnosis of the individual does to some extent affect the treatment recommendation, but you are wrong to say that CBT is for depression, and that "we know" DBT is excellent for BPD (and by extension, nothing else). Studies have demonstrated efficacy for DBT in populations that have a primary diagnosis of anxiety, and of depression, and even of addiction. Most DBT groups these days are populated by people without a diagnosis of BPD (and that's based on research, education, and personal experience). CBT is used for anxiety and depression too. Both are being used for the treatment of schizophrenia. Your information about these modalities reads as needing an update. One of the four modules in DBT is on interpersonal effectiveness--that would generally be the go to modality for psychologists presented with a client who needs help in the social sphere.
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> Moreover, in most of the psychology world, you would be hard pressed to find psychologists who use the psychodynamic framework AT ALL, so that it isn't ever a question whether to use those concepts or modalities. In fact, my experience in grad school, typical of most US grad schools, is that psychologists find psychodynamics laughable. That is not my personal opinion. I am not making that statement. So don't shoot the messenger.
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> I stand by my recommendation that Garnet steer clear of psychodynamics and analysis. You may not like it, but I'm not asking you to.
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> > There is a difference between psychoanalytic and psychodynamic and I would be careful when warning against running from psychodynamic therapy.
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> > The diagnosis of an individual (don't read label) has alot to do with searching for the "most effective" and scientifically proven therapy. For example, for PTSD, we know that EMDR is excellent in processing traumatic memories. For BPD, we know that DBT is excellent and object relations is good as well. For depression, CBT can be utilized quickly and provides excellent results.....
> > ....However, for those looking for improvements in relationships, psychodynamic therapy can be wonderful....for those with eating disorders, psychodynamic therapy combined with CBT is what is suggested...etc., etc., etc.
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> > Psychodynamic is much different then psychoanalytic; involves a relationship, involves working through transferences, and brings unconscious feelings into conscious awareness. These have a purpose and can provide excellent insight if done with the right therapist.
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poster:Amelia_in_StPaul
thread:901600
URL: http://www.dr-bob.org/babble/psycho/20090614/msgs/901684.html