Psychodynamic Formulation

Deborah L. Cabaniss, M.D. is Clinical Professor of Psychiatry at the Columbia University College of Physicians and Surgeons and Director of Psychotherapy Training in the Department of Psychiatry at Columbia. She has won several teaching awards, including the Edith Sabshin award from the American Psychoanalytic Association. Dr Cabaniss is the lead author of Psychodynamic Psychotherapy: A Clinical Manual, has published numerous articles related to psychoanalytic and psychiatric education and gives talks and workshops on these topics across the country.Sabrina Cherry, M.D. is Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons and practices psychiatry and psychoanalysis in New York City. She has been an active teacher and supervisor of both interpersonal and psychodynamic psychotherapy in the Columbia Residency program for twenty years.  She is now a Training and Supervising Analyst and an active teacher of psychoanalytic candidates at Columbia Center for Psychoanalytic Training and Research. Dr. Cherry is the recipient of awards from the American Psychiatric Association and from Columbia for her contributions to education and research.Carolyn J. Douglas, M.D. is Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons, and Adjunct Associate Professor of Clinical Psychiatry at Weill Medical College of Cornell University. She served for many years as Director of the Residency Training Inpatient Unit at Columbia University Medical Center, and was co-Director of the Columbia Neuropsychiatric Service.   Dr. Douglas has taught and supervised residents in supportive dynamic psychotherapy for many years at Columbia and Payne Whitney/Cornell and has been the recipient of "Teacher of the Year" awards from residents at both programs. Dr. Douglas is the author of publications on teaching supportive psychotherapy to psychiatric residents, the psychotherapy selection process, and psychodynamic psychotherapy.Ruth Graver, MD is Assistant Clinical Professor of Psychiatry at the Columbia University College of Physicians and Surgeons. She is also Chair of the Curriculum Committee at the Columbia University Center for Psychoanalytic Training and Research. She has taught and supervised psychiatry residents, and psychoanalytic candidates at Columbia for many years and has written about cross cultural issues in psychiatry as well as about psychoanalytic writing.Anna R. Schwartz, M.D. is Assistant Clinical Professor of Psychiatry at the Columbia University College of Physicians and Surgeons. She is also Director of the Psychodynamic Psychotherapy Program at the Columbia University Center for Psychoanalytic Training and Research. She has taught and supervised psychiatry Residents, and psychoanalytic candidates at Columbia for many years, and received the Irma Bland Teaching Award from the American Psychiatric Association.

• Acknowledgments ix Introduction xiPART ONE Introduction to the Psychodynamic Formulation 11 What is a Psychodynamic Formulation? 32 How do We Use Psychodynamic Formulations? 83 How do We Construct a Psychodynamic Formulation? 12PART TWO DESCRIBE 174 Self 235 Relationships 326 Adapting 417 Cognition 528 Work and Play 61Putting it Together – A Description of Problems and Patterns 69PART THREE REVIEW 759 What We’re Born with – Genetics and Prenatal Development 8110 The Earliest Years 9011 Middle Childhood 10112 Later Childhood, Adolescence, and Adulthood 113Putting it Together – A Developmental History 123PART FOUR LINK 13513 Trauma 14314 Early Cognitive and Emotional Difficulties 15215 Conflict and Defense 16316 Relationships with Others 17317 The Development of the Self 18218 Attachment 191Putting it Together–A Psychodynamic Formulation 201PART FIVE Psychodynamic Formulations in Clinical Practice 21319 Psychodynamic Formulations in Acute Care Settings 21520 Psychodynamic Formulation in Pharmacologic Treatment 22221 Psychodynamic Formulation in Long-Term PsychodynamicPsychotherapy: Revising Over Time 23022 Sharing Formulations with Our Patients 238Epilogue 247Appendix – How to Use Psychodynamic Formulation: A Guide for Educators 249Recommended Reading 253Index 259

“This informative, thoughtfully organized, Cleary written book addresses a central topic that is being ever more exiled into the shadows of psychiatric knowledge and practice.”  (Journal of Clinical Psychiatry, 1 December 2014)"This is the best book I have read on psychodynamic formulation.  Clearly written, with a warm, conversational style and numerous clinical examples, this book shows the reader how centrally important a psychodynamic formulation is to understanding the patient and guiding the treatment—not just in psychotherapy—but in all clinical settings.  The authors systematically guide the reader in developing skills and building knowledge to construct a psychodynamic formulation and thinking deeply about patients.  It is the most comprehensive and accessible learning guide on psychodynamic formulation to date!" (Debra Katz,Vice Chair for Education at the University of Kentucky and Director of Psychiatry Residency Training, USA) “This highly anticipated companion text to Psychodynamic Psychotherapy: A Clinical Manual provides a sophisticated yet easily understandable approach to developing psychodynamic formulations, one of the most challenging and important aspects of learning psychodynamic psychotherapy.  Cabaniss and her coauthors understand how to present the complex world of psychodynamic psychotherapy and formulation in a way that beginning students can grasp and apply to their clinical work with patients.  The system of developing formulations (Describe-Review-Link) provides focus, clarity and the flexibility to create meaningful ways of understanding our patients that will be of great benefit to both beginners and skilled clinicians.  This book is a great advance in the way to approach developing the formulations that are the bedrock of well conceived treatment.” (David A. Goldberg, M.D California Pacific Medical Center, San Francisco, USA)