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Etiology and Treatment of Major Depressive Disorder - From a Psychodynamic Theory Perspective
- 1 The Ohio State University
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Abstract
The purpose of this review article is to give an overview of how Psychodynamic Theory examines the etiology of Major Depressive Disorder and their corresponding therapeutic treatment. Method used in this article is literature review from Google Scholar and Elton B. Stephens Company (EBSCO) host database provided by The Ohio State University. Result explains the evolution of Psychodynamic Theory from Drive theory, to Ego Psychology, Object Relations, and Self Psychology. Moreover, the mechanisms and procedures of the therapies with good therapeutic effects are reviewed and analyzed. Specifically, psychodynamic therapy including Mindfulness-based Therapy, dream analysis, inkblot therapy, and Cognitive Behavior Therapy. As psychological therapy is test-effective, psychological approaches from interpretive pole to supportive pole with different modern therapy such as Cognitive Behavior Therapy and Mindfulness-based Therapy are being discussed. Risk factors that may lead to countertransference and discordant therapeutic relationships are presented. The present study provides suggestions for future research focusing on comorbidity of mental disorder. For treatment practice, this study emphasizes on culture difference and individual differences.
Keywords
major depressive disorder, psychodynamic theory, psychodynamic therapy
[1]. American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787
[2]. Gutiérrez-Rojas, L., Porras-Segovia, A., Dunne, H., Andrade-González, N., & Cervilla, J. A. (2020). Prevalence and correlates of major depressive disorder: A systematic review. Brazilian Journal of Psychiatry, 42(6), 657–672. https://doi.org/10.1590/1516-4446-2020-0650
[3]. Jean-Pierre Lépine & Mike Briley (2011) The increasing burden of depression, Neuropsychiatric Disease and Treatment, 7:sup1, 3-7, DOI: 10.2147/NDT.S19617.
[4]. Frank E, Kupfer DJ, Perel JM, Cornes C, Jarrett DB, Mallinger AG, Thase ME, McEachran AB, Grochocinski VJ. Three-year outcomes for maintenance therapies in recurrent depression. Arch Gen Psychiatry. 1990;47:1093-1099.
[5]. Deal, K. H. (2007). Psychodynamic theory. Advances in Social Work, 8(1), 184–195. https://doi.org/10.18060/140
[6]. Blatt, S. J., & Zuroff, D. C. (1992). Interpersonal relatedness and self-definition: Two prototypes for depression. Clinical Psychology Review, 12, 527-562.
[7]. Goldstein, E.G. (1995). Ego psychology and social work practice (2nd ed.). New York: The Free Press. pg3-29.
[8]. Rosen, I.M. Ego psychology of depression with implications for treatment. J Relig Health 9, 250.
[9]. Zlotnick, C., Kohn, R., Keitner, G., & Della Grotta, S. A. (2000). The relationship between quality of interpersonal relationships and major depressive disorder: findings from the National Comorbidity Survey. Journal of affective disorders, 59(3), 205-215.
[10]. Blizard, R. A., & Bluhm, A. M. (1994). Attachment to the abuser: Integrating object-relations and trauma theories in treatment of abuse survivors. Psychotherapy: Theory, Research, Practice, Training, 31(3), 383.
[11]. Deitz, J. (1989). The evolution of the self-psychological approach to depression. American Journal of Psychotherapy, 43(4), 494–505. https://doi.org/10.1176/appi.psychotherapy.1989.43.4.494
[12]. Gonda, X., Petschner, P., Eszlari, N., Baksa, D., Edes, A., Antal, P., ... & Bagdy, G. (2019). Genetic variants in major depressive disorder: From pathophysiology to therapy. Pharmacology & therapeutics, 194, 22-43.
[13]. Casacalenda, N., Perry, J. C., & Looper, K. (2002). Remission in major depressive disorder: a comparison of pharmacotherapy, psychotherapy, and control conditions. American Journal of Psychiatry, 159(8), 1354-1360.
[14]. Falk, L., Wolfgang, H., Michael, W., & Eric, L. (2006) Cognitive-Behavioral Therapy and Psychodynamic Psychotherapy: Techniques, Efficacy, and Indications. American Journal of Psychotherapy. Pp. 215-321 60(3):233. 10.1176/appi.psychotherapy.2006.60.3.233.
[15]. Roesler, C. (2018). Structural Dream Analysis: A narrative research method for investigating the meaning of dream series in analytical psychotherapies. International Journal of Dream Research, 11(1), 21-29.
[16]. Mark, J., Williams, G., & Swales, M. (2004). The use of mindfulness-based approaches for suicidal patients. Archives of suicide research, 8(4), 315-329.
[17]. Ellis, A. (2000). Rational emotive behavior therapy. In F. Dumont & R. J. Corsini (Eds.), Six therapists and one client (pp. 85-143). New York: Springer.
[18]. Jackson, H. (1994). Using self psychology in psychotherapy. Jason Aronson, Incorporated. Pg51-69.
[19]. Zhu, X. X., Yang, F. R., Zou, X. J., Li, X. J., & Chen, J. X. (2020). Study on Correlation Between Major Depressive Disorder and Sleep Disturbance During the Covid-19 Epidemic. Journal of Hubei University of Chinese Medicine, Vol. 06, pp: 50-54.
[20]. November, M. S. (2023). Serotonin vs. Dopamine: Why do we need them & what are they?. Omega, 6, 11.
[21]. Rettinger, L., Klupper, C., Werner, F., & Putz, P. (2021). Changing attitudes towards teletherapy in Austrian therapists during the COVID-19 pandemic. Journal of telemedicine and telecare, 1357633X20986038.
Cite this article
Cai,M. (2023). Etiology and Treatment of Major Depressive Disorder - From a Psychodynamic Theory Perspective. Lecture Notes in Education Psychology and Public Media,12,270-277.
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