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Psychodynamic Formulation


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Table of Contents

Acknowledgments ix Introduction xi PART ONE Introduction to the Psychodynamic Formulation 1 1 What is a Psychodynamic Formulation? 3 2 How do We Use Psychodynamic Formulations? 8 3 How do We Construct a Psychodynamic Formulation? 12 PART TWO DESCRIBE 17 4 Self 23 5 Relationships 32 6 Adapting 41 7 Cognition 52 8 Work and Play 61 Putting it Together ? A Description of Problems and Patterns 69 PART THREE REVIEW 75 9 What We?re Born with ? Genetics and Prenatal Development 81 10 The Earliest Years 90 11 Middle Childhood 101 12 Later Childhood, Adolescence, and Adulthood 113 Putting it Together ? A Developmental History 123 PART FOUR LINK 135 13 Trauma 143 14 Early Cognitive and Emotional Difficulties 152 15 Conflict and Defense 163 16 Relationships with Others 173 17 The Development of the Self 182 18 Attachment 191 Putting it Together?A Psychodynamic Formulation 201 PART FIVE Psychodynamic Formulations in Clinical Practice 213 19 Psychodynamic Formulations in Acute Care Settings 215 20 Psychodynamic Formulation in Pharmacologic Treatment 222 21 Psychodynamic Formulation in Long-Term Psychodynamic Psychotherapy: Revising Over Time 230 22 Sharing Formulations with Our Patients 238 Epilogue 247 Appendix ? How to Use Psychodynamic Formulation: A Guide for Educators 249 Recommended Reading 253 Index 259

About the Author

Deborah L. Cabaniss, M.D. is Clinical Professor ofPsychiatry at the Columbia University College of Physicians andSurgeons and Director of Psychotherapy Training in the Departmentof Psychiatry at Columbia. She has won several teaching awards,including the Edith Sabshin award from the American PsychoanalyticAssociation. Dr Cabaniss is the lead author of PsychodynamicPsychotherapy: A Clinical Manual, has published numerousarticles related to psychoanalytic and psychiatric education andgives talks and workshops on these topics across the country. Sabrina Cherry, M.D. is Associate Clinical Professor ofPsychiatry at Columbia University College of Physicians andSurgeons and practices psychiatry and psychoanalysis in New YorkCity. She has been an active teacher and supervisor of bothinterpersonal and psychodynamic psychotherapy in the ColumbiaResidency program for twenty years. She is now a Training andSupervising Analyst and an active teacher of psychoanalyticcandidates at Columbia Center for Psychoanalytic Training andResearch. Dr. Cherry is the recipient of awards from the AmericanPsychiatric Association and from Columbia for her contributions toeducation and research. Carolyn J. Douglas, M.D. is Associate Clinical Professorof Psychiatry at Columbia University College of Physicians andSurgeons, and Adjunct Associate Professor of Clinical Psychiatry atWeill Medical College of Cornell University. She served for manyyears as Director of the Residency Training Inpatient Unit atColumbia University Medical Center, and was co-Director of theColumbia Neuropsychiatric Service. Dr. Douglas has taughtand supervised residents in supportive dynamic psychotherapy formany years at Columbia and Payne Whitney/Cornell and has been therecipient of "Teacher of the Year" awards from residents at bothprograms. Dr. Douglas is the author of publications on teachingsupportive psychotherapy to psychiatric residents, thepsychotherapy selection process, and psychodynamicpsychotherapy. Ruth Graver, MD is Assistant Clinical Professor ofPsychiatry at the Columbia University College of Physicians andSurgeons. She is also Chair of the Curriculum Committee at theColumbia University Center for Psychoanalytic Training andResearch. She has taught and supervised psychiatry residents, andpsychoanalytic candidates at Columbia for many years and haswritten about cross cultural issues in psychiatry as well as aboutpsychoanalytic writing. Anna R. Schwartz, M.D. is Assistant Clinical Professor ofPsychiatry at the Columbia University College of Physicians andSurgeons. She is also Director of the Psychodynamic PsychotherapyProgram at the Columbia University Center for PsychoanalyticTraining and Research. She has taught and supervised psychiatryResidents, and psychoanalytic candidates at Columbia for manyyears, and received the Irma Bland Teaching Award from the AmericanPsychiatric Association.


This informative, thoughtfully organized, Cleary writtenbook addresses a central topic that is being ever more exiled intothe shadows of psychiatric knowledge and practice. (Journal of Clinical Psychiatry, 1 December 2014) "This is the best book I have read on psychodynamicformulation. Clearly written, with a warm, conversationalstyle and numerous clinical examples, this book shows the readerhow centrally important a psychodynamic formulation is tounderstanding the patient and guiding the treatment not justin psychotherapy but in all clinical settings. Theauthors systematically guide the reader in developing skills andbuilding knowledge to construct a psychodynamic formulation andthinking deeply about patients. It is the most comprehensiveand accessible learning guide on psychodynamic formulation todate!" (Debra Katz,Vice Chair for Education at theUniversity of Kentucky and Director of Psychiatry ResidencyTraining, USA) This highly anticipated companion text to PsychodynamicPsychotherapy: A Clinical Manual provides a sophisticated yeteasily understandable approach to developing psychodynamicformulations, one of the most challenging and important aspects oflearning psychodynamic psychotherapy. Cabaniss and hercoauthors understand how to present the complex world ofpsychodynamic psychotherapy and formulation in a way that beginningstudents can grasp and apply to their clinical work withpatients. The system of developing formulations(Describe-Review-Link) provides focus, clarity and the flexibilityto create meaningful ways of understanding our patients that willbe of great benefit to both beginners and skilled clinicians. This book is a great advance in the way to approach developing theformulations that are the bedrock of well conceivedtreatment. (David A. Goldberg, M.DCalifornia Pacific Medical Center, San Francisco, USA)

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