PsychEd Episode 31: Understanding Psychodynamic Therapy with Dr. Rex Kay

Jan 29, 2021

Ask episode

AI Snips

Chapters

Transcript

Episode notes

INSIGHT

Pattern-Focused Therapeutic Framework

Psychodynamic therapy focuses on identifying and elaborating recurring patterns in how patients process inner and outer experience.
It uses past, life, current, and the live relationship in the room to understand and change those patterns.

INSIGHT

Four Timeframes To Understand Patients

Psychodynamic therapists attend to four timeframes: early experience, lived life, current events, and the therapeutic relationship.
The live emotional relationship (transference/countertransference) is a key window for change because it engages multiple brain systems simultaneously.

INSIGHT

Field Reinvented Through Cross-Disciplinary Input

Psychodynamic theory evolved after critiques in the 1970s–90s and integrated neuroscience, attachment, feminism, and other fields.
The field reinvented itself and now includes empirically-informed and shorter manualized psychodynamic approaches.

Get the Snipd Podcast app to discover more snips from this episode

Get the app

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers psychodynamic psychotherapy with Dr. Rex Kay. Dr. Kay is a staff psychiatrist at Mount Sinai Hospital, assistant professor and modality lead for dynamic psychotherapy at the University of Toronto, as well as a faculty member at the Toronto Institute for Contemporary Psychoanalysis.

The learning objectives for this episode are as follows:

By the end of this episode, you should be able to…

Define psychodynamic psychotherapy.
Describe the core concepts of psychodynamic therapy.
Determine who may be an appropriate patient for psychodynamic psychotherapy.
Describe the evidence base for psychodynamic psychotherapy.
Compare and contrast psychodynamic therapy to other psychotherapies.

Guest: Dr. Rex Kay

Produced and Hosted by: Jordan Bawks and Anita Corsini

Audio editing by: Anita Corsini

Resources:

Ars Medica: A Journal of Medicine, the Arts, and Humanities
Canadian Institute for Child and Adolescent Psychoanalytic Psychotherapy
Narrative Competence Psychotherapy Group at Mount Sinai Hospital
Toronto Institute for Contemporary Psychoanalysis
Toronto Institute of Psychoanalysis

References:

Black, M. & Mitchell, S. (2016). Freud and beyond: A history of modern psychoanalytic thought. Basic Books.

Cabaniss, D. L., Cherry, S., Douglas, C. J., & Schwartz, A. R. (2017). Psychodynamic psychotherapy: A clinical manual. Wiley.

Driessen, E., Hegelmaier, L. M., Abbass, A. A., Barber, J. P., Dekker, J. J., Van, H. L., Jansma, E. P., & Cuijpers, P. (2015). The efficacy of short-term psychodynamic psychotherapy for depression: A meta-analysis update. Clinical Psychology Review, 42, 1-15. doi: 10.1016/j.cpr.2015.07.004

Eppel, A. (2018). Short-term psychodynamic psychotherapy. Springer.

Karen, R. (1994). Becoming attached: First relationships and how they shape our capacity to love. Oxford.

Safran, J. D. (2012). Psychoanalysis and Psychoanalytic Therapies. American Psychological Association.

Summers, R. F. & Barber, J. P. (2010). Psychodynamic Therapy: A Guide to Evidence-Based Practice. Guilford.

CPA Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association.

For more PsychEd, follow us on Twitter (@psychedpodcast), Facebook (PsychEd Podcast), and Instagram (@psyched.podcast). You can provide feedback by email at psychedpodcast@gmail.com. For more information, visit our website at psychedpodcast.org.