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Brief dynamic psychotherapy

Published online by Cambridge University Press:  02 January 2018

Jeremy Holmes*
Affiliation:
North Devon District Hospital, Barnstaple, Devon EX31 4JB
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The notion of brief dynamic psychotherapy (BDP) may seem at first sight to be a contradiction in terms. ‘Dynamic’ is a Freudian psychoanalytic term implying conflictual psychological forces — an opposition between the conscious and unconscious mind, and the use of defence mechanisms to arrive at a compromise between them. The rigidity of the obsessional person whose self-expression is traded for security, the self-reproaches of the depressive reflecting inhibited aggression, the clinging of the phobic individual who lacks an inner sense of a secure base — these would be examples of the relationship between dynamic conflict and psychiatric symptoms. But the image of psychoanalysis conjures up a picture of prolonged and intensive couch-based therapy. How can this be brief?

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Research Article
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Copyright © The Royal College of Psychiatrists 1994 
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