Psychotherapy of Self-Criticism in a Case of Mixed Anaclitic-Introjective Depression

@article{citeulike:2797293, abstract = {In this case study, the year-long psychotherapy of a depressed and self-critical 34-year-old women is described. Her depression was conceptualized as a "mixed" anaclitic and introjective type according to the model of Sidney Blatt. Anaclitic depression involves a preoccupation with the integrity of interpersonal relatedness (e.g., issues of dependency and abandonment), whereas introjective depression involves a preoccupation with autonomy and self-esteem (e.g., self-criticism and feelings of worthlessness). Given the potentially destructive nature of self-criticism, the therapist systematically confronted the patient's use of this trait in a supportive manner. Changes in the patient's functioning were assessed at the beginning and at the end of treatment using the Shedler-Westen Assessment Procedure and the Diagnostic and Statistical Manual of Mental Disorders (4th edition) Global Assessment of Functioning Scale. After 1 year of psychotherapy combining both cognitive and psychodynamic interventions, the patient evidenced significant changes in both anaclitic and introjective personality dimensions and showed significant improvements in adaptive functioning. 10.1177/1534650106290370}, author = {Layne, Jeanne A. and Porcerelli, John H. and Shahar, Golan}, citeulike-article-id = {2797293}, doi = {10.1177/1534650106290370}, journal = {Clinical Case Studies}, keywords = {case-reports, depression, psychodynamic, therapy}, month = {October}, number = {5}, pages = {421--436}, posted-at = {2008-05-14 10:53:35}, priority = {2}, title = {Psychotherapy of Self-Criticism in a Case of Mixed Anaclitic-Introjective Depression}, url = {http://dx.doi.org/10.1177/1534650106290370}, volume = {5}, year = {2006} }

TY - JOUR ID - citeulike:2797293 L3 - citeulike-article-id:2797293 N2 - In this case study, the year-long psychotherapy of a depressed and self-critical 34-year-old women is described. Her depression was conceptualized as a "mixed" anaclitic and introjective type according to the model of Sidney Blatt. Anaclitic depression involves a preoccupation with the integrity of interpersonal relatedness (e.g., issues of dependency and abandonment), whereas introjective depression involves a preoccupation with autonomy and self-esteem (e.g., self-criticism and feelings of worthlessness). Given the potentially destructive nature of self-criticism, the therapist systematically confronted the patient's use of this trait in a supportive manner. Changes in the patient's functioning were assessed at the beginning and at the end of treatment using the Shedler-Westen Assessment Procedure and the Diagnostic and Statistical Manual of Mental Disorders (4th edition) Global Assessment of Functioning Scale. After 1 year of psychotherapy combining both cognitive and psychodynamic interventions, the patient evidenced significant changes in both anaclitic and introjective personality dimensions and showed significant improvements in adaptive functioning. 10.1177/1534650106290370 IS - 5 JF - Clinical Case Studies EP - 436 TI - Psychotherapy of Self-Criticism in a Case of Mixed Anaclitic-Introjective Depression VL - 5 SP - 421 KW - case-reports KW - depression KW - psychodynamic KW - therapy AU - Layne, Jeanne AU - Porcerelli, John AU - Shahar, Golan PY - 2006/10/01/ UR - http://dx.doi.org/10.1177/1534650106290370 ER -