• “It is more important to know the person with the illness than the

illness the person has.”

Hippocrates
 BASIC PRINCIPLES OF
DYNAMIC PSYCHIATRY

Muluken Tesfaye ( MD, Psychiatrist)

SPHMMC, June 2020
Outline
• Objectives

• Introduction Dynamic Psychiatry

• Basic Principles Of Dynamic Psychiatry

• Neurobiology and Psychotherapy

• Role of the Dynamic Psychiatrist in Contemporary Psychiatry

Objectives

• Discuss Basic Principles Of Dynamic Psychiatry

• Explain Role of the Dynamic Psychiatry in Contemporary Psychiatry

Introduction to Dynamic Psychiatry

• Psychodynamic psychiatry is an approach to diagnosis and treatment

way of thinking about both patient and clinician that includes :-

• unconscious conflict

• deficits and distortions of intrapsychic structures

• internal object relations

• neurosciences
Introduction to Dynamic Psychiatry…

• Approach steeped in psychoanalytic theory and knowledge

• “conflict Model”

• “Deficit model” of illness

Introduction to Dynamic Psychiatry…

Interacting forces

• 1) a wish and a defence against the wish

• 2) different intrapsychic agencies

• 3) an impulse in opposition to an internalized awareness of the

demands of external reality
Introduction to Dynamic Psychiatry…

• Biopsychosocial psychiatry
Introduction to Dynamic Psychiatry…

• Domain of mind with the Domain of brain?

• Presumed polarities

• Are not identical, what is the difference?

• Consciousness and mind

Introduction to Dynamic Psychiatry…

• We integrate “brain” and “mind” in the service of knowing the

“person.”
Introduction to Dynamic Psychiatry…

The principal determinants of the person:

• 1. The subjective experience of oneself

• 2. A set of conscious and unconscious conflicts

• 3. A set of internalized interactions with others

• 4. Our physical characteristics

Introduction to Dynamic Psychiatry…

The principal determinants of the person:

• 5. Our brain as a product of genes

• 6. Our sociocultural background

• 7. Our religious/spiritual beliefs

• 8. Our cognitive style and capacities

Basic Principles Of Dynamic Psychiatry

• The Unique Value of Subjective Experience

Basic Principles Of Dynamic Psychiatry…

• The Unconscious
Basic Principles Of Dynamic Psychiatry…

• Psychic Determinism
Basic Principles Of Dynamic Psychiatry…

• Past Is Prologue
Basic Principles Of Dynamic Psychiatry…

• Transference

• Countertransference

• Resistance
Basic Principles Of Dynamic Psychiatry…

• Neurobiology and Psychotherapy

• Role of the Dynamic Psychiatrist in Contemporary Psychiatry
• “It is more important to know the person with the illness than the
illness the person has.”

Hippocrates
Corona virus will not last forever.
Adventures are ahead.

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