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KMID : 0385320050160010028
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Journal of Korean Psychoanalytic Society
2005 Volume.16 No. 1 p.28 ~ p.34
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Psychotherapy and Medication
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Han Sung-Hee
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Abstract
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This paper summarizes the historical ideologic conflicts surrounding the concept of mind-body dualism in psychiatry. There has been long debate between organic (biological) and psychodynamic (nonbiological) factors in psychopathology. We do not know the cause of mental problems. We can only identify psychodynamic conflicts and biochemical abnormalities as predictable findings in a certain syndrome. But it is a mistake to confuse either of these alone with the etiology of a syndrome. In recent years, with the acceptance that combined treatment is efficacious, the focus has moved toward better understanding how different elements of treatment work for different patients. The author listed challenging questions pertaining to use of medication in psychotherapy. Clinicians must appreciate the power of interpersonal dynamics that have been inherent in the medication versus psychotherapy debates, including the positive and negative impacts of combined pharmacotherapy and psychotherapy. The author also reviewed the reciprocal influence of pharmacotherapy on psychotherapeutic process, the stages of psychotherapy, and also outlined specific areas of concern regarding medication issues and the mode of combination therapy. The evolution from a dyadic to triadic treatment relationship carries the potential of rivalry, fear, anxiety, idealization, devaluation, and splitting. Several factors must be taken into account in deciding which approach to recommend.
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KEYWORD
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Dichotomy, Combined therapy, Medication issue, Mode of therapy
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