Psychodynamic Treatment of a Case of Grief Superimposed on Melancholia
Psychodynamics is a childhood core feeling that develops into a pattern of emotional relations that are enacted in real life relationships (Chessick, 1991 in Bishop & Jane, 2003 p.1). When treating psychodynamic cases, the childhood feelings are transferred to a therapist through therapeutic frame and working alliance context (1). During the transference, the patient’s therapist helps the patient to increase the awareness of the past feelings, thus helping the patient to gain insights into the core sequence of life, mastery of the feelings that previously controlled them. In the entire transference process, therapist should provide a caring presence so that the patient can internalize all the therapeutic functions that include observation and tolerance.
In the treatment of psychodynamics, Grief Superimposed on Melancholia early treatment helps the patient to respond to therapists caring attitude and empathy by knowing that there is somebody taking care of their problems. This helps improve the patient’s low esteem and dependency status. It also helps the patient in discovering themselves and their dependency. At the start of the treatment, the patient is likely to show seclusions and other mixed signs like anger but continued therapeutic treatment may help the patient recover.
During the treatment process resistant may be experienced especially when reacting to therapy. Some treatment period may take short time while others may take longer. a number of patients may react well to the recommended dosage. It is generally recommended that the patient be started on a lower dose and then increased as the condition worsens.
Bishop, J., & Lane, R. C. (2003). Psychodynamic treatment of a case of grief superimposed on melancholia. Clinical Case Studies, 2(1), 3