Integrating Psychotherapy and Pharmacotherapy Dissolving the Mind-Brain Barrier

by Beitman, Bernard D.; Blinder, Barton J.; Thase, Michael E.; Safer, Debra L.

• ISBN13: 9780393704037
• ISBN10: 0393704033
• Edition: 00
• Format: Paperback
• Copyright: 2003-03-17
• Publisher: W. W. Norton & Company

Summary

This book invites the reader to participate in a major initiative of the 21st century: dissolving Cartesian mind-brain dualism. This book will help all mental health clinicians to dissolve their conceptual mind/brain barriers by recognizing the reciprocal influences of psychological and pharmacological interventions. This task is approached by challenging the reader to respond to thought-provoking questions and problematic case vignettes in the following subject areas: combined treatment research, pharmacotherapy during psychotherapy, psychotherapy during pharmacotherapy, the pharmacotherapy-psychotherapy triangle and integrated treatment algorithms. Each of these homework-based sections is introduced by a brief overview. Part I invites the reader to an overview of these many issues. Topics covered include: 1) research in combined treatments, 2) pharmacotherapy during psychotherapy, 3) psychotherapeutic aspects of pharmacotherapy, 4) the pharmacotherapy-psychotherapy triangle, 5) treatment algorithms for combined treatments, and 6) the neurobiology of psychotherapy. With thought-provoking questions and vignettes of problematic cases, the authors invite readers to participate in working out these complicated issues. Part II provides cutting edge information on issues of integrated and split treatment and psychodynamic neurobiology. Answers to the problems are provided at the end of the book. Two additional chapters thoroughly review the research in combined treatments and what is known about the neurobiology of psychotherapy.

Author Biography

Bernard D. Beitman, M.D., is Professor and Chairman of the Department of Psychiatry at the University of Missouri-Columbia and a member of the Committee on Psychotherapy by Psychiatrists of the American Psychiatric Association Barton J. Blinder, M.D., Ph.D., is Clinical Professor, Director, Eating Disorder Research, Department of Psychiatry and Human Behavior, College of Medicine, University of California, Irvine Michael E. Thase, M.D., is Professor of Psychiatry, Department of Psychiatry, University of Pittsburgh Medical Center, Western Psychiatric Institute and Clinic Michelle Riba, M.D., is Clinical Professor of Psychiatry, Associate Chair for Education and Academic Affairs. Department of Psychiatry, University of Michigan Debra L. Safer, M.D., is Associate Director of Residency Training and Assistant Clinical Professor, Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine

Table of Contents

List of Authors	vii
Preface	ix
Introduction	xv
Bernard D. Beitman
Flow Chart for a Ten-Session Seminar Series	xxi
PART I: ISSUES, VIGNETTES, AND COMMENTARY
Research in Combined Treatments	3	(10)
Pharmacotherapy During Psychotherapy	13	(22)
Psychotherapy During Pharmacotherapy	35	(38)
A Physician, a Nonmedical Psychotherapist, and a Patient: The Pharmacotherapy-Psychotherapy Triangle	73	(12)
The Sequencing Problem (Using Panic Disorder as an Example)	85	(20)
Briefly Toward a Neurobiology of Psychotherapy	105	(76)
PART II: RESEARCH PERSPECTIVES, SPLIT TREATMENT, AND PSYCHODYNAMIC NEUROBIOLOGY
Conceptual and Empirical Basis for Integrating Psychotherapy and Pharmacotherapy	111	(30)
Michael E. Thase
The Challenges of Split Treatment	141	(20)
Michelle B. Riba
Richard Balon
Psychodynamic Neurobiology	161	(20)
Barton J. Blinder
References	181	(32)
Index	213