Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-745bb68f8f-d8cs5 Total loading time: 0 Render date: 2025-02-05T20:02:47.376Z Has data issue: false hasContentIssue false

Chapter 13 - Psychological Approaches to Affective Disorders

from Section 1 - Psychological and Psychodynamic Approaches to Psychiatry

Published online by Cambridge University Press:  27 May 2021

By
Sue Stuart-Smith
Edited by
Rachel Gibbons  and
Jo O'Reilly
Get access

Summary

The term affective disorders encompasses a range of conditions that affect mood and emotional functioning. It includes unipolar and bipolar disorder as well as anxiety states. This chapter covers the psychodynamic processes involved in depression and anxiety. Key factors that play a role in predisposing, precipitating and perpetuating these conditions are outlined. Along with psychoanalytic theory, the chapter draws on attachment theory and affective neuroscience.

Although psychiatric diagnostic systems classify them separately, there is considerable overlap between anxiety and depression as evidenced in the high levels of concurrent symptoms that are generally seen.

Type
Chapter
Information
Seminars in the Psychotherapies , pp. 163 - 174
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Gorman, JM, Coplan, JD. Comorbidity of depression and panic disorder. J Clin Psychiatry 1996; 57(Suppl 10): 34–41.Google Scholar
Brown, TA, Campbell, LA, Lehman, CL, Grisham, JR, Mancill, RB. Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. J Abnorm Psychol 2001; 110(4): 585–99.CrossRefGoogle Scholar
Cantor, PA. Shakespeare: Hamlet. Cambridge: Cambridge University Press, 2004.CrossRefGoogle Scholar
Abraham, K. Psychoanalytic investigation and treatment of manic-depressive insanity and allied conditions. Psychoanal Rev 1913; 1: 231.Google Scholar
Freud, S. Mourning and melancholia. J Nerv Ment Dis 1922; 56(5): 543–5.Google Scholar
Greenberg, JR, Mitchell, SA. Object Relations in Psychoanalytic Theory. Cambridge, MA: Harvard University Press, 1983.CrossRefGoogle Scholar
Freud, S. The ego and the id. In Strachey, J, ed., The Standard Edition of the Complete Psychological Works of Sigmund Freud, Volume XIX (1923–1925): The Ego and the Id and Other Works. London: Hogarth Press. 1961; pp. 1–66. (Original work published 1923)Google Scholar
Panksepp, J, Watt, D. Why does depression hurt? Ancestral primary-process separation-distress (PANIC/GRIEF) and diminished brain reward (SEEKING) processes in the genesis of depressive affect. Psychiatry 2011; 74(1): 5–13.CrossRefGoogle ScholarPubMed
Panksepp, J. Affective Neuroscience: The Foundations of Human and Animal Emotions. Oxford: Oxford University Press, 2004.Google Scholar
Shapiro, MB. The social origins of depression: By G. W. Brown and T. Harris: its methodological philosophy. Behav Res Ther 1979; 17(6): 597–603.CrossRefGoogle Scholar
Li, J, Precht, DH, Mortensen, PB, Olsen, J. Mortality in parents after death of a child in Denmark: a nationwide follow-up study. Lancet 2003; 361(9355): 363–7.Google Scholar
Kendler, KS, Neale, MC, Kessler, RC, Heath, AC, Eaves, LJ. Childhood parental loss and adult psychopathology in women: a twin study perspective. Arch Gen Psychiatry 1992; 49(2): 109–16.CrossRefGoogle ScholarPubMed
Nemeroff, CB. Paradise lost: the neurobiological and clinical consequences of child abuse and neglect. Neuron 2016; 89(5): 892–909.CrossRefGoogle ScholarPubMed
Bowlby, J. Separation, Anxiety and Anger: Attachment and Loss. London: Hogarth Press, 1973.Google Scholar
Bowlby, J. Attachment and Loss. New York: Basic Books, 1969.Google Scholar
Schore, AN. Affect Regulation and the Origin of the Self: The Neurobiology of Emotional Development. New York: Routledge, 2015.Google Scholar
Klein, M. The Writings of Melanie Klein. Love, Guilt and Reparation and Other Works. London: Hogarth Press. 1975; p. 341.Google Scholar
Klein, M. Mourning and its relation to manic-depressive states. Int J Psychoanal 1940; 21: 125–53.Google Scholar
Lucas, R. The psychotic wavelength. Psychoanal Psychother 2008; 22(1): 54–63.Google Scholar
Gabbard, GO. Psychodynamic Psychiatry in Clinical Practice, 5th ed. Arlington: American Psychiatric Publishing, Inc., 2014.Google Scholar
Bowlby, J. Developmental psychiatry comes of age. Am J Psychiatry 1988; 145(1): 1–10.Google Scholar
Bateman, AW, Fonagy, PE. Handbook of Mentalizing in Mental Health Practice. Arlington: American Psychiatric Publishing, Inc., 2012.Google Scholar
Holmes, J, Slade, A. Attachment in Therapeutic Practice. London: SAGE, 2017.Google Scholar
De Jonghe, FE, Kool, S, Van Aalst, G, Dekker, J, Peen, J. Combining psychotherapy and antidepressants in the treatment of depression. J Affect Disord 2001; 64(2–3): 217–29.Google Scholar
Wiborg, IM, Dahl, AA. Does brief dynamic psychotherapy reduce the relapse rate of panic disorder? Arch Gen Psychiatry 1996; 53(8): 689–94.Google Scholar
Fonagy, P, Rost, F, Carlyle, JA et al. Pragmatic randomized controlled trial of long‐term psychoanalytic psychotherapy for treatment‐resistant depression: the Tavistock Adult Depression Study (TADS). World Psychiatry 2015; 14(3): 312–21.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×