title: The impending and perhaps inevitable collapse of psychodynamic psychotherapy as performed by psychiatrists.
abstract: This article documents the diminution over the past 25 years in the focus on training in psychodynamic psychotherapy in psychiatry residencies. The author contends that the diminution is currently at the point that it endangers the 'holding environment' necessary for the acquisition of this valuable skill. The article also outlines societal factors that contribute to this situation and societal responses that might be taken to counteract a decline in the practice of psychodynamic psychotherapy by psychiatrists.
authors.affiliation: Department of Infant, Child, and Adolescent Psychiatry, Louisiana State University Health Sciences Center, 2020 Gravier, New Orleans, LA 70112, USA. mdrell@lsuhsc.edu
authors.forename: Martin J
authors.initials: MJ
authors.lastname: Drell
mesh_terms: D000293:Adolescent; D000296:Adolescent Psychiatry / Q000193:education* / Q000639:trends; D002648:Child; D002665:Child Psychiatry / Q000193:education* / Q000639:trends; D003131:Combined Modality Therapy / Q000639:trends; D003479:Curriculum / Q000639:trends; D005544:Forecasting; D006801:Humans; D007396:Internship and Residency; D011575:Psychoanalytic Therapy / Q000193:education* / Q000639:trends; D011600:Psychopharmacology / Q000193:education / Q000639:trends; D012922:Social Change; D012945:Social Values; D013038:Specialization / Q000639:trends; D013044:Specialty Boards; D014481:United States