title: Effects of meaning or psychodynamic psycopharmacotherapy.
abstract: Despite advances in psychiatry, treatment outcomes are still a big problem, and are not always substantially better than it was in the past time. Treatment resistance remains a serious psychiatric problem. One of the reasons for that is that the pendulum has swung from a psychodynamic framework to a biological one, and the impact of meaning (i.e. the role of psychodynamic and psychosocial factors in treatment-refractory illness) has been relatively neglected. Dynamic factors in psychopharmacology play a pivotal role in pharmacological treatment responsiveness. There is a small but impressive evidence base that shows that psychological and interpersonal factors play that role. Psychodynamic psycho pharmacotherapy combines rational prescribing with tools to identify irrational interferences with effective use of medications, i.e. to resolve the problems of the pharmacological-treatment resistance. Psychodynamic psychopharmacology represents an integration of biological psychiatry and psychodynamic insights and techniques.
authors.affiliation: Medical University School, University of Split, 21000 Split, Croatia. mirelavlastelica@yahoo.com
authors.forename: Mirela
authors.initials: M
authors.lastname: Vlastelica
mesh_terms: D003131:Combined Modality Therapy; D003379:Countertransference; D003674:Defense Mechanisms; D006801:Humans; D001523:Mental Disorders / Q000188:drug therapy* / Q000523:psychology*; D019222:Mind-Body Relations, Metaphysical; D010817:Physician-Patient Relations; D011573:Psychoanalytic Interpretation; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy; D011788:Quality of Life / Q000523:psychology; D014167:Transference, Psychology