title: Contemporary practice patterns of dynamic psychiatrists--survey results.
abstract: The authors examine the practice characteristics of dynamic psychiatrists, including the combined use of medication and psychotherapy, and adherence by self-report to psychodynamic, supportive, and cognitive behavioral therapy theoretical principles and techniques.
  
  
  METHODS
  Survey of 555 members of the American Academy of Psychoanalysis and Dynamic Psychiatry conducted in 2009.
  
  
  RESULTS
  24.1% response rate; 75% of respondents were between 61 and 80 years old, 61% had over 30 years of experience; 89% have a private practice but work on an average of 1.6 settings; 39% teach. Most respondents treat patients with complex comorbidities; 92.6% prescribe psychotropic medication. The preferred mode of practice is individual psychotherapy and the preferred frequency once a week; 94.5% of sessions are 45-60 minutes. Using Plakun's Y-model framework, psychoanalysts and dynamic psychiatrist subgroups equally support all core psychotherapy and psychodynamic features, with lesser emphasis but substantial endorsement of cognitive-behavioral psychotherapy features.
  
  
  CONCLUSIONS
  Dynamic psychiatrists are committed to see most patients once a week for 45-60 minute sessions and use a variety of conceptual frameworks to guide their treatment plans. They endorse supportive and psychodynamic practice elements more than cognitive-behavioral principles.
authors: AAPDP. caa2105@columbia.edu
authors: César A
authors: CA
authors: Alfonso
authors: Silvia W
authors: SW
authors: Olarte
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians'; D011572:Psychoanalysis / Q000193:education / Q000639:trends*; D011575:Psychoanalytic Therapy / Q000639:trends*; D014481:United States; D000078329:Workforce