title: Aspects of psychodynamic neuropsychiatry II: psychical locality and biology: toward the neurobiology of psychotherapy.
abstract: Throughout his career, Freud believed that psychiatry in general and psychoanalysis in particular would one day be rooted in anatomical/biological ground. He felt confidant that such ground would replace the psychological understanding on which he had been forced to base most of his clinical theory and practice. He felt confidant that one day psychotherapy would be more "scientific." This article seeks to demonstrate that this day is arriving. A clinical case is presented where assessment and formulation are largely based on neurobiology, where treatment was conducted less in accord with psychodynamic theory than neurodynamic data of anatomy and biology.
authors.affiliation: Associate Clinical Professor, Department of Psychiatry, Columbia University, College of Physicians and Surgeons.
authors.forename: Richard
authors.initials: R
authors.lastname: Brockman
mesh_terms: D003131:Combined Modality Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007175:Impulsive Behavior / Q000378:metabolism; D007696:Kindling, Neurologic / Q000378:metabolism; D008016:Life Change Events; D011939:Mental Recall; D009434:Neural Pathways / Q000378:metabolism*; D009638:Norepinephrine / Q000378:metabolism; D017063:Outcome Assessment, Health Care; D011575:Psychoanalytic Therapy; D011619:Psychotropic Drugs / Q000008:administration & dosage; D012094:Repression, Psychology; D013313:Stress Disorders, Post-Traumatic / Q000378:metabolism / Q000523:psychology / Q000628:therapy; D013312:Stress, Physiological; D013315:Stress, Psychological / Q000150:complications / Q000378:metabolism / Q000523:psychology / Q000628:therapy; D017741:Survivors / Q000523:psychology*; D009435:Synaptic Transmission / Q000187:drug effects; D014167:Transference, Psychology; D055815:Young Adult
chemical_list: D011619:Psychotropic Drugs; D009638:Norepinephrine