Читать книгу Counseling and Psychotherapy - Группа авторов - Страница 149

Psychodynamic interpersonal therapy is often used to treat major depressive disorder (MDD). This approach assumes that symptoms reflect a treatable illness that is not the client’s fault and that symptoms arise in an interpersonal context. When treating MDD, counselors frame the disorder in one of four interpersonal contexts: (a) grief (complicated bereavement), (b) a role dispute (struggle with a significant other that the client is invariably losing), (c) a role transition (any life change, such as a geographic move, the onset of medical illness, a marriage or divorce, starting or losing a job), or (d) interpersonal deficits (social isolation). The overall goal in treating MDD within this framework is to resolve the life crisis by helping clients build social skills, communicate their emotions more effectively, and mobilize protective social supports. Randomized controlled trials have provided evidence-based support for this method (Markowitz et al., 2014).