ABSTRACT

Psychotherapeutic practice, specifically psychodynamic psychotherapy, has, despite an incredibly long, broad, and rich historical backdrop, continued to be viewed by many academics and professionals as a fairly enigmatic approach to both contextualising and intervening with significant mental health disorder. Plausible explanation for this state of affairs in the contemporary context represents a gestalt of service delivery, training, and motivational issues. The chapter show that how the Interpersonal Dynamic (ID) approach may be utilised for patients with highly resistive psychiatric presentations through the future evolution of the underlying philosophy of care, for example, how the approach might be applied to conditions such as morbid jealousy, folie a deux, and extreme obsessive-compulsive disorder. It provides a template for engagement with such severe psychiatric phenomena as schizophrenia and paraphilia instils a promising vision of applicability to the full spectrum of psychopathology. The chapter also presents some closing thoughts on the concepts discussed in this book.