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Konstantinidou, H. Evans, C. (2015). Pharmacotherapy and psychotherapy: the challenges of integrating two paradigms. Psychoanal. Psychother., 29(4):343-362.

(2015). Psychoanalytic Psychotherapy, 29(4):343-362

Pharmacotherapy and psychotherapy: the challenges of integrating two paradigms

Haroula Konstantinidou and Chris Evans

Pharmacotherapy and psychotherapy are the two dominant mental health treatment modalities, but they are often taught and practised very separately leading to polarisation which may fragment treatment delivery. This paper presents results from a small qualitative study of interfaces between these modalities as described by medical and non-medical professionals practising in the National Health Service (NHS) and explores whether this polarisation maps to the Kleinian ‘P/S’ (paranoid/schizoid) and ‘D’ (depressive) positions, the ‘P/S’ position of omnipotence and dominance of one model over the other shifting the attention away from a more realistic ‘D’ position of integration and concern for the patient. The challenges to the integration of pharmacology and psychotherapy are examined in reference to cultural, organisational, relational and intrapsychic issues. Finally, clinical implications of an integrative approach are considered.

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

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