Developmental orientation

Regardless of which psychoanalytical theory seems to fit best with a particular patient, the dynamic psychiatrist always thinks in terms of developmental models. Patterns of relatedness established in childhood are repeated in adult relationships. Modern dynamic psychiatrists avoid the early psychoanalytical reductionism that attempted to link an adult psychopathological syndrome to a specific developmental arrest or fixation in childhood. Today, full account is taken of genetic contributions to personality and to psychiatric disorders. Environmental influences and genetic factors interact with one another reciprocally to shape the human being in health and illness. Still, the wisdom of the psychodynamic approach is that within each of us is a child yearning to complete some unfinished business from earlier in life.

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