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J Psychother Pract Res 8:234-242, July 1999
© 1999 American Psychiatric Association

Regular Article

Theory and Technique in Psychodynamic Treatment of Panic Disorder

Fredric N. Busch, M.D., Barbara L. Milrod, M.D. and Meriamne B. Singer, M.D.

rECEIVED nOVEMBER 4, 1998; revised March 12, 1999; accepted March 22, 1999. From the Departments of Psychiatry, Cornell University Medical College and Columbia University College of Physicians and Surgeions; the Columbia University Center for Psychoanalytic Training and Research; and the New York Psychoanalytic Institute, New York, New York. Address correspondence to Dr. Busch, 10 East 78th St., # 5A, New York, NY 10021.

The authors elaborate psychodynamic factors that are relevant to the treatment of panic disorder. They outline psychoanalytic concepts that were employed to develop a psychodynamic approach to panic disorder, including the idea of unconscious mental life and the existence of defense mechanisms, compromise formations, the pleasure principle, and the transference. The authors then describe a panic-focused psychodynamic treatment based on a psychodynamic formulation of panic. Clinical techniques used in this approach, such as working with transference and working through, are described. Finally, a case vignette is employed to illustrate the relevance of these factors to panic disorder and the use of this treatment.(The Journal of Psychotherapy Practice and Research 1999; 8:234–242)

Key Words: Panic Disorder • Anxiety • Psychodynamic Treatment




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