Psychoanalysis : eISSN 2383-7624 / pISSN 1226-7503

Table. 2.

Table. 2.

Three basic steps of psychodynamic formulation

StepWhat to doMajor concerns
Step 1 DescribeDescribe the primary problems and patternsFive basic areas of function
 • Self
 • Relationships
 • Adapting
 • Cognition
 • Work and play
Step 2 ReviewReview the developmental historyBefore birth: family of origin, prenatal development, genetic endowment
Earliest years of life: attachment, early relationships with caregivers, trauma
Middle childhood
Later childhood, adolescence, adulthood
Step 3 LinkLink the problems and patterns to the history using organizing ideas about development- Trauma
- Early cognitive and emotional difficulties
- Conflict and defense
- Relationships with others
- The development of the self
- Attachment
Psychoanal 2020;31:11-21 https://doi.org/10.18529/psychoanal.2020.31.1.11
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