Relationships, Emotions, and Defenses Among Patients with Substance Use Disorders, Assessed with Karolinska Psychodynamic Profile: Possibilities to use Intensive Short-Term Dynamic Psychotherapy in Substance Abuse Treatment

ABSTRACT

Substance use disorders (SUDs) are connected to emotional and relational difficulties. Intensive Short-Term Dynamic Psychotherapy (ISTDP) aims at supporting emotion regulation and relational capacity through confronting the patient’s defenses. The authors assessed relational capacity, emotion regulation, and defenses in nine patients with severe SUD and a history of childhood maltreatment, using the semistructured method Karolinska Psychodynamic Profile. All participants had difficulties in handling interpersonal dependence and separations. Functioning in other areas varied. ISTDP could be useful in substance abuse treatment. Thorough assessment before starting ISTDP is however recommended so that treatment is planned according to the patients’ level of functioning.

KEYWORDS:

• Intensive Short-Term Dynamic Psychotherapy (ISTDP)
• Karolinska Psychodynamic Profile (KAPP)
• emotion regulation
• relationships
• assessment
• substance abuse treatment

Acknowledgments

We would like to thank Alexander Wilczek for his support during the preparation of this article.

Disclosure statement

No potential conflict of interest was reported by the author.