Integrating cognitive behavioral therapy into a psychodynamic framework Original Research Article

The following case response seeks to integrate psychodynamic theory, cognitive-behavioral, and other interventions to provide an inclusive and holistic approach to the treatment of a 12-year-old male victim of sexual abuse. The case is complex in that it involves an adolescent with significant symptoms secondary to sexual abuse, including depression, suicidal ideation, posttraumatic stress disorder, dissociation, and sexually reactive behaviors. A psychodynamic conceptualization of the case offers insight into the therapeutic relationship and transference and countertransference issues; cognitive-behavioral theory and interventions are presented to address dysfunctional thoughts and problematic behaviors. Additional approaches to treatment and assessment are mentioned as means of providing sexual-abuse-specific treatment within a psychodynamic framework. Adjunctive interventions with parents and school staff are also addressed.