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Developmentalist Metatheory of Depression and Psychotherapy

This paper proposes a developmentalist metatheory for the psychotherapy of depressed patients. Four prototypes of depressive disorder based on psychosexual maturation—dyadic deficit depression (DDD), dyadic conflict depression (DCD), triadic deficit depression (TDD), and triadic conflict depression (TCD)—are explored in terms of early parent-child interactions as well as the therapist/patient relationship. Clinical strategies for each type are recommended.

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