SummaryDavanloo's intensive short-term dynamic psychotherapy is a brief dynamic therapy that focuses on transference feelings and resistance. By doing so, therapist and patient can work together to enable the patient to have a full experience of unconscious feelings -namely rage, grief and guilt. However, this experience of unconscious feelings is not the only therapeutic factor. In addition, the therapist must expertly apply multidimensional unconscious structural changes. Doing so allows the patient to make conscious sense of unconscious experiences. This article focuses on the Montreal Closed Circuit training programme, which is a new teaching format for Davanloo. A case will be presented which will highlight the application of multidimensional unconscious structural changes in a highly resistant patient.
Davanloo / psychotherapy / intensive / short-termOver the past 40 years, Dr Habib Davanloo has developed a method of intensive short-term dynamic psychotherapy (IS-TDP), which has been highly effective in treating resistant psychoneurotic disorders [1]. By using audiovisual recording, Davanloo has been able to research his technique and has provided comprehensive teaching to those attempting to learn it.Dr Davanloo has made many discoveries about the human unconscious. These discoveries are based on empirical evidence, not theory or intuition, and form the basis of his metapsychology of the unconscious [2]. His work of the early 1980s focused mainly on patients with phobic, obsessional, panic, depressive, functional disorders [3][4][5][6]. Following this, Davanloo began to focus on treating patients with psychosomatic conditions and fragile character pathology. He was able to demonstrate that these patients could be treated successfully with some modifications of the IS-TDP technique [7,8]. In IS-TDP, "direct access to the unconscious", and to all of the pathogenic dynamic forces that contribute to the patients' symptoms and character disturbances, is possible [9]. The technique of rapid and direct access to the unconscious will be demonstrated in a case presentation in this two-article series. Davanloo has presented extensively on his technique of "unlocking the unconscious" [10][11][12][13][14][15][16][17][18], which allows the patient a direct and affective experience of the pathological dynamic forces that maintain any symptom and character disturbances [10][11][12].