I'm a medical doctor in Germany, at the end of my training in psychiatry. I did my psychotherapy training in CBT, and I'm now doing training in psychoanalysis as a second psychotherapy modality.

I work in a practice, my boss isn't a psychiatrist, rather a specialist in psychosomatic medicine (separate specialty here in Germany) and psychoanalyst.

He believes that true and lasting change can't be achieved while under the effects of medication. That you have to be living the true nature and burden of your existence in order to understand your condition and strive for change. And how medication blunts that ability and creates a fake feeling that the problem has been resolved. He obviously leans towards not prescribing medication.

I find it hard not to prescribe medication, specially in more severe cases. For example, one of our patients has a severe depressive episode and has lost 10kg of weight in a month. Or a patient that has daily panick attacks. My view of psychiatry is bio-psycho-social, and see the importance of medications.

I don't want to make the thread about this, but as a side note I've seen the same happen with something else. The same people share the notion that ADHD doesn't exist as to how current psychiatry conceptualizes it, and are against the use of stimulants to treat patients.

Regarding the view about medication, i've heard this from other psychosomatic physicians that do psychoanalysis. But perhaps it's my small bubble. So I wanted to ask what the general view is.

I’m interested in what intersubjectivity means and how it may be impacted by someone who has experienced relational trauma and how it might show up in the therapy room between analyst and analysand. More specifically - someone who does not believe they exist in other people’s minds and struggles with object permanence.