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Resistant. Oppositional. Borderline. Mental health professionals commonly use such terms to describe patients who, despite expressing a strong desire to reduce their emotional distress, repeatedly reject or ignore their therapist's interpretations andadvice. When this continues session after session, both patient and therapist end up feeling stuck and frustrated.This book offers an alternative interpretation of patients' apparent resistance, termed pathological ambivalence, which is rooted in early experience, biological functioning, and psychological narrative. The concept of pathological ambivalence draws from several established theoretical perspectives in explaining why some people seem to sabotage their progress in psychotherapy and how some therapists become unintentional enablers.
Concise, yet without skimping on information, this book reviews current theory and research, addresses important diagnostic issues, and provides salient details in a number of key areas related to GAD. Assessment procedures and treatment planning are covered, along with the latest therapy outcome data, including findings on newer therapies. Also detailed are specific cognitive behavioral therapy techniques, including cognitive strategies, psychoeducation, and anxiety monitoring.
Internationally renowned psychoanalytic theorist and clinician Dr. Otto Kernberg here examines the success and failure of sexual love in couples, from adolescence to old age. Dr. Kernberg considers both "normal" and pathological relationships, including the role of narcissism, masochism, and aggression in each. The result expands the boundaries of our current understanding of love relations.
Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide presents a model of borderline personality disorder (BPD) and its treatment that is based on contemporary psychoanalytic object relations theory as developed by the leading thinker in the field, Otto Kernberg, M.D., who is also one of the authors of this insightful manual. The model is supported and enhanced by material on current phenomenological and neurobiological research and is grounded in real-world cases that deftly illustrate principles of intervention in ways that mental health professionals can use with their patients. The book first provides clinicians with a model of borderline pathology that is essential for expert assessment and treatment planning and then addresses the empirical underpinnings and specific therapeutic strategies of transference-focused psychotherapy (TFP). From the chapter on clinical assessment, the clinician learns how to select the type of treatment on the basis of the level of personality organization, the symptoms the patient experiences, and the areas of compromised functioning. In order to decide on the type of treatment, the clinician must examine the patient's subjective experience (such as symptoms of anxiety or depression), observable behaviors (such as investments in relationships and deficits in functioning), and psychological structures (such as identity, defenses, and reality testing). Next, the clinician learns to establish the conditions of treatment through negotiating a verbal treatment contract or understanding with the patient. The contract defines the responsibilities of each of the participants and defines what the reality of the therapeutic relationship is. Techniques of treatment interventions and tactics to address particularly difficult clinical challenges are addressed next, equipping the therapist to employ the four primary techniques of TFP (interpretation, transference analysis, technical neutrality, and use of countertransference) and setting the stage for and guiding the proper use of those techniques within the individual session. What to expect in the course of long-term treatment to ameliorate symptoms and to effect personality change is covered, with sections on the early, middle, and late phases of treatment. This material prepares the clinician to deal with predictable phases, such as tests of the frame, impulse containment, movement toward integration, episodes of regression, and termination. Finally, the text is accompanied by supremely instructive online videos that demonstrate a variety of clinical situations, helping the clinician with assessment and modeling critical therapeutic strategies. The book recognizes that each BPD patient presents a unique treatment challenge. Grounded in the latest research and rich with clinical insight, Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide will prove indispensable to mental health professionals seeking to provide thoughtful, effective care to these patients.
A groundbreaking book about why the one thing we all fear—ambivalence—is the one thing we must accept to find lasting love. If Love Could Think is an entertaining and practical book that addresses with warmth and intelligence the age-old question relevant to any stage of a relationship: why does love go wrong, and what can we do to make it right? After many years of treating patients with relationship problems, psychologist Alon Gratch has identified seven common patterns of failed love. These patterns include, for example, narcissistic love, when a person has so idealized the partner and the relationship that they can’t possibly continue to measure up; one-way love, when a person loves someone who doesn’t return that love; triangular love, when a third party, be it a mother, an affair, or a job is involved in the relationship; and forbidden love, the kind of relationship that is generally off-limits, such as when a teacher dates a student. In If Love Could Think, Gratch shows us that all of these patterns stem from one fundamental problem—our own ambivalence. With his trademark combination of depth and humor, and using many individual stories as engaging examples, Gratch walks us through the ways we get stuck in these patterns. In each case we are looking for perfect or ideal love. Every pattern creates an obstacle so we don’t have to face our own ambivalence about the relationship or the other person. But humans aren’t perfect, so no matter how wonderful love can be, there is no such thing as pure love. Ambivalence implies the existence not only of love but also of anger, disapproval, or disappointment. As Dr. Gratch shows, there are really only two choices: accept ambivalence as part of any loving relationship, or continue to repeat the patterns of illusory love. Happily, using a simple yet powerful three-step approach, If Love Could Think helps readers to use their own minds to break these patterns of failed relationships and find real and lasting love.
Abnormal and clinical psychology courses are offered in psychology programs at universities worldwide, but the most recent major encyclopedia on the topic was published many years ago. Although general psychology handbooks and encyclopedias include essays on abnormal and clinical psychology, such works do not provide students with an accessible reference for understanding the full scope of the field. The SAGE Encyclopedia of Abnormal and Clinical Psychology, a 7-volume, A-Z work (print and electronic formats), will be such an authoritative work. Its more than 1,400 entries will provide information on fundamental approaches and theories, various mental health disorders, assessment tools and psychotherapeutic interventions, and the social, legal, and cultural frameworks that have contributed to debates in abnormal and clinical psychology. Key features include: 1,400 signed articles contained in 7 volumes and available in choice of print and/or electronic formats Although organized A-to-Z, front matter includes a Reader’s Guide grouping related entries thematically Back matter includes a Chronology, Resource Guide, Bibliography, and detailed Index Entries conclude with References/Further Readings and Cross-References to related entries The Index, Reader’s Guide themes, and Cross-References between and among entries all combine to provide robust search-and-browse features in the electronic version.
The Clinician's Guide to Treatment and Management of Youth with Tourette Syndrome and Tic Disorders provides clinicians with cognitive behavioral therapy concepts and skills to manage young patients dealing with Tourette Syndrome (TS) and tic disorders. This book focuses on improving the quality of life, patient resiliency, habit reversal techniques, talking about tics with peers, and overcoming tic-related avoidance. Each chapter looks at the nature and background of common challenges for youth with TS experience, reviews empirically-informed rationale for using specific cognitive-behavioral strategies, discusses the nature and implementation of these strategies, and concludes with a case that illustrates a particular strategy. Medication management is covered in its own chapter, and clinical excerpts are used throughout the book to illustrate key techniques that can be incorporated into immediate practice.
This book adopts a novel, even revolutionary, approach to healing a wide range of psychological problems in therapy. The premise is that all of us have a number of multiple personalities within us who powerfully influence every aspect of our lives. By locating these internal parts and neutralizing the effects of the high-energy, often traumatic, experiences that created them, Parts Psychology demonstrates that patients can heal rapidly and completely from long-held emotional issues. The core of the book contains the healing narratives for 12 patients who, except for the problems that brought them to therapy, lead relatively normal lives. Several chapters describe the treatment process for such problems of emotional intimacy as lost love, low sexual desire, jealousy, and sexual swinging. Others describe issues of compulsion such as binge eating, porn addiction and bulimia. Several chapters detail success stories in the treatment of anger and rage, depression, grief and anxiety. Child abuse appears in the history of a number of patients. Each story begins with the first meeting with the therapist and concludes when the patient graduates from therapy. A first look at patients inner worlds might suggest to some the presence of multiple personality disorder (dissociative identity disorder). And many patients are shocked to find that they can have conversations with themselves. However, the case studies illustrate that having unconscious parts (subpersonalities), represented by a range of images, is normal. Although people may use fascinating images to represent their internal worlds, the more important content of a part of the self is its unique set of memories. Life experiences recorded in memory are the subject matter for therapy. Adult issues always have to do with the painful or novel life experiences that created the parts and the problems in a person s life, especially the adaptations and experiences of childhood.
This book provides an overview of the state of the art in research on and treatment of gambling disorder. As a behavioral addiction, gambling disorder is of increasing relevance to the field of mental health. Research conducted in the last decade has yielded valuable new insights into the characteristics and etiology of gambling disorder, as well as effective treatment strategies. The different chapters of this book present detailed information on the general concept of addiction as applied to gambling, the clinical characteristics, epidemiology and comorbidities of gambling disorder, as well as typical cognitive distortions found in patients with gambling disorder. In addition, the book includes chapters discussing animal models and the genetic and neurobiological underpinnings of the disorder. Further, it is examining treatment options including pharmacological and psychological intervention methods, as well as innovative new treatment approaches. The book also discusses relevant similarities to and differences with substance-related disorders and other behavioral addictions. Lastly, it examines gambling behavior from a cultural perspective, considers possible prevention strategies and outlines future perspectives in the field.