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For many patients, supportive therapy is the treatment of choice, and for many others, the use of medications or of more expressive techniques optimally occurs in the context of a supportive relationship. Yet, there is a paucity of literature expressly devoted to the techniques and aims of supportive psychotherapy. In A Primer of Supportive Psychotherapy, Henry Pinsker remedies this situation by focusing directly on the rationale for, and techniques of, supportive psychotherapy. He explores this modality as a form of dyadic intervention quite distinct from expressive psychotherapies, and also shows how, to varying extents, supportive psychotherapy makes use of patterns of relationships and behavior, past and present. Pinsker's writing is wise, human, and direct. The realities, ironies, conundrums, and opportunities of the therapeutic encounter are vividly portrayed in scores of illustrative dialogues drawn from actual treatments. Destined to become the classic introductory work in the field, A Primer of Supportive Psychotherapy will be valued by students and trainees in all mental health disciplines--and by their teachers--for its wealth of practical guidelines and explicit instruction on how to develop, maintain, and make optimal therapeutic use of a supportive relationship. Psychopharmacologists, counselors, nurse practitioners, and primary care physicians are among the helping professionals who will likewise benefit from Pinsker's clear presentation of the principles of supportive work. Beyond its didactic value, this text will be an indispensable conceptual touchstone for any clinician interested in understanding more clearly the differences among various interventional modalities as a preliminary step in optimal treatment planning.
Intended as a primer for doing supportive therapy using psychodynamic principles, Doing Supportive Psychotherapy offers a solid foundation for the basic strategies and techniques of psychotherapy of any type (such as cognitive behavioral therapy, interpersonal therapy, etc.). However, that is where its similarity with other textbooks ends. The author has taken it as his mission to instruct in a lively, engaging, and personal style, cultivating confidence and taking the reader on a journey that parallels the intimate process of undergoing psychotherapy. The result is a text that reads more like an exciting novel than a psychotherapy "cookbook." The many, real-life case examples mimic the range of therapeutic interactions, and the dialogue between therapist and patient is conversational and realistic. At the same time, the book is grounded in the latest evidence-based research, which is cited throughout the text where relevant. This approach yields a book that is authoritative and practical, yet fun and easy to read. Whether resident or seasoned clinician, psychiatric nurse or social worker, readers of Doing Supportive Psychotherapy will be drawn into a vivid, fascinating, and compelling world, garnering psychotherapy knowledge, strategies, and skills along the way.
Designed especially for students and mental health professionals in the early stages of their careers, this primer is a practical guide to psychotherapy --
For many patients, supportive therapy is the treatment of choice, and for many others, the use of medications or of more expressive techniques optimally occurs in the context of a supportive relationship. Yet, there is a paucity of literature expressly devoted to the techniques and aims of supportive psychotherapy. In A Primer of Supportive Psychotherapy, Henry Pinsker remedies this situation by focusing directly on the rationale for, and techniques of, supportive psychotherapy. He explores this modality as a form of dyadic intervention quite distinct from expressive psychotherapies, and also shows how, to varying extents, supportive psychotherapy makes use of patterns of relationships and behavior, past and present. Pinsker's writing is wise, human, and direct. The realities, ironies, conundrums, and opportunities of the therapeutic encounter are vividly portrayed in scores of illustrative dialogues drawn from actual treatments. Destined to become the classic introductory work in the field, A Primer of Supportive Psychotherapy will be valued by students and trainees in all mental health disciplines--and by their teachers--for its wealth of practical guidelines and explicit instruction on how to develop, maintain, and make optimal therapeutic use of a supportive relationship. Psychopharmacologists, counselors, nurse practitioners, and primary care physicians are among the helping professionals who will likewise benefit from Pinsker's clear presentation of the principles of supportive work. Beyond its didactic value, this text will be an indispensable conceptual touchstone for any clinician interested in understanding more clearly the differences among various interventional modalities as a preliminary step in optimal treatment planning.
The main goal of the therapy described here is to improve ego functions and adaptations rather than to explore unconscious conflicts. Thus, the emphasis is on strengthening reality testing, discouraging impulsivity, and clarifying confused thinking, while minimizing the regression and negative transference characteristic of exploratory therapy. In chapters richly illustrated with clinical material, the author details the strategies and rationales of this practice, covering such topics as transference and countertransference, resistance, working through, and the relationship between supportive therapy and psychopharmacology. Clinically sophisticated yet immensely practical, this valuable resource will enhance the skill and understanding of every therapist-student, clinician, or teacher-who practices supportive psychotherapy.
Supportive psychotherapy is widely practiced but poorly defined, often misunderstood, and unfairly disparaged. Dr. Markowitz and his colleagues manualized Brief Supportive Psychotherapy (BSP) as a time-limited control treatment to compare to "more active" established psychotherapies like cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) in research studies. In fact, BSP, an emotion-focused, bare-bones treatment based on Carl Rogers' Client Centered Therapy, has since proven itself to be a robust treatment in multiple randomized controlled treatment trials. It has generally kept pace with the brand name treatments in treating patients with difficult disorders like chronic depression. Some therapists, previously trained only in cognitive and behavioral approaches, have found this affect-focused approach adds a new dimension to their thinking and to patients' lives. Brief Supportive Psychotherapy: A Treatment Manual and Clinical Approach is both an elaboration of the now well-tested research treatment manual for BSP and a primer for clinicians. It illustrates how BSP helps patients with mood and anxiety disorders to tolerate rather than avoid their powerful negative emotions. It describes the key elements of supportive psychotherapy, covering the crucial "common factors" that help make all evidence-based psychotherapies effective. These include affective arousal, helping the patient to feel understood, realistic optimism for improvement, a therapeutic ritual, clinical poise, and success experiences. BSP maximizes patient autonomy, letting the patient lead sessions, and prescribes no homework. It is an elemental, relatively simple approach for a psychotherapy, yet no psychotherapy is easy to do well. Its affect-focused approach enhances the application of all psychotherapeutic approaches. It deserves a place among evidence-based treatments in depression treatment guidelines.
Treating borderline patients is one of the most challenging areas in psychotherapy because of the patient's extreme emotional expressions, the strain it places on the therapist, and the danger of the patient acting out and harming himself or the therapeutic relationship. Many clinicians consider this patient population difficult, if not impossible, to treat. However, in recent years dedicated experts have focused their clinical and research efforts on the borderline patient and have produced treatments that increase our success in working with borderline patients. Transference-Focused Therapy (TFP) is psychodynamic treatment designed especially for borderline patients. This book provides a concise and comprehensive introduction to TFP that will be useful both to experienced clinicians and also to students of psychotherapy. TFP has its roots in object relations and it emphasizes that the transference is the key to understanding and producing change. The patient's internal world of object representations unfolds and is lived in the transference with the therapist. The therapist listens for and makes use of the relationship that is revealed through words, silence, or, as often occurs in the case of individuals with some borderline personality disorder, acting out in subtle or not-so-subtle ways. This primer offers clinicians a way to understand and then use the transference and countertransference for change in the patient.
First published in 1989. This volume reflects the extensive experience of a clinician-educator in psychiatry and psychoanalysis. Dr. Werman presents a balanced, comprehensive, detailed, nondoctrinaire, and warm human treatment of the subject. He makes it clear that, while supportive psychotherapy can and should be based on psychodynamic understanding of patients, the technical principles that guide application of such understanding in supportive treatment are quite different from those guiding insight oriented therapy. Careful reflection upon the text and its many clinical examples will suggest that good supportive psychotherapy is extremely difficult and demanding of special skills.