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This manual presents a carefully researched, detailed psychodynamic treatment program for the alleviation of a transdiagnostic range of primary Axis I anxiety disorders, including panic disorder, generalized anxiety disorder, social anxiety disorder, post-traumatic stress disorder, and related psychological problems. First exploring the principles of psychodynamic theory and formulation, the authors then present a three-phased process of Panic Focused Psychodynamic Psychotherapy-Extended Range (PFPP-XR): initial evaluation, interpretation of central conflicts and defense mechanisms, and termination. Each phase is discussed in depth and relies on central case illustrations to demonstrate techniques and results. A subsequent chapter explores how to address complex issues that may arise during the course of treatment. Altogether, this manual not only provides a demonstrated, adaptable approach for anxiety disorders, but also clearly embodies a spirit of research and empiricism heretofore rare in psychodynamic psychotherapies, with an eye toward future development.
Trauma Focused Psychodynamic Psychotherapy describes a step-by-step approach to a brief evidence-based psychodynamic psychotherapy for PTSD, focusing on veterans. This therapy program aims to develop patients' capacity to better reflect on their experiences and develop an integrated self-awareness of the various factors that affect their mental states and symptoms, all of which contribute to PTSD. The book begins with an overview of the psychodynamic factors relevant to treatment of PTSD, then proceeds to describe the therapy program, articulating how to address potential barriers to engaging the patient, including mistrust, disruptions in narrative coherence, dissociation, shame, and ongoing terror. A chapter is also devoted to discussing the impact of COVID-19 on traumatized patients and the treatment of trauma.
Child and Adolescent Anxiety Psychodynamic Psychotherapy, CAPP, is a new, manualized, tested, 24-session psychotherapeutic approach to working psychodynamically with youth with anxiety disorders. This book describes how clinicians intervene by collaboratively identifying the meanings of anxiety symptoms and maladaptive behaviors and to communicate the emotional meaning of these symptoms to the child. The treatment is conducted from a developmental perspective and the book contains clinical examples of how to approach youth of varying ages. The authors demonstrate that CAPP can help youth: · Reduce anxiety symptoms by developing an understanding of the emotional meaning of symptoms · Enhance children's skill of reflection and self-observation of one's own and others' motivations (improvement in symptom-specific reflective functioning) · Diminish use of avoidance, dependence and rigidity by showing that underlying emotions (e.g. guilt, shame, anger), as well as conflicted wishes and desires can be tolerated and understood · Understand fantasies and personal emotional significance surrounding the anxiety symptoms to reduce symptoms' magical qualities and impact on the child The manual provides a description of psychodynamic treatment principles and technique and offers a guide to opening, middle, and termination phases of this psychotherapy. It contains chapters on the historical background of psychodynamic child psychotherapy, on developmental aspects of child psychotherapy, and on the nature of parent involvement in the treatment. It will be useful for clinicians from diverse therapy backgrounds and it will appeal to the student reader, as well as to the experienced clinician.
Presenting a pragmatic, evidence-based approach to conducting psychodynamic therapy, this engaging guide is firmly grounded in contemporary clinical practice and research. The book reflects an openness to new influences on dynamic technique, such as cognitive-behavioral therapy and positive psychology. It offers a fresh understanding of the most common problems for which patients seek help -- depression, obsessionality, low self-esteem, fear of abandonment, panic, and trauma -- and shows how to organize and deliver effective psychodynamic interventions. Extensive case material illustrates each stage of therapy, from engagement to termination. Special topics include ways to integrate individual treatment with psychopharmacology and with couple or family work.
Whereas psychoanalysis and psychodynamic therapy have traditionally avoided focusing too much on specific symptoms or problems--lest they interfere with free association--this new guide articulates the value of more active and symptom-focused interventions. Having worked on focused psychodynamic treatments of panic disorder, depression, trauma, and behavioral change, Fredric Busch, M.D. expands on that work here, articulating how a focused approach can be adapted for patients in general. Drawing on a wealth of case vignettes, the book describes how to apply Problem-Focused Psychodynamic Psychotherapy (PrFPP) to symptoms, personality issues, behavioral problems, and relationship difficulties. It provides novice and experienced clinicians alike with the tools they need to help patients identify problem areas and understand how specific dynamics emerge in different contexts and overlap in contributing to issues. The psychodynamic techniques readers will glean in these pages demonstrate how to rapidly address core difficulties, expanding patients' self-reflective capacities and the identification of their own dynamics--even in the case of short-term interventions.
This state-of-the-art Handbook on the research and treatment of anxiety and related disorders is the most internationally and clinically oriented Handbook currently available, encompassing a broad network of researchers, from leading experts in the field to rising stars. The very first handbook to cover anxiety disorders according to the new DSM-5 criteria Published in two volumes, the International Handbook provides the most wide-ranging treatment of the state-of-the-art research in the anxiety disorders Offers a truly international aspect, including authors from different continents and covering issues of relevance to non-Western countries Includes discussion of the latest treatments, including work on persistence of compulsions, virtual reality exposure therapy, cognitive bias modification, cognitive enhancers, and imagery rescripting Covers treatment failures, transdiagnostic approaches, and includes treatment issues for children as well as the older population Edited by leaders in the field, responsible for some of the most important advances in our understanding and treatment of anxiety disorders 2 Volumes
Psychodynamic Treatment of Depression addresses the use of psychodynamic psychotherapy, both alone and in combination with cognitive-behavioral, interpersonal, and medication treatments, as a method for reducing the psychological vulnerabilities that may predispose patients to persistent symptoms or recurrence of depression. Thoroughly revised and with new material, the second edition reflects changes codified in the DSM-5 classification and is intended for use by students, residents, or clinicians who are trained in the practice of psychotherapy. The authors' extensive clinical experience is thoroughly mined to provide techniques for tailoring the psychodynamic psychotherapeutic approach to patients with depression, and important topics such as narcissistic injury and vulnerability, guilt, defense mechanisms, and suicidality are addressed. The book is written in an accessible style and structured logically to support the acquisition and enhancement of psychotherapeutic skills through the systematic exploration of the psychodynamic model of depression. The volume's noteworthy content and features are many: * Just as patients' responses to medications vary, responses to particular therapeutic interventions are different in different patients. Accordingly, the authors locate psychodynamic psychotherapy within the context of current treatments for depression, including indications and contraindications. * A multitude of detailed and compelling clinical vignettes clearly illustrate the dynamics and techniques and facilitate learning across diverse clinical roles and practice settings. * A chapter on psychodynamic approaches to depression with comorbid personality disorder has been added to the new edition, because these disorders have been found to have an adverse effect on treatment outcome, including diminished response to antidepressants, reduced adherence to treatment, and longer time period to achieve remission. There is a growing evidence base for the effectiveness of psychodynamic psychotherapy, both alone and in tandem with other treatment modalities. Psychodynamic Treatment of Depression offers a robust model of psychodynamic therapy for depression and the detailed strategies and techniques clinicians need to improve outcomes with this significant patient group.
This clinically wise and pragmatic book presents a systematic approach for treating any form of childhood anxiety using proven exposure-based techniques. What makes this rigorously tested modular treatment unique is that it is explicitly designed with flexibility and individualization in mind. Developed in a real-world, highly diverse community mental health context, the treatment can be continually adjusted to target motivational problems, disruptive behavior, family issues, and other frequently encountered clinical roadblocks. In a large-size format for easy photocopying, the book includes a detailed case formulation framework, a flexible treatment planning algorithm, and over 90 pages of user-friendly reproducibles.
This book includes the work of 22 contributing writers in addition to the three primary authors, John F. Clarkin, Ph.D., Peter Fonagy, Ph.D., and Glen O. Gabbard, M.D. Each contributor has extensive clinical experience, and some also have research experience, with the assessment and treatment of specific personality disorders.
A fully revised and updated edition of this unique and authoritative reference The award-winning A Guide to Treatments that Work , published in 1998, was the first book to assemble the numerous advances in both clinical psychology and psychiatry into one accessible volume. It immediately established itself as an indispensable reference for all mental health practitioners. Now in a fully updated edition,A Guide to Treatments that Work, Second Edition brings together, once again, a distinguished group of psychiatrists and clinical psychologists to take stock of which treatments and interventions actually work, which don't, and what still remains beyond the scope of our current knowledge. The new edition has been extensively revised to take account of recent drug developments and advances in psychotherapeutic interventions. Incorporating a wealth of new information, these eminent researchers and clinicians thoroughly review all available outcome data and clinical trials and provide detailed specification of methods and procedures to ensure effective treatment for each major DSM-IV disorder. As an interdisciplinary work that integrates information from both clinical psychology and psychiatry, this new edition will continue to serve as an essential volume for practitioners of every kind: psychiatrists, psychologists, clinical social workers, counselors, and mental health consultants.