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This book shows how contemporary psychoanalytic thinking can be applied in the everyday practice of medicine to enhance the practice of family medicine and all clinical specialties. Dr. Steinberg analyzes his writings over the past 35 years—on psychiatry and family medicine, liaison psychiatry, and mentoring—based on developments in psychoanalytic thinking. Divided into sections based on different venues of medical practice, including family medicine clinics, inpatient medical and surgical units, and psychiatric inpatient units and outpatient programs, chapters illustrate how various concepts in psychoanalysis can enhance physicians’ understanding and management of their patients. A concluding section contains applications of psychoanalytic thought in non-clinical areas pertinent to medicine, including preventing suicide among physicians, residents, and medical students, sexual abuse of patients by physicians, and oral examination anxiety in physicians. Readers will learn to apply psychoanalytic concepts with a rational approach that enhances their understanding and management of their patients and practice of medicine generally.
Applying Psychoanalysis in Medical Care describes the many ways that analysts interact with the medical world and make meaningful contributions to the care of a variety of patients. Clinicians with a deep psychoanalytic understanding of our vulnerabilities, fears and hopes are well suited to participate in the care of our body. This book brings together contributions from caregivers who have dedicated themselves to deeply knowing their patients, from prenatal care, pediatrics, oncology, and palliative care. The chapters are rich with moving clinical vignettes that demonstrate both the power and gracefulness of dynamic listening and insight. This book will be valuable reading for psychoanalysts as well as practitioners and students in medicine, psychology, and the social work disciplines.
Psychoanalytic Treatment: An Intersubjective Approach fleshes out the implications for psychoanalytic understanding and treatment of adopting a consistently intersubjective perspective. In the course of the study, the intersubjective viewpoint is demonstrated to illuminate a wide array of clinical phenomena, including transference and resistance, conflict formation, therapeutic action, affective and self development, and borderline and psychotic states. As a consequence, the authors demonstrate that an intersubjective approach greatly facilitates empathic access to the patient's subjective world and, in the same measure, greatly enhances the scope and therapeutic effectiveness of psychoanalysis. Psychoanalytic Treatment is another step in the ongoing development of intersubjectivity theory, as born out in Structures of Subjectivity (1984), Contexts of Being (1992), and Working Intersubjectively (1997), all published by the Analytic Press
Contributors explore the significance of literature and psychoanalysis for medical education and practice.
Advances in psychoanalytic theory and technique can be usefully applied in virtually all psychotherapeutic settings, as well as in the management of patients in many nonmental health settings, to enhance understanding of patients. In this book, Steinberg reviews a collection of his own essays, incorporating developments in psychoanalytic theory and new ideas since his essays were published. Chapters clearly describe the evolving psychoanalytic approaches to treatment and illustrate how to use psychoanalytic concepts when working with patients. A variety of clinical situations are covered, including group psychotherapy, partial hospitalization, and individual psychotherapy. This book provides the foundation of analysis and offers varied clinical experiences appealing to a wide range of practitioners and case examples offering descriptive details and interventions. This book will be essential reading for all mental health professionals wanting to improve their working relationships with patients.
This acclaimed clinical guide and widely adopted text has filled a key need in the field since its original publication. Nancy McWilliams makes psychoanalytic personality theory and its implications for practice accessible to practitioners of all levels of experience. She explains major character types and demonstrates specific ways that understanding the patient's individual personality structure can influence the therapist's focus and style of intervention. Guidelines are provided for developing a systematic yet flexible diagnostic formulation and using it to inform treatment. Highly readable, the book features a wealth of illustrative clinical examples. New to This Edition *Reflects the ongoing development of the author's approach over nearly two decades. *Incorporates important advances in attachment theory, neuroscience, and the study of trauma. *Coverage of the contemporary relational movement in psychoanalysis. Winner--Canadian Psychological Association's Goethe Award for Psychoanalytic and Psychodynamic Scholarship
Outcome Research and the Future of Psychoanalysis explores the connection between outcome studies and important and complex questions of clinical practices, research methodologies, epistemology, and sociological considerations. Presenting the ideas and voices of leading experts in clinical and extra-clinical research in psychoanalysis, the book provides an overview of the state of the art of outcome research, its results and implications. Furthermore, its contributions discuss the basic premises and ideas of outcome research and in which way the contemporary Zeitgeist might shape the future of psychoanalysis. Divided into three parts, the book begins by discussing the scientific basis of psychoanalysis and advances in psychoanalytic thinking as well as the state of the art of psychoanalytic outcome research, critically analyzing so-called evidence-based therapies. Part II of the book contains exemplary research projects that are discussed from a clinical perspective, illustrating the dialogue between researchers and clinicians. Lastly, in Part III, several psychoanalysts review the importance of critical thinking and research in psychoanalytical education. Thought-provoking and expertly written and researched, this book is a useful resource for academics, researchers and postgraduate students in the fields of mental health, psychotherapy, and psychoanalysis.
The goal of this book is to shed psychoanalytic light on a concept—informed consent—that has transformed the delivery of health care in the United States. Examining the concept of informed consent in the context of psychoanalysis, the book first summarizes the law and literature on this topic. Is informed consent required as a matter of positive law? Apart from statutes and cases, what do the professional organizations say about this? Second, the book looks at informed consent as a theoretical matter. It addresses such questions as: What would be the elements of a robust informed consent in psychoanalysis? Is informed consent even possible here? Can patients really understand, say, transference or regression before they experience them, and is it too late once they have? Is informed consent therapeutic or countertherapeutic? Can a “process view” of informed consent make sense here? Third, the book reviews data on the topic. A lengthy questionnaire answered by sixty-two analysts reveals their practices in this regard. Do they obtain a statement of informed consent from their patients? What do they disclose? Why do they disclose it? Do they think it is possible to obtain informed consent in psychoanalysis at all? Do they think the practice is therapeutic or countertherapeutic, and in what ways? Do they think there should or should not be an informed consent requirement for psychoanalysis? The book should appeal above all to therapists interested in the ethical dimensions of their practice.
Divided into three overarching themes, theory, application and research, this cutting edge book explores the influence of psychoanalytic theories on occupational therapy practice and thinking. It incorporates a new conceptual model (the MOVI) to guide practice, which uses psychoanalysis as a theoretical foundation for understanding therapeutic relationships and the ‘doing’ that takes place in clinical practice. Using practice models and incorporating many clinically applied examples in different occupational therapy settings, this introductory text to psychoanalytic theory will appeal to students and practising clinical and academic occupational therapists worldwide and from different fields of practice from paediatrics and physical disability to older adult care and mental health. The first book in fifty years to concentrate entirely on a psychoanalytic approach to occupational therapy Distills cutting edge theory into clinically relevant guidance Features clinical examples throughout, showing the links between psychoanalytic theory and occupational therapy practice Written by an experienced international team of authors
Science and technology have brought about profound changes in the way medicine is practiced. These developments save more lives, but can have a negative impact on psyches and relationships. Thoroughly examining the way medicine is practised in the 21st century, this ground-breaking new book emphasizes the interpersonal, subjective and unconscious processes. It provides important and useful insights into the many ways patients, families and medical practitioners are affected by modern medicine. A Psychodynamic Understanding of Modern Medicine offers profound ways to understand these issues in all their complexity and depth, and demonstrates ways to effectively manage difficulties by drawing on psychoanalytic principles. In so doing, the book directly addresses topics rarely covered from a psychological perspective, such as organ donation, assisted suicide requests, impaired mobility, assisted reproduction, elder abuse, placebos, dialysis units, NICU, general hospital setting, provider-patient relationship and family dynamics with chronic illness. The book is highly recommended to all who are involved with modern medicine. Medical practitioners will have a better means of understanding psychological and interpersonal problems that present themselves in various medical settings. Psychologists and psychiatrists will be more able to intervene when problems occur, including when they involve the interaction between practitioner and patient or family. It is also illuminating reading for students with an interest in medical anthropology, and social and narrative medicine, and for nurses and medical social workers.