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Experts discuss the issues psychotherapists face in the treatment of long-term patients, including separation and autonomy.
Reflections on Long-Term Relational Psychotherapy and Psychoanalysis explores how relational analysts think about and pursue long-term therapeutic relationships in their practices. Many therapists work intensively with their clients over many years and don't necessarily talk about their work. More exploration is needed into what is taking place inside of these long-term relationships. The chapters cover a range of topics that focus on aspects of the therapeutic relationship that are unique to long-term psychoanalytic work. They include work with various issues such as trauma, death and dying, cross-cultural issues, suffering, mourning, neuropsychoanalysis, unique endings, attachment, intimacy, and the many ways in which therapists change along with their clients as they go through life stages together. Reflections on Long-Term Relational Psychotherapy and Psychoanalysis will be of great interest to psychoanalysts, psychodynamic psychotherapists, psychologists, social workers, workers in other mental health fields, graduate students, and anyone who is interested in change processes.
What are the consequences of prolonged exposure to the mental andemotional sufferings of others? In what ways can the practice ofpsychotherapy impede a person's ability to form healthy, fulfillingpersonal relationships? Is it true that psychotherapists areunusually prone to mental illness, drug and alcohol abuse, sexualacting out, workaholism, and suicide? Is there something aboutpeople who are drawn to a life in psychotherapy that puts them athigher risk of developing certain behavioral disorders? Now in a candid and revealing look into the private andprofessional lives of psychotherapists, a group of notedpractitioners attempt to answer these and other hard questionsabout the women and men who pursue this most perilous ofcallings. Throughout the pages of this fascinating book, nearly thirtypsychotherapists--including psychologists, psychiatrists,psychoanalysts, and social workers--provide intimate, at timespainfully frank, accounts of their inner experiences and struggles.In a series of compelling first-person narratives, written in avariety of styles, they explore such topics as the therapist'spersonal development and unconscious motivations for becoming atherapist, the emotional impact of clinical work on thepsychotherapist, the stresses and strains that the practice ofpsychotherapy can exert on a marriage, parenting and psychotherapy,disillusionment and the physical and psychic isolation of clinicalwork, the struggles of therapists who suffer from characterologicalproblems of their own, and the extreme perils of dealing withsuicidal patients. They also delve into a number of importantprofessional, ethical, and legal hazards practitioners face in thisage of the medical "quick-fix." A Perilous Calling offers readers unparalleled insight into thepsychotherapist's deepest concerns and conflicts. It reveals theperils of practice and candidly explores how some psychotherapistshave learned to cope with them. In reading this book, professionalswill learn how to take better care of themselves both in theirprofessional and personal lives and will find new ways to transformthose perils into opportunities for growth and mastery. At the sametime, their patients, friends, and loved ones will gain a deeperunderstanding of these complex and uniquely caring individuals.
Volume II: "Nicholas Cummings has been called a lot of things in his life ... entrepreneur is one of them. The Cummings legacy will be voluminous and manifold. His contributions to the field have spanned the many definitions of practicing psychology – from education to policy, from business to ongoing exploration. He has been predicting trends, cautioning those who would listen, and negotiating the obstacles to efficacious delivery of quality therapeutic services for over half a century. With this book, we pause once again to revisit some of the most important of his projects as an entrepreneur. Editors Thomas, Cummings, and O’Donohue took on a difficult task when they set out to convince Cummings to tell the story behind the story of how and why he created the various organizations selected here. Of course, he balked at the idea of "showing off" these successes, but the editors were finally able to persuade him of the potential benefit to readers. First, there is the revelation of psychologist as entrepreneur and the delicate balance that is required in order to proceed in this direction with integrity and effectiveness. More important, these organizations were for the most part conceived of as being in service to the profession or to its legislators rather than being focused on profits. Their success, therefore, has had more than a little to do with strengthening the ability of the field to move forward even as it is pulled in different directions. In the end, Nick Cummings decided to tell the story behind the story and readers will be very glad he did. Part history, part memoir, this is a fascinating whodunit, and each time you’ll find Nick Cummings ... seeing the need, envisioning a way to meet it, and then doing it!"--
Freud once humorously remarked that "Anyone who wants to make a living from the treatment of nervous patients must clearly be able to do something to help them". It is amazing how frequently this simple precept is ignored and, when a patient does not get well, how often the failure is attributed to lack of proper motivation, diminutive ego strength, latent schizophrenia, and a multitude of assorted resistances. Difficulties that arise during therapy are not due to a deliberate conspiracy of neglect on the part of the therapist. They usually come about because of obstructive situations that develop in work with patients with which the therapist is unprepared to cope. During his psychiatric career the author, who spent time both teaching and supervising, collected and collated questions from students and graduate therapists who had raised concerns about psychotherapy that related to such obstructive situations. Originally published in 1982, this volume contains both those questions and his answers.
Resistance is an unfortunate term for the manifestation of defense mechanisms in the treatment situation. Use of the word to a psychoanalytically unsophisticated patient may evoke undesired consequences because to a patient, it implies deliberate intent and thus, blame. From the patient's unconscious, or at time conscious, point of view, these defenses protect the individual from a variety of intrapsychic or interpersonal dangers. As long as these defenses are in play, the process of exploration and discovery comes to a halt. They must be understood and carefully analyzed for they are at the heart of the treatment impasse. This book is written for the professional psychotherapist who may be puzzled why work with a particular patient or client is going nowhere. It brings to the therapist's attention a wide variety of these defenses, these resistances, so that they can be addressed and resolved.
Psychotherapy is growing and changing rapidly and much of this development is integrative in nature. Integration in psychotherapy can mean many things from the sequential or simultaneous use of different established techniques, through the adoption of specific hybrid therapies, to the flexibility which is found in the practice of mature clinicians, who often adopt techniques or theory borrowed from other disciplines. This book explores and expounds upon these integrative currents as they impact on the spectrum of contemporary psychological therapy. In section one, leading practitioners from within traditional models of psychotherapy, self-critically look outwards towards the limits and links between their own approaches and those of others. Section two provides a showcase for the cutting edge new modalities in psychological therapy (Cognitive analytic therapy, Psychodynamic-interpersonal therapy, etc), as well as covering traditional approaches which are inherently integrative. Throughout, the editors and authors strive to maintain a balanced approach, considering the strengths and weaknesses of the integrative stance. Bateman and Holmes are experts in this field and have been at the forefront of the integrative agenda, they have assembled a group of distinguished chapter authors to help them in their exploration of these issues.
Presence and the Present: Relationship and Time in Contemporary Psychodynamic Therapy offers an applied perspective on psychodynamic psychotherapy relevant to contemporary practice. Emphasizing the therapeutic relationship and the dimension of time, it grounds the discussion i...