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The Neuropsychodynamic Treatment of Self-Deficits examines how to work psychoanalytically with patients to address the problems that result from neuropsychological impairments, exploring the latest advances in understanding and treatment, while also addressing the concerns that clinicians may have in providing treatment. Patients with disorders such as ADHD, dyslexia, and executive function disorders can often feel shame, and develop defenses as a result of their disorders. These defenses can then become overgeneralized and lead to future dysfunctional feelings, thoughts and behaviors. For therapists, the challenge is to find ways of responding to these patients and to help them deal with their issues at the level of the multiple domains of self-experience, rather than at the single level of their intrapsychic dynamics. This book proposes a new neuropsychodynamic perspective that is bound together by a metatheory, deriving from dynamic systems theory. Joseph Palombo breaks new ground in his consistent application of non-linear dynamic systems theory and a levels-of-analysis perspective. The framework suggested conceives of the therapeutic process as a collaborative effort in which each member of the dyad makes a unique contribution to the process. Change agents that permit patients to benefit from therapeutic interventions include the relationship between patient and therapist, the understanding that emerges from the identification of the self-deficits, and the proactive engagement of the patient’s sense of agency. The great advantage of Palombo’s framework is that it permits the integration of a broad set of domains of experience that include the neuropsychological, the introspective, and the interpersonal. This book will allow the reader to become familiar with the types of patients that have neuropsychological deficits, providing an understanding of the psychodynamics of these conditions and enabling better preparedness to address psychological needs. More important, Palombo also makes the underlying case that an understanding of brain function is critical to any assistance such patients may need. Covering work with children, adolescents, and adults, The Neuropsychodynamic Treatment of Self-Deficits is the first book to offer a guide to understanding and working with patients with a range of neuropsychological disorders from a broadly psychoanalytic perspective. It will appeal to psychoanalysts, psychotherapists, and clinical psychologists, as well as clinical social workers, family therapists, and mental health nurses.
This book addresses the need to view specific learning disorders (SLDs) within a mental health framework, as supported by their placement alongside autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). It describes how policy and practice point to a different perspective – specifically that SLDs are often treated as educational rather than psychological problems – and examines the implications of this dichotomy. The book reviews empirical research that suggests children need access to treatment for clinical components of SLDs that may respond to psychological intervention separately from, and in addition to, educational interventions. It provides a theoretical framework for organizing research findings and clinical perspectives that support understanding the clinical components of SLDs and addresses the need for a mental health framework within which to approach theory, treatment, and assessment of SLDs. Key areas of coverage include: Examining different theoretical orientations to learning disorders (e.g., cognitive, behavioral, neuropsychoeducational, psychoanalytic). Adapting evidence-based therapeutic techniques for use with children and adolescents who have learning disorders. The need for accurate and well characterized assessment of SLDs. How incorporating a cognitive neuroscience perspective into assessment can move LD treatment and research forward. Learning Disorders Across the Lifespan is an essential reference for clinicians, therapists, and other professionals as well as researchers, professors, and graduate students in school and clinical child psychology, special education, speech-language therapy, developmental psychology, pediatrics, social work as well as all interrelated disciplines.
The Dynamic Self in Psychoanalysis builds a bridge between two different but intertwined disciplines—psychoanalysis and neuroscience—by examining the Self and its dynamics at the psychological and neuronal level. Rosa Spagnolo and Georg Northoff seek continuity in the relationship between psychoanalysis and neuroscience, emphasizing how both inform psychotherapy and psychoanalytic treatment and exploring the transformations of the Self that occur during this work. Each chapter presents clinical examples which demonstrate the evolution of the spatiotemporal and affective dimensions of the Self in a variety of psychopathologies. Spagnolo and Northoff analyze the possible use of new neuroscientific findings to improve clinical treatment in psychodynamic therapy and present a spatio-temporal approach that has significant implications for the practice of psychotherapy and for future research. The Dynamic Self in Psychoanalysis will be of great interest to psychoanalysts, psychotherapists, neuroscientists and neuropsychiatrists.
Psychoanalysis, Neuroscience and Adolescent Development: Non-Linear Perspectives on the Regulation of the Self explores how psychoanalysis can combine its theoretical perspectives with more recent discoveries about neurological and non-linear developmental processes that unfold during the period of puberty to young adulthood, to help inform understanding of contemporary adolescent behaviours and mental health issues. With the powerful impact of neuroscience research findings, opportunities emerge to create a new paradigm to attempt to organize specific psychoanalytic theories. Neurobiological regulation offers such an opportunity. By combining elements of domains of compatible knowledge into a flexible explanatory synergy, the potential for an intellectually satisfying theoretical framework can be created. In this work, Harold Bendicsen formulates a multi-disciplinary theoretical approach involving current research and drawing on neuroscience to consider the behaviour regulation processes of the mind/brain and the capacities and potential it brings to understanding the development of adolescents and young adults. Psychoanalysis, Neuroscience and Adolescent Development advances Bendicsen’s study of adolescence and the transition to young adulthood, begun in The Transformational Self. It will be of great interest to psychoanalysts and psychoanalytic psychotherapists, as well as psychologists, clinical social workers, psychiatrists and counsellors.
Relational psychoanalysis and modern Jewish philosophy have much to say about the dynamics of human relationships, but there has been no detailed, thorough, and constructive examination that brings together these two incisive discourses. Contemporary Psychoanalysis and Modern Jewish Philosophy: Two Languages of Love explores the critical similarities and differences between the two disciplines, casting new light on both the analytic and philosophical understandings of how relationships develop, flourish, and fail. For psychoanalysts such as Hans Loewald, Stephen Mitchell, and Jessica Benjamin, love is seen as a fundamental life force, a key to human motivation, and the transformative core of Freud’s therapeutic "talking cure." The Jewish philosophers Franz Rosenzweig, Martin Buber, and Emmanuel Levinas envision love as having both a human and divine dimension, expressed through the dual commandments to love God and the neighbor. The two languages are brought to life through chapters that investigate: the relationship between self-love and love of the other, the dynamics of intersubjectivity, the methods and possibilities of human transformation, the "magical" powers of language, the goal of achieving a meaningful life, the significance of responsibility for others, and the challenge that death poses to life’s fullness. This multidisciplinary study, drawing on psychology, philosophy, religion, and feminism, provides an important contribution to contemporary scientific and humanistic interest in the social and relational dimensions of human living. The book will appeal especially to clinicians, theorists, and scholars of psychoanalysis, philosophy of religion, and Jewish studies as well as advanced students studying in these fields.
How can we talk about evil? How can we make sense of its presence all around us? How can we come to terms with the sad fact that our involvement in doing or enabling evil is an interminable aspect of our lives in the world? This book is an attempt to engage these questions in a new way. Written from within the complicated reality of Israel, the contributors to this book forge a collective effort to think about evil from multiple perspectives. A necessary effort, since psychoanalysis has been slow to account for the existence of evil, while philosophy and the social sciences have tended to neglect its psychological aspects. The essays collected here join to form a wide canvas on which a portrait of evil gradually emerges, from the Bible, through the enlightenment to the Holocaust; from Kant, through Freud, Klein, Bromberg and Stein to Arendt, Agamben and Bauman; using literature, history, cinema, social theory and psychoanalysis. Talking about Evil opens up a much needed space for thinking, in itself an antidote to evil. It will be of interest to psychoanalysts, psychotherapists, and scholars and students of philosophy, social theory and the humanities.
This book presents a comprehensive neuropsychodynamic strategy for treating psychiatric disorders. Rather than pursuing an exclusively biological, psychological, or psychodynamic approach, it offers a methodology that links all three aspects in a unifying, integrative model. Central to this approach is the view of the brain as a bio-psychosocial organ in a neuro-ecological model, rather than the purely neuronal model often presupposed in current neuroscience and psychiatry. Moreover, the book views psychopathological symptoms as spatiotemporal disorders of the altered spatiotemporal structure spanning the brain and its surrounding world. The relation between one of the core symptoms and altered neuronal activity calls for the development of integrated, circular neuropsychodynamic models of psychopathological symptoms in severe psychiatric disorders and their treatment.
Mental Health and Social Problems is a textbook for social work students and practitioners. It explores the complicated relationship between mental conditions and societal issues as well as examining risk and protective factors for the prevalence, course, adaptation to and recovery from mental illness. The introductory chapter presents bio-psycho-social and life-modeled approaches to helping individuals and families with mental illness. The book is divided into two parts. Part I addresses specific social problems, such as poverty, oppression, racism, war, violence, and homelessness, identifying the factors which contribute to vulnerabilities and risks for the development of mental health problems, including the barriers to accessing quality services. Part II presents the most current empirical findings and practice knowledge about prevalence, diagnosis, assessment, and intervention options for a range of common mental health problems – including personality conditions, eating conditions and affective conditions. Focusing throughout upon mental health issues for children, adolescents, adults and older adults, each chapter includes case studies and web resources. This practical book is ideal for social work students who specialize in mental health.
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How do we position ourselves, moment by moment, in relation to our patients and how do these positions inform both what we come to know about our patients and how we intervene? Do we participate as neutral object, as empathic self-object, or as authentic subject? Do we strive to enhance the patient's knowledge, to provide a corrective experience, or to work at the intimate edge? In an effort to answer these and other clinically relevant questions about the process of psychotherapeutic change, Martha Stark has developed a comprehensive theory of therapeutic action that integrates the interpretive perspective of classical psychoanalysis (Model 1), the corrective-provision perspective of self psychology and those object relations theories emphasizing the internal 'absence of good' (Model 2), and the relational perspective of contemporary psychoanalysis and those object relations theories emphasizing the internal 'presence of bad' (Model 3). Model I is about knowledge and insight. It is a one-person psychology because its focus is on the patient and the internal workings of her mind. Model 2 is about corrective experience. It is a one-and-a-half-person psychology because its emphasis is not so much on the relationship per se, but on the filling in of the patient's deficits by way of the therapist's corrective provision; what ultimately matters is not who the therapist is, but, rather, what she can offer. Model 3 is about relationship, the real relationship. It is a two-person psychology because its focus is on patients and therapists who relate to each other as real people; it is about mutuality, reciprocity, and intersubjectivity. Whereas Model 2 is about 'give' and involves the therapist's bringing the best of who she is into the room, Model 3 is about 'give-and-take' and involves the therapist's bringing all of who she is into the room. As Dr. Stark repeatedly demonstrates in numerous clinical vignettes, the three modes of therapeutic actionDknowledge, experience, and relationshipDare not mutually exclusive but mutually enhancing. If, as therapists, we can tolerate the necessary uncertainty that comes with the recognition that there is an infinite variety of possibilities for change, then we will be able to enhance the therapeutic potential of each moment and optimize our effectiveness as clinicians.