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This book identifies and explores what is missing in therapy practice, namely the 'craft' aspects of skilled psychoanalytic work: how theories and models are actually used in practice, what kind of reasoning is employed in conducting a session, and how interventions are composed and evaluated. The text shows how these features of clinical thinking, which normally operate below the level of awareness, can be identified and explored in clinical practice, in supervision and in teaching. This clear and vividly written book addresses the needs of practitioners and trainees moving beyond beginner level to more skilled and attuned practice.
In Craft and Spirit, Joseph Lichtenberg writes of the craft of exploratory psychotherapy, by which he means the creative skill — even artistry — that mobilizes the spirit of inquiry in therapist and patient and sustains it over the course of psychotherapy. He expatiates on this craft as it pertains to patients of our time — patients who typically bring to therapy backgrounds of insecure attachment and serious concerns about safety and retraumatization. In each of ten chapters, Lichtenberg formulates a different guideline for technique, keyed to the broad domain of exploratory psychotherapies and are accompanied by numerous clinical illustrations. These guidelines seek to foster greater therapist involvement without compromising an openness to psychological exploration. They seek to sensitize therapists to the two interlacing tracks of communication that unfold in treatment: those of verbal exchange and of enactive messages. And they help guide therapist attention among interpenetrating domains of the patient’s subjectivity, the therapist’s subjectivity, and the intersubjective realm that emerges from their collaborative experience. Fusing the humanist tradition of therapeutic inquiry with knowledge gained from recent infancy and child research, Lichtenberg develops guidelines suitable to exploratory therapy with patients who communicate not only verbally but also through diverse affect states and altered cognitions. Consistently illuminating on the parallels and disjunctions between caregiver–child and therapist–patient relationships, Lichtenberg is clear about the adult-to-adult dimension of exploratory work in which “provision” is necessarily subordinate to “inquiry.” Craft and Spirit is aimed equally at prospective patients, therapists, and analysts, all of whom will be edified by this masterful demonstration of the ways in which a spirit of inquiry imbues the craft of psychotherapy, in Lichtenberg’s words, “with its liveliness of sustained purpose.”
This work is an orientation to a craft of great richness and interest. The authors describe the defining elements of the accumulated working knowledge of psychodynamic psychotherapy. It revisits the raw pointedness of old questions: What is psychotherapy? What makes it meaningful? What do I say when a patient asks me how therapy works? How long will it take? How does change happen?
Thoroughly grounded in contemporary developmental research, A Spirit of Inquiry: Communication in Psychoanalysis explores the ecological niche of the infant-caregiver dyad and examines the evolutionary leap that permits communication to take place concurrently in verbal an nonverbal modes. Via the uniquely human capacity for speech, the authors hold, intercommunication deepens into a continuous process of listening to, sensing into, and deciphering motivation-driven messages. The analytic exchange is unique owing to a broad communicative repertoire that encompasses all the permutations of day-to-day exchanges. It is the spirit of inquiry that endows such communicative moments with an overarching sense of purpose and thereby permits analysis to become an intimate relationship decisively unlike any other. In elucidating the special character of this relationship, the authors refine their understanding of motivational systems theory by showing how exploration, previously conceptualized as a discrete motivational system, simultaneously infuses all the motivational systems with an integrative dynamic that tends to a cohesive sense of self. Of equal note is their discerning use of contemporary attachment reseach, which provides convincing evidence of the link between crucial relationships and communication. Replete with detailed case studies that illustrate both the context and nature of specific analytic inquiries, A Spirit of Inquiry presents a novel perspective, sustained by empirical research, for integrating the various communicative modalities that arise in any psychoanalytic treatment. The result is a deepened understanding of subjectivity and intersubjectivity in analytic relationships. Indeed, the book is a compelling brief for the claim that subjectivity and intersubjectivity, in their full complexity, can only be understood through clinically relevant and scientifically credible theories of motivation and communication.
Despite the popularity of object relations theories, these theories are often abstract, with the relation between theory and clinical technique left vague and unclear. Now, in Transcending the Self: An Object Relations Model of Psychoanalytic Therapy, Summers answers the need for an integrative object relations model that can be understood and applied by the clinician in the daily conduct of psychoanalytic therapy. Drawing on recent infancy research, developmental psychology, and the works of major theorists, including Bollas, Benjamin, Fairbairn, Guntrip, Kohut, and Winnicott, Summers melds diverse object-relational contributions into a coherent viewpoint with broad clinical applications. The object relations model emerges as a distinct amalgam of interpersonal/relational and interpretive perspectives. It is a model that can help patients undertake the most gratifying and treacherous of personality journeys: that aiming at the transcendence of the childhood self. Self-transcendence, in Summers' sense, means moving beyond the profound limitations of early life via the therapeutically mediated creation of a newly meaningful and authentic sense of self. Following two chapters that present the empirical and theoretical basis of the model, he launches into clinical applications by presenting the concept of therapeutic action that derives from the model. Then, in three successive chapters, he applies the model to patients traditionally conceptualized as borderline, narcissistic, and neurotic. He concludes with a chapter that addresses more broadly the craft of conducting psychoanalytic therapy. Filled with richly detailed case discussions, Transcending the Self provides practicing clinicians with a powerful demonstration of how psychoanalytic therapy informed by an object relations model can effect radical personality change. It is an outstanding example of integrative theorizing in the service of a real-world therapeutic approach.
Psychoanalytic perspective on what Western philosophers from Socrates to Foucault have called “the art of living.”
Core Competencies of Relational Psychoanalysis provides a concise and clearly presented handbook for those who wish to study, practice, and teach the core competencies of Relational Psychoanalysis, offering primary skills in a straightforward and useable format. Roy E. Barsness offers his own research on technique and grounds these methods with superb contributions from several master clinicians, expanding the seven primary competencies: therapeutic intent, therapeutic stance/attitude; analytic listening/attunement; working within the relational dynamic, the use of patterning and linking; the importance of working through the inevitable enactments and ruptures inherent in the work; and the use of courageous speech through disciplined spontaneity. In addition, this book presents a history of Relational Psychoanalysis, offers a study on the efficacy of Relational Psychoanalysis, proposes a new relational ethic and attends to the the importance of self-care in working within the intensity of such a model. A critique of the model is offered, issues of race and culture and gender and sexuality are addressed, as well as current research on neurobiology and its impact in the development of the model. The reader will find the writings easy to understand and accessible, and immediately applicable within the therapeutic setting. The practical emphasis of this text will also offer non-analytic clinicians a window into the mind of the analyst, while increasing the settings and populations in which this model can be applied and facilitate integration with other therapeutic orientations. Core Competencies of Relational Psychoanalysis is inspired by Barsness’ students; he was motivated to create a primary text that could assist them in understanding the often complex and abstract models of Relational Psychoanalysis. Relevant for graduate students and novice therapists as well as experienced clinicians, supervisors, and professors, this textbook offers a foundational curriculum for the study of Relational Psychoanalysis, presents analytic technique with as clear a frame and purpose as evidenced based models, and serves as a gateway into further study in Relational Psychoanalyses.
This book explores the role of chaos and control in the creative process as well as the difference between talent and creativity. Part One describes explores some of the common biases and pitfalls in the analysis and therapy of creative people, the role of the accidental in creative work, the nature of creative blocks, passion and its absence, as well as the problem of being able to exercise one's freedom. The author describes the special needs of creative patients, the common problems arising in therapy, its solutions, and, most importantly, the analyst's distinctive role when dealing with such patients. She also probes into the role of narcissism, neurosis, and psychosis on creative work.
The Performing Art of Therapy explores the myriad ways in which acting techniques can enhance the craft of psychotherapy. The book shows how, by understanding therapy as a performing art, clinicians can supplement their theoretical approach with techniques that fine-tune the ways their bodies, voices, and imaginations engage with and influence their clients. Broken up into accessible chapters focused on specific attributes of performance, and including an appendix of step-by-step exercises for practitioners, this is an essential guidebook for therapists looking to integrate their theoretical training into who they are as individuals, find joy in their work, expand their empathy, increase self-care, and inspire clients to perform their own lives.
In the best therapeutic tradition, Louis Breger describes contemporary theories and research in the field of analytic psychotherapy. Through the framework of his personal experiences as a scholar, researcher, and therapist, he focuses on his relationships with patients over the span of his fifty-year career. He records their reactions, in their own words, to their experience with psychotherapy many years after its conclusion. The author surveyed over thirty former patients to see if their progress, begun in therapy, had continued, expanded, or regressed. They were asked to highlight what they remembered as being most helpful, therapeutic, or curative in their treatment. The book is a unique long-term follow-up demonstrating the effectiveness of modern analytic psychotherapy. Breger primarily deals with the connections between therapist and patient. This is a professional memoir of the life of the psychotherapist dealing with trials as a young practitioner, lessons learned, and personal reflections on the choices, including mistakes, made along the way. Young therapists, and those who are in or considering psychotherapy, will find it helpful to have access to this self-reflective approach. Extracts from the patients are extensive and informative, giving the reader the opportunity to see therapy from their perspectives. The book also centers on the development of the therapist over his career span. Breger acknowledges that his understanding of patient care has improved over time in the eyes of his patients. In a larger sense, the book contains lessons for all psychotherapists. This is an important, unique, and innovative work. *Click here for an interview with the author. *Click here for an interview with the author on KQED's Forum with Michael Krasny