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This new paperback edition makes available John Harley Warner's highly influential, revisionary history of nineteenth-century American medicine. Deftly integrating social and intellectual perspectives, Warner explores a crucial shift in medical history, when physicians no longer took for granted such established therapies as bloodletting, alcohol, and opium and began to question the sources and character of their therapeutic knowledge. He examines what this transformation meant in terms of patient care and assesses the impact of clinical research, educational reform, unorthodox medical movements, newly imported European method, and the products of laboratory science on medical ideology and action. Originally published in 1997. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.
The Collapse of the Self and Its Therapeutic Restoration is a rich and clinically detailed account of the therapeutic restoration of the self, and speaks to the healing process for analysts themselves that follows from Rochelle Kainer's sensitive integration of heretofore dissociated realms of psychoanalytic theory. In describing how the reworking of pathological internal object relationships occurs in conjunction with the transformation of selfobject failures, Kainer brings new insight to bear on the healing of the self at the same time as she contributes to healing the historic split in psychoanalysis between Kleinian theory and self psychology. Extensive case illustrations, refracted through the lens of her uniquely integrative perspective, bring refreshing clarity to elusive theoretical concepts. Of special note is Kainer's distinction between normal and pathological identifications. Equally valuable is her introduction of the term "imaginative empathy" to characterize the kind of attunement that is integral to analytic healing; her nuanced description of the relation between imaginative empathy and projective identification bridges the worlds of Kleinian theory and self psychology in an original and compelling way. She ends by spelling out how her theoretical viewpoint leads to a more comprehensive understanding of various clinical phenomena. The Collapse of the Self and Its Therapeutic Restoration, is a sophisticated yet accessible work, gracefully written, that elaborates a relational theory of thinking, of creativity, of identification, and of the formation and healing of psychic structure. Kainer's ability to bring the often dissonant voices of different psychoanalytic schools into theoretical harmony as she develops her viewpoint conveys both the breadth of intellectual engagement with colleagues and the depth of clinical engagement with patients that inform her project from beginning to end.
For an endeavour that is largely based on conversation it may seem obvious to suggest that psychotherapy is discursive. After all, therapists and clients primarily use talk, or forms of discourse, to accomplish therapeutic aims. However, talk or discourse has usually been seen as secondary to the actual business of therapy - a necessary conduit for exhanging information between therapist and client, but seldom more. Psychotherapy primarily developed by mapping particular experiential domains in ways responsive to human intervention. Only recently though has the role that discourse plays been recognized as a focus in itself for analysis and intervention. Discursive Perspectives in Therapeutic Practice presents an overview of discursive perspectives in therapy, along with an account of their conceptual underpinnings. The book starts by setting out the case for a discursive and relational approach to therapy by justaposing it to the tradition that that leads to the diagnostic approach of the DSM-V and medical psychiatry. It then presents a thorough review of a range of innovative discursive methods, each presented by an authority in their respective area. The book shows how discursive therapies can help people construct a better sense of their world, and move beyond the constraints caused by the cultural preconceptions, opinions, and values the client has about the world. The book makes a unique contribution to the philosophy and psychiatry literature in examining both the philosophical bases of discursive therapy, whilst also showing how discursive perspectives can be applied in real therapeutic situations. The book will be of great value and interest to psychotherapists and psychiatrists wishing to understand, explore, and apply these innovative techniques.
The Therapeutic Relationship in Psychotherapy Practice: An Integrative Perspective explores the key components of the patient–therapist relationship in psychotherapy, as well as how these elements affect the treatment process and outcomes and what therapists may do to enhance the relationship. Dr. Gelso posits a tripartite model in which the therapeutic relationship is seen as being composed of three interlocking elements: a real or personal relationship, a working alliance, and a transference–countertransference configuration that exist in each and every therapeutic relationship. Focusing on what psychotherapists can do to foster strong and facilitative relationships with their patients, the book includes substantial material drawn from clinical practice, with an ever-present eye on research findings.
This volume examines the ramifications of individual differences in therapy outcomes for a wide variety of communication disorders. In an era where evidence-based practice is the clinical profession's watchword, each chapter attacks this highly relevant issue from a somewhat different perspective. In some areas of communication disorders, considering the variance brought by the client into the therapeutic 'mix' has a healthy history, whereas in others the notion of how individual client profiles mesh with therapy outcomes has rarely been considered. Through the use of research results, case study descriptions and speculation, the contributors have creatively woven what we know and what we have yet to substantiate into an interesting collection of summaries useful for therapy programming and designing clinical research.
This volume provides a comprehensive review of the essentials of the Therapeutic Community (TC) theory and its practical "whole person" approach to the treatment of substance abuse disorders and related problems. Part I outlines the perspective of the traditional views of the substance abuse disorder, the substance abuser, and the basic components of this approach. Part II explains the organizational structure of the TC, its work components, and the role of residents and staff. The chapters in Part III describe the essential activities of TC life that relate most directly to the recovery process and the goals of rehabilitation. The final part outlines how individuals change in the TC behaviorally, cognitively, and emotionally. This is an invaluable resource for all addictions professionals and students.
This is a new and updated edition of a previous title by the author. The book provides a fresh presentation of the Therapeutic Community (TC) using social systems perspective. It delineates the essential and interactive elements that contribute to the proper functioning of the TC. Using social systems thinking, the author identifies common pitfalls in implementation and practice of the TC, as well as its adaptation to various cultural settings.
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.
Although the therapeutic relationship is a major contributor to therapeutic outcomes, the cognitive behavioral psychotherapies have not explored this aspect in any detail. This book addresses this shortfall and explores the therapeutic relationship from a range of different perspectives within cognitive behavioral and emotion focused therapy traditions. The Therapeutic Relationship in the Cognitive Behavioral Psychotherapies covers new research on basic models of the process of the therapeutic relationship, and explores key issues related to developing emotional sensitivity, empathic understanding, mindfulness, compassion and validation within the therapeutic relationship. The contributors draw on their extensive experience in different schools of cognitive behavioral therapy to address their understanding and use of the therapeutic relationship. Subjects covered include: · the process and changing nature of the therapeutic relationship over time · recognizing and resolving ruptures in the therapeutic alliance · the role of evolved social needs and compassion in the therapeutic relationship · the therapeutic relationship with difficult to engage clients · self and self-reflection in the therapeutic relationship. This book will be of great interest to all psychotherapists who want to deepen their understanding of the therapeutic relationship, especially those who wish to follow cognitive behavioral approaches.
An examination of the Western world’s contemporary fascination with psychological life, and the historical developments that fostered it. In this book, sociologist Katie Wright traces the ascendancy of therapeutic culture, from nineteenth-century concerns about nervousness, to the growth of psychology, the diffusion of an analytic attitude, and the spread of therapy and counseling, using Australia as a focal point. Wright’s analysis, which draws on social theory, cultural history, and interviews with therapists and people in therapy, calls into question the pessimism that pervades many accounts of the therapeutic turn and provides an alternative assessment of its ramifications for social, political, and personal life in the globalized West. Special Commendation, TASA Raewyn Connell Prize