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Thirty five percent of persons who are provided psychotherapy do not benefit from treatment, or drop out of therapy prematurely because they fail to establish a working alliance with the therapist. To address this issue the volume presents a matrix of concepts and research illustrating how traumatic experiences during childhood result in the person developing rigid cognitive functions, emotional expressions and behaviors, interfering with the person participating constructively in relationships. Based on this research, the psychotherapy conducted with an adult, an adolescent, and a child are described to illustrate why and when the therapist should engage and participate with the patient in various body activities to stimulate particular meanings and emotions that promote flexibility in the patient’s cognition, emotions, and behaviors. These cases illustrate how cultivating this flexibility enables the patient to establish a working alliance with the therapist and resolve past traumatic experiences. The volume also describes a therapeutic model of techniques a therapist should follow when adult and adolescent patients fail to establish a working alliance, do not benefit from discussing and free associating, and when child patients do not benefit from play therapy.
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.
Designed for psychotherapists and counsellors in training, An Introduction to the Therapeutic Frame clarifies the concept of the frame - the way of working set out in the first meeting between therapist and client. This Classic Edition of the book includes a brand new introduction by the author. Anne Gray, an experienced psychotherapist and teacher, uses lively and extensive case material to show how the frame can both contain feelings and further understanding within the therapeutic relationship. She takes the reader through each stage of therapeutic work, from the first meeting to the final contact, and looks at those aspects of management that beginners often find difficult, such as fee payment, letters and telephone calls, supervision and evaluation. Her practical advice on how to handle these situations will be invaluable to trainees as well as to those involved in their training.
Addressing the art and science of psychodynamic treatment, Nancy McWilliams distills the essential principles of clinical practice, including effective listening and talking; transference and countertransference; emotional safety; and an empathic, attuned attitude toward the patient. The book describes the values, assumptions, and clinical and research findings that guide the psychoanalytic enterprise, and shows how to integrate elements of other theoretical perspectives. It discusses the phases of treatment and covers such neglected topics as educating the client about the therapeutic process, handling complex challenges to boundaries, and attending to self-care. Presenting complex information in personal, nontechnical language enriched by in-depth clinical vignettes, this is an essential psychoanalytic work and training text for therapists.
Supervision in Psychoanalysis and Psychotherapy demonstrates why supervision is an essential component of any psychoanalytic or therapeutic work. Drawing on Winnicott and rich clinical material, and featuring work with Patrick Casement, this book provides new guidance on psychodynamic supervision and explores how its skilful use can have a significant effect on the outcome of such work, enabling the practitioner to rethink their theoretical approach, and thereby view issues differently in the clinical setting. Built around the case study of a challenging but successful long term individual therapy, Supervision in Psychoanalysis and Psychotherapy examines how clinicians can become ‘stuck’ in their work with certain patients, struggling to find a way to get through to them. Diana Shmukler brings together a fascinating combination of various perspectives, detailing the patient’s own words, the therapists’ views and reflections and the effect of a brief introduction to Art Therapy, whilst underlining the power and impact, both theoretically and practically, of using a different approach in supervision. Shmukler superbly integrates theory and practice, underlining the validity of a two-person psychology and the therapeutic relationship, whilst also illustrating the centrality of both participant’s commitment to, and belief in, the process of therapy. Importantly, the book provides a clinical example in which the subjectivities of all the participants are shown to be clearly central to the work. Shmukler underlines the significance of supervision to complex cases, even that of a highly experienced therapist. Supervision in Psychoanalysis and Psychotherapy will appeal to psychoanalysts and psychotherapists, students and trainees in integrative psychotherapy, counsellors and psychiatrists, as well as patients seeking help for deep seated issues.
In From Sign to Symbol: Transformational Processes in Psychoanalysis, Psychotherapy, and Psychology, Joseph Newirth describes the evolution of the unconscious from the psychoanalytic concept that reflected Freud’s positivist focus on symptoms and repressed memories to the contemporary structure that uses symbols and metaphors to create meaning within intimate, intersubjective relationships. Newirth integrates psychoanalytic theory with cognitive, developmental, and neuropsychological theories, and he differentiates two broad therapeutic strategies: an asymmetrical strategy that utilizes the logic of consciousness and emphasizes the differentiation of person, place, time, and causality in the world of objects, and a symmetrical strategy that utilizes the logic of the unconscious in the world of emotional, intersubjective experience. He presents multiple approaches to the use of these symmetrical therapeutic strategies, including the use of humor, dreams, metaphors, and implicit procedural learning, in transforming concrete symptoms and signs into the symbolic organizations of meaning. Examples from both psychotherapeutic practice and supervision are presented to illustrate the development of the capacity for symbolic thought or mentalization.
Psychoanalytic Method in Motion identifies and examines varied controversies about how psychoanalysts believe treatment should best be conducted. Irrespective of their particular school of thought, every analyst builds up a repertoire of his favored ways of working, which some analysts come to see as the most efficacious approach to treatment available. While such differences of opinion are unsettling, and may even threaten to tear the field asunder, this book sees these differences as benefitting psychoanalysis by improving the ways in which psychoanalysts and psychoanalytic psychotherapists practice. In this book, Richard Tuch covers the waterfront by examining controversies that further the field by raising questions that help evolve the treatment, challenging every analyst to re-think what they are doing in the consulting room...and why. Some of the chief controversies explored include: the enactment debate—unparalleled tool or regrettable error? whether analysts can truly be "objective"—whatever that means the advantages and disadvantages arising from the analyst’s use of authority the ways in which theory influences the analyst’s search for data—blinding him to evidence he implicitly discards as irrelevant whether any given treatment approach is more efficacious than others, as some analysts claim the legitimacy of psychoanalysis itself—whether it can truly be considered scientific whether certain methods of supervision are more effective than others whether free association can be considered therapeutic in and of itself the extent to which an analyst preferred clinical theory is a product of his personality Drawing on ideas from a range of different analytic perspectives, this book is an essential and accessibly written guide to working towards best practice in the analytic setting. Psychoanalytic Method in Motion will appeal greatly to both students and practitioners of psychoanalysis and psychoanalytic psychotherapy.
Psychodynamic therapy has a growing evidence base, is cost-effective, and may have unique mechanisms of clinical change. However, gaining competence in this approach generally requires extensive training and mastery of a large and complex literature. Integrating clinical theory and research findings, Psychodynamic Therapy Techniques provides comprehensive but practical guidance on the main interventions of contemporary psychodynamic practice. Early chapters describe the psychodynamic "stance" and illustrate effective means of identifying and understanding clinical problems. Later, the book describes how to question, clarify, confront, and interpret patient material as well as assess the clinical impacts of interventions. With these foundational tools in place, the book supplements the "classic" psychodynamic therapy techniques with six sets of supportive interventions helpful for lower-functioning patients or those in acute crisis. Complete with step-by-step instructions on how to prepare techniques as well as numerous clinical vignettes to illustrate their use in clinical settings, Psychodynamic Therapy Techniques effectively demystifies this important approach to therapy and helps practitioners more effectively apply them to a wide range of patients and problems.
Psychotherapy: An Erotic Relationship challenges the traditional belief that transference and countertransference are merely forms of resistance which jeopardize the therapeutic process. David Mann shows how the erotic feelings and fantasies experienced by clients and therapists can be used to bring about a positive transformation. Combining extensive clinical material with theoretical insights and new research on infants, the author traces erotic development back to the parent-child relationship, drawing parallels between this relationship and the therapist/client dyad. Individual chapters explore the function of the erotic within the unconscious, pre-Oedipal and Oedipal material, homoeroticism in therapy, sexual intercourse as a metaphor for psychological change, the primal scene and the difficulties of working with perversions.
This is a major international textbook for psychiatrists and other professionals working in the field of mental healthcare. With contributions from opinion-leaders from around the globe, this book will appeal to those in training as well as to those further along the career path seeking a comprehensive and up-to-date overview of effective clinical practice backed by research evidence. The book is divided into cohesive sections moving from coverage of the tools and skills of the trade, through descriptions of the major psychiatric disorders and on to consider special topics and issues surrounding service organization. The final important section provides a comprehensive review of treatments covering all of the major modalities. Previously established as the Essentials of Postgraduate Psychiatry, this new and completely revised edition is the only book to provide this depth and breadth of coverage in an accessible, yet authoritative manner.