Concise Guide to Psychodynamic Psychotherapy (Concise Guides)

✍ Scribed by Robert J. Ursano, Stephen M. Sonnenberg, Susan G. Lazar

• Year: 2004
• Tongue: English
• Leaves: 265
• Edition: 3
• Category: Library

✦ Synopsis

Developing skills in psychodynamic psychotherapy and its techniques is a lifetime endeavor. The third edition of this volume from American Psychiatric Publishing's enduringly popular Concise Guides series serves as an excellent starting point for mastering these vital skills?A?Askills that can be applied to many other psychiatric treatment modalities, including other psychotherapies, medication management, consultation-liaison psychiatry, outpatient and emergency room assessment and evaluation, and inpatient treatment. In a compact guide?A?Acomplete with glossary, indexes, tables, charts, and relevant references?A?Adesigned to fit into a lab coat pocket, the authors -Provide the clinician with an updated introduction to the concepts and techniques of psychodynamic psychotherapy, describing their usefulness in other treatments. For example, psychodynamic listening and psychodynamic evaluation are best learned in the context of psychodynamic psychotherapy training but are applicable in many other psychiatric diagnostic and treatment methods. -Convey the excitement and usefulness?A?Aas well as the difficulties?A?Aof psychodynamic psychotherapy and its techniques, including case examples. -Show the efficacy and cost-effectiveness of psychotherapy in general, and of psychodynamic psychotherapy in particular?A?Aissues of special importance in the evidence-based practice of medicine and mental health care. -Explain the advantages?A?Aand limitations?A?Aof each form of psychodynamic psychotherapy: brief, long-term, and intermittent. For example, psychotherapists must be able to recognize patterns of interpersonal interaction without engaging in the "drama." Thus, they must learn to recognize and understand their own reactions as early indicators of events transpiring in the treatment and as potential roadblocks to a successful treatment. Complementing more detailed, lengthier psychiatry texts, this volume's 15 densely informative chapters cover everything from basic principles to patient evaluation, resistance and defense, transference and countertransference, dreams, beginning and termination of treatment, management of practical problems, brief and supportive psychotherapy, and psychotherapy of borderline personality disorder and other severe character pathologies. Mental health care professionals everywhere will turn to this practical guide again and again as an invaluable resource in creating and implementing effective treatment plans for their patients.

✦ Table of Contents

Contents......Page 6
About the Authors......Page 16
Introduction to the Concise Guides Series......Page 18
Preface to the Third Edition......Page 20
1 Why Psychotherapy?......Page 22
The Contribution of Psychotherapy......Page 23
Psychotherapy and Medical Illness......Page 25
Summary......Page 27
References......Page 28
2 Basic Principles......Page 34
The Focus of Psychodynamic Psychotherapy......Page 35
The Setting of Psychodynamic Psychotherapy......Page 38
The Technique of Psychodynamic Psychotherapy......Page 39
References......Page 42
Additional Readings......Page 43
3 Patient Evaluation, I: Assessment, Diagnosis, and the Prescription of Psychotherapy......Page 44
Beginning the Evaluation......Page 47
Selection Criteria......Page 50
References......Page 52
Additional Readings......Page 53
The Four Psychologies......Page 54
The Clinical Moment and Clinical Assessment......Page 57
Psychodynamic Listening in a Consultation-Liaison Situation......Page 60
Psychodynamic Listening in a Psychotherapy Evaluation......Page 64
Psychodynamic Listening in a Psychodynamic Psychotherapy Context......Page 67
Listening to Oneself Outside of the Consulting Room......Page 71
References......Page 72
Additional Readings......Page 73
5 Patient Evaluation, III: Psychodynamic Evaluation......Page 74
The Chief Complaint......Page 78
The History of the Present Illness, the Past History, and the Family History......Page 80
Early Memories and Trauma......Page 83
Developmental Deficit......Page 88
Assessment of the Patient's Conscience......Page 90
Conclusion......Page 91
Additional Readings......Page 92
6 Beginning Treatment......Page 94
Abstinence and Free Association......Page 96
The Atmosphere of Safety......Page 99
The Attitude of Physicianly Concern......Page 101
Disappointment in the Opening Phase......Page 102
The Early Experience of Transference, Defense, and Resistance......Page 103
Initial Use of Dreams in Therapy......Page 106
References......Page 108
Additional Readings......Page 109
Resistance......Page 110
Defense......Page 111
Repression......Page 112
Reversal......Page 113
Intellectualization......Page 114
Interpreting Resistances and Defense Mechanisms......Page 115
Transference Resistance......Page 119
Additional Readings......Page 122
8 Transference......Page 124
The Need to Repeat the Past......Page 125
Transference in Psychodynamic Psychotherapy......Page 126
Forms of Transference......Page 127
Working With the Transference......Page 128
Transference as Resistance......Page 130
Erotic and Aggressive Transferences......Page 133
Working Through the Transference......Page 134
Enactment and Projective Identification......Page 135
Dealing With "No" Transference......Page 136
References......Page 138
Additional Readings......Page 139
9 Countertransference......Page 140
Concordant and Complementary Countertransferences......Page 143
Countertransference in Work With Borderline Personality Disorder Patients......Page 148
Other Countertransferences......Page 150
The Therapist's Need for Personal Psychoanalysis and Supervision......Page 151
Additional Readings......Page 152
Introducing the Patient to the Use of Dreams......Page 154
Use of Dreams During the Middle Phase of Therapy......Page 156
Use of Dreams During the Latter Phases of Therapy......Page 157
The Dream as an Indicator of Unconscious Conflict......Page 159
The Dream as an Indicator of Transference......Page 160
The Dream as Indicator of Genetic Data or Adaptational Style......Page 162
Dreams as a Defense......Page 164
The Termination Dream......Page 165
Words of Caution......Page 166
Additional Readings......Page 167
Recognizing When the Termination Phase Is Approaching......Page 168
Review the Treatment......Page 170
Experience the Loss of the Psychotherapy and the Therapist......Page 171
Increase Skills in Self-Inquiry as a Method of Problem Solving......Page 172
Disappointment in the Termination Phase......Page 173
When the Treatment Is Unsuccessful......Page 175
When the Patient Refuses to Terminate Despite Successful Treatment......Page 177
Leave-Taking: The Reactions of the Therapist......Page 178
Terminations That Do Not Take Place......Page 180
References......Page 181
Additional Readings......Page 182
The Office: Decor and Setting......Page 184
Fees......Page 187
Medical Insurance and Managed Care......Page 189
Pharmacotherapy......Page 190
Telephone Calls......Page 191
Suicidal Patients......Page 192
Dangerous Patients......Page 193
Advice Giving: The Psychotherapist as Physician......Page 194
Illness in the Patient......Page 195
General Guidelines......Page 196
Suggested Readings......Page 197
13 Brief Psychotherapy......Page 198
Selection of Patients......Page 199
Duration of Treatment and Termination......Page 203
Techniques......Page 205
References......Page 206
Additional Readings......Page 207
Diagnosis......Page 208
Conflicts......Page 210
Beginning Psychotherapy......Page 213
The Patient's Defense Mechanisms......Page 215
Countertransference......Page 219
Narcissistic and Schizoid Patients......Page 220
References......Page 222
Additional Readings......Page 223
15 Supportive Psychotherapy......Page 224
Selection of Patients......Page 225
Techniques......Page 227
References......Page 230
Additional Readings......Page 231
Appendix: A Brief History of Psychodynamic Psychotherapy......Page 232
Traditional Classics......Page 240
Modern Classics......Page 241
C......Page 244
I......Page 245
N......Page 246
P......Page 247
S......Page 248
W......Page 249
F......Page 250
N......Page 251
Z......Page 252
A......Page 254
C......Page 255
D......Page 257
F......Page 258
L......Page 259
O......Page 260
P......Page 261
R......Page 262
T......Page 263
V......Page 265