A Primer for Beginning Psychotherapy 2nd ed - W. Goldstein (Brunner-Routledge, 2001) WW

87 Pages·2001·35.03 MB·English

Ake
A Primer for
Beginning
Psychotherapy
7 a
Second [ditian

William N. Goldstein, M.D. &
oS
A Primer for

Beginning Psychotherapy

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Praise for the First Edition
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‘About the Book
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A PRIMER
FOR BEGINNING
PSYCHOTHERAPY

Second Edition

William N. Goldstein, M.D.
Baltimore- Washington Institute for Psychoanalysis
Georgetown University Medical Cemer
Published by
BrumneeRontedge
29 Wow 3th Skeet
New Yor NY 10001

Published in Grea tain
Bmnee Rouge
TD New Foto Tae
Land ECAP ALE,

‘Brummer Range iy mnprnt ofthe Tap & Frais Cp

AA PRIMER FOR BEGINNING PSYCHOTHERAPY, SECOND EDITION

SGepmighe ¢ 2001 flor rane, ghe sete, Pent in the Carte
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CONTENTS

Preface "
Preface tothe Fn Elton si
The Patients 1

1. eho ve the Patents? 1

2 Can Patients Conveniently Placed wy Digger e Groupe? +

1 Whot Are the € harass of sae NenmabNcurot Grasping? 2

1. What Ave the Choracserisies of =e Rarer ine Grouping? 2

5. Wht sre the Chraeseristis of she Norte Groupings 8

(6 What Ste the Characerisies of ne Payenote Cuong
Is acing Patient Tse Large Gonapngs

Leta tarTrerapye 10
The therapies 1
Who Are the Pap berate? u

9 Wha Are Some of Probiems inerent
in Dain Paychoteraye id

10. How Impertan Is One's Personal Therapy or Paychnanalis® 12
1 What Kinds oF Pessonal Characteristics and Experiences

Fp Makea Good therapist uw
2, What About the 2oe uf Life Lxperienent 8
sal Inthe Row of Teatning and Superson? 3

1. How Long Dues Take ta Become ar Cfastve Therapist? 14
Ibi: Urol See a Variety of Palit,
we Buller Specine? 4
6, Do Same Therapies Wok Helier
‘With Specie Iypes oF Pater? ny
1), che Sou ue tthne Background ofthe Therapist Imporion\? 1h
“he Psychotherapy

18, Hoy Can Pachotherepy Re Cased?
18. What Psych. and for Whom fe incstedt
20, Wiha: is Analy Griented Psy notherapy
anc! for Whom Inca?
21. Whar Made Anaiialy Oren Paychatherapy,
anu for Whaat deat
2. Whol ts Dynamizaly Oriente! Peychotherapy
fn for Whom le feat
23, Whalls Suppor Parchotherapy,
and for Whur Bi Isdieared?
24, Wats Cogative hragy an for Whom ft Indie

Large issues Regaeing Psychotherapy

25, What Ave the Larger tues Regaring Psychotherapy?
D6. whats saan by th Sabiliy
Ghthe Thome
22, Should the Therapist he Neutral?
2M. Mustthe Thera: Be Fen?
29. Whatis Caunte transference
and inet Role Dues ey
38. What I the Kole uf Empathy?
#1 fs Active Should the Taerapst Be?
35, What the Mecharism af ChanyeirPeychaterpyt

The Office Seting

33, How lnportaeIs-he Office Satin
34, Whar Facions Are impertant in Sett'g Lp en Otic?
35, What Aout the Wang Room?

36, What Ascut the Bathroom?

37 rat ahoul a Telephone?

3B, 52 Home Office Desirable?

The Iii tte

"0, St Shoald thw Thecapi Say
‘ren the Palen Fist eas?

0. What Kinds of Patients Tend la Stayan the Phone and
Hoye Chas the theranit Deal With Thom?

11 What Av the Goals ofthe al Sos
12, oo ste In Session Struct
1. ow Does he Therapist Procend With Hier lak

VA. Mow Ate Recarwrenations Make
Wot tthe West Way to Reta Aother eres?

Areangements

16, What nial Arar goments New to Be Diseased
ih the Parez
2. What Avou: Seneoulngt
St, shat About te Frequency of Sessions?
8, What About the Sing of Seasons?
50, How Ave fees Estab?
Sk, Shaul Patients Bo Chapel or Missed Appointments?
2. What Guldeis I the Patent Given?
dre Contract Desrablet
"1 Should Sieakirg and Foo Be Alu
During ne Sessions?
18 What Aout Interactions Setwven Therapist
wel Patt Ouse of th Sessa

Transference andthe Therapeutic Alliance

8. What isthe Dierence Between
the thesapeatic ance sna Wansferenec?
7, Ws Patio ave Probl
Forving thergpeute Allancet
¢. How lea Weak Theraseuticallaeec Stenghened?
5. with Wl Paterts Dae: Eanslevence Develup Rapidly?
6C. What Are Somme Ganerazat oss Regarding
the Handling Tanserencet
1, Hoss Does the Therapist Dea
‘ith Negative Tansferencest
12, owe Des the Therapist Daal
‘th Eotcied Tanserencee?

Basie Stategy

63, There a Base State fr Papentarapy

1 Wat Sategies Ase Recommendad
focthe Diterent Lrge Graupingst
fh. Wha the Basi Sine far Borderline atin?
herapeuti interven

66,

68,
co

33
7.

{What Are the insight Oven tnerveains?
‘ya Av the Suaportie Infrventonst

What Determines the Therap Choice of intervention?
Regarding Interventions, What ls Guod Approach

atthe Bugianing of Therapy!

Ae the Manner and Style ofthe incervention Important
What i an Affimatve Inespretaion?

"2. Wha Ave Preparstary Comment

Sau Therapats Asc the Palen for Feedback,
‘on their Interventions?

a. vehon Shs the Theranist Answer Questions?

How, Dies te Therapist Deal With Latenese,
How Dous the Therapist Deal

‘with sed Appuintmants?

How: Dies the Therapist Decl with Gite

‘ve Sel Disclosures beetlt

‘har icthe inate Warring?

Interventlane tegardiny Ansiety and Defense

oo.
ot

a,

4

¥

a

2

‘Whats an Intewention Regarding Amiety and Detense?
Hoss Does the Thera: Make Interventions

Regarding Ariely ged Detensct

‘What are Zeeryoy Fears of erento

Regarding Analety and Defer

Can Trtervertons less Other Uncomfortable

Alec and Defencet

{Cana Vignette Demonsiaaing Intervet Regarding,
(Other Uncomiorasle Affe aml Defens be Prviged?
Gan These Types af lnervenns Re Mae

Vth Paionsin the Psychotic Grouping?

hae Diffrances Ave Mere When Using

Theve Interventions Wita Mare Troubled Patent
What happens Wher *e Ate: Fapevince!

sn tho Thetapy Session Is Too Inne!

Wha: Does the Trerapis Do When the Patient Lazo
Hisor Her Obsorving igor

‘re Taare Cither Concept! Mode That Cx Be Use
Insiead of asiety ard eens?

Speclal ren ond Probes

I Howe oes the Therapist Deal With the Use

9), What hs Pojetie Mentfcation, ard
Hove be ith in Psychotherapy

‘hat are Foicments and Hav? Are They Deat
wes Pgchathesayye
11, Hw Dues the Therst Dee With Severe Acting Out
"NM. Hew Bes the short Deal Wi) se Seiida Patient
"5 Whar Does Ie Therapist Do When Patents

Sov beam Realy Testi!
‘in Hise Are Betas et ane in Psychotherapist
SV, eae ae the Fios and Con of Preseibin Neialion?

Phase, Trend and Termination

Si Ae" Ihere Phases or era Petar?
"v8, When Mes the Termination Phase Begin
Tn, hat aes the Leis aton hase ba

Contemporary Schook of Tanght

10, Wratle Modem Canfls theary?
102, What Clese Pineess Alea

18, What the Relation’ Sehae

14. hate Se Faychology!

1. What Is ertigestr yt

16, What ie Sail Conse

1. What is Objet Relations Teory?

190. Is eAckantageniaetn Se itegiate Eierent adel?
16. Hoy Do Thatapitca®Dillerent blidels View Fach Cher?

spp

‘Ad, Whats the Purpose af a Facue on Ego Functions?
‘42, Mow Boes One Concentua ie Sealy Testing
“3. What Is Sense ot Realy?

‘A. What ls Aeapration to Realy?
Hor Dees Ge think about Impa
Fusstraton flerance?
Ais How Ave Thought Processes Deserted?
A, wnat Are ntepersona, Relation nd

How Dg They Diter ram Object Relations?
AA. What fhe Representational Werld ane

Huw Dous Re tet Self and Objet Represenatons?
$9. Haw Ain Defense Mechaniare Coneeptualzed?
A. Wha Other Ce Functions Might We Consider?

References

oo

PREFACE

"ive sci edition othe prmcr provides severa! ase addons. rest
vial rennont ol ese i a chapter en contemporary sehonts of hugh
Mlnugh once preemizear arenas pycher heals wih parvo
He alin, ego pelolegy ABR ORs Ons of several EgRIY AMBRE
«howls af thought. Other competing models include self psychology,
Iinessubieciiey, abject relations shear. soe easton, he
tinal sthort The chapter on eanternporary schaols offer suseBct
nunariesof dese varying model, com-pating 3nd commasting each. The
wince: foewsesaialy en cinta ana practial weazters Ths ah
"uphasizes an ego psyeholagial approach, it can be equally YsefUl 12
Ietchistsnsing hoe ler competing models,

Thesceond eelinalu presents asasmber of er pactcalries. These
velar seuss ms seganding Une requency of sessions, the Spaciog ct
sions, anvoink questions. accepting gf, self islasures, and enact
vents. Elly. an wapendix en ege himetions has beer: aded, Designed
‘specially tor eros un ameiae ech this ay cf niki. tae app
‘ssh he yerticulady sefu wits regard) clasaving patients into
fone ol the oat large dass yroupinas

i
PREFACE
TO THE FIRST EDITION

Designed especially ar cfents gust aeutal health professionals a he
‘oh sages uf ches careers. tis prtter provides a practical gulde for
ing poribetberaye: Shave and conc, i addreses virtually all ques
ions thata meapayte therapist aight have, A major goal sto present he
Isis io a cece and secre way, wilh special eaphasis on techniques

vn cine ena

The avimer begs by lookong ate yateuts: whe they are and wy
‘hey corte fur psychotherape. & clasifieaon: dividing all patiens iazd

nen four lnye yruupings—normal neu, arcs borderline, and
Inichatioiselaburated. Ie leg icstien is espetlly welul eae age
ouping bezag associated wth ls oer therepeuli strategies, approacaes,
nnd techniques. Througnoue the hook, there is comparison and comtast
regarding excl of Cie four graapings

The pune set adaesses che therepss: vk they are, what atioets
‘hem 16 the Feld au inhorer problems with which they wil have to

the penal characteris, experiences, and rang deeaped faust
‘sec Ia Hheve ulviduals are addressed, addin ta The ines of sen
‘nic group, onl spedazation,

Anocerview uf psychotherapy is then presented. Theshiferen types ot
Peyehotherepy ae coaeeptualized an a contig wie not sig
‘rlemted and explurory pas at ane ond and the mee suppoctive types
2: the the, Tie Iypes of payehacherapy slang is coutiowara ace de
‘tbect paychnanayss, analytically aeienrad payehoracray, mcd

salicaly creases prytactherapy, dymamicalyeniented pavehotherspy,
sad supportive peyshuuerapy. Cognzive therapy i algo dlsenssed. Fm
Hass Ison whos ands of patienrs da nest swah cael af the dle
terapie.

‘The nee: tor chapters address questions related to getting starved. A
chazter on the layer isues regarding payenotherapy fornscs on the sa
Wty of te sherapensieenvianinent the neural an Mex of Mi
"erapist, counteruansference,exypaty, he atiity of he Herapis an
‘he meehaoist of change th poychoterapy. A chapes un atrankernert
Aiscusses scheduling, pagme nts. assed appoinumsents, uel fr the

pation, camtracs, and smoking and feodin the sessions. A arparae ea
{er provides jostruction adopt hows to ovange tke llc, while ae on the
‘intial iuterview higlighrsImeracions between patient and therapist
this beginning sage of eee

‘he Temalner ol une book focises on te aly-erly of peyehotherepy.
“ove eciesques and inteevontins ave spelled out in etal. arapl Ms
‘raced by linial vigneres. Chapters on tansference and che therapcxtc
lane anon tte basi swategy yrovile uecestary theoretical background
{chapter on therapeutic nervous describes the various types of
Tervetions, the se ection of interveations, and the manner ana syle af
mgerventnns Ts chapter asa discusses Firma aterpretations, pr
Paratory vomreae, feedback trary the pint, lets, enssed appa
smears, and the 5 minite warning.

‘Actapner on juteeventions regarding anstety aul delense details teeh-
niques using is cunceptualstemenrh, pravidumapplications to al fon"
lange groupings. chapter on special iss ad probicans alesse em
live defenses preectivewenication. severe ating nthe sudcdal pa
Tec, cittonltes wits ealiey esting. dvcams, and mediante. The ime
fend wth a chapcerdlecosing phases, ends, ad Iecinati
The Patients.

Freots include anybody and everstond: They cunt fro all walls of
He, all snigecuneetisstses. and all ethnic groups. They present stk
hnencing araniee ie regard ta chavacret Waits, pemoneites antl beay=
jor Svhat they have in eoraman is Mua they ouller ‘xa problems that
fete with eit stag self goals, maximizing thet patents,
vl kding basically contented hives, Phe problems stem [eo calls
Tht ate at Tease partially yatside oftheir awareneses, These prubleuts
‘ony in intensity and present esther at symapeorae a 36 pers nate
nnd patterns. OF He problems are avery Baracrsone to she [Us
‘Luther times, aldbough they do nar cause discomfort, dey itenfere
wh che pater’ lives in ways that have became apparent them.

2. Can Patients Be Conveniently Placed
nto Diagnostic Groups?

"atonts can he slssified io endless ways. One diageomtesycien, parte:
ly useful for pevehorherspy, places all patients into one of four luge
"oupigs: normal-enrore: namie borderline, and psyehoti. Ha
Uihese geoupings ean be diferendated by a facus on eo functioning,
‘Aldieugtt not currently In vogie, «focus om ego Funetoning fsa mos
llecive way nf born desebing aad aderstaniing patents Altscugh
Nosed om psychoanalytic eure. dis gppreaeh cam be thonght a as 9