Cultivating Compassion: A Psychodynamic Understanding of Attention Deficit Hyperactivity Disorder PDF
Preview Cultivating Compassion: A Psychodynamic Understanding of Attention Deficit Hyperactivity Disorder
Cultivating Compassion Cultivating Compassion A Psychodynamic Understanding of Attention Deficit Hyperactivity Disorder Francine Conway ROWMAN&LITTLEFIELD Lanham•Boulder•NewYork•London PublishedbyRowman&Littlefield AwhollyownedsubsidiaryofTheRowman&LittlefieldPublishingGroup,Inc. 4501ForbesBoulevard,Suite200,Lanham,Maryland20706 www.rowman.com UnitA,WhitacreMews,26-34StannaryStreet,LondonSE114AB Copyright©2017byRowman&Littlefield Allrightsreserved.Nopartofthisbookmaybereproducedinanyformorbyany electronicormechanicalmeans,includinginformationstorageandretrievalsystems, withoutwrittenpermissionfromthepublisher,exceptbyareviewerwhomayquote passagesinareview. BritishLibraryCataloguinginPublicationInformationAvailable LibraryofCongressCataloging-in-PublicationData Names:Conway,Francine,author. Title:Cultivatingcompassion:apsychodynamicunderstandingofattentiondeficithyperactivity disorder/FrancineConway. Description:Lanham:Rowman&Littlefield,[2017]|Includesbibliographicalreferencesandindex. Identifiers:LCCN2016057699(print)|LCCN2017000118(ebook)|ISBN9781442269644(cloth: alk.paper)|ISBN9781442273009(pbk.:alk.paper)|ISBN9781442269651(electronic) Subjects:LCSH:Attention-deficit-disorderedchildren—Treatment.|Attention-deficithyperactivity disorder. Classification:LCCRJ506.H9C6652017(print)|LCCRJ506.H9(ebook)|DDC618.92/8589— dc23 LCrecordavailableathttps://lccn.loc.gov/2016057699 TMThepaperusedinthispublicationmeetstheminimumrequirementsofAmerican NationalStandardforInformationSciencesPermanenceofPaperforPrintedLibrary Materials,ANSI/NISOZ39.48-1992. PrintedintheUnitedStatesofAmerica Contents Preface ix Acknowledgments xii Introduction:AHistoricalContextofADHD:FromMoral IndictmenttoCompassion xv ChapterHighlights xxix 1 APsychodynamicUnderstandingofADHDSymptoms: EngenderingCompassion 1 NeurologicalPerspectivesonADHD 3 NeurologicalDeterminants 4 NeurologicalandNeurocognitiveModelsofADHDEtiology 10 PsychodynamicViewsonNeurologicalDeterminants 12 ThePsychodynamicPerspectiveonADHD 13 PsychodynamicDeterminants 15 EnvironmentalDeterminants 15 IntrapsychicDeterminants 20 Summary 30 ChapterHighlights 31 NeurologicalPerspectiveonADHD 31 ThePsychodynamicPerspectiveonADHD 32 2 PsychodynamicPsychotherapy:ACompassionateTreatment Approach 35 TheEgoDevelopmentalModel 37 EgoPsychology 37 RelationalModelsofSelf-Development 43 TheInterpersonalApproach 43 TheWorkofMelanieKlein 47 v vi Contents TheWorkofDonaldWinnicott 51 TheWorkofWilfredBion 53 Summary 55 ChapterHighlights 56 TheEgoDevelopmentalModel 57 RelationalModelsofSelfDevelopment 58 3 PsychodynamicPsychotherapyInterventions 59 ThePsychoanalyticFramework 59 ThePsychodynamicTherapist’sDisposition 60 EgoPsychologyInterventions 62 EgoDefense 63 IntegrationofImmatureWishesintoEgoFunctions 65 TheTherapistasanAuxiliaryEgo 68 RelationalInterventions 69 UnderstandingandDevelopingaRelationshipwiththeChild 69 HoldingandContainingDifficultAffectiveExperiences 70 Countertransference 71 TheNarrativeApproach 72 JointAttention 72 PlayTherapy:PsychodynamicSupportiveExpressivePlay Psychotherapy 74 OtherPsychodynamicTechniques 74 AnIntegrativeModelforAddressingEgo–Idand Ego–SuperegoDifficulties 75 Technique:DevelopingtheChild’sCapacitytoMentalize/ Self-Reflect 78 CaseVignettes:ANoteonMethodology 80 APsychodynamicTheoreticalPerspectiveonChange 83 Summary 91 ChapterHighlights 91 4 PsychodynamicPsychotherapyofADHD:TreatmentGuidelines 95 AnIntegratedPsychodynamicModelofTreatment 96 InitialPhaseOfTreatment 99 DevelopingaTherapeuticRelationship 99 Emergence 101 IntersubjectiveSpace(TheComingTogether) 102 TheUseofEmpathytoDevelopaTherapeuticAlliance 103 WhentoTalkabouttheChild’sPresentingProblems 104 EngagingwithParentsandTeachers 104 TreatmentFormulation 105 UnderstandingtheChild’sDifficulties 105 IdentifyingDynamicIssues 105 Contents vii TreatmentPhase 106 InterventionsforEgo–IdProblems 106 InterventionsforEgo–SuperegoProblems 109 ChapterHighlights 115 5 BehavioralandOtherApproaches:BehavioralTherapy, CognitiveBehavioralTherapy,andParentandSchool Interventions 117 BehavioralandCognitiveBehavioralPerspectivesonADHD 118 CognitiveBehavioralTherapy 118 BehavioralApproaches 121 WhatDoPsychodynamicPsychoanalystsThinkabout BehavioralApproaches? 125 APsychodynamicApproachtoParentingandSchool Interventions 126 ParentingandFamilyDynamics 126 ParentIntervention 128 SchoolIntervention 134 Summary 135 ChapterHighlights 136 CognitiveBehavioralApproach(CBT) 136 BehavioralApproaches 137 PsychodynamicApproachtoParentingandSchool Interventions 137 Epilogue 139 TheMoralIndictmentofADHDChildren 140 EconomicFactors 140 CulturalFactors 141 CultivatingCompassionfortheADHDChild 145 ASocialConstructionView 145 AVisionforAllChildren 148 Conclusion 149 Bibliography 151 Index 169 AbouttheAuthor 177
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