Psychodynamic Psychotherapy: A Clinical Manual

545 Pages·2016·2.645 MB·English

by  Deborah L. Cabaniss

2
CONTENTS
Cover
Title Page
Copyright
Dedication
Preface
Acknowledgments
Use of This Manual
About the Companion Website
Introduction
Introduction: References
Part One: What Is Psychodynamic Psychotherapy?
Chapter 1: The Treatment for a Mind in Motion
What is Psychodynamic Psychotherapy?
The Unconscious
Psychodynamic Psychotherapy and the Unconscious
Uncovering and Supporting
The Importance of the Therapeutic Relationship
Chapter 1: References
Chapter 2: How Does Psychodynamic Psychotherapy Work?
Theories of Therapeutic Action
Chapter 2: References
Part Two: Assessment
Chapter 3: Creating a Safe Place and Conducting an Assessment
Creating a Safe Place for Talking
Making an Assessment
Chapter 3: References
Chapter 4: Assessing Domains of Function
Assessing Domains of Function
Self
Relationships
Adapting
Cognition
Capacity for Work and Play
3
Why is the Assessment of Functional Domains Important When We
Assess People for Psychodynamic Psychotherapy?
Strengths and Difficulties
Ever-Changing Patterns of Function
Chapter 4: References
Chapter 5: The Initial Formulation
Describe
Review
Link
A Sample Initial Formulation
Formulating is Key to Goal Setting
Formulating Throughout the Treatment
Chapter 5: Reference
Chapter 6: Indications for Psychodynamic Psychotherapy
Choosing Psychodynamic Psychotherapy
Unconscious Factors
Acute or Persistent Functional Difficulties
Assessing Domains of Function Guides Therapeutic Strategy
Goals
Chapter 6: References
Part Three: Beginning the Treatment
Chapter 7: Informed Consent and Collaborative Goal Setting
Informed Consent in Psychodynamic Psychotherapy
Collaborative Goal Setting
Chapter 7: References
Chapter 8: Setting the Frame and Establishing Boundaries
Setting the Frame
Why do We Need a Frame?
The Elements of the Frame
Boundaries, Boundary Crossings, and Boundary Violations
Chapter 8: References
Chapter 9: Developing a Therapeutic Alliance
What is the Therapeutic Alliance?
Establishing a Therapeutic Alliance
Other Contributors to a Strong Alliance
When Trust is a Problem
How do You Know if You Have a Good Therapeutic Alliance?
4
Chapter 9: References
Chapter 10: Technical Neutrality
Technical Neutrality
Taking Sides
Therapeutic Abstinence
Neutrality, Abstinence, and “Woodenness”
Chapter 10: References
Chapter 11: Conducting a Psychotherapy Session
The Beginning – Opening
The Middle – Deepening
The End – Closing
Sessions – How Long, How Often, and How Many?
Chapter 11: References
Chapter 12: Our Patients' Feelings about Us and Our Feelings about Our
Patients
Our Patients' Feelings about Us
Our Feelings about Our Patients
Preview – Transference and Countertransference
Chapter 13: Empathic Listening
Learning to be an Active Listener
Challenges to Empathic Listening
Oscillating between Our Perspective and the Patient's Perspective
Chapter 13: References
Chapter 14: Looking for Meaning
Looking for Meaning is Essential for Thinking like a Psychodynamic
Psychotherapist
Beginning to Listen for Meaning
Should We Talk about Unconscious Meanings with Patients?
Chapter 15: Medication and Therapy
Using Psychodynamic and Phenomenological Models Simultaneously
Choosing an Approach
Becoming Comfortable with Uncertainty
The Meanings of Medication
Combined versus Split Treatment
Chapter 15: References
Part Four: Listen/Reflect/Intervene
Chapter 16: Learning to Listen
5
Listening is the First Step of the Three-Step Technique of
Psychodynamic Psychotherapy
How do We Listen?
Types of Listening
What We Listen For
Important Content to Listen For
We all Listen in Different Ways
Chapter 16: References
Chapter 17: Learning to Reflect
Reflecting
Developing a Therapeutic Strategy
Chapter 17: References
Chapter 18: Learning to Intervene
Interventions can be Non-Verbal
Determining the Success of Our Interventions
Section 1: Basic Interventions
Key Concepts
Basic Interventions
Section 2: Supporting Interventions
Key Concepts
What is Support?
Supplying and Assisting
Supplying Interventions
Assisting Interventions
Supplying and Assisting – A Comparison
Section 3: Uncovering Interventions
Key Concepts
Uncovering Interventions
Chapter 18: References
Part Five: Conducting a Psychodynamic Psychotherapy: Technique
Chapter 19: Affect
Why is Affect Important in Psychodynamic Psychotherapy?
Technique
Chapter 19: References
Chapter 20: Free Association and Resistance
Free Association
What is Resistance?
6
Technique
Chapter 20: References
Chapter 21: Transference
What is Transference?
Why do We Care about Transference?
Is it Reality Or is it Transference?
Talking about the Transference is Important Since “You Were There”
Transference Related to the Current Therapeutic Relationship
Describing and Understanding Transference
Transference and Resistance
Technique
Chapter 21: References
Chapter 22: Countertransference
What is Countertransference?
Why do We Care about Countertransference?
Is it Bad to Have Countertransference?
Types of Countertransference
What Happens If I am Not Aware of My Countertransference?
Technique
Chapter 22: References
Chapter 23: Unconscious Conflict and Defense
What is Intra-Psychic Conflict?
Complexes
Technique
Comparing Supporting and Uncovering work with defenses
Chapter 23: References
Chapter 24: Dreams
Technique
Chapter 24: References
Review Activity for Part Five: The “Microprocess Moment” ‐
Understanding a Moment in Therapy
Reference
Part Six: Meeting Therapeutic Goals
Chapter 25: Improving Self-Perceptions and Self-Esteem Regulation
Self-Appraisal and Self-Esteem Management
The Goal
Recognizing the Problem
7
Therapeutic Strategies
Chapter 25: References
Chapter 26: Improving Relationships with Others
The Goal
Recognizing the Problem
Therapeutic Strategies
Chapter 26: References
Chapter 27: Improving Adapting to Stress
Conscious and Unconscious Coping Mechanisms
In What Ways can Defenses be Maladaptive?
The Goal
Recognizing the Problem
Therapeutic Strategies
Chapter 27: References
Chapter 28: Improving Cognitive Function
Can They or Can't They?
The Goal
Recognizing the Problem
Therapeutic Strategies
Chapter 28: References
Part Seven: Working Through and Ending
Chapter 29: Working Through
What is Working Through?
Technique
Chapter 29: References
Chapter 30: Ending
How do We Decide When to End a Psychodynamic Psychotherapy?
How Long should the Ending Phase Be?
Technique
Choreographing the Last Sessions
Communicating Your Thoughts about the Treatment
Chapter 30: References
Review Activity for Parts Six and Seven: “The Macroprocess Summary” –
Understanding How Things Change in Treatment
Chapter 31: Continuing to Learn
Learning from Your Supervisors
Learning from Your Patients
8
Learning from Yourself
Ending
Appendix 1 How to Use Psychodynamic Psychotherapy: A Clinical Manual A
Guide for Educators
Basic Principles for Teaching Psychodynamic Psychotherapy
Suggested Curriculum Materials
Suggested Additional Readings
Appendix 1: References
Appendix 2 Template for Assessment of the Microprocess Moment and
Video Review
Appendix 3 The Post-Evaluation Psychodynamic Psychotherapy
Educational Resource – The “PEPPER”
FAQs about Psychodynamic Psychotherapy
Recommended Reading
Recommended Reading: Part One
Recommended Reading: Part Two
Recommended Reading: Part Three
Recommended Reading: Part Four
Recommended Reading: Part Five
Recommended Reading: Part Six
Recommended Reading: Part Seven
Index
End User License Agreement
List of Tables
Table 1
9
Psychodynamic Psychotherapy
A Clinical Manual
Second Edition
By
Deborah L. Cabaniss
and
Sabrina Cherry
Carolyn J. Douglas
Anna Schwartz
Columbia University Department of Psychiatry, New York, USA
10