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Psychodynamic Psychotherapy: A Clinical Manual PDF

545 Pages·2016·2.645 MB·English
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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

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