Short-Term Dynamic Psychotherapy: Evaluation and Technique PDF
Preview Short-Term Dynamic Psychotherapy: Evaluation and Technique
Short-Term Dynamic Psychotherapy Evaluation and Technique SECOND EDITION TOPICS IN GENERAL PSYCHIATRY Series Editor: John C. Nemiah, M.D. Professor of Psychiatry, Dartmouth Medical School and Professor of Psychiatry Emeritus, Harvard Medical School THE FRONTIER OF BRIEF PSYCHOTHERAPY David H. Malan, D.M., F.R.C. Psych. HYPNOSIS Fred H. Frankel, M.B.Ch.B., D.P.M. THE PRACTITIONER'S GUIDE TO PSYCHOACTIVE DRUGS Second Edition Ellen L. Bassuk, M.D., Stephen C. Schoonover, M.D., and Alan J. Gelenberg, M.D. SHORT-TERM DYNAMIC PSYCHOTHERAPY Evaluanon and Technique Second Edition Peter E. Sifneos, M.D. SOCIOCULTURAL ROOTS OF MENTAL ILLNESS John J. Schwab, M.D., and Mary E. Schwab, M.D. Short-Term Dynamic Psychotherapy Evaluation and Technique SECOND EDITION Peter Eo Sifneos, MoDo Harvard Medical School Boston, Massachusetts Springer Science+Business Media, LLC Library of Congress cataloging in Publication Data Sifneos, Peter E. (peter Emmanuel), 1920- Short-term dynamic psychotherapy. (Topics in general psychiatry) Bibliography: p. Includes index. 1. Psychotherapy, Brief. 2. Anxiety. I. Title. II. Series. [DNLM: 1. Anxiety. 2. Inter view, Psychological. 3. Psychotherapy, Brief. WM 420 SS73sb] RC480.SS.SSS 1987 616.89'14 87-2346 ISBN 978-1-4899-0845-2 First Printing - May 1987 Second Printing-February 1990 ISBN 978-1-4899-0845-2 ISBN 978-1-4899-0843-8 (eBook) DOl 10.1007/978-1-4899-0843-8 © Springer Science+Business Media New York 1987 Originally published by Plenum Press, New York in 1987 Softcover reprint of the hardcover 2nd edition 1987 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher TO JEANNETTE Understanding and warm Tolerant and magnanimous A tower of strength A beloved sister Foreword to the Second Edition In the seven years since Dr. Sifneos's Short-Term Dynamic Psychother apy first appeared, it has become one of the classic works on the subject. Its publication played a large part in establishing that form of treatment on a solid foundation. Today, short-term psychother apy is no longer viewed as a shabby stepsister to psychoanalysis and long-term psychoanalytic psychotherapy; Cinderella has at last come of age, decked out in the finery of widespread clinical usage and celebrated in a literature that now numbers hundreds of papers and monographs. The basic principles and techniques of short-term anxiety-pro voking psychotherapy (ST APP)-the particular form of brief therapy developed by Dr. Sifneos-remain much as they were presented in the earlier edition of this book. There have, however, been impor tant developments over the past decade both in the field and in Dr. Sifneos's own conceptions. These have mandated a revised and ex panded edition of the original volume in order to provide the reader with a review of the recent literature, a reassessment of the effec tiveness of STAPP, a discussion of its expanded application to pa tients with somatic symptoms and abnormal grief reactions, and its usefulness in treating older persons. A particular virtue of the earlier edition was its presentation of vii viii Foreword to the Second Edition extensive verbatim material from the author's therapeutic sessions with his patients. That feature not only has been maintained in this volume but has been greatly expanded to include new clinical cases derived from Dr. Sifneos's continued practice and observation. Like its predecessor, this edition provides an excellent guide for the be ginning psychiatrist and a reinvigorating inspiration for the sea soned therapist. JOHN C. NEMIAH, M.D. Foreword to the First Edition Short-term psychotherapy, although brief, is not ephemeral. In the decade or two of its existence, it has grown into a sturdy tree, and a sign of its maturity is the fact that it is now the subject of an increasing number of overview articles summarizing its literature and findings. Yet it remains a young and vigorous discipline. Its pioneers have not been elevated to a pantheon of venerable but mute immortals; on the contrary, they are to be found at the forefront of the field, actively contributing to the development of its theory and practice. This volume is ample testimony to their continued creativity. Dr. Sifneos has lectured and written extensively about short-term anxiety-provoking psychotherapy (STAPP). Based on psychoanalytic princi pIes , STAPP aims to resolve pathological psychic conflicts and help those suffering from them to learn new ways of being in their most intimate relationships. It does so by actively focusing the patients' sights on their Oedipal problems, and its effectiveness (given a proper selection of subjects by specific criteria) has been amply documented in controlled clinical studies. One of the significant virtues of Dr. Sifneos's therapeutic tech niques is that they can be systematically taught to the aspiring psychotherapist. Dr. Sifneos has touched briefly on his procedures here and there throughout his published writings, but detailed ix x Foreword to the First Edition infonnation about his approach has been restricted to those fortunate enough to have direct viva voce instruction through his didactic lectures and clinical supervision. Now, in this volume, he devotes his attention singly and entirely to the practical details of his method of short-term psychotherapy and does so with a clarity that arises from the demonstration of actual encounters with patients in therapeutic interviews. Step by step, Dr. Sifneos takes the reader through the evolution of the treatment process as this occurs with real individuals undergoing therapy. The careful study of his exposition will not in itself make one an expert psychotherapist; that, of course, can come only from ap plying one's knowledge in the active, repeated practice of the art. But the reader can be assu'red of discovering exactly what he needs to know and do to become proficient in the therapeutic method Dr. Sifneos describes. That is the first and major step to effective and lasting learning. JOHN C. NEMIAH, M.D.
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