Professional-patient Relations
Modes of Therapeutic Action
Modes of Therapeutic Action
Paperback      ISBN: 0765702509

How do we position ourselves, moment by moment, in relation to our patients and how do these positions inform both what we come to know about our patients and how we intervene? Do we participate as neutral object, as empathic self-object, or as authentic subject? Do we strive to enhance the patient's knowledge, to provide a corrective experience, or to work at the intimate edge? In an effort to answer these and other clinically relevant questions about the process of psychotherapeutic change, Martha Stark has developed a comprehensive theory of therapeutic action that integrates the interpretive perspective of classical psychoanalysis (Model 1), the corrective-provision perspective of self psychology and those object relations theories emphasizing the internal "absence of good" (Model 2), and the relational perspective of contemporary psychoanalysis and those object relations theories emphasizing the internal "presence of bad" (Model 3). Model I is about knowledge and insight. It is a one-person psychology because its focus is on the patient and the internal workings of her mind. Model 2 is about corrective experience. It is a one-and-a-half-person psychology because its emphasis is not so much on the relationship per se, but on the filling in of the patient's deficits by way of the therapist's corrective provision; what ultimately matters is not who the therapist is, but, rather, what she can offer. Model 3 is about relationship, the real relationship. It is a two-person psychology because its focus is on patients and therapists who relate to each other as real people; it is about mutuality, reciprocity, and intersubjectivity. Whereas Model 2 is about "give" and involves the therapist's bringing the best of who she is into the room, Model 3 is about "give-and-take" and involves the therapist's bringing all of who she is into the room. As Dr. Stark repeatedly demonstrates in numerous clinical vignettes, the three modes of therapeutic action-knowledge, experience, and relationship-are not mutually ex

Analyst-Patient Interaction
Analyst-Patient Interaction
Hardcover      ISBN: 0415121841

Michael Fordham was a friend of Jung, made many major contributions to analytical psychology. This volume brings together his key writings on analytical technique. They are important because they have shaped and informed analytical technique as we find it today. These writings will be welcomed by both trainee and practising analysts.

Analyst-Patient Interaction: Collected Papers on Technique
Analyst-Patient Interaction
Collected Papers on Technique
Paperback      ISBN: 1138872024

Michael Fordham was a friend of Jung, made many major contributions to analytical psychology. This volume brings together his key writings on analytical technique. They are important because they have shaped and informed analytical technique as we find it today. These writings will be welcomed by both trainee and practising analysts.

Attachment, Intimacy, Autonomy: Using Attachment Theory in Adult Psychotherapy
Attachment, Intimacy, Autonomy
Using Attachment Theory in Adult Psychotherapy
Paperback      ISBN: 1568218729

Attachment theory is on the leading edge of a conceptual revolution. It offers a new paradigm that can synthesize into a more coherent whole the best ideas from psychoanalysis, cognitive science, and neurobiology. With its emphasis on relationships, attachment theory is determinedly humanistic, while retaining the scientific vigor of Darwinian ethnology. Attachment theory provides an overall framework for thinking about relationships, or more accurately, about those aspects of relationships that are shaped by threat and the need for security, themes that are central to the work of psychotherapy. In this book Jeremy Holmes explores the contribution of attachment theory to everyday psycho-therapeutic practice where patients are usually seen once weekly, or less, for no more than two to three years.

Basic Interviewing: A Practical Guide for Counselors and Clinicians
Basic Interviewing
A Practical Guide for Counselors and Clinicians
Paperback      ISBN: 0805823697

This book offers clear and direct answers to the questions most frequently asked by students and trainees learning how to talk to clients and extract critical data from them. Its development reflects the old adage that "necessity is the mother of invention." For many years, the editors taught beginning level mental health clinicians. They found, however, no text to be satisfactory--including a number that they themselves were involved in producing. Some were too difficult; some were too simplistic; some were too doctrinaire; still others had missing elements.

Written in a reader-friendly "how-to" style, the chapters in Basic Interviewing are not weighed down by references. Rather, each contributor suggests readings for students and instructors who wish to pursue questions further.

After the initial overview chapter, there are 12 chapters addressing the nuts-and-bolts concerns of all clinicians that can be particularly vexing for neophytes. They cover a variety of issues from the most specific--like how to begin and end interviews--to the more general--like how to build rapport and identify targets for treatment. Throughout, rich clinical illustrations facilitate the pragmatic application of fundamental principles. Beginning graduate students in counseling and clinical psychology, social work, and other allied mental health fields, as well as psychiatric trainees, will find this text to be an indispensable companion.
Between Therapists: The Processing of Transference/Countertransference Material
Between Therapists
The Processing of Transference/Countertransference Material
2nd Edition    Paperback      ISBN: 1853028320

Arthur Robbins demonstrates how important countertransference reactions are as sources of information and understanding of patient/therapist interactions. For many therapists, forming supervisory/integration groups provides a means of articulating countertransference issues which allows for self-exploration, investigation and understanding. Robbins presents transcriptions of some of these group supervision sessions, which emphasize the mixture of cognitive and affective organization which the therapist is continually exploring with the patient. He examines the issues that are raised in each session, highlighting the difficulty for the therapist of maintaining objective emotional distance from the patient while remaining receptive, and the complex issue of how much of the therapist's own personality should be permitted to emerge during the therapeutic relationship. A special chapter addresses teh complex countertransference issues that specifically apply to creative art therapy.

Changes in the Therapist
Changes in the Therapist
Paperback      ISBN: 1138002674

Modern therapy has shifted its emphasis to focus on the interpersonal field and on "mutuality of influence." The therapist and the patient are now seen as participating in an ongoing feedback loop, with each influencing the other. This interpersonal focus has brought the therapists and their reactions more into the foreground. Experiences with patients can, in fact, have strong reverberations in practitioners' own lives and can be the cause or source of essential changes in the psyche of the therapist.

This book is the first to explore how efforts to work through issues in therapeutic relationships may permanently affect therapists' beliefs, feelings, and/or actions. The authors, all highly regarded senior clinicians, describe their own reactions and the types of changes that they went through as a consequence of their treatment of a particular patient. They do not make the therapeutic process seem artificially smooth and seamless. In probing their own struggles and difficulties, they illuminate the in-depth workings of the therapeutic relationship. The editors' introduction constructs a systematic framework within which to think about the changes the authors recount. Changes in the Therapist will be of compelling interest to all those involved in therapy.
Childhood Abuse: Effects on Clinicians' Personal and Professional Lives
Childhood Abuse
Effects on Clinicians' Personal and Professional Lives
Paperback      ISBN: 080394781x

The authors of this innovative volume alert readers to personal and professional biases that can interfere with objective judgement, thereby precluding appropriate evaluation, protection and treatment for children and their families.

Confidentiality and Its Discontents: Dilemmas of Privacy in Psychotherapy
Confidentiality and Its Discontents
Dilemmas of Privacy in Psychotherapy
1st Edition    Hardcover      ISBN: 0823265099

Freud promised his patients absolute confidentiality, regardless of what they revealed, but privacy in psychotherapy began to erode a half-century ago. Psychotherapists now seem to serve as "double agents" with a dual and often conflicting allegiance to patient and society. Some therapists even go so far as to issue Miranda-type warnings, advising patients that what they say in therapy may be used against them.

Confidentiality and Its Discontents explores the human stories arising from this loss of confidentiality in psychotherapy. Addressing different types of psychotherapy breaches, Mosher and Berman begin with the the story of novelist Philip Roth, who was horrified when he learned that his psychoanalyst had written a thinly veiled case study about him. Other breaches of privacy occur when the so-called duty to protect compels a therapist to break confidentiality by contacting the police. Every psychotherapist has heard about "Tarasoff," but few know the details of this story of fatal attraction. Nor are most readers familiar with the Jaffee case, which established psychotherapist-patient privilege in the federal courts. Similiarly, the story of Robert Bierenbaum, a New York surgeon who was brought to justice fifteen years after he brutally murdered his wife, reveals how privileged communication became established in a state court. Meanwhile, the story of New York Chief Judge Sol Wachtler, convicted of harassing a former lover and her daughter, shows how the fear of the loss of confidentiality may prevent a person from seeking treatment, with potentially disastrous results.

While affirming the importance of the psychotherapist-patient privilege, Confidentiality and Its Discontents focuses on both the inner and outer stories of the characters involved in noteworthy psychotherapy breaches and the ways in which psychiatry and the law can complement but sometimes clash with each other.

Containing Rage, Terror and Despair: An Object Relations Approach to Psychotherapy
Containing Rage, Terror and Despair
An Object Relations Approach to Psychotherapy
Paperback      ISBN: 0765702983