A Casebook In Time Limited Psychotherapy

This work argues that the selection of 12 sessions on a once weekly basis mobilises hope and optimism in psychotherapy patients. It also necessitates dealing with the conscious and unconscious conflicts and meanings surrounding time, termination and separation-individuation. The patient knows precisely when the beginning stages of therapy are over, and where the middle and end are. No other short-term therapy deals specifically with these issues. Much of the theorising on time by Dr Mann is relevant to the termination issues in open-ended long-term psychotherapy and psychoanalysis proper. Margaret Mahler's writings are also utilised.

This work argues that the selection of 12 sessions on a once weekly basis mobilises hope and optimism in psychotherapy patients. It also necessitates dealing with the conscious and unconscious conflicts and meanings surrounding time, termination and separation-individuation. The patient knows precisely when the beginning stages of therapy are over, and where the middle and end are. No other short-term therapy deals specifically with these issues. Much of the theorising on time by Dr Mann is relevant to the termination issues in open-ended long-term psychotherapy and psychoanalysis proper. Margaret Mahler's writings are also utilised.

Therapists and counsellors are under increasing pressure to provide effective treatment in a time-limited, demonstrably effective form. Time-Limited Psychotherapy (TLP) has developed in response, and is designed to give clients an intense form of therapy over 12 sessions. This title: * Uses vivid clinical descriptions of treatments and up-to-date research findings * Describes what the treatments entail * Discusses their outcome * Deals with teaching and learning of TLP regarding the changing conditions in public needs and in public services. Time-Limited Psychotherapy in Practice will appeal to psychotherapists, counsellors, researchers and academics in the mental health field.

Waiting lists in psychiatric clinics and increasing numbers of patients in long-term psychotherapy have highlighted the need for shorter methods of treatment. Existing forms of short-term psychotherapy tend to be vague and uncertain, lacking as they do a clearly formulated rationale and methodology. The bold and challenging technique for brief psychotherapy designed around the factor of time itself, which Dr. Mann introduces here, is a method he hopes will revolutionize current practice. The significance of time in human life is examined in terms of the development of time sense as well as its unconscious meaning and the ways these are experienced in both the categorical and existential senses. The author shows how the interplay between the regressive pressures of the child's sense of infinite time and the adult reality of categorical time determine the patient's unconscious expectations of psychotherapy.

This volume presents 12 highly instructive case studies grounded in the evidence-based psychodynamic therapy model developed by Richard F. Summers and Jacques P. Barber. Bringing clinical concepts vividly to life, each case describes the patient's history and presenting problems and takes the reader through psychodynamic formulation, treatment planning, and the entire course of therapy, including the challenges of termination. The cases address a variety of core psychodynamic problems, with outcomes ranging from very successful to equivocal. The emotional experience of the therapist is explored throughout. Commentary from Summers and Barber on every case highlights important points and key clinical dilemmas. See also the authored book Psychodynamic Therapy: A Guide to Evidence-Based Practice, in which Summers and Barber comprehensively describe their therapeutic model.

Introduction to Time-Limited Group Psychotherapy is a basic text designed for the clinician who already has experience in individual psychotherapy. However, the breadth of perspective and discussion of therapeutic strategies should be of value to the more experienced psychotherapist as well. The book is divided into four sections. ? Section One deals with basic concepts regarding the small group. This section should aid the therapist in accurately recognizing group phenomena. ? Section Two presents the applications of the theories concerning time-limited group psychotherapy in a clinical setting. It emphasizes the importance of careful diagnostic and interpersonal assessment, group composition considerations, and pretherapy preparation in ensuring that a sense of "groupness" will emerge promptly. ? Section Three shows how to use the emerging relationships among group members as the vehicle to manage individual issues. In both Sections Two and Three, the current literature concerning brief individual therapy is applied to the group context. ? Section Four offers guidelines for integrating group psychotherapy into service and training programs. Special consideration is given to inpatient groups and long-term support groups.

Modern Kleinian Therapy is a model of effective psychoanalytic work that offers relief to deep internal conflicts by establishing and maintaining analytic contact, and beginning to unravel, modify, and heal turbulent and torn minds. This book defines Modern Kleinian Therapy as a modality for treating severely affected patients in a fairly traditional psychoanalytic manner, even when the environment or frequency of sessions are compromised. Chapter by chapter the book provides detailed clinical material to illustrate the complex dynamics that unfold when working with more closed off patients, and each case report shows the often limited clinical situations that the contemporary analyst must contend with. The book's detailed material serves to emphasize the nature of psychoanalytic work with individuals and couples, who otherwise rarely find their way to healthy attachment or reciprocal whole object relational harmony. Included in the book: * Technical and theoretical methods of Modern Kleinian Therapy * Psychoanalytic treatments to modify internal object relational conflicts * The Modern Kleinian Therapy approach to couple's treatment * The value of analytic contact. A Practical Casebook of Time-Limited Psychoanalytic Work: A Modern Kleinian Approach introduces new aspects of Kleinian work and offers a contemporary view on Kleinian techniques and concepts. It will be valuable reading for psychotherapists, mental health workers, and psychoanalytic therapists.

Most contemporary psychoanalysts and psychotherapists see each patient once or twice a week at most. As many patients have reached a marked state of distress before seeking treatment, this gives the analyst a difficult task to accomplish in what is a limited amount of time. A Casebook of Psychotherapy Practice with Challenging Patients: A modern Kleinian approach sets out a model for working with quite significantly disturbed, distressed, or resistant patients in a very limited time, which Robert Waska has termed "Modern Kleinian Therapy." Each chapter provides a vivid look into the moment-to-moment workings of a contemporary Kleinian focus on understanding projective identification, enactment, and acting out as well as the careful and thoughtful interpretive work necessary in these complex clinical situations. Individual psychotherapeutic work is represented throughout the book alongside instructive reports of psychoanalytic work with disturbed couples, and the more challenging patient is illustrated with several comprehensive reviews of films that follow such hard-to-reach individuals. A Casebook of Psychotherapy Practice with Challenging Patients: A modern Kleinian approach is filled with a combination of contemporary theory building, a wealth of clinical vignettes, and practical advice. It is a hands-on guide for psychoanalysts and therapists who need to get to grips with complex psychoanalytic concepts in a short time and shows the therapeutic power the Modern Kleinian Therapy approach can have and how it can enable them to work most effectively with difficult patients. Robert Waska LPCC, MFT, PhD is an analytic member at the San Francisco Center for Psychoanalysis and conducts a full-time private psychoanalytic practice for individuals and couples in San Francisco and Marin County, California. He is the author of thirteen published textbooks on Kleinian psychoanalytic theory and technique, is a contributing author for three psychology texts, and has published over a hundred articles in professional journals.