Dilemmas In The Consulting Room

Every therapist is faced with dilemmas in the consulting room. While psychoanalysis has concentrated on the issues of theory and technique, there has not been much material available on the actual clinical exchanges in the consulting room. The papers in this volume deal with practical matters within the consultation room, as well as emotional responses; reflections on the therapeutic relationship; and issues such as violence and suicide. This volume acts as a guide which can help therapists overcome certain problems and develop their own 'clinical style within a holding framework.'

Written by an eminent psychologist and psychotherapist, this book explores how therapists and counsellors can address the key issues of 'difference' in working with their clients. No matter how much the therapist knows, how knowledgeable they are or how expert they are, they all face the same dilemma – their clients are always unique, ever-changing, subjective beings. By taking a pluralistic approach and interweaving theory with a range of clinical stories offering insights into specific issues, client populations and therapeutic contexts, this text will enable readers to develop context-sensitive practice. It will equally appeal to students, newly qualified counsellors and more experienced professionals looking to develop their practice, becoming the perfect companion for students and trainees in applied psychology, psychotherapy and counselling.

"Well written and thoughtfully structured, this highly accessible, lively text offers the reader a contemporary and comprehensive introduction to psychodynamic practice. Howard provides lucid explanations of core psychodynamic ideas and skills rooted in engaging clinical illustrations. It will be an invaluable companion both during and beyond training" Prof Alessandra Lemma, Trust-wide Head of Psychology and Visiting Professor, Essex University This practical text is the first to systematically address the competencies and techniques identified as central to the delivery of effective psychodynamic practice. It provides a framework for the therapist to develop their skills and apply them to their practice by: - discussing the personal and professional growth which underpins a professional and ethical attitude to the therapist′s work - linking specific competencies to the theory base underpinning them - describing competencies in a systematic way - including a chapter on how to use supervision - using case material to illustrate competencies and dilemmas. Addressing not only how to implement skills, but why they are being implemented, this book is a must-read for all trainees on psychodynamic counselling and psychotherapy courses. It is also useful reading for trained practitioners who want an accessible introduction to psychodynamic skills in practice.

This is a step-by-step guide to the key skills and techniques of the psychodynamic approach used at each stage of the therapeutic process. Updated in a second edition, the book includes a new chapter on neuropsychology and its implications for theory and practice, new content on working in the NHS and other settings, additional case material and updates to all chapters reflecting recent literature, research and understanding.

Psychoanalytic psychotherapists and psychoanalysts inevitably find themselves doing assessment in their work, both in private practice and in a clinical setting such as the NHS. The authors felt a need for a book that covers this vital aspect of their work, which would be of benefit both to students in training and to practitioners. Amongst subjects covered are the nature of assessments, the setting, consultation, contraindications, and clinical examples. This title contains the distilled wisdom of over twenty years experience in the field.

Ghosts in the Consulting Room: Echoes of Trauma in Psychoanalysis is the first of two volumes that delves into the overwhelming, often unmetabolizable feelings related to mourning. The book uses clinical examples of people living in a state of liminality or ongoing melancholia. The authors reflect on the challenges of learning to move forward and embrace life over time, while acknowledging, witnessing and working through the emotional scars of the past. Bringing together a collection of clinical and theoretical papers, Ghosts in the Consulting Room features accounts of the unpredictable effects of trauma that emerge within clinical work, often unexpectedly, in ways that surprise both patient and therapist. In the book, distinguished psychoanalysts examine how to work with a variety of ‘ghosts’, as they manifest in transference and countertransference, in work with children and adults, in institutional settings and even in the very founders and foundations of the field of psychoanalysis itself. They explore the dilemma of how to process loss when it is unspeakable and unknowable, often manifesting in silence or gaps in knowledge, and living in strange relations to time and space. This book will be of interest to psychotherapists and psychoanalysts, as well as social workers, family therapists, psychologists, and psychiatrists. It will appeal to those specializing in bereavement and trauma and, on a broader level, to sociologists and historians interested in understanding means of coping with loss and grief on both an individual and larger scale basis.

The digital age is both exciting and challenging for psychotherapy, opening the door to clients groups previously not able to access psychological help, whilst also providing the challenges caused by social media and internet abuse and how these impact on the consulting room. Psychotherapy 2.0 blows open the consulting room doors and shows successful pathways for attracting new clients to gain access to psychological help, as well as demonstrating that despite initial scepticism, working online as a psychotherapist or counsellor can be as effective as 'face2face' work: the therapeutic relationship may be different but it remains the centrally important feature for successful psychotherapy. It follows therefore that all psychotherapists and counsellors need to be fully informed about the impact of the digital age on their clinical practice. Psychotherapy 2.0 covers the key issues for psychotherapists and counsellors who are, or are thinking of, working online, include thinking about psychotherapy in the digital age, the requirements to modify training both for working online and also the digital issues as they arise within the face2face consulting room.

This anthology of interviews and essays joins luminaries in contemporary psychoanalysis with pioneers of feminism to provide a timely analysis of the crushing effects of patriarchy and the role that psychoanalysis can play in moving us into a future defined by mutuality and respect. Departing from the contemporary psychoanalytic view that the socio-political and intrapsychic are inextricably linked, contributors use psychoanalysis as a tool to demystify and even dismantle patriarchy, while also examining how our theories, practices, and institutions have been implicated in it. The issues under examination here include important and often under-theorized topics such as institutional responses to boundary violations, the search for a black-feminist psychoanalytic theory, patriarchal enactments within the trans community, the persistence of patriarchy within contemporary psychoanalysis, and the impacts of patriarchy on diverse patient populations and ways to address this clinically. This book represents the first anthology comprised of voices from both within and outside the psychoanalytic realm, outlining a contemporary feminist psychoanalysis for both an analytic and non-analytic audience. It is invaluable for both psychoanalysts and for those in gender studies wishing to draw on psychoanalytic thinking.