Psychoanalytic Treatment

Psychoanalytic Treatment: An Intersubjective Approach fleshes out the implications for psychoanalytic understanding and treatment of adopting a consistently intersubjective perspective. In the course of the study, the intersubjective viewpoint is demonstrated to illuminate a wide array of clinical phenomena, including transference and resistance, conflict formation, therapeutic action, affective and self development, and borderline and psychotic states. As a consequence, the authors demonstrate that an intersubjective approach greatly facilitates empathic access to the patient's subjective world and, in the same measure, greatly enhances the scope and therapeutic effectiveness of psychoanalysis. Psychoanalytic Treatment is another step in the ongoing development of intersubjectivity theory, as born out in Structures of Subjectivity (1984), Contexts of Being (1992), and Working Intersubjectively (1997), all published by the Analytic Press

First published in 1946, Psychoanalytic Therapy stands as a classic presentation of "brief therapy". The volume, which is based upon nearly six hundred cases, derives from a concerted effort at the Chicago Institute for Psychoanalysis to define the principles that make possible a psychotherapy shorter and more efficient than traditional psychoanalysis and to develop specific techniques of treatment. While taking a psychoanalytic approach, the authors urge the therapist to plan carefully and sensibly to avoid letting every case drift into "interminable" psychoanalysis. They address not only psychiatrists and psychoanalysts, but also psychologists, general physicians, social workers, and "all whose work is closely concerned with human relationships."

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Addressing the art and science of psychodynamic treatment, Nancy McWilliams distills the essential principles of clinical practice, including effective listening and talking; transference and countertransference; emotional safety; and an empathic, attuned attitude toward the patient. The book describes the values, assumptions, and clinical and research findings that guide the psychoanalytic enterprise, and shows how to integrate elements of other theoretical perspectives. It discusses the phases of treatment and covers such neglected topics as educating the client about the therapeutic process, handling complex challenges to boundaries, and attending to self-care. Presenting complex information in personal, nontechnical language enriched by in-depth clinical vignettes, this is an essential psychoanalytic work and training text for therapists.

Psychoanalytic Treatment of Eating Disorders: When Words Fail and Bodies Speak offers a compilation of some of the most innovative thinking on psychoanalytic approaches to the treatment of eating disorders available today. In its recognition of the multiple meanings of food, weight, and body shape, psychoanalytic thinking is uniquely positioned to illuminate the complexities of these often life-threatening conditions. And while clinicians regularly draw on psychoanalytic ideas in the treatment of eating disorders, many of the unique insights psychoanalysis provides have been neglected in the contemporary literature. This volume brings together some of the most respected clinicians in the field and speaks to the psychoanalytic conceptualization and treatment of eating disorders as well as contemporary issues, including social media, pro-anorexia forums, and larger cultural issues such as advertising, fashion, and even agribusiness. Drawing on new theoretical developments, several chapters propose novel models of treatment, whereas others delve into the complex convergence of culture and psychology in this patient population. Psychoanalytic Treatment of Eating Disorders will be of interest to all psychoanalysts and psychotherapists working with this complex and multi-faceted phenomenon.

The outcomes of psychoanalysis, as with other psychotherapies, vary considerably. Psychoanalytic Treatment in Adults examines the results of a longitudinal study of change during psychoanalysis, illuminating the characteristics of patients, analysts and analyses which can help to predict outcomes of treatment. Written by experienced psychologists and psychoanalysts, chapters in the book draw upon sixty case studies to consider how patients with very different analytic outcomes respond at both the beginning and end of their analysis. Psychoanalysts used a clinician report measure, the Shedler-Westen Assessment Procedure, to describe a patient at the beginning of psychoanalysis and every six months until the analysis ended. This allowed the authors to learn about changes over analysis and, in turn, improved treatment planning and practice for the well-being of other patients. Chapters explore five outcomes: a negative therapeutic reaction; attrition when the patient drops out; attrition due to external events; mutual agreement between patient and analyst without maximum benefits; and mutual agreement between patient and analyst with maximum benefits. The findings from these chapters will be of interest to researchers and academics in the fields of psychoanalysis, psychotherapy, psychodynamic therapy, psychoanalytic education, psychiatry and psychology. The results should also help clinicians recognize potential problems early in analytic treatments so that they can work more effectively with patients.

Do the conventional insights of depth psychology have anything to offer the gay patient? Can contemporary psychoanalytic theory be used to make sense of gay identities in ways that are helpful rather than hurtful, respectful rather than retraumatizing? In Psychoanalytic Therapy and the Gay Man Jack Drescher addresses these very questions as he outlines a therapeutic approach to issues of sexual identity that is informed by traditional therapeutic goals (such as psychological integration and more authentic living) while still respecting, even honoring, variations in sexual orientation. Drescher's exploration of the subjectivities of gay men in psychoanalytic psychotherapy is more than a long-overdue corrective to the inadequate and often pathologizing tomes of traditional psychoanalytic writers. It is a vitally human testament to the richly varied inner experiences of gay men. Drescher does not assume that sexual orientation is the entire or even major focus of intensive psychotherapy. But he does argue, passionately and convincingly, that issues of sexual identity - which encompass a spectrum of possibilities for any gay man - must be addressed in an atmosphere of honest encounter that allows not only for exploration of conflict and dissociation but also for restitutive confirmation of the patient's right to be himself. Through its abundance of first-person testimony from both clinical and literary sources, Psychoanalytic Therapy and the Gay Man provides the reader with an unforgettable grasp of what it is like to discover that one is gay in our society and then to find the courage and humanity to live with that knowledge. Any mental health professional - regardless of his or her sexual orientation - who wishes to deal therapeutically with gay men will find Drescher's work indispensable. But it will also be compelling reading for anyone seeking psychological insight into gay men's lives and concerns.

In this refreshingly honest and open book, Sandra Buechler looks at therapeutic process issues from the standpoint of the human qualities and human resourcefulness that the therapist brings to each clinical encounter. Her concern is with the clinical values that shape the psychoanalytically oriented treatment experience. How, she asks, can one person evoke a range of values--curiosity, hope, kindness, courage, sense of purpose, emotional balance, the ability to bear loss, and integrity--in another person and thereby promote psychological change? For Buechler, these core values, and the emotions that infuse them, are at the heart of the clinical process. They permeate the texture and tone, and shape the content of what therapists say. They provide the framework for formulating and working toward treatment goals and keep the therapist emotionally alive in the face of the often draining vicissitudes of the treatment process. Clinical Values: Emotions That Guide Psychoanalytic Treatment is addressed to therapists young and old. By focusing successively on different emotion-laden values, Buechler shows how one value or another can center the therapist within the session. Taken together, these values function as a clinical compass that provides the therapist with a sense of direction and militates against the all too frequent sense of "flying by the seat of one's pants." Buechler makes clear that the values that guide treatment derive from the full range of the clinician's human experiences, and she is candid in relating the personal experiences--from inside and outside the consulting room--that inform her own matrix of clinical values and her own clinical approach. A compelling record of one gifted therapist's pathway to clinical maturity, Clinical Values has a more general import: It exemplifies the variegated ways in which productive clinical work of any type ultimately revolves around the therapist's ability to make the most of being "all too human."