Psychoanalytic Treatment In Adults

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.

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.

This book presents a coherent and readable narrative review of current views on the effects and role of psychoanalytic psychotherapy in the treatment of children and adults who have experienced childhood abuse and neglect. Recent decades have seen an explosion of research into the extent of child abuse and into the effects of early relational trauma on the developing minds and brains of children. The lasting effects on survivors are increasingly recognized and can be addressed psychotherapeutically. Psychoanalytic Psychotherapy After Child Abuse is unique in two ways. Firstly, in bringing together for the first time the considerable scientific evidence of effectiveness and the vast body of accumulated clinical experience using psychoanalytical approaches in the treatment of people who have experienced childhood abuse. Secondly, in being the product of the widest collaboration of individuals and organizations concerned about the effects of child abuse, and experts on child abuse and psychotherapy. These include experts by experience, survivor groups, activists, academics, and clinicians: paediatricians, physicians, child and adult psychiatrists, psychoanalysts, psychologists, and psychoanalytic psychotherapists.

In Psychoanalytic Therapy as Health Care, a timely and trenchant consideration of the clash of values between managed care and psychoanalysis, contributors elaborate a thoughtful defense of the therapeutic necessity and social importance of contemporary psychoanalytic and psychodynamic approaches in the provision of mental health care. Part I begins with the question of where psychoanalytic treatments now stand in relation to health care; contributors offer explanations of the current state of affairs and consider possible directions of future developments. Part II looks directly at the conundrums that have resulted from the attempt to integrate psychotherapy and managed care, with contributors examining the ethical and legal dimensions of confidentiality, privacy, and reporting to third parties. Part III opens to wider consideration of the experiences of psychoanalysts under health care systems throughout the world. Finally, Part IV demonstrates the relevance of contemporary psychoanalytic approaches to a variety of contemporary patient populations, with contributors focusing on the applicability of analytically oriented treatment to AIDS patients, seriously disturbed young adults, and inner-city clinic patients. Collectively, the contributors to Psychoanalytic Therapy as Health Care convincingly refute the claim that psychoanalytically informed therapy is an esoteric treatment suited only to the "worried well." Drawing on a wide range of clinical and empirical evidence, they forcefully argue that contemporary psychoanalytic approaches are applicable to seriously distressed persons in a variety of treatment contexts. Failure to include such long-term therapies within health care delivery systems, they conclude, will deprive many patients of help they need - and help from which they can benefit in enduring ways that far transcend the limited treatment goals of managed care.

Presents a model for the treatment of adult survivors of childhood sexual abuse that takes advantage of a relational approach and that integrates psychoanalytic thinking with the latest findings from the literature on psychological trauma and sexual abuse. Case examples illustrate the authors' treatment model. Annotation copyright by Book News, Inc., Portland, OR

Volume 7 in the EFPP Series that aims to promote the pan-European community of psychoanalytic psychotherapists. The contributors come from different cultures but are united in their view of the importance of empirical research in psychotherapy. The chapters examine issues as varied as treatment of eating disorders, the differences between psychoanalysis and psychotherapy, treatment outcomes of group psychotherapy, and treatment of borderline personality disorders.'In the present-day culture of evidence-based practice as a guiding principle for the delivery of public and private-sector health services, the critical importance of collating empirical research findings relating to psychoanalytic psychotherapy cannot be overstated. Evidence-based clinical guidelines are increasingly finding their way into the mental health arena and, as of yet, the place of psychoanalytic psychotherapy within such guidelines is far from extensive. The present monograph brings together a number of research reports and overviews, all of which have used conventional empirical research methodologies and illustrate, we believe, the potential of such methods to explore questions of real significance to psychoanalytic psychotherapists throughout Europe.

Psychoanalytic Work with Autistic Features in Adults deals with the diagnostic and therapeutic difficulties of working with patients with autistic residuals, formed in early life experiences that have remained dormant in the unconscious mind. Laura Tremelloni traces the process of identifying them in adult patients, and stresses the need to develop a treatment plan suitable for this kind of pathology. This book uses clinical cases to examine the difficulties of work with hard to reach adults with 'gaps' in their sense of Self and symptoms related to primitive experiences of "non-being". Tremelloni presents new, adaptive therapeutic intervention methods for overcoming such obstacles and identifies the personification and permanence of undeveloped parts of the Self, in hard to reach adults who have otherwise developed satisfactorily and would not be diagnosed as autistic. In such cases, the author suggests the need for clinicians to adapt classic psychoanalytic approaches to the alternating levels of development of the separate parts which the Self has broken into. Psychoanalytic Work with Autistic Features in Adults will help clinicians in psychoanalysis and psychoanalytic psychotherapy to more effectively reach such patients, whilst attempting to address the problematic limitations of therapeutic techniques in very difficult clinical cases.