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This book explores how social power differences influence the therapy partnership. It offers research and clinical examples to help therapists become aware of privilege, and take steps to address power-related issues in therapy.
"This book sheds light on how underlying patterns of societal power relations affect the patient-therapist dyad in psychotherapy and psychoanalysis. It is an effort to understand, and ideally to reduce, clinical blindness in psychotherapy. The book systematically addresses unique therapeutic challenges in four different core therapeutic dyads of relative privilege: when therapist and patient share the same social privilege, when privilege favors the therapist, when privilege favors the patient, and when therapist and patient have a similar level of nonprivilege. It explores relevant clinical patterns and dynamics in each of the four core fields of relative privilege and will be helpful in the teaching of issues of diversity, cultural competency, social justice, and awareness of privilege. The book is divided into eight chapters. The first chapter provides an overview of the key concepts discussed in the book. Chapter two introduces readers to the complexities and inconsistencies of privilege and subordination, endeavoring to invite curiosity and self-reflection about one's own privileges and complexities. Each of the subsequent chapters explores, using vignettes, one square from the matrix: Chapter three describes similarity of privilege; Chapters four and five discusses privilege favoring the therapist and privilege favoring the patient; Chapter six explores the situation of similarity of nonprivilege. Chapter seven recounts a longer case that illustrates the complexity of fighting sexism and finding repair in political interpretation. Chapter eight presents a summary and integration of the ideas that have previously arisen with respect to the different relative power situations."--Preface. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
Psychodynamic therapy is one of the most popular orientations practiced in the world today. It has a growing evidence base, is cost-effective, and may have unique mechanisms of clinical change. However, gaining competence in this approach generally requires extensive training and mastery of a large and complex literature. Integrating clinical theory and research findings, Psychodynamic Psychotherapy Techniques provides comprehensive but practical guidance on the main interventions of contemporary psychodynamic practice. Early chapters describe the psychodynamic "stance" and illustrate effective means of identifying and understanding clinical problems. Later, the book describes how to question, clarify, confront, and interpret patient material as well as assess the clinical impacts of interventions. With these foundational tools in place, the book supplements the "classic" psychodynamic therapy techniques with six sets of supportive interventions helpful for lower-functioning patients or those in acute crisis. Complete with step-by-step instructions on how to prepare techniques as well as numerous clinical vignettes to illustrate their use in clinical settings, Psychodynamic Psychotherapy Techniques effectively demystifies this important approach to therapy and helps practitioners more effectively apply them to a wide range of patients and problems.
Since 1955, moving from early work in psychopharmacology to studies of clinical method and the psychiatric schools, Leston Havens has been working toward a general theory of therapy. It often seems that twentieth-century psychiatry, sect-ridden, is a Tower of Babel, as Havens once characterized it. This book is the distillation of long years of thought and practice, a bold yet modest attempt to delineate an “integrated psychotherapy.” The boldness of this effort lies in its author’s willingness to recognize the best that each school has to offer, to describe it cogently, and to integrate it into a full response to today’s new kind of patient. Descriptive or medical psychiatry, psychoanalysis, interpersonal or behavioristic psychiatry, empathic or existential therapy-viewed in metaphors, respectively, of perceiving, thinking, managing, feeling-all have useful contributions to make to contemporary methods of treatment. But how? Havens’s modest answer is through appropriate language, and he demonstrates exactly what he means: when to ask questions, when to direct or draw back, when to sympathize. Practitioners now must deal with less dramatic, but more stubborn, problems of character and situation; lack of purpose, isolation, submissiveness, invasiveness, deep yet vague dissatisfaction. Some kind of human presence must be discovered in the patient, and Havens gives concrete, absorbing examples of ways of “speaking to absence,” of making contact. The emphasis is on verbal technique, but the underlying broad, humane intent is everywhere evident. It is no less than to transform passivity, by means of disciplined therapeutic concern, into a state of being Human.
In this 10th Anniversary text, Thomas M. Skovholt and Len Jennings paint an elaborate portrait of expert or "master" therapists. The book contains extensive qualitative research from three doctoral dissertations and an additional research study conducted over a seven-year period on the sameten master therapists. This intensive research project on master therapists, those considered the "best of the best" by their colleagues, is the most extensive research on high-level functioning of mental health professionals ever done. Therapists and counselors can use the insights gained from thisbook as potential guidelines for use in their own professional development. Furthermore, training programs may adopt it in an effort to develop desirable characteristics in their trainees.Featuring a brand new Preface and Epilogue, this 10th Anniversary Edition of Master Therapists revisits a landmark text in the field of counseling and therapy.
First published in 2002, the landmark Psychotherapy Relationships That Work broke new ground by focusing renewed and corrective attention on the substantial research behind the crucial (but often overlooked) client-therapist relationship. This highly cited, widely adopted classic is now presented in two volumes: Evidence-based Therapist Contributions, edited by John C. Norcross and Michael J. Lambert; and Evidence-based Therapist Responsiveness, edited by John C. Norcross and Bruce E. Wampold. Each chapter in the two volumes features a specific therapist behavior that improves treatment outcome, or a transdiagnostic patient characteristic by which clinicians can effectively tailor psychotherapy. In addition to updates to existing chapters, the third edition features new chapters on the real relationship, emotional expression, immediacy, therapist self-disclosure, promoting treatment credibility, and adapting therapy to the patient's gender identity and sexual orientation. All chapters provide original meta-analyses, clinical examples, landmark studies, diversity considerations, training implications, and most importantly, research-infused therapeutic practices by distinguished contributors. Featuring expanded coverage and an enhanced practice focus, the third edition of the seminal Psychotherapy Relationships That Work offers a compelling synthesis of the best available research, clinical expertise, and patient characteristics in the tradition of evidence-based practice.
Recent evidence has shown that the successful setting of goals brings about positive outcomes in psychological therapy. Goals help to focus and direct clients' and therapists' attention in therapeutic work. They also engender hope and help energise clients. No longer are clients victims of their circumstances, but through goal setting they become people who have the potential to act towards and achieve their desired futures. Through the discussing and setting of goals, clients develop a deeper insight into what it is that they really want in life: a crucial first step towards being able to get there. Recent policies in both child and adult mental health services have supported the use of goals in therapy. However, the differing cultures, histories, psychologies, and philosophical assumptions of each form of therapy has brought about varying attitudes and approaches to goal setting. Working with Goals in Counselling and Psychotherapy brings the attitudes of all the major therapeutic orientations together in one volume. With examples from cognitive behaviour therapy, psychodynamic therapy, humanistic therapy, interpersonal therapy, and systemic therapy Working with Goals in Counselling and Psychotherapy truly is the definitive guide for therapists seeking to work with goals in any of the psychological therapies.
This is a brief but highly detailed and useful reference book for professional psychotherapists. It is ideal for practicing clinicians whose jobs involve the selection of appropriate therapeutic procedures for various patients.
Cyclical Psychodynamics and the Contextual Self articulates in new ways the essential features and most recent extensions of Paul Wachtel's powerfully integrative theory of cyclical psychodynamics. Wachtel is widely regarded as the leading advocate for integrative thinking in personality theory and the theory and practice of psychotherapy. He is a contributor to cutting edge thought in the realm of relational psychoanalysis and to highlighting the ways in which the relational point of view provides especially fertile ground for integrating psychoanalytic insights with the ideas and methods of other theoretical and therapeutic orientations. In this book, Wachtel extends his integration of psychoanalytic, cognitive-behavioral, systemic, and experiential viewpoints to examine closely the nature of the inner world of subjectivity, its relation to the transactional world of daily life experiences, and the impact on both the larger social and cultural forces that both shape and are shaped by individual experience. Here, he discusses in a uniquely comprehensive fashiong the subtleties of the clinical interaction, the findings of systematic research, and the role of social, economic, and historical forces in our lives. The chapters in this book help to transcend the tunnel vision that can lead therapists of different orientations to ignore the important discoveries and innovations from competing approaches. Explicating the pervasive role of vicious circles and self-fulfilling prophecies in our lives, Cyclical Psychodynamics and the Contextual Self shows how deeply intertwined the subjective, the intersubjective, and the cultural realms are, and points to new pathways to therapeutic and social change. Both a theoretical tour de force and an immensely practical guide to clinical practice, this book will be essential reading for psychoanalysts, psychotherapists and students of human behavior of all backgrounds and theoretical orientations.
In How and Why People Change Dr. Ian M. Evans revisits many of the fundamental principles of behavior change in order to deconstruct what it is we try to achieve in psychological therapies. All of the conditions that impact people when seeking therapy are brought together in one cohesive framework: assumptions of learning, motivation, approach and avoidance, barriers to change, personality dynamics, and the way that individual behavioral repertoires are inter-related.
