Wir wissen wenig darüber, wie viel Zeit der Mensch braucht, um sich zu verändern. Es gibt Patienten, die mit einer Kurzzeittherapie ihre Symptome dauerhaft verlieren. Viele psychische Störungen verlaufen aber rezidivierend oder chronifizieren, sie brauchen einen zeitlichen Rahmen, der groß genug bemessen ist, um diesen Patienten und Patientinnen eine Chance auf nachhaltige Veränderung zu geben. Wofür genau muss diese Zeit investiert werden? Die Entwicklungslinien der Symptomatik im therapeutischen Prozess zeigen, dass sie sich bei längeren Therapien nach der Beendigung der Behandlung noch verbessern, und weisen so auf die Internalisierung des Therapeuten hin. Die Entwicklungslinie des Arbeitsbündnisses deutet auf die Manifestation der negativen Übertragung hin und die Notwendigkeit, sie durchzuarbeiten. Zeit ist »Reifungszeit«, was bedeutet, das Neuerfahrene so zu internalisieren und zu integrieren, dass es in der typischen Auslösesituation schützt und damit eine stabile Veränderung ermöglicht.
Authoritative and comprehensive, this volume provides a contemporary psychodynamic perspective on frequently encountered psychological disorders in adults, children, and adolescents. Leading international authorities review the growing evidence base for psychoanalytic theories and therapeutic models. Chapters examine the etiology and psychological mechanisms of each disorder and thoroughly describe effective treatment strategies. Highly accessible, the book is richly illustrated with clinical case material. It demonstrates ways in which psychodynamic theory and therapy are enhanced by integrating ideas and findings from neuroscience, social and personality psychology, cognitive-behavioral therapy, and other fields. Winner?Goethe Award for Psychoanalytic and Psychodynamic Scholarshipÿ
Neuropsychotherapy is intended to inspire further development and continual empirical updating of consistency theory. It is essential for psychotherapists, psychotherapy researchers, clinical psychologists, psychiatrists, neuroscientists, and mental-health professionals. Profoundly important and innovative, this volume provides necessary know-how for professionals as it connects the findings of modern neuroscience to the insights of psychotherapy. Throughout the book, a new picture unfolds of the empirical grounds of effective psychotherapeutic work. Author Klaus Grawe articulates a comprehensive model of psychological functioning-consistency theory-and bridges the gap between the neurosciences and the understanding of psychological disorders and their treatment. Neuropsychotherapy illustrates that psychotherapy can be even more effective when it is grounded in a neuroscientific approach. Cutting across disciplines that are characteristically disparate, the book identifies the neural foundations of various disorders, suggests specific psychotherapeutic conclusions, and makes neuroscientific knowledge more accessible to psychotherapists. The book's discussion of consistency theory reveals the model is firmly connected to other psychological theoretical approaches, from control theory to cognitive-behavioral models to basic need theories.
In this splendid book a master psychotherapist, one of the field's most respected researchers, provides the first definitive account of psychoanalytic psychotherapy in manual format. What distinguishes this book from other guides to therapy is the way in which the author systematically demystifies the therapeutic process, taking the reader step by step through a sequence of specific intervention strategies.The book offers the essence of psychoanalytic psychotherapy by extracting the treatment principles from Freud's six papers on technique and the Menninger Foundation tradition of supportive-expressive psychotherapy. At the heart of the expressive techniques is the Core Conflictual Relationship Theme method of delineating the transference pattern and providing a focus for the therapist's responses. Both the short-term and the usual open-ended treatment are presented. Each technique is illustrated by clinical vignettes. Precise measurement scales for each technique make it easy to evaluate the therapist's performance. Therapists, clinical supervisors, and researchers will all find this book to be a valuable source of practical information and inspiration.
This hands-on manual from Leigh McCullough and associates teaches the nuts and bolts of practicing short-term dynamic psychotherapy, the research-supported model first presented in Changing Character, McCullough's foundational text. Reflecting the ongoing evolution of the approach, the manual emphasizes "affect phobia," or conflict about feelings. It shows how such proven behavioral techniques as systemic desensitization can be applied effectively within a psychodynamic framework, and offers clear guidelines for when and how to intervene. Demonstrated are procedures for assessing patients, formulating core conflicts, and restructuring defenses, affects, and relationship to the self and others. In an easy-to-use, large-size format, the book features a wealth of case examples and write-in exercises for building key clinical skills. The companion website (www.affectphobiatherapy.com) offers useful supplemental resources, including Psychotherapy Assessment Checklist (PAC) forms and instructions.
Adolescent Identity Treatment: An Integrative Approach for Personality Pathology is a ground breaking title that provides general and specific clinical strategies to help adolescents who lack an integrated identity. The authors have developed a treatment based on the integration of object relations theory, family systems, attachment, developmental neurobiology and cognitive behavioral approaches that focuses on clearing blockages to normal identity development and adaptive functioning. While most adolescents build satisfying interpersonal relationships, are successful in school and work and begin romantic relationships, there is a minority of adolescents who do not succeed in this and are at a high risk of developing problems in school, work and relationships, problems with affect regulation as well as engaging in a wide range of self-destructive behaviors. In addition to a description of the disorder and assessment, this manual offers extensive clinical examples and concrete interventions, with phase-specific treatment components, including a clear treatment frame, psychoeducation, environmental interventions (with a "Home Plan" that addresses self-care behaviors, responsibilities and improved boundaries that fosters the development of better relationships between the adolescent and family) and parenting strategies, all in the service of creating a space for the individual work with the adolescent.
This manual presents an evidence-based focal psychodynamic approach for the outpatient treatment of adults with anorexia nervosa, which has been shown to produce lasting changes for patients. The reader first gains a thorough understanding of the general models and theories of anorexia nervosa. The book then describes in detail a three-phase treatment using focal psychodynamic psychotherapy. It provides extensive hands-on tips, including precise assessment of psychodynamic themes and structures using the Operationalized Psychodynamic Diagnosis (OPD) system, real-life case studies, and clinical pearls. Clinicians also learn how to identify and treat typical ego structural deficits in the areas of affect experience and differentiation, impulse control, self-worth regulation, and body perception. Detailed case vignettes provide deepened insight into the therapeutic process. A final chapter explores the extensive empirical studies on which this manual is based, in particular the renowned multicenter ANTOP study. Printable tools in the appendices can be used in daily practice. This book is of interest to clinical psychologists, psychotherapists, psychiatrists, counselors, and students.
The control-mastery theory, developed by Dr. Joseph Weiss over the second half of the twentieth century, is an attempt to integrate an understanding of how the mind works, how psychopathologies develop, and how psychotherapy can effectively help. Control-Mastery theory assumes that the patient's problems are rooted in the grim, constricting pathogenic beliefs that the patient acquires in the traumatic experiences of childhood. The driving force behind the psychotherapeutic process is the patient's conscious and unconscious desire to recover the capacity to pursue life goals by gaining control and mastering self destructive patterns of thoughts and behaviors. Underlying this theory is the conception that the client structures (both consciously and unconsciously) the psychotherapeutic process in order to clearly and quickly address her own goals. Following this line of thought, the practitioner must be able to identify a client's aims, respond to and encourage these thoughts, and develop a strategic therapeutic plan to effectively address the needs and wants of each individual. This book aims to present the control-mastery theory in a more accessible format, and introduce it to a wider audience, expanding the scope of the theory beyond simply a comparison to Freudian analysis. The text presents an integrated cognitive-psychodynamic-relational approach to therapy, addressing issues surrounding psychopathology and pathogenic constructions. Organized into three distinct sections, the book first considers theoretical underpinnings before moving into in-depth discussions of clinical and practical application of these valuable therapeutic tools and techniques, drawing heavily on detailed descriptions of entire therapy sessions. The final section of the book covers current and developing empirical research, presenting convincing arguments in support of the theory and practice earlier discussed. The editor has extensive research and clinical experience with both the conceptual and practical aspects of the theory, and has worked with Joseph Weiss and Hal Sampson - the two pioneers of the control-mastery approach - who each contributes a chapter to the book. Transformative Relationships advances this integrative approach to therapy beyond its current scope, introducing these valuable concepts and techniques to a wider audience of practitioners of all backgrounds.
