Practicing Psychotherapy; A Casebook / Edition 1

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How can one engage the hostile or the frightened patient or the patient incapacitated by shame or by physical illness? How can a clinician focus a therapy that threatens to wander indefinitely and unproductively: When and how should one use short-term therapy? Even experienced, talented therapists frequently find themselves stymied, often for prolonged periods of time, by problems commonly encountered in an office-based practice. Here, along with detailed case examples, is a hands-on demonstration of how to deal with such complex, at times seemingly intractable, problems.Basch’s technique is a psychodynamic approach that also embraces cognitive and behavioral therapy. It correlates what is heard and seen in the therapist’s consulting room with our knowledge of normal infant and child development. This book shows how Basch’s developmental method can be used even in short-term therapy to deal with complex problems. The book also includes extensive examples of the supervisory process, demonstrating how to make the best use of this model for therapy, both as supervisor and supervisee.Basch’s first book, Doing Psychotherapy, has become a standard introductory text and his second book, Understanding Psychotherapy: The Science Behind the Art, has gained widespread support and garnered much acclaim. Building on the principles elaborated in his previous books, this eminently practical new book takes readers to a new level of understanding.

Psychodynamic approach integrates knowledge of developmental stages into therapy; examples in the supervisory process.

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Editorial Reviews

Along with detailed case examples, Basch (psychiatry, Rush Medical College, Chicago) demonstrates for psychotherapists how to deal with complex problems commonly encountered in an office-based practice. Basch's technique is a psychodynamic approach that also embraces cognitive and behavioral therapy. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780465061754
  • Publisher: Basic Books
  • Publication date: 6/28/1992
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 204
  • Lexile: 1210L (what's this?)
  • Product dimensions: 6.20 (w) x 9.10 (h) x 0.80 (d)

Meet the Author

Michael Franz Basch, M.D., is the Cynthia Oudejans Harris, M.D., Professor of Psychiatry at Rush Medical College in Chicago, the training and supervising psychoanalyst at the Chicago Institute for Psychoanalysis, and is in the private practice of psychiatry and psychoanalysis. He is the author of Doing Psychotherapy (1980), Understanding Psychotherapy: The Science Behind the Art (1988), and Practicing Psychotherapy: A Casebook (1992).

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Table of Contents

1 The Developmental Model 1
The Primacy of Affect 2
Anger Blocking Intimacy: George Warren 3
The Search for Competence 6
Restoring a Patient's Self-Esteem: Harriet Snow 6
Building Psychic Structure: Roberta Young 13
2 The Hierarchy of Selfobject Experiences 17
The Therapist as an Idealized Authority: Helen Pellman 20
Resistance to Idealization: Vincent Vinci 24
3 Choosing a Therapeutic Approach 29
Focusing the Patient: Ms. Aye 29
The Evolution of the Sense of Self 36
Behind Anxiety: Ms. Bee 40
A Psychoneurotic Patient: Ms. See 45
Insight Therapy: Regressive and Progressive 47
4 Dealing With Shame 51
A Theory That Failed: Herbert Bolt 52
A Theory That Worked: John Washer 53
Defensive Entitlement: Clarice Enpidee 58
Affective Growth Through Parenthood: Lenore Bell 60
5 Dealing With Anger 73
The Initial Interview 73
Analysis of the Initial Interview 80
Empathetic Understanding 87
6 The Emergent Self in Therapy 93
Supervisory Consultation: Linda Mallory 93
7 Restructuring the Self 115
An Extended Supervision: Bob Burdon 115
Postscript 150
8 Brief Psychotherapy 155
A Struggle for Independence: Marcus Lavelle 156
Big Problem/Little Time: Renee Lobach 166
Guilt or Anger? Robert Candel 176
A Case of Pseudo-Paranoia: Merrill Sherman 182
Envoi 191
References 193
Index 197
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