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.
Nancy McWilliams, PhD, ABPP, is Visiting Professor Emerita in the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey, and has a private practice in Lambertville, New Jersey. She is author of Psychoanalytic Diagnosis, Second Edition; Psychoanalytic Case Formulation; Psychoanalytic Psychotherapy; and Psychoanalytic Supervision; and is coeditor of Psychodynamic Diagnostic Manual, Second Edition. She is a past president of the Society for Psychoanalysis and Psychoanalytic Psychology, Division 39 of the American Psychological Association (APA), and is on the editorial board of Psychoanalytic Psychology. A graduate of the National Psychological Association for Psychoanalysis, Dr. McWilliams is also affiliated with the Center for Psychotherapy and Psychoanalysis of New Jersey, and serves on the Board of Trustees of the Austen Riggs Center in Stockbridge, Massachusetts. She is the recipient of honors including the Gradiva Award from the National Association for the Advancement of Psychoanalysis; the Goethe Scholarship Award from the Section on Psychoanalytic and Psychodynamic Psychology of the Canadian Psychological Association; the Rosalee Weiss Award from the Division of Independent Practitioners of the APA; the Laughlin Distinguished Teacher Award from the American Society of Psychoanalytic Physicians; the Hans H. Strupp Award from the Appalachian Psychoanalytic Society; and the International, Leadership, and Scholarship Awards from APA Division 39. Dr. McWilliams is an honorary member of the American Psychoanalytic Association, the Moscow Psychoanalytic Society, the Institute for Psychoanalytic Psychotherapy of Turin, Italy, and the Warsaw Scientific Association for Psychodynamic Psychotherapy. Her writings have been translated into 20 languages.
1. What Defines a Psychoanalytic Therapy? 2. The Psychoanalytic Sensibility 3. The Therapist's Preparation 4. Preparing the Client 5. Boundaries I: The Frame 6. Basic Therapy Processes 7. Boundaries II: Quandaries 8. Molly 9. Donna 10. Ancillary Lessons of Psychoanalytic Therapy 11. Occupational Hazards and Gratifications 12. Self-Care Appendix: Annotated Bibliography
What People are Saying About This
Deborah Anna Luepnitz
This book addresses a daunting range of issues. How can therapists set limits with acting-out patients? What did Freud really say about behavior change? Why should practitioners have their own psychotherapy? In an era that scorns depth psychology in favor of the quick fix, Nancy McWilliams' work is a beacon of sane reflection. She sees psychoanalysis not as a clinical specialty alone, but as an ethic--a way of thinking that both requires and makes possible the difficult path known as the examined life. This perspicacious, deeply personal work is sure to become a key text for novice and experienced therapists alike. —PhD, author of Schopenhauer's Porcupines
Drew Westen
This is vintage McWilliams: erudite, elegantly written, thoughtful, and as useful to the seasoned clinician as to the aspiring clinician. Nancy McWilliams has a true talent for tackling complexity without jargon or pretense, and for mixing theoretical originality with good clinical horse sense. Reading this book feels like getting supervision from one of the eminent clinicians of our time. —PhD, Emory University
Karen J. Maroda
Nancy McWilliams's new book reads like a conversation with a master therapist, addressing the most important questions about facilitating the therapeutic process. Although a psychoanalyst herself, Dr. McWilliams makes frequent, respectful references to the other major theoretical schools, and gives practical advice that will help any new or seasoned therapist acquire skills for understanding and treating clients. —PhD, Department of Psychiatry, Medical College of Wisconsin
Ann Halsell Appelbaum
Readers of McWilliams's previous books will find what they have come to expect: graceful, transparent writing; clear thinking; and a sharpshooter's aim on critical issues. Reading this book is like going on rounds with a loved and trusted professor whose teaching is conversational, collegial, and deep. McWilliams speaks her mind confidently. Her thinking embraces all the therapies derived from psychoanalysis, integrating them under the rubric of honesty. Her book fulfills the promise of its title, addressing both theory and the practical issues that often derail the work of beginners and experienced clinicians alike. This book will be an essential text for teachers of undergraduate psychology through to those in analytic institutes, and psychotherapy students of all stripes will want to read it closely. —MD, Columbia University College of Physicians and Surgeons
Michael Eigen
A cornucopia of wise and sensitive reflections on psychoanalytic psychotherapy. McWilliams delineates the felt core of therapeutic work shared by workers of many schools, but rarely articulated so well. She gives the beginner a 'taste of the apple' in a hands-on and feeling way, and bolsters the spirit of the old-timer, who will recognize the fruit of attentive and caring practice. —PhD, author of The Sensitive Self
Clinicians, students, and residents in any of the mental health disciplines, including clinical and counseling psychology, psychiatry, social work, family therapy, and psychiatric nursing. Serves as a text in graduate-level courses in psychodynamic therapy.
