The Symptom-Context Method: Symptoms As Opportunities in Psychotherapy

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From a leading pioneer in short-term psychotherapy and psychotherapy research comes this innovative examination of a long-neglected topic - symptom formation in the context of clinical practice. Symptoms, psychological and psychosomatic, are what motivate many patients to come to treatment, yet this is the first and only collection and analysis of recurrent symptoms in psychotherapy; it leads to a new theory of the necessary conditions for symptom formation. Those who have examined symptom conditions have ...
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University of Pennsylvania, Philadelphia. Text on symptom formation in the context of clinical practice for psychologists.

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Overview

From a leading pioneer in short-term psychotherapy and psychotherapy research comes this innovative examination of a long-neglected topic - symptom formation in the context of clinical practice. Symptoms, psychological and psychosomatic, are what motivate many patients to come to treatment, yet this is the first and only collection and analysis of recurrent symptoms in psychotherapy; it leads to a new theory of the necessary conditions for symptom formation. Those who have examined symptom conditions have typically done so retrospectively through patient recall, or, less frequently, through behavioral recordings made by the patient near the time the symptom occurs. Both of these methods make interpretations of symptom onset conditions questionable because of the problem of memory distortion and subjectivity. In this volume, Dr. Luborsky describes the symptom-context method of gathering data as symptoms arise in vivo in the psychotherapy session. Transcripts of sessions are examined in light of each patient's symptom versus nonsymptom (control) segments, using controlled clinical ratings, scoring methods (both psychological and physiological), and background context.

The onset conditions for psychological symptoms/the context for stomach ulcer pains/laughing matters in psychotherapy.

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Editorial Reviews

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Presents a new theory of psychological and psychosomatic symptom formation in the context of clinical practice, and describes the symptom-context method of gathering data as symptoms arise in vivo in the psychotherapy session. Examines transcripts of sessions in light of patients' symptoms versus nonsymptom segments, and shows how to use controlled clinical ratings and scoring methods. For researchers and practitioners in psychotherapy. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9781557983541
  • Publisher: American Psychological Association
  • Publication date: 1/28/1996
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 405
  • Product dimensions: 7.30 (w) x 10.27 (h) x 1.35 (d)

Table of Contents

Acknowledgments: Sources of Support and Supportiveness
Ch. 1 The Symptom-Context Method: Its Origins and Uses and Why Clinicians and Researchers Need It 3
Ch. 2 A Guide to the Symptom-Context Method 11
Ch. 3 The Context for Momentary Forgetting 31
Ch. 4 The Context for Momentary Forgetting: Studies of Groups of Patients 63
Ch. 5 The Context for Sudden Depressive Mood Shifts 107
Ch. 6 Stalking the Elusive Contexts of a Phobia With a Modified Symptom-Context Method 151
Ch. 7 The Context for Stomach Ulcer Pains 177
Ch. 8 The Context for Migraine-Like Headaches 201
Ch. 9 The Context for Absence Epilepsy Episodes (Petit Mal)
Ch. 10 The Context for Premature Ventricular Contractions of the Heart
Ch. 11 Laughing Matters in Psychotherapy: How to Read Their Context 279
Ch. 12 A Symptom-Context Study of Family Therapy: What Makes Suzie Cry? 297
Ch. 13 The Context for Children's Touching of Treasured Objects: Bunnies, Bears, and Blankets 309
Ch. 14 The Context for Touching the Mouth Area During Psychoanalytic Sessions 343
Ch. 15 A Guide to Therapeutic Uses of Symptom-Context Methods 355
Ch. 16 Classical Theories of Symptom Formation: Freud, Engel and Schmale, Goldstein, Angyal, and Seligman 365
Ch. 17 Looking Ahead to a New Symptom-Context Theory of How Psychological and Psychosomatic Symptoms Form 377
Author Index 407
Subject Index 413
About the Author 421
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