Psychodynamics, Training, and Outcome in Brief Psychotherapy

by David Malan, Ferruccio Osimo

Overview

Psychodynamics, Training, and Outcome in Brief Psychotherapy provides information pertinent to the fundamental aspects of dynamic psychotherapy. This book discusses the selection criteria, the principles of therapeutic methods, and the factors leading to therapeutic effects in psychotherapy. Organized into five parts encompassing 37 chapters, this book begins with an overview of the influence of research on clinical practice. This text then examines the evidences showing that most of the improvements were in fact due to therapy. Other chapters summarize the essential characteristics of the methods used with the patients in various case studies. This book discusses as well the concept of the triangle of conflict, which refers to one of the cornerstones of psychodynamic theory. The final chapter deals with the advantages of a psychotherapeutic clinic to certain kind of patients who can be greatly helped in a relatively short time. This book is a valuable resource for psychotherapists, psychiatrists, psychologists, and social workers.

Product Details

ISBN-13:	9781483193854
Publisher:	Elsevier Science
Publication date:	06/28/2014
Sold by:	Barnes & Noble
Format:	eBook
Pages:	350
File size:	3 MB

Table of Contents

What this book is aboutAcknowledgementsPart One Introduction to the Present Study 1 Beginning at the end The Nurse Mourning her Fiancé The Girl and the Mountain Tarn The Miner"s Daughter The Borderline Graduate Clerk The Librarian who Sought Suffering Conclusion 2 The present study: background, aims, methods Balint"s Workshop Malan"s Brief Psychotherapy Workshop Previous follow-up studies at the Tavistock Clinic Assessing outcome in previous follow-up studies Method of working in the present study Aims and characteristics of the present study Previous work by other authors The work of Davanloo 3 Measuring outcome Introduction The Sculptress with Nightmares Scoring The scoring of "false solutions" Patients who are worse Conclusion 4 Overview of the present study and its results Introduction The return rate Eligibility for the study Over-all results The ages of patients in the study Therapeutic aims Patients who had subsequent treatment Another moderately good result in an ineligible patient Definition and scientific status of the present study 5 The therapists Comment 6 Therapeutic technique and the two therapeutic triangles The focal technique and focal patients The two therapeutic trianglesPart Two Clinical Material 7 The conservative and radical techniques: two patients with favourable outcome Introduction Notes on the case histories The Pacifist Conductor The Sculptress with Nightmares Discussion 8 Two further patients with favourable outcome The Nurse Mourning her Fiancé The Librarian who Sought Suffering 9 Two male patients with oedipal problems Introduction The Car Battery Man The Betrayed Son Discussion 10 A woman patient with oedipal problems The Girl and the Mountain Tarn 11 The seven "best" cases, discussion Total resolution" Total resolution and the rest of the sample Similarities within the sample Relations with the opposite sex 12 False solutions: I. general. II. two patients with relatively adaptive false solutions Introduction False solutions: General The Rebellious Script Writer The Concert-goer in an Acute Panic 13 False solutions: III. three patients with less adaptive false solutions. IV. general discussion The Hypomanic Advertising Executive The Secretary in a State of Nirvana The Self-driving Physicist General discussion of false solutions 14 Two women who showed limited improvements The Allergic Receptionist Mother, or Teenage Daughter? 15 Patients who showed minimal improvements The Acting-out Accounts Clerk The Actress with Elocution Problems The Miner"s Daughter 16 Patients who showed no improvement The Anorexic Museum Assistant The Psychiatric Nurse with Attacks of Rage 17 Discussion of the five patients who showed minimal or no improvement 18 Patients who were worse: I. three patients who were wrongly diagnosed at initial assessment The Girl with Eye Problems The Borderline Graduate Clerk The Robot Man 19 Patients who were worse: IL a patient who ought to have given a favourable outcome The Victimised Telephonist 20 A calculated risk ending in catastrophe The Acutely Suicidal Receptionist 21 The five patients who were worse: discussion Part Three Types of Changes Found at Follow-up 22 Types of change: general Introduction Overview Discussion of Table 22.1 23 Emotional freeing 24 Resolution of maladaptive behaviour patterns 25 The ability to "be oneself Conclusion 26 Symptoms Discussion 27 Relations with the opposite sex: I. clinical material Introduction Clinical material 28 Relations with the opposite sex: II. problems of commitment 29 Problems of aggression and self-assertion: I. general Introduction: maladaptive and adaptive forms of aggression The Determined Mother The concept of constructive self-assertion Constructive self-assertion in the present series 30 Problems of aggression and self-assertion: II. clinical material 31 Problems of aggression and self-assertion: III. discussion Comparison between problems of self-assertion and problems with the opposite sex Classification of problems over aggression The causes of problems over aggression Comments on Table 31.1 Improvements that occurred during therapy "Subjective" and "objective" evidencePart Four Research Results 32 Therapeutic effects during therapy Comment 33 Can the improvements be attributed to therapy? Introduction: the nature of the evidence Patients in whom the improvements persisted at follow-up Additional evidence from improvements that did not persist at follow-up Comment Conclusion 34 Selection criteria Introduction The evidence on the four criteria The four criteria, conclusion 35 Further research results Further disproof of the conservative view of brief psychotherapy Types of patient treated and focus used Transference Therapeutic results Two fresh observations from the present work The possibility of "multi-focal" therapy Brief therapy by trainees Part Five The Value of the Work 36 The practical and theoretical value of the work: I. for trainees, supervisors, and psychotherapists in general Introduction Trainees, supervisors, and other therapists Initial assessment Psychopathology Technique Material and events of therapy Conclusion 37 The practical value of the work: II. for psychotherapeutic clinics and III for patients Psychotherapeutic clinics Patients The relevance to the position of brief psychotherapy in general The present work in the context of the work of Davanloo References Index

Editorial Reviews

A series of 24 case studies, conducted under the auspices of a supervision seminar at the Tavistock Clinic in London, evaluates the long-term results of brief dynamic psychotherapy carried out by trainees. The importance of the study is its demonstration that such therapy can be successfully conducted by supervised trainees as well as by experienced professionals. Analyzes the findings of the follow- up interviews to determine whether improvements were in fact due to the therapy. Annotation c. Book News, Inc., Portland, OR (booknews.com)

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