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By Richard F. Summers MD, Jacques P. Barber PhD ABPP

Presenting a practical, evidence-based method of carrying out psychodynamic remedy, this attractive consultant is firmly grounded in modern medical perform and examine. The e-book displays an openness to new impacts on dynamic process, akin to cognitive-behavioral remedy and optimistic psychology. It bargains a clean realizing of the most typical difficulties for which sufferers search help—depression, obsessionality, low vanity, worry of abandonment, panic, and trauma—and exhibits easy methods to arrange and carry powerful psychodynamic interventions. large case fabric illustrates each one level of treatment, from engagement to termination. specified themes comprise how you can combine person remedy with psychopharmacology and with couple or kin work.

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Sample text

Feelings of loss, separation, fear, worry over the impact of angry urges, loneliness, insecurity, and shame are intensified by the expectation that experiencing these feelings will make things worse. Usually, the opposite is true. Roosevelt’s famous encouragement to Americans in the midst of the Great Depression, “The only thing we have to fear is fear itself,” reminds us that the feeling is not the fact. Believing in the truth of a feeling leads to trouble if it is an old feeling replayed. Indeed, confronting old feelings and re­experiencing them is viewed as therapeutic in therapies ranging from behavior therapy (Foa & Rothbaum, 1998) to experiential therapy or gestalt (Greenberg, 2002).

Beth’s relationship with me was rocky at times, and in addition to trying to understand it, much time was spent helping Beth feel safe and comfortable in the therapy. This included education, explanation about the therapy, and attention to particular moments of mistrust. Beth seemed to alternate between trusting, positive feelings and sudden anger, suspiciousness, and withdrawal. She became more and more aware that these reactions reflected her old feelings, which alternated between childlike trust and then betrayal and fear.

The therapeutic effectiveness of PPP depends on the patient’s feeling that the therapist understands and Pragmatic Psychodynamic Psychotherapy 35 accepts her specific feelings, needs, thoughts, and history. The therapist, in turn, feels that the patient knows that she knows these things. This loop of mutual awareness and understanding is what we mean by the specific attunement and empathic bond. We see this type of therapeutic closeness as an essential component of what facilitates change in the patient.

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