Psychodynamic Psychotherapy: A Clinical Manual

This expanded and updated edition of a widely–used, practical guide to psychodynamic psychotherapy provides material that readers can apply immediately in their treatment of patients. It is built around a unique and proven approach that clearly teaches psychodynamic psychotherapy using three key steps – listening, reflecting, and intervening. These are applied to all aspects of treatment, and supported by core psychotherapeutic concepts such as evaluation, empathic listening, and setting the frame.

The Second Edition has been fully revised to reflect the latest developments in the field. While retaining the structure, clarity, and relevance that have made this one of the most popular texts in its field, the authors have added new research, a wealth of new exercises, and an educators guide to help teachers and program directors make best use of the book in training programs. The result is an invaluable resource for those seeking to teach, understand, and practice psychodynamic psychotherapy.

Preface

Acknowledgments

Use of this Manual

About the Companion Website

Introduction

PART ONE: What Is Psychodynamic Psychotherapy? 1

1 The Treatment for a Mind in Motion 2

2 How Does Psychodynamic Psychotherapy Work? 7

PART TWO: Assessment 14

3 Creating a Safe Place and Conducting an Assessment 16

4 Assessing Domains of Function 25

5 The Initial Formulation 42

6 Indications for Psychodynamic Psychotherapy 51

PART THREE: Beginning the Treatment 61

7 Informed Consent and Collaborative Goal Setting 63

8 Setting the Frame and Establishing Boundaries 71

9 Developing a Therapeutic Alliance 84

10 Technical Neutrality 92

11 Conducting a Psychotherapy Session 99

12 Our Patients Feelings about Us and Our Feelings about Our Patients 107

13 Empathic Listening 115

14 Looking for Meaning 123

15 Medication and Therapy 127

PART FOUR: Listen/Reflect/Intervene 135

16 Learning to Listen 136

17 Learning to Reflect 141

18 Learning to Intervene 150

PART FIVE: Conducting a Psychodynamic Psychotherapy: Technique 175

19 Affect 177

20 Free Association and Resistance 189

21 Transference 202

22 Countertransference 220

23 Unconscious Conflict and Defense 231

24 Dreams 246

Review activity for Part Five The Microprocess Moment: Understanding a Moment in Therapy 257

PART SIX: Meeting Therapeutic Goals 260

25 Improving Self–Perceptions and Self–Esteem Regulation 261

26 Improving Relationships with Others 270

27 Improving Adapting to Stress 276

28 Improving Cognitive Function 383

PART SEVEN: Working Through and Ending 296

29 Working Through 297

30 Ending 304

Deborah Cabaniss is Professor of Clinical Psychiatry, Director of Psychotherapy Training, and Associate Director of Residency Training in the Columbia University Department of Psychiatry. Dr. Cabaniss, who is also Director of the Virginia Apgar Academy of Medical Educators at the Columbia University College of Physicians and Surgeons, is a recipient of Columbia University s Presidential Award for Outstanding Teaching. She has published extensively on topics related to psychiatric and psychoanalytic education, and is a Training and Supervising Analyst at the Columbia University Center for Psychoanalytic Training and Research.

Carolyn J. Douglas is Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons, and Adjunct Associate Professor of Clinical Psychiatry at Weill Medical College of Cornell University. Dr. Douglas is the author of several publications on teaching supportive psychotherapy to psychiatric residents, the psychotherapy selection process, and psychodynamic psychotherapy.

Anna R. Schwartz is Assistant Clinical Professor of Psychiatry at the Columbia University College of Physicians and Surgeons, and Director of the Psychodynamic Psychotherapy Program at the Columbia University Center for Psychoanalytic Training and Research. Dr. Schwartz is also a former recipient of the Irma Bland Teaching Award from the American Psychiatric Association.

Sabrina Cherry is Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons and currently practices psychiatry and psychoanalysis in New York City. Dr. Cherry is also a Training and Supervising Analyst and active teacher of psychoanalytic candidates at Columbia Center for Psychoanalytic Training and Research.