Psychodynamic psychotherapy a clinical manual google books

Try it now. No thanks. Bloomsbury Publishing Amazon. Alex Coren. Bloomsbury Publishing , 12 Sept - Psychology - pages.

This new edition reflects the growing use of short term therapy across a variety of settings. Packed with new material on key issues, the book explores the therapeutic relationship, the length of therapy and the evidence base for various forms of therapy.

No thanks. Clinical Psychology : Assessment, Treatment, and Research. David C. Richard , Steven K. Academic Press , 2 Sept - Psychology - pages. The text is designed for students in their first year of clinical psychology graduate training.

Preview this book ». What people are saying - Write a review. Selected pages Page 9. Title Page. Table of Contents. Ethics in Assessment Treatment and Research. Assessment of Intelligence Achievement and Adaptive Behavior. Psychological Diagnosis.

Some therapists will use other rhythmic techniques such as deploying a metronome or tapping his or her foot or hand. While the patient follows the rhythmic movement with his or her eyes, the therapist will ask the patient to recall a traumatizing event.

The therapist then asks the patient to gradually shift negative thoughts to more pleasant ones. While the hallmark of EMDR is the regular back and forth of lateral eye movements—called bilateral stimulation— while focusing on the disturbing memory, there are eight phases, as described in Table 3. Composite case vignette 3. Only certain portions of EMDR use eye movement, and determining the target is a portion that does not use eye movement.

We planned that we would be finding targets this week. It is difficult. I was reminded of something when I headed over to your office today.

Whenever I smell someone wearing his cologne, I lose it. I was on an elevator once and when a guy got on smelling like that, I pushed all the buttons to get the elevator doors open. They must have thought I was nuts. I want to keep it on our radar to work on in the future. Of course, when you feel ready. This vignette demonstrates that, again, as with psychodynamic psychotherapy and TF-CBT, the therapist encourages a strong therapeutic alliance and empathy to lay the groundwork for trust and the discussion of difficult topics.

The therapist allows the patient to choose what the topic will be. Some patients prefer to start with less traumatic events, while others immediately want to tackle the most distressing target. EMDR differs from other treatments in that bilateral stimulation—the back-and-forth of, e. Though some evidence suggests that eye movements are not necessary to evoke the improvements seen in EMDR, 13 this technique, as a whole, has been found to be effective as a treatment for PTSD.

The source of the bilateral stimulation in EMDR is not as important as the back-and-forth motion. Reprocessing targets serves to desensitize the patient to the distress previously evoked by the traumatic memories. Continuing to build up self-soothing skills also promotes confidence and a sense of mastery and agency in the survivor of sexual abuse and assault. There are several suggested ways 14 , 15 to work with patients in any psychotherapeutic modality, including normalizing and validating feelings, being nonjudgmental, and showing compassion Table 4.

Manage transference and countertransference. The therapeutic alliance is categorized by a warm emotional bond. It is not unusual in treatment for patients to have feelings for their therapists. When patients with abuse histories are decompensated, they might feel that their sexuality is their only valuable part.

Attempting to engage with the therapist on a sexual level could be an attempt by the patient to please or placate the therapist or to distract them from painful topics. The most important goal of the therapist in these situations is to maintain appropriate, safe boundaries. A patient might act-in, using defenses in session to replay or re-enact certain feelings or behaviors, and these can be of a sexual nature. A patient, e. Again, the role of the therapist is to maintain appropriate, healthy boundaries.

This can be done by gently noting when a patient might be acting in a sexualized manner, e. Create a safe place. Creating a welcoming, safe space in the session allows patients to discuss difficult topics. The use of supervision with an experienced therapist-supervisor can be helpful if a therapist struggles between helping a patient and wanting to know details to address their own curiosity, e.

Therapists are typically used to hearing difficult stories, but the interpersonal betrayal of sexual abuse and assault can be particularly difficult to bear. Pain, frustration, and despair are not unusual feelings for a therapist to have but so, too, are hope and joy.

Composite case vignette 4. B, from case vignette 1, has been seeing Dr. A for treatment for several months. They have been working on Ms. And this makes it even worse.

But you held this secret all by yourself for so many years. It is so hard to drag myself in here every week to go over this. This vignette demonstrates how intense emotions can emerge in session, but, here, Dr.

Because Dr. This allows a more nuanced introspection that can bring solace and understanding. If Ms. Further reading. Every patient deserves individualized care that is compassionate and helpful. There are some specific resources for sexual assault survivors. The CDC estimates that sexual violence affects one in three women and one in four men over the course of their lifetimes.

Processing abuse and trauma is a helpful and necessary step to recovery and is the main focus in these treatment modalities. General considerations for working with survivors of sexual abuse and assault are awareness of common pitfalls, managing transference and countertransference, and avoiding retraumatization. National Center for Biotechnology Information , U. Journal List Innov Clin Neurosci v. Innov Clin Neurosci. Gentile , MD. Author information Copyright and License information Disclaimer.

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