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Problem-Focused Psychodynamic Psychotherapy
2021
For many years, the general rule of thumb in psychoanalysis and psychodynamic psychotherapy has been to refrain from focusing too much on specific symptoms or problems so as to not interfere with free association or the effectiveness of the psychoanalytic approach.
When Fredric Busch, M.D., and colleagues developed panic-focused psychodynamic therapy in the 1990's and subsequently psychodynamic approaches to depression, they emphasized the value of more active interventions, a focus on symptoms and associated dynamics, and occasional psychoeducation.
In this new volume, he expands the scope of that work, articulating how a focused psychodynamic psychotherapeutic approach can be adapted for patients in general. Rather than one specific aspect of patients' difficulties, Problem Focused Psychodynamic Psychotherapy (PrFPP) focuses on the set of problems (e.g., symptoms, relationship issues, behavioral difficulties) a particular patient brings into the consulting room.
Through numerous tables and a wealth of case vignettes, this guide provides novice and experienced clinicians alike with a general template for working with patients to identify and address the overlapping and unique dynamics of various problems.
It describes how to use psychodynamic exploratory techniques to make problem lists and examine the context and emotions surrounding each issue. It also discusses how to develop a psychodynamic formulation to provide a framework for identifying and addressing the dynamic contributors to the various problems.
Therapist and patient can then undertake the \"working through\" process to identify how specific dynamics emerge in different contexts and overlap in contributing to problems.
All of these approaches help spur patients' self-reflective capacities and the identification of their own dynamics—making it possible to more rapidly address core difficulties. The work also enables the continued use of these modes of managing problems after the treatment is completed.
And because PrFPP is suitable for short- and longer-term interventions, it is valuable for patients who either cannot commit to long-term treatment or only have access to brief interventions.
Understanding therapy : how different approaches solve real-world problems
\"This accessibly written book explores many types of psychotherapy, discussing the history, tenets, advantages, and shortcomings of each. It also compares and contrasts how different approaches address real-world mental health concerns\"-- Provided by publisher.
A New Way of Analysing Dreams on Its Profoundest Level: The Development of Motif Analysis and Phase Model
2024
Dream research today assumes that there is a connection between dreams and waking life. However, the structural alteration of dream motifs in connection with the psychotherapeutic process and waking life has not yet been researched extensively. This study depicts the development of the new Motif Analysis and Phase Model (MAP), a dynamic method which allows research on the previous aspects. The following question was investigated as an accompanying key issue: can a connection be established between the course of the dream patterns and the agency of the dream ego as well as the dream contents and the course of the psychotherapies of the dreaming person as a whole? Four hypotheses were formulated and tested. The data material consists of 217 dreams of a male test subject. The motifs were analysed using Structural Dream Analysis (SDA) at first. Thereafter, the content was linked to the test subject’s waking life in a guided interview. The findings show a strong connection between the dream content and the psychotherapies as well as the test subject’s waking life. Five motifs with structural changes were found, through which the Phase Model with four phases was developed. At turning points, the transformative child motif also appears in the dreams. The course of the dream patterns and agency of the dream ego, however, has not changed. The results, the method and the generalisability were critically discussed and recommendations for future research were formulated.
Journal Article
Complex dilemmas in group therapy : pathways to resolution
\"Group work presents the therapist with many situations, considerations, and, ultimately, decisions that are unique to the practice of group psychotherapy. Complex Dilemmas in Group Therapy includes advice and insights from more than fifty of the most eminent group therapists in the world and is edited by two leading thinkers and practitioners in the field. In its pages clinicians will find expert guidance on some of the most difficult situations group therapists face, and they'll come away from the book with a host of practical strategies for facilitating their work as well as deeper and broader understanding of the overarching ideas that underpin the practice of successful group therapy\"-- Provided by publisher.
Operational definition of 'Expert Therapist' in empirical research. A Systematic Review
2024
Background: The study of the characteristics of therapists with superior performance could be useful for the understanding of psychotherapy and the development of training methods. However, currently this field faces difficulties in the conceptual and theoretical delimitation of the phenomenon. Aim: To analyze the theoretical and operational definition of expert therapist in empirical research published in academic journals. Method: Systematic scope review, based on keywords related to psychotherapeutic expertise, according to PRISMA criteria. Results: A total of 36 articles were analyzed. Only seven studies were based on a theory of expertise. The role of the expert was delimited to thematic consultant, reagent of an experimental situation or result of a test. The criteria to delimit the variable were institutional affiliation, contribution to the discipline, credentials, work dedication, experience, training, peer nomination, deliberate practice and performance. Conclusions: The concept of expert psychotherapist is highly heterogeneous and poorly defined in research. Finally, most articles use unreliable methods to define expertise in this area.
Journal Article
An introduction to marriage and family therapy
\"Now in its second edition, this text introduces readers to the rich history and practice of Marriage and Family Therapy, with 32 professionals from across the US presenting their knowledge in their areas of expertise. This blend of approaches and styles gives this text a unique voice and makes it a comprehensive resource for graduate students taking their first course in Marriage and Family Therapy. The book is divided into three sections: Part 1 focuses on the components on which 21st century family therapy is based and summarizes the most recent changes made to not only therapeutic interventions, but to the very concept of \"family.\" Part 2 presents an overview of the 7 major theoretical models of the field: structural, strategic, Milan, social constructionist, experiential, transgenerational, and cognitive-behavioral family therapy. Each chapter in this section - Focuses on the founder of the theory, its theoretical tenants, and its key techniques - Shows how the model focuses on diversity - Presents the research that supports the approach Part 3 addresses specific treatment areas that are common to marriage and family therapists, such as sex therapy, pre-marital therapy, research, and ethics and legal issues\"-- Provided by publisher.
El Rol del Humor en la Praxis de la Psicoterapia: Perspectiva desde el Psicoterapeuta Constructivista Cognitivo
2023
Humor in psychology has generated abundant literature, highlighting its potential benefit in mental health. However, in Chile there is little theoretical-empirical research on this phenomenon in psychotherapeutic practice. This investigation is framed in the study of the use of humor by cognitive constructivist therapists, whose objective was to identify, describe and analyze the functions of humor and its effects in the psychotherapeutic process with adult patients. A descriptive qualitative methodology was used. The information was collected through semi-structured interviews with 12 therapists, seven women and five men, between eight and thirty-nine years of clinical experience in psychotherapy. Grounded Theory was used for the analysis, through open and axial coding. The results indicate that there is no single way of understanding humor in psychotherapy, that there are essential conditions for the use of humor in therapy, that there are specific purposes for its use and that its presence would generate effects in the therapist, the patient and the therapeutic relationship. A comprehensive proposal of the processes and relationships between the different elements resulting from this research is formulated, from the point of view of the cognitive constructivist therapist. Humor is considered as a constitutive part of human beings and, under certain conditions, it can be incorporated in psychotherapy as a mechanism of change in the systems of meaning of the subject’s experience, which allows contributing to the progress of the discipline.
Journal Article