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This practical guide shows practicing psychotherapists and other helping professionals how to make the healing benefits of psychodynamic "talk therapy" available to any client, including those limited in available sessions by insurance, financial restrictions, or agency policy. The current mental health system relies on a single model of medication and behavior therapies, motivated by economic expediency rather than treatment quality, which results in a revolving door of treatment that leaves society constantly vulnerable to the impact of mental illness. As a remedy, The Patient as the Center:…mehr
This practical guide shows practicing psychotherapists and other helping professionals how to make the healing benefits of psychodynamic "talk therapy" available to any client, including those limited in available sessions by insurance, financial restrictions, or agency policy. The current mental health system relies on a single model of medication and behavior therapies, motivated by economic expediency rather than treatment quality, which results in a revolving door of treatment that leaves society constantly vulnerable to the impact of mental illness. As a remedy, The Patient as the Center: Integrating Psychodynamic Approaches with Other Mental Health Treatments offers the integration of psychoanalytic and behavioral therapies and practices that are consistently evaluated for effectiveness and customized to each patient's needs. These requirements include recognition of the complexity of mental illness, possible need for intervention throughout the life cycle, open access to treatment, adequate funding, long-term facilities, consistent retrofitting of treatments, and duration and frequency determined by patient-therapist arrangement. After a careful examination of various therapeutic models and extant research data, the authors highlight the pervasive lack of integrative consideration of issues of multisectionality and multiple identities in clinical conceptualization and practice, while providing ample clinical examples of how such an integration can be accomplished. This resource is particularly useful for clinicians in training or early in their careers who are in the process of making decisions about the treatment approaches that make sense for them and their clients, as well as for the more seasoned clinicians jaded by bureaucracy that obstructs best treatment practice and who are seeking alternative approaches.
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Autorenporträt
William G. Herron is a supervisor in the Psychiatric Residency Program at Bergen New Bridge Medical Center and in independent practice in Woodcliff Lake, NJ. He was professor in the Clinical Psychology Program at St. John's University for forty years and director of Clinical Psychology and of School Psychology during his time there. He was also Faculty, Supervisor, Training Analyst, and Clinical Director at the Contemporary Center for Advanced Psychoanalytic Studies and at the New Jersey Institute for Psychoanalytic Training where he was Training Board Chair. He has authored, co-authored, or coedited fourteen books, primarily with a psychodynamic emphasis, as well as numerous articles. His frequent collaborator is Rafael Javier. His most recent book was Understanding Domestic Violence (2018), and his most recent article was "The Impact of Pluralism" (2019) published in Psychology and Psychological Research International Journal.
Inhaltsangabe
Acknowledgments Introduction CHAPTER 1: MENTAL HEALTH TREATMENT The Modern Treatment Area Current Mental Health Delivery The Next Step Integrated Psychotherapy CHAPTER 2: THE CLINICAL VALUE OF PSYCHOANALYSIS Distinctions Psychoanalytic Therapy Identity Diffusion/Confusion The Personalized Approach Doing What Works Symptom Relief Customized Treatment CHAPTER 3: PLURALISM: PATHWAYS TO INTEGRATION Pluralism in Psychoanalysis Integration Drive Reconsidered Another Step Away Distinctions from Traditional Psychoanalysis Diagnosis Overall Approach The Relational Turn Next Step CHAPTER 4: SESSION NOTES AND COMMENTS Case 1: Slow Motion Case 2: If Only Case 3: The Other Reality Case 4: More Delusions Case 5: Not My Fault Case 6: I Am Addicted Case 7: No Respect Case 8: Sort of True Case 9: The Dream When It Does Not Work CHAPTER 5: THE CROOKED PATH OF EFFECTIVENESS Intersectionality Integration Some Considerations Psychoanalytic Training Disruptions Further Comments Integrative Specifics Etiology The Nonanalytic Patient Concluding Remarks CHAPTER 6: PSYCHOTHERAPY RESEARCH OUTCOMES: POSSIBILITIES AND LIMITATIONS On Determining Core Ingredients for Therapeutic Change On the Role of Common Factors A Shifting of Responsibility for Change Where Are We in Our Scientific Enterprise? What Are We Left With? Uniqueness of Psychoanalytic-Focused Interventions Crisis in the Academy Concluding Thoughts: In Search of Intellectual Humility CHAPTER 7: LANGUAGE AND ITS VICISSITUDE IN BILINGUAL TREATMENTS A Case of Intersectional Trauma: A Search for Meaning The Case Synopsis of Ms. G Multigenerational Trauma Vicissitudes of a Traumatic Life I Have Feelings Too: Navigating Her Emotions in Two Languages In Search of Her Father On Relying on a Second Language to Forge a New Identity Concluding Thoughts CHAPTER 8: ON THE NEUROSCIENTIFIC BASIS OF INTERSECTIONAL-COLORED TRAUMA AND ITS SEQUALAE Trauma and Its Neurological and Psychic Representation On the Vicissitude of Self-Development in Traumatic Contexts On the Intimate Interplay Between a Victim and a Perpetuator Critical Moments and Trauma Development The Anatomy of Our Affective State Clinical Implications Where Can We Go from Here? Conclusion CHAPTER 9: ON INHERENT PSYCHOLOGICAL FACTORS IN SOME CRIMINAL BEHAVIORS Is There a Reasonable Explanation for Criminal Behaviors? A Psychological Explanatory Model of Criminal Behavior A View of Criminality in Psychoanalytic Contexts The Role of Trauma in Criminal Behaviors Concluding Thoughts CHAPTER 10: SUMMARY AND CONCLUSIONS References Index About the Authors
Acknowledgments Introduction CHAPTER 1: MENTAL HEALTH TREATMENT The Modern Treatment Area Current Mental Health Delivery The Next Step Integrated Psychotherapy CHAPTER 2: THE CLINICAL VALUE OF PSYCHOANALYSIS Distinctions Psychoanalytic Therapy Identity Diffusion/Confusion The Personalized Approach Doing What Works Symptom Relief Customized Treatment CHAPTER 3: PLURALISM: PATHWAYS TO INTEGRATION Pluralism in Psychoanalysis Integration Drive Reconsidered Another Step Away Distinctions from Traditional Psychoanalysis Diagnosis Overall Approach The Relational Turn Next Step CHAPTER 4: SESSION NOTES AND COMMENTS Case 1: Slow Motion Case 2: If Only Case 3: The Other Reality Case 4: More Delusions Case 5: Not My Fault Case 6: I Am Addicted Case 7: No Respect Case 8: Sort of True Case 9: The Dream When It Does Not Work CHAPTER 5: THE CROOKED PATH OF EFFECTIVENESS Intersectionality Integration Some Considerations Psychoanalytic Training Disruptions Further Comments Integrative Specifics Etiology The Nonanalytic Patient Concluding Remarks CHAPTER 6: PSYCHOTHERAPY RESEARCH OUTCOMES: POSSIBILITIES AND LIMITATIONS On Determining Core Ingredients for Therapeutic Change On the Role of Common Factors A Shifting of Responsibility for Change Where Are We in Our Scientific Enterprise? What Are We Left With? Uniqueness of Psychoanalytic-Focused Interventions Crisis in the Academy Concluding Thoughts: In Search of Intellectual Humility CHAPTER 7: LANGUAGE AND ITS VICISSITUDE IN BILINGUAL TREATMENTS A Case of Intersectional Trauma: A Search for Meaning The Case Synopsis of Ms. G Multigenerational Trauma Vicissitudes of a Traumatic Life I Have Feelings Too: Navigating Her Emotions in Two Languages In Search of Her Father On Relying on a Second Language to Forge a New Identity Concluding Thoughts CHAPTER 8: ON THE NEUROSCIENTIFIC BASIS OF INTERSECTIONAL-COLORED TRAUMA AND ITS SEQUALAE Trauma and Its Neurological and Psychic Representation On the Vicissitude of Self-Development in Traumatic Contexts On the Intimate Interplay Between a Victim and a Perpetuator Critical Moments and Trauma Development The Anatomy of Our Affective State Clinical Implications Where Can We Go from Here? Conclusion CHAPTER 9: ON INHERENT PSYCHOLOGICAL FACTORS IN SOME CRIMINAL BEHAVIORS Is There a Reasonable Explanation for Criminal Behaviors? A Psychological Explanatory Model of Criminal Behavior A View of Criminality in Psychoanalytic Contexts The Role of Trauma in Criminal Behaviors Concluding Thoughts CHAPTER 10: SUMMARY AND CONCLUSIONS References Index About the Authors
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