Behavioral change in psychoanalytic treatments -- Psychoanalytic understanding of factors that impede behavioral change -- Identifying and addressing risks in targeting behavioral change -- Psychodynamic techniques in addressing behavioral change -- A framework for targeting behavioral change -- Identifying dynamic contributors to problematic behaviors -- Identifying alternative behaviors -- Identifying interfering factors in performing alternative behaviors -- Working with the degree and impact of behavioral change -- Specific behavioral problems and engaging the patient in addressing them -- Addressing behavioral problems related to adverse developmental experiences and trauma

RESISTANCE AND THE PROCESS OF THERAPEUTIC CHANGE Paul L. Wachtel Psychotherapy, whether practiced from a psychodynamic or a behavioral point of view,! is rarely as straightforward as textbooks and case reports usually seem to imply. More often the work proceeds in fits and starts (and often does not seem to be proceeding at all, but rather unraveling or moving backward). The "typical" case is in fact quite atypical. Almost all cases present substantial difficulties for which the therapist feels, at least some of the time, quite unprepared. Practicing psychotherapy is a difficult-if also rewarding-way to earn a living. It is no profession for the individual who likes certainty, predictability, or a fairly constant sense that one knows what one is doing. There are few professions in which feeling stupid or stymied is as likely to be a part of one's ordinary professional day, even for those at the pinnacle of the field. Indeed, I would be loath to refer a patient to any therapist who declared that he almost always felt effective and clear about what was going on. Such a feeling can be maintained, I believe, only by an inordinate amount of bravado and lack of critical self-reflection. But the therapist trying to get some ideas about how to work with 1 These are, of course, not the only two points of view in psychotherapy; nor do I believe they are the only two of value.

Authoritative and comprehensive, this volume provides a contemporary psychodynamic perspective on frequently encountered psychological disorders in adults, children, and adolescents. Leading international authorities review the growing evidence base for psychoanalytic theories and therapeutic models. Chapters examine the etiology and psychological mechanisms of each disorder and thoroughly describe effective treatment strategies. Highly accessible, the book is richly illustrated with clinical case material. It demonstrates ways in which psychodynamic theory and therapy are enhanced by integrating ideas and findings from neuroscience, social and personality psychology, cognitive-behavioral therapy, and other fields. Winner?Goethe Award for Psychoanalytic and Psychodynamic Scholarshipÿ

A comprehensive look at corrective experiences across the main psychotherapeutic approaches.

Defending theoretical areas may be one way to cope with external impingments on clinical practice, but advancements are needed to enhance and improve the work. This text explores an approach based on applying cognitive-behaviour techniques in psychodynamic clinical practice. It aims to help understand, theoretical and practical, of the strengths and limitations of the approach, as well as how to determine when to combine approaches when treating couples, children, adolescents, older adults, even cases of abuse and chemical dependency.

Whereas psychoanalysis and psychodynamic therapy have traditionally avoided focusing too much on specific symptoms or problems--lest they interfere with free association--this new guide articulates the value of more active and symptom-focused interventions. Having worked on focused psychodynamic treatments of panic disorder, depression, trauma, and behavioral change, Fredric Busch, M.D. expands on that work here, articulating how a focused approach can be adapted for patients in general. Drawing on a wealth of case vignettes, the book describes how to apply Problem-Focused Psychodynamic Psychotherapy (PrFPP) to symptoms, personality issues, behavioral problems, and relationship difficulties. It provides novice and experienced clinicians alike with the tools they need to help patients identify problem areas and understand how specific dynamics emerge in different contexts and overlap in contributing to issues. The psychodynamic techniques readers will glean in these pages demonstrate how to rapidly address core difficulties, expanding patients' self-reflective capacities and the identification of their own dynamics--even in the case of short-term interventions.

Couples counseling is distinct from individual and family therapy and, while ideas from these other formats may be overlapping, applying theoretical concepts to couples has distinctive challenges. Behavioral, Humanistic-Existential, and Psychodynamic Approaches to Couples Counseling is unique in that it addresses how to conceptualize various theories around a single case. By discussing only one case, the reader is more readily able to compare and contrast the theoretical ideas of each theory, as well as the pragmatics of techniques. Five theories are discussed around four consistent parts: history, theory of problem formation, theory of problem resolution, and case transcript.

Celebrating the 50th anniversary of a best-selling and renowned reference in psychotherapy research and practice. Now celebrating its 50th anniversary and in its seventh edition, Bergin and Garfield's Handbook of Psychotherapy and Behavior Change, maintains its position as the essential reference volume for psychotherapy research. This bestselling reference remains the most important overview of research findings in psychotherapy. It is a rigorous and evidence-based text for academics, researchers, practitioners, and students. In recognition of the 50th anniversary, this edition contains a Foreword by Allen Bergin while the Handbook covers the following main themes: historical and methodological issues, measuring and evidencing change in efficacy and practice-based research, therapeutic ingredients, therapeutic approaches and formats, increasing precision and scale of delivery, and future directions in the field of psychotherapy research. Chapters have either been completely rewritten and updated or comprise new topics by contributors including: Characteristics of effective therapists Mindfulness and acceptance-based therapies Personalized treatment approaches The internet as a medium for treatment delivery Models of therapy and how to scale up treatment delivery to address unmet needs The newest edition of this renowned Handbook offers state-of-the-art updates to the key areas in psychotherapy research and practice today. Over 60 authors, experts in their fields, from over 10 countries have contributed to this anniversary edition, providing in-depth, measured and insightful summaries of the current field.

Cyclical Psychodynamics and the Contextual Self articulates in new ways the essential features and most recent extensions of Paul Wachtel's powerfully integrative theory of cyclical psychodynamics. Wachtel is widely regarded as the leading advocate for integrative thinking in personality theory and the theory and practice of psychotherapy. He is a contributor to cutting edge thought in the realm of relational psychoanalysis and to highlighting the ways in which the relational point of view provides especially fertile ground for integrating psychoanalytic insights with the ideas and methods of other theoretical and therapeutic orientations. In this book, Wachtel extends his integration of psychoanalytic, cognitive-behavioral, systemic, and experiential viewpoints to examine closely the nature of the inner world of subjectivity, its relation to the transactional world of daily life experiences, and the impact on both the larger social and cultural forces that both shape and are shaped by individual experience. Here, he discusses in a uniquely comprehensive fashiong the subtleties of the clinical interaction, the findings of systematic research, and the role of social, economic, and historical forces in our lives. The chapters in this book help to transcend the tunnel vision that can lead therapists of different orientations to ignore the important discoveries and innovations from competing approaches. Explicating the pervasive role of vicious circles and self-fulfilling prophecies in our lives, Cyclical Psychodynamics and the Contextual Self shows how deeply intertwined the subjective, the intersubjective, and the cultural realms are, and points to new pathways to therapeutic and social change. Both a theoretical tour de force and an immensely practical guide to clinical practice, this book will be essential reading for psychoanalysts, psychotherapists and students of human behavior of all backgrounds and theoretical orientations.

TABLE OF CONTENTS: Part 1 Theory, Methodology, and Experimentation. 1 Some Historical and Conceptual Perspectives on Psychotherapy and Behavior Change. 2 Experiemental Designs in Psychotherapy Research. 3 The Application of Psychophysiological Methods to the Study of Psychotherapy and Behavior Modification. 4 Laboratory Interview Research as an Analogue to Treatment. 5 Social Psychological Approaches to Psychotherapy Research. 6 Clinical Innovation in Research and Practice. Part 2: Analysis of Client-Centered Psychoanalytic, Eclectic, and Related Therapies. 7 The Evaluation of Therapeutic Outcomes. 8 Research on Client Variables in Psychotherapy. 9 Research on Certain Therapist Interpersonal Skills in Relation to Process and Outcome. 10 Content Analysis Studies of Psychotherapy: 1954 through 1968. Quantitative Reseach on Psychoanalytic Therapy. 12 Placebo Effects in Medicine, Psychotherapy, and Psychanalysis. 13 Research on Psychotherapy with Children. 14 Psychotherapy and Ataraxic Drugs. Part 3: Analysis of Behavioral Therapies. 15 Counterconditioning and Related Methods. 16 The Operant Approach in Behavior Therapy. 17 Psychotherapy Based Upon Modeling Principles. 18 The Nature of Learning in Traditional and Behavioral Psychotherapy. Part 4: Therapeutic Approaches to the Home, Family, School, Group, Organization, and Community. 19 Behavioral Intervention Procedures in the Classroom and in the Home. 20 Evaluative Research and Community Mental Health. 21 Empirical Research in Group Psychotherapy. 22 The Effects of Human Relations Training. 23 Research on Educational and Vocational Counseling. Part 5: Evaluating the Training of Therapists. 24 Research on the Teaching and Learning of Psychotherapeutic Skills.