Offering a sophisticated introduction to a contemporary
psychodynamic model of the mind and treatment, this book provides
an approach to understanding and treating higher level personality
pathology. It describes a specific form of treatment called
"dynamic psychotherapy for higher level personality pathology"
(DPHP), which was designed specifically to treat the rigidity that
characterizes that condition. Based on psychodynamic object
relations theory, DPHP is an outgrowth of transference-focused
psychotherapy (TFP) and is part of an integrated approach to
psychodynamic treatment of personality pathology across the
spectrum of severity -- from higher level personality pathology,
described in this volume, to severe personality pathology,
described in a companion volume, Psychotherapy for Borderline
Personality: Focusing on Object Relations. Together, they provide a
comprehensive description of an object relations theory-based
approach to treatment of personality disorders, embedded in an
integrated model of personality.
As a guide to treatment, Handbook of Dynamic Psychotherapy for
Higher Level Personality Pathology provides a clear, specific, and
comprehensive description of how to practice DPHP from beginning to
end, presented in jargon-free exposition using extensive clinical
illustrations. The authors offer a comprehensive description of
psychodynamic consultation that includes sharing the diagnostic
impression, establishing treatment goals, discussing treatment
options, obtaining informed consent, and establishing treatment
frame. Throughout, the book emphasizes fundamental clinical
principles that enable the clinician to think through clinical
decisions moment-to-moment and also to develop an overall sense of
the trajectory and goals of the treatment. Among the book's
benefits: - Takes a diagnosis-driven approach, presenting a clear
model of both the psychopathology and its treatment;- Explains
underlying theory and basic elements of DPHP for those first
learning dynamic therapy;- Offers an integrated, innovative
synthesis of contemporary psychodynamic approaches to personality
pathology and psychodynamic psychotherapy;- Describes goals,
strategies, tactics, and techniques of the treatment to demonstrate
its flexibility over a relatively long course of treatment;-
Provides sophisticated discussion of integrating dynamic
psychotherapy with medication management and other forms of
treatment.
DPHP offers a broad range of patients the opportunity to modify
maladaptive personality functioning in ways that can permanently
enhance their quality of life. Handbook of Dynamic Psychotherapy
for Higher Level Personality Pathology provides experienced
clinicians with a hands-on approach to that method, and is also
useful as a primary textbook in courses focusing on the technique
of dynamic psychotherapy or in courses on psychodynamics.
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