Freud once humorously remarked that "Anyone who wants to make a
living from the treatment of nervous patients must clearly be able
to do something to help them". It is amazing how frequently this
simple precept is ignored and, when a patient does not get well,
how often the failure is attributed to lack of proper motivation,
diminutive ego strength, latent schizophrenia, and a multitude of
assorted resistances. Difficulties that arise during therapy are
not due to a deliberate conspiracy of neglect on the part of the
therapist. They usually come about because of obstructive
situations that develop in work with patients with which the
therapist is unprepared to cope. During his psychiatric career the
author, who spent time both teaching and supervising, collected and
collated questions from students and graduate therapists who had
raised concerns about psychotherapy that related to such
obstructive situations. Originally published in 1982, this volume
contains both those questions and his answers.
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