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Symptom-Focused Dynamic Psychotherapy (Hardcover)
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Symptom-Focused Dynamic Psychotherapy (Hardcover)
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Traditionally, psychoanalytically oriented clinicians have eschewed
a direct focus on symptoms, viewing it as superficial turning away
from underlying psychopathology. But this assumption is an artifact
of a dated classical approach; it should be reexamined in the light
of contemporary relational thinking. So argues Mary Connors in
Symptom-Focused Dynamic Psychotherapy, an integrative project that
describes cognitive-behavioral techniques that have been
demonstrated to be empirically effective and may be productively
assimilated into dynamic psychotherapy. What is the warrant for
symptom-focused interventions in psychodynamic treatment? Connors
argues that the deleterious impact of symptoms on the patient's
physical and emotional well being often impedes psychodynamic
engagement. Symptoms associated with addictive disorders, eating
disorders, OCD, and posttraumatic stress receive special attention.
With patients suffering from these and other symptoms, Connors
finds, specific cognitive-behavior techniques may relieve
symptomatic distress and facilitate a psychodynamic treatment
process, with its attentiveness to the therapeutic relationship and
the analysis of transference-countertransference. Connors' model of
integrative psychotherapy, which makes cognitive-behavioral
techniques responsive to a comprehensive understanding of symptom
etiology, offers a balanced perspective that attends to the
relational embeddedness of symptoms without skirting the
therapeutic obligation to alleviate symptomatic distress. In fact,
Connors shows, active techniques of symptom management are
frequently facilitative of treatment goals formulated in terms of
relational psychoanalysis, self psychology, intersubjectivity
theory, and attachment research. A discerning effort to enrich
psychodynamic treatment without subverting its conceptual ground,
Symptom-Focused Dynamic Psychotherapy is a bracing antidote to the
timeworn mindset that makes a virtue of symptomatic suffering.
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