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Despite the enormous progress in the pharmacological and cognitive-behavioral treatments of panic disorder over the last 30 years, these treatments often provide only temporary or partial relief and many patients continue to experience persistent anxiety symptoms after the discontinuation of treatment. Substantial evidence exists that intrapsychic conflict and characterological features play a central role in the genesis and onset of panic disorder as well as the frequency of relapse after the termination of treatment. Many clinicians believe that psychodynamic psychotherapy is the best-suited approach to address these issues. Based on extensive clinical experience and written by distinguished experts in the field, the Manual of Panic-Focused Psychodynamic Psychotherapy is the first manual to comprehensively examine the usefulness of exploratory psychotherapy in the treatment of panic disorder. It suggests that psychodynamic approaches can aid both psychopharmacological and cognitive-behavioral treatments and can often resolve panic symptoms in many patients when used as the sole treatment modality. The authors catalog psychological factors commonly present in panic disorder patients and describe how to address them within a psychodynamic psychotherapy. A wealth of clinical vignettes and a complete case example illustrate the psychodynamic approach to this disorder. Other treatment issues including defense mechanisms, transference, termination of treatment, and the use of this method in conjunction with other therapeutic approaches are also covered.
Psychodynamic Treatment of Depression addresses the use of psychodynamic psychotherapy, both alone and in combination with cognitive-behavioral, interpersonal, and medication treatments, as a method for reducing the psychological vulnerabilities that may predispose patients to persistent symptoms or recurrence of depression. Thoroughly revised and with new material, the second edition reflects changes codified in the DSM-5 classification and is intended for use by students, residents, or clinicians who are trained in the practice of psychotherapy. The authors' extensive clinical experience is thoroughly mined to provide techniques for tailoring the psychodynamic psychotherapeutic approach to patients with depression, and important topics such as narcissistic injury and vulnerability, guilt, defense mechanisms, and suicidality are addressed. The book is written in an accessible style and structured logically to support the acquisition and enhancement of psychotherapeutic skills through the systematic exploration of the psychodynamic model of depression. The volume's noteworthy content and features are many: * Just as patients' responses to medications vary, responses to particular therapeutic interventions are different in different patients. Accordingly, the authors locate psychodynamic psychotherapy within the context of current treatments for depression, including indications and contraindications.* A multitude of detailed and compelling clinical vignettes clearly illustrate the dynamics and techniques and facilitate learning across diverse clinical roles and practice settings.* A chapter on psychodynamic approaches to depression with comorbid personality disorder has been added to the new edition, because these disorders have been found to have an adverse effect on treatment outcome, including diminished response to antidepressants, reduced adherence to treatment, and longer time period to achieve remission. There is a growing evidence base for the effectiveness of psychodynamic psychotherapy, both alone and in tandem with other treatment modalities. Psychodynamic Treatment of Depression offers a robust model of psychodynamic therapy for depression and the detailed strategies and techniques clinicians need to improve outcomes with this significant patient group.
One of Moliere's gauche characters in Le Bourgeoise Gentilhomme re sponds with surprise when he learns that he has been speaking prose all his life. The apparent discovery, reflected in his comment, provides us with both the virtues and the difficulties in presenting "yet another book," especially one with a somewhat ambitious title as this one. The virtues may be cataloged under cross-fertilization among a number of disciplines which provides impetus to new ideas, work, and even dis coveries. The difficulties pertain to the difference in focus of each disci pline, the difference in the object each discipline chooses to study, and the difference in specialized language that accrues between fields of inquiry. Not too many years ago, natural science and especially psychology were within the confines of philosophy and its subsectors: the pre Socratic philosophers were essentially cosmologists, and only later, with Socrates and Plato's work, did an interest in epistemology assume a central position within philosophy. Although this event put man at the center of philosophical inquiry, the emergence of techniques to study psychological processes per se was indeed late and, at that, long after natural science had edged away from philosophy. Recently, it is some times difficult to distinguish linguistics from philosophy, because there is a strong wave of philosophical thinking that is dependent on linguistic analysis, and the specialized linguistics of that area depends heavily on philosophical musings."
Child and Adolescent Anxiety Psychodynamic Psychotherapy, CAPP, is a new, manualized, tested, 24-session psychotherapeutic approach to working psychodynamically with youth with anxiety disorders. This book describes how clinicians intervene by collaboratively identifying the meanings of anxiety symptoms and maladaptive behaviors and to communicate the emotional meaning of these symptoms to the child. The treatment is conducted from a developmental perspective and the book contains clinical examples of how to approach youth of varying ages. The authors demonstrate that CAPP can help youth: * Reduce anxiety symptoms by developing an understanding of the emotional meaning of symptoms * Enhance children's skill of reflection and self-observation of one's own and others' motivations (improvement in symptom-specific reflective functioning) * Diminish use of avoidance, dependence and rigidity by showing that underlying emotions (e.g. guilt, shame, anger), as well as conflicted wishes and desires can be tolerated and understood * Understand fantasies and personal emotional significance surrounding the anxiety symptoms to reduce symptoms' magical qualities and impact on the child The manual provides a description of psychodynamic treatment principles and technique and offers a guide to opening, middle, and termination phases of this psychotherapy. It contains chapters on the historical background of psychodynamic child psychotherapy, on developmental aspects of child psychotherapy, and on the nature of parent involvement in the treatment. It will be useful for clinicians from diverse therapy backgrounds and it will appeal to the student reader, as well as to the experienced clinician.
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