A primer for beginning psychotherapy /
William N. Goldstein.
Washington, D.C. : Brunner/Mazel, c1998.
xiv, 101 p. ; 23 cm.
0876308590 (paper : alk. paper)
More Details
Washington, D.C. : Brunner/Mazel, c1998.
0876308590 (paper : alk. paper)
catalogue key
Includes bibliographical references (p. 94-95) and index.
A Look Inside
About the Author
Author Affiliation
William N. Goldstein, M.D., is on the faculty of the Baltimore-Washington Institute for Psychoanalysis, where he is director of the Adult Psychotherapy Training Program. He is a Clinical Professor of Psychiatry at the Georgetown University Medical Center, a member of the editorial board of the American Journal of Psychotherapy, and a reviewer for the International Journal of Psychoanalysis. He has written extensively in professional journals and has previously published three books
Main Description
Designed especially for students and mental health professionals in the early stages of their careers, this primer is a practical guide to psychotherapy. Short and concise, it addresses virtually all questions that a neophyte therapist might have. The author presents the basics in a clear and succinct way, with special emphasis on techniques and clinical examples. The second edition employs the same convenient question-and-answer format used in the first edition of the work, and offers a broader range of topics. For this edition, Dr. Goldstein has included ideas from the schools of thought of self-psychology, social constructivism, and the relational school. A Primer for Beginning Psychotherapy, Second Edition offers a wealth of information that will prove of great value to psychiatry and clinical psychology students, and will be useful to all beginning mental health professionals.
Table of Contents
Prefacep. xi
Preface to the First Editionp. xiii
The Patientsp. 1
Who Are the Patients?p. 1
Can Patients Be Conveniently Placed into Diagnostic Groups?p. 1
What Are the Characteristics of the Normal-Neurotic Grouping?p. 2
What Are the Characteristics of the Borderline Grouping?p. 3
What Are the Characteristics of the Narcissistic Grouping?p. 8
What Are the Characteristics of the Psychotic Grouping?p. 9
Is Placing Patients into These Large Groupings Useful for Therapy?p. 10
The Therapistsp. 11
Who Are the Psychotherapists?p. 11
What Are Some of the Problems Inherent in Doing Psychotherapy?p. 12
How Important Is One's Personal Therapy or Psychoanalysis?p. 12
What Kinds of Personal Characteristics and Experiences Help Make a Good Therapist?p. 13
What About the Role of Life Experience?p. 13
What Is the Role of Training and Supervision?p. 13
How Long Does It Take to Become an Effective Therapist?p. 14
Is It Useful to See a Variety of Patients, or Is It Better to Specialize?p. 14
Do Some Therapists Work Better With Specific Types of Patients?p. 15
Is the Sex or Ethnic Background of the Therapist Important?p. 15
The Psychotherapyp. 17
How Can Psychotherapy Be Classified?p. 17
What Is Psychoanalysis, and for Whom Is It Indicated?p. 17
What Is Analytically Oriented Psychotherapy and for Whom Is It Indicated?p. 21
What is Modified Analytically Oriented Psychotherapy, and for Whom Is It Indicated?p. 22
What Is Dynamically Oriented Psychotherapy, and for Whom Is It Indicated?p. 23
What Is Supportive Psychotherapy, and for Whom Is It Indicated?p. 24
What Is Cognitive Therapy and for Whom Is It Indicated?p. 26
Larger Issues Regarding Psychotherapyp. 29
What Are the Larger Issues Regarding Psychotherapy?p. 29
What Is Meant by the Stability of the Therapeutic Environment?p. 29
Should the Therapist Be Neutral?p. 30
Must the Therapist Be Flexible?p. 30
What Is Countertransference, and What Role Does It Play?p. 31
What Is the Role of Empathy?p. 32
How Active Should the Therapist Be?p. 33
What Is the Mechanism of Change in Psychotherapy?p. 34
The Office Settingp. 35
How Important Is the Office Setting?p. 35
What Factors Are Important in Setting Up an Office?p. 35
What About the Waiting Room?p. 36
What About the Bathroom?p. 36
What About a Telephone?p. 37
Is a Home Office Desirable?p. 37
The Initial Interviewp. 39
What Should the Therapist Say When the Patient First Calls?p. 39
What Kinds of Patients Tend to Stay on the Phone, and How Does the Therapist Deal With Them?p. 40
What Are the Goals of the Initial Session?p. 41
How Is the Initial Session Structured?p. 42
How Does the Therapist Proceed With History Taking?p. 43
How Are Recommendations Made?p. 44
What Is the Best Way to Refer to Another Therapist?p. 46
Arrangementsp. 47
What Initial Arrangements Need to Be Discussed With the Patient?p. 47
What About Scheduling?p. 47
What About the Frequency of Sessions?p. 48
What About the Spacing of Sessions?p. 48
How Are Fees Established?p. 49
Should Patients Be Charged for Missed Appointments?p. 49
What Guidelines Is the Patient Given?p. 51
Are Contracts Desirable?p. 52
Should Smoking and Food Be Allowed During the Sessions?p. 53
What About Interactions Between Therapist and Patient Outside of the Sessions?p. 54
Transference and the Therapeutic Alliancep. 55
What Is the Difference Between the Therapeutic Alliance and Transference?p. 55
What Patients Have Problems Forming a Therapeutic Alliance?p. 56
How Is a Weak Therapeutic Alliance Strengthened?p. 56
With What Patients Does Transference Develop Rapidly?p. 57
What Are Some Generalizations Regarding the Handling of Transference?p. 58
How Does the Therapist Deal With Negative Transferences?p. 58
How Does the Therapist Deal With Eroticized Transferences?p. 59
Basic Strategyp. 61
Is There a Basic Strategy for Psychotherapy?p. 61
What Strategies Are Recommended for the Different Large Groupings?p. 62
What Is the Basic Strategy for Borderline Patients?p. 63
Therapeutic Interventionsp. 65
What Are the Insight-Oriented Interventions?p. 65
What Are the Supportive Interventions?p. 66
What Determines the Therapist's Choice of Intervention?p. 67
Regarding Interventions, What Is a Good Approach at the Beginning of Therapy?p. 67
Are the Manner and Style of the Intervention Important?p. 68
What Is an Affirmative Interpretation?p. 69
What Are Preparatory Comments?p. 69
Should Therapists Ask the Patient for Feedback on Their Interventions?p. 71
When Should the Therapist Answer Questions?p. 73
How Does the Therapist Deal With Lateness?p. 73
How Does the Therapist Deal With Missed Appointments?p. 73
How Does the Therapist Deal with Gifts?p. 74
Are Self Disclosures Useful?p. 75
What Is the 5-Minute Warning?p. 76
Interventions Regarding Anxiety and Defensep. 77
What Is an Intervention Regarding Anxiety and Defense?p. 77
How Does the Therapist Make Interventions Regarding Anxiety and Defense?p. 78
What Are Everyday Examples of Interventions Regarding Anxiety and Defense?p. 79
Can Interventions Address Other Uncomfortable Affects and Defense?p. 80
Can a Vignette Demonstrating Interventions Regarding Other Uncomfortable Affects and Defense Be Provided?p. 80
Can These Types of Interventions Be Made With Patients in the Psychotic Grouping?p. 82
What Differences Are There When Using These Interventions With More Troubled Patients?p. 82
What Happens When the Affect Experienced in the Therapy Session Is Too Intense?p. 83
What Does the Therapist Do When the Patient Loses His or Her Observing Ego?p. 83
Are There Other Conceptual Models That Can Be Used Instead of Anxiety and Defense?p. 84
Special Issues and Problemsp. 85
How Does the Therapist Deal With the Use of Primitive Defenses?p. 85
What Is Projective Identification, and How Is It Dealt With in Psychotherapy?p. 86
What are Enactments, and How Are They Dealt with in Psychotherapy?p. 88
How Does the Therapist Deal With Severe Acting Out?p. 89
How Does the Therapist Deal With the Suicidal Patient?p. 89
What Does the Therapist Do When Patients Show Problems in Reality Testing?p. 92
How Are Dreams Best handled in Psychotherapy?p. 93
What Are the Pros and Cons of Prescribing Medication?p. 94
Phases, Trends, and Terminationp. 97
Are There Phases or Trends in Psychotherapy?p. 97
When Does the Termination Phase Begin?p. 98
What Does the Termination Phase Involve?p. 99
Contemporary Schools of Thoughtp. 101
What Is Modern Conflict Theory?p. 101
What Is Close Process Attention?p. 102
What Is the Relational School?p. 103
What Is Self Psychology?p. 104
What Is Intersubjectivity?p. 106
What is Social Constructionism?p. 107
What Is Object Relations Theory?p. 107
Is It Advantageous to Mix and Integrate Different Models?p. 108
How Do Therapists of Different Models View Each Other?p. 109
Appendixp. 111
What is the Purpose of a Focus on Ego Functions?p. 111
How Does One Conceptualize Reality Testing?p. 112
What Is Sense of Reality?p. 113
What Is Adaptation to Reality?p. 113
How Does One Think about Impulse Control and Frustration Tolerance?p. 114
How Are Thought Processes Described?p. 114
What Are Interpersonal Relations and How Do They Differ from Object Relations?p. 116
What Is the Representational World and How Does It Relate to Self and Object Representations?p. 117
How Are Defense Mechanisms Conceptualized?p. 118
What Other Ego Functions Might We Consider?p. 120
Referencesp. 123
Indexp. 127
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