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Psychoanalytic Psychotherapy : A Practitioner's Guide - Nancy McWilliams

Psychoanalytic Psychotherapy

A Practitioner's Guide

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Published: 1st March 2004
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Building on the enormous popularity of her two previous texts on diagnosis and case formulation, this important work from Nancy McWilliams completes the trilogy by addressing in detail the art of psychodynamic treatment. McWilliams distills the essential themes of effective clinical practice across the vast range of suffering people who need help. Drawing from her years of experience as a clinician and supervisor, the author presents complex clinical information in personal, nontechnical language enriched by clinical vignettes, making this an essential psychoanalytic work and training text for therapists. The book begins with a description of the values, assumptions, and clinical and research findings that guide the psychoanalytic enterprise. The author goes on to discuss ways both clinicians and patients can best prepare for therapeutic work. She explores in depth the substance, boundaries, stresses, and rewards of a vocation in which the therapist's personal participation in the treatment relationship has consistently been found to be the central determinant of a client's growth and change. Challenging the widespread belief that only "healthier" patients do well in psychoanalytic

"The author fully meets the task she sets out to accomplish using her experiences both as therapist and patient....For those entering the field, it is a must-have text, and for seasoned practitioners it offers much food for thought."--"The Journal of Nervous and Mental Disease"
"Excellent....It is rare to find a text that is so excellent for new practitioners and that also has enough sophisticated clinical insights to be worthwhile reading for experienced therapists.....McWilliams has useful advice for therapists of all orientations. She combines hope and realism in a manner that engenders optimism for the future of psychoanalytic therapy....this is another excellent text by Dr. McWilliams--her best yet--which I cannot recommend too highly to any mental health professional who performs any type of psychotherapy. In my opinion, this should be the first book on treatment read by every beginning psychotherapist, including all psychiatric residents at the start of their residency."--"The Canadian Journal of Psychiatry"
.,."useful for anyone interested in a recent overview of psychoanalytic psychotherapy....The style of writing is clear and direct and does not overwhelm the reader with psychoanalytic jargon. The book contains a wealth of practical instruction and advice and includes many personal anecdotes from McWilliams' experience as an analyst. A striking element of the book is its near conversational tone....especially useful for students, teachers, and practitioners of psychoanalytic or psychodynamic therapies but therapists of all persuasions will find it interesting. Highly recommended for academic libraries serving programs in psychiatry or clinical psychology. An essentialbook for libraries serving psychoanalytic or psychodynamic training programs."--"E-Streams"
.,."the book is a survival guide for trainees and young professionals, a highly relevant reminder for supervisors and training programs of often overlooked professional issues and challenges, and a tome of experiential wisdom that practitioners of any orientation at any level of experience can easily identify with....provide[s] highly useful discussions of many topics not typically found [in] therapy texts, especially those emphasizing a particular technique. Those of us who supervise trainees commonly encounter these topics and the text will go a long way in providing an articulate source for trainees to refer to when faced with such issues....practitioners at all levels of experience can take in the benefits of the book."--"Psychologist-Psychoanalyst"
.,."an enjoyable and informative book and well worth the read."--"Psychiatric Services"
"This book is written by an experienced clinician and clinical supervisor, eager to share her knowledge, her professional, and sometimes personal, experiences with her readers....This is a very insightful book, one of the very few books that I am sure to go back to to seek advice on the therapy process and on self-care."--"Pastoral Sciences"
"This is a wonderful book, written by a seasoned veteran who is able to communicate ideas in a very readable manner. As I read the material, I found myself saying, 'Yes, yes.' Therapists of any orientation can gain a considerable amount because her ideas address therapy issues which we all encounter. For those in the psychodynamic camp, it should be considered 'must' reading. I appreciate the author's directand candid style....4 Stars!"--"Doody's Electronic Journal"
.,."contains vital information that practitioners and recipients alike should internalize to promote optimum treatment results....covers all the basic groundwork with the calm, reasoned voice of years of practical experience. Recommended for those considering psychotherapy as a career as well as those involved in practice looking to broaden their awareness of available methods."--"Wisconsin Bookwatch" "Stands as a beacon, not simply recalling, but recreating the tenets of psychoanalytic practice in a broad-minded and frank way....This book will be a godsend to beginning therapists, and yet a stimulating read for the more experienced practitioner. McWilliams has a rare ability to celebrate the pluralities in our practices, despite deep division in theory and so-called techniques, while emphasizing the fundamental similarities in practice necessary to create and foster therapeutic relationships....McWilliams' style is accessible, candid, and humorous....Along with her warmth, perspective, and inclusiveness, McWilliams offers us a formidable array of references on every topic relevant to practice, from therapy outcome research to legal dilemmas to the importance of self-care."--"The American Journal of Psychoanalysis"
"The author has a gift to address complicated issues in psychotherapeutic practice and make them more clear and succinct, so one can more easily locate one's own personal stance amongst the widely divergent opinions present in the massive clinical literature."--"Psychotherapy Review"

"Nancy McWilliams [is]...an insightful scholar, an engaging author, and a respected synthesizer of, and contributor to, the accumulated wisdom of the psychoanalytic enterprise. This reputation is founded, in part, on two previous books that have been widely read and admired: "Psychoanalytic Diagnosis "(1994)...and "Psychoanalytic Case Formulation "1999..."Psychoanalytic Psychotherapy" completes the trilogy....Many prominent reviewers of this book have already commented on the wide-ranging clinical wisdom that it transmits....It is not unusual for a book jacket to describe a psychotherapy text as essential reading that is equally valuable for trainees and experienced therapists. Although this seldom may truly be the case, I believe that it is the case with all three books in McWilliams' outstanding trilogy."--"Bulletin of the Menninger Clinic" "The author fully meets the task she sets out to accomplish using her experiences both as therapist and patient....For those entering the field, it is a must-have text, and for seasoned practitioners it offers much food for thought."--"The Journal of Nervous and Mental Disease"
"Excellent....It is rare to find a text that is so excellent for new practitioners and that also has enough sophisticated clinical insights to be worthwhile reading for experienced therapists.....McWilliams has useful advice for therapists of all orientations. She combines hope and realism in a manner that engenders optimism for the future of psychoanalytic therapy....this is another excellent text by Dr. McWilliams--her best yet--which I cannot recommend too highly to any mental health professional who performs any type of psychotherapy. In my opinion, this should bethe first book on treatment read by every beginning psychotherapist, including all psychiatric residents at the start of their residency."--"The Canadian Journal of Psychiatry"
.,."useful for anyone interested in a recent overview of psychoanalytic psychotherapy....The style of writing is clear and direct and does not overwhelm the reader with psychoanalytic jargon. The book contains a wealth of practical instruction and advice and includes many personal anecdotes from McWilliams' experience as an analyst. A striking element of the book is its near conversational tone....especially useful for students, teachers, and practitioners of psychoanalytic or psychodynamic therapies but therapists of all persuasions will find it interesting. Highly recommended for academic libraries serving programs in psychiatry or clinical psychology. An essential book for libraries serving psychoanalytic or psychodynamic training programs."--"E-Streams"
.,."the book is a survival guide for trainees and young professionals, a highly relevant reminder for supervisors and training programs of often overlooked professional issues and challenges, and a tome of experiential wisdom that practitioners of any orientation at any level of experience can easily identify with....provide[s] highly useful discussions of many topics not typically found [in] therapy texts, especially those emphasizing a particular technique. Those of us who supervise trainees commonly encounter these topics and the text will go a long way in providing an articulate source for trainees to refer to when faced with such issues....practitioners at all levels of experience can take in the benefits of thebook."--"Psychologist-Psychoanalyst"
.,."an enjoyable and informative book and well worth the read."--"Psychiatric Services"
"This book is written by an experienced clinician and clinical supervisor, eager to share her knowledge, her professional, and sometimes personal, experiences with her readers....This is a very insightful book, one of the very few books that I am sure to go back to to seek advice on the therapy process and on self-care."--"Pastoral Sciences"
"This is a wonderful book, written by a seasoned veteran who is able to communicate ideas in a very readable manner. As I read the material, I found myself saying, 'Yes, yes.' Therapists of any orientation can gain a considerable amount because her ideas address therapy issues which we all encounter. For those in the psychodynamic camp, it should be considered 'must' reading. I appreciate the author's direct and candid style....4 Stars!"--"Doody's Electronic Journal"
.,."contains vital information that practitioners and recipients alike should internalize to promote optimum treatment results....covers all the basic groundwork with the calm, reasoned voice of years of practical experience. Recommended for those considering psychotherapy as a career as well as those involved in practice looking to broaden their awareness of available methods."--"Wisconsin Bookwatch" "Stands as a beacon, not simply recalling, but recreating the tenets of psychoanalytic practice in a broad-minded and frank way....This book will be a godsend to beginning therapists, and yet a stimulating read for the more experienced practitioner. McWilliams has a rare ability to celebrate the pluralities in our practices, despite deep division intheory and so-called techniques, while emphasizing the fundamental similarities in practice necessary to create and foster therapeutic relationships....McWilliams' style is accessible, candid, and humorous....Along with her warmth, perspective, and inclusiveness, McWilliams offers us a formidable array of references on every topic relevant to practice, from therapy outcome research to legal dilemmas to the importance of self-care."--"The American Journal of Psychoanalysis"

"The author has a gift to address complicated issues in psychotherapeutic practice and make them more clear and succinct, so one can more easily locate one's own personal stance amongst the widely divergent opinions present in the massive clinical literature."--"Psychotherapy Review"


"McWilliams presents a text that will be useful to all social workers, whether or not they primarily have a psychoanalytic orientation. She provides useful information on, for example, how to develop a trusting relationship, how to overcome communication barriers, and how to deal with myriad technical problems, such as challenges to the practitioner and to the boundaries that are required in practice. Her writing style is clear, jargon-free, and full of useful examples, and she is supportive of the integration of her ideas with other approaches. A much-needed book in the social work field."--Charles Garvin, PhD, School of Social Work (Emeritus), University of Michigan

"Books by Nancy McWilliams used in unison make the best psychodynamic resources I have yet encountered in more than 60 years in the field."--Robert C. Lane, PhD, Department of Psychology, Nova Southeastern University

"A cornucopia of wise and sensitive reflections on psychoanalytic psychotherapy. McWilliams delineates the felt core of therapeutic work shared by workers of many schools, but rarely articulated so well. She gives the beginner a 'taste of the apple' in a hands-on and feeling way, and bolsters the spirit of the old-timer, who will recognize the fruit of attentive and caring practice."--Michael Eigen, PhD, author of The Sensitive Self

"Nancy McWilliams's book reads like a conversation with a master therapist, addressing the most important questions about facilitating the therapeutic process. Although a psychoanalyst herself, Dr. McWilliams makes frequent, respectful references to the other major theoretical schools, and gives practical advice that will help any new or seasoned therapist acquire skills for understanding and treating clients."--Karen J. Maroda, PhD, Department of Psychiatry, Medical College of Wisconsin

"This book addresses a daunting range of issues. How can therapists set limits with acting-out patients? What did Freud really say about behavior change? Why should practitioners have their own psychotherapy? In an era that scorns depth psychology in favor of the quick fix, Nancy McWilliams' work is a beacon of sane reflection. She sees psychoanalysis not as a clinical specialty alone, but as an ethic--a way of thinking that both requires and makes possible the difficult path known as the examined life. This perspicacious, deeply personal work is sure to become a key text for novice and experienced therapists alike."--Deborah Anna Luepnitz, PhD, author of Schopenhauer's Porcupines

"This is vintage McWilliams: erudite, elegantly written, thoughtful, and as useful to the seasoned clinician as to the aspiring clinician. Nancy McWilliams has a true talent for tackling complexity without jargon or pretense, and for mixing theoretical originality with good clinical horse sense. Reading this book feels like getting supervision from one of the eminent clinicians of our time."--Drew Westen, PhD, Department of Psychology and Department of Psychiatry and Behavioral Sciences, Emory University

"Written for therapists, by a therapist, Psychoanalytic Psychotherapy manifests the qualities of McWilliams's earlier superb work: a thorough grasp of psychodynamic theory, frequent use of case illustrations, a clear and engaging writing style, and what we might call her 'faith' that a relationship with a skilled and caring therapist can help people become more whole."--Russell Jones, ThD, pastoral counselor, Asheville, North Carolina

"Readers of McWilliams's previous books will find what they have come to expect: graceful, transparent writing; clear thinking; and a sharpshooter's aim on critical issues. Reading this book is like going on rounds with a loved and trusted professor whose teaching is conversational, collegial, and deep. McWilliams speaks her mind confidently. Her thinking embraces all the therapies derived from psychoanalysis, integrating them under the rubric of honesty. Her book fulfills the promise of its title, addressing both theory and the practical issues that often derail the work of beginners and experienced clinicians alike. This book will be an essential text for teachers of undergraduate psychology through to those in analytic institutes, and psychotherapy students of all stripes will want to read it closely."--Ann Halsell Appelbaum, MD, Department of Psychiatry, Columbia University College of Physicians and Surgeons

What Defines a Psychoanalytic Therapy?p. 1
Background Informationp. 4
Psychoanalysis and the Psychoanalytic Therapiesp. 13
My Own Orientationp. 20
The Psychoanalytic Sensibilityp. 27
Curiosity and Awep. 29
Complexityp. 32
Identification and Empathyp. 34
Subjectivity and Attunement to Affectp. 36
Attachmentp. 40
Faithp. 42
Concluding Commentsp. 44
The Therapist's Preparationp. 46
Orienting Considerationsp. 48
Therapy for the Therapistp. 60
Other Valuable Foundations of Practicep. 69
Concluding Commentsp. 71
Preparing the Clientp. 73
Establishing Safetyp. 76
Educating the Patient about the Therapy Processp. 86
Concluding Commentsp. 96
Boundaries I: The Framep. 99
Some General Observations about Therapists and Boundariesp. 102
Specific Boundaries and Their Vicissitudesp. 107
The Art of Saying Nop. 126
Concluding Commentsp. 128
Basic Therapy Processesp. 132
Listeningp. 133
Talkingp. 139
Influences on Therapeutic Stylep. 142
Integrating Psychoanalytic Therapy with Other Approachesp. 149
Power and Lovep. 150
Boundaries II: Quandariesp. 163
Accidents and More or Less Innocent Eventsp. 165
Enactmentsp. 170
Disclosurep. 180
Touchp. 189
Concluding Commentsp. 194
Mollyp. 197
Original Clinical Picturep. 198
History of Treatmentp. 205
Posttermination Observationsp. 217
Donnap. 219
Original Clinical Picturep. 220
History of Treatmentp. 224
Posttermination Observationsp. 237
Ancillary Lessons of Psychoanalytic Therapyp. 241
On Psychoanalytic Knowledgep. 242
Emotionp. 244
Developmentp. 248
Trauma and Stressp. 251
Intimacy and Sexualityp. 253
Self-Esteemp. 256
Forgiveness and Compassionp. 258
Occupational Hazards and Gratificationsp. 260
Occupational Hazardsp. 260
Gratificationsp. 277
Self-Carep. 285
Care of the Idp. 286
Care of the Egop. 293
Care of the Superegop. 298
Table of Contents provided by Rittenhouse. All Rights Reserved.

ISBN: 9781593850098
ISBN-10: 1593850093
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 353
Published: 1st March 2004
Publisher: Guilford Publications
Country of Publication: US
Dimensions (cm): 22.9 x 15.2  x 3.81
Weight (kg): 0.64