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Psychoanalytic Psychotherapy : A Practitioner's Guide - Nancy McWilliams

Psychoanalytic Psychotherapy

A Practitioner's Guide

Hardcover Published: 1st March 2004
ISBN: 9781593850098
Number Of Pages: 353

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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

"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