Description
Book SynopsisThis practical guide shows counselors how to make the healing benefits of psychodynamic “talk therapy” available to any client, including those limited in available sessions by insurance, financial restrictions, or agency policy.
The current mental health system relies on a single model of medication and behavior therapies, motivated by economic expediency rather than treatment quality, which results in a revolving door of treatment that leaves society constantly vulnerable to the impact of mental illness. As a remedy, Integrating Psychodynamic Approaches with Other Mental Health Treatments: The Patient as the Center offers the integration of psychoanalytic and behavioral therapies and practices that are consistently evaluated for effectiveness and customized to each patient’s needs. These include recognition of the complexity of mental illness, possible need for intervention throughout the life cycle, open access to treatment, adequate funding, long-term facilities, consistent retrofitting of treatments, and duration and frequency determined by patient-therapist arrangement. This resource is particularly useful for clinicians in training or early in their careers who are in the process of making decisions about the treatment approaches that make sense for them and their clients, as well as for the more seasoned clinicians jaded by bureaucracy that obstructs best treatment practice and seeking alternative approaches.
Table of ContentsIntroduction
Chapter 1: Mental Health Treatment
The Modern Treatment Area
Current Mental Health Delivery
The Next Step
Integrated Psychotherapy
Chapter 2: The Clinical Value of Psychoanalysis
Distinctions
Psychoanalytic Therapy
Identity Diffusion/Confusion
The Personalized Approach
Doing What Works
Symptom Relief
Customized Treatment
Chapter 3: Pluralism: Pathways to Integration
Pluralism in Psychoanalysis
Integration
Drive Reconsidered
Another Step Away
Distinctions from Traditional Psychoanalysis
Diagnosis
Overall Approach
The Relational Turn
Next Step
Chapter 4: Session Notes and Comments
Case #1: Slow Motion
Case #2: If Only
Case #3: The Other Reality
Case #4: More Delusions
Case #5: Not My Fault
Case #6: I am Addicted
Case #7: No Respect
Case #8: Sort of True
Case# 9: The Dream
When It Does Not Work
Chapter 5: The Crooked Path of Effectiveness
Intersectionality
Integration
Some Considerations
Psychoanalytic Training
Disruptions
Further Comments
Integrative Specifics
Etiology
The Non-Analytic Patient
Concluding Remarks
Chapter 6: Psychotherapy Research Outcomes: Possibilities and Limitations
On Determining Core Ingredients for Therapeutic Change
On the Role of Common Factors
A Shifting of Responsibility for Change
Where Are We in Our Scientific Enterprise?
What Are We Left With?
Uniqueness of Psychoanalytic-Focused Interventions
Crisis in the Academy
Concluding Thoughts: In Search of Intellectual Humility
Chapter 7: Language and Its Vicissitude in Bilingual Treatments
A Case of Intersectional Trauma: A Search for Meaning
The Case Synopsis of Ms. G
Multigenerational Trauma
Vicissitudes of a Traumatic Life
I Have Feelings Too: Navigating Her Emotions in Two Languages
In Search of Her Father
On Relying on a Second Language to Forge a New Identity
Concluding Thoughts
Chapter 8: On the Neuroscientific Basis of Intersectional-Colored Trauma and Its Sequalae
Trauma and Its Neurological and Psychic Representation
On the Vicissitude of Self-Development in Traumatic Contexts
On the Intimate Interplay Between a Victim and a Perpetuator
Critical Moments and Trauma Development
The Anatomy of Our Affective State
Clinical Implications
Where Can We Go from Here?
Conclusion
Chapter 9: On Inherent Psychological Factors in Some Criminal Behaviors
Is There a Reasonable Explanation for Criminal Behaviors?
A Psychological Explanatory Model of Criminal Behavior
A View of Criminality in Psychoanalytic Contexts
The Role of Trauma in Criminal Behaviors
Concluding Thoughts
Chapter 10: Summary and Conclusions
References
Index
About the Authors
