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(Paperback)
The first of five volumes in the groundbreaking Core Competencies in Psychotherapy series, this exceptionally practical text by a renowned expert introduces students and professionals to the basic principles of long-term psychodynamic psychotherapy, focusing on long-term dynamic work with adults in individual therapy.
Unlike other texts, this compact volume is based on the author's teaching of trainees and is thus directly linked to the types of learning problems encountered by the students who will use this book. Using clinical vignettes, the author shows how to apply the key principles of psychodynamic theory to difficult clinical cases and how to grapple with the dilemmas that often arise in psychotherapeutic work.
In 11 concise chapters, the author covers everything from basic psychodynamic principles to patient assessments, starting and terminating therapy, interventions, goals and therapeutic action, resistance, countertransference, and fantasies/dreams, concluding with the optimal use of supervision and how to measure core competency achievement, as mandated by the Residency Review Committee for Psychiatry.
This practical text will be welcomed by educators and students alike as an invaluable teaching tool that can be & ldquo;put to work& rdquo; right away as a powerful adjunct to supervision, classroom teaching, and clinical experience with a variety of patients.
Reviewer:Breitung U. Jasmin, MD(Rush University Medical Center)
Description:This book describes the essential concepts of psychodynamic psychotherapy in a manner that is easily understandable by a broad audience. The basic tenets are supported by evidence-based research whenever possible and are further illustrated by useful clinical vignettes.
Purpose:The purpose, according to the author, is to help train health professionals to competency in the field of long-term psychodynamic psychotherapy, one of the five psychotherapies now mandated by the Psychiatric Residency Review Committee. This is done by providing an overview of theoretical principles and models and how to implement therapeutic interventions. These objectives are largely met and the book fulfills a need.
Audience:According to the author, the book was written not only for training psychiatry residents, but for a broad audience of health professionals as well, such as psychologists, social workers, counselors, nurses and even training directors. This book is definitely of use for all of the above. The author is quite accomplished in the fields of psychodynamic psychotherapy, having many years of clinical and research experience in the field.
Features:This book covers essential concepts in psychodynamic psychotherapy, such as transference, countertransference, dreams and fantasies, therapeutic interventions, boundary crossing, the use of supervision, to name just a few. The author presents these in an organized manner supporting his material whenever possible with the available research. Each topic is given more or less equal weight, resulting in a broadoverview, rather than specific detailed discussions of any one subject. To illustrate the contents further there are some tables and figures that summarize the material and provide new information not always provided in the text. Of highest value to the reader are the clinical vignettes that are dispersed throughout the book. The vignettes are excellent examples of theoretical models and concepts as well as therapeutic interventions. Shortcomings include the fact that a discussion on the use of pharmacotherapies in conjunction with psychotherapy is omitted, as well as financial considerations inherent in long-term psychodynamic psychotherapy. Considering that this book is an overview, the author might have discussed this as well. He appropriately limits himself to one-on-one adult therapy, as discussions of couple, family or group therapy would have been beyond the scope of this book.
Assessment:This is an excellent brief overview of basic concepts in psychodynamic psychotherapy and is thereby highly useful to the beginning clinician during training. It accomplishes the goal of providing adequate information to the clinician in this field. It is not as useful to the clinician who is more experienced, since it is a basic text and covers each area briefly and not in great detail.
Glen O. Gabbard, M.D., is Brown Foundation Chair of Psychoanalysis and Professor of Psychiatry, Director of Psychotherapy Education, Director of the Baylor Psychiatry Clinic, Department of Psychiatry, Baylor College of Medicine; Training and Supervising Analyst, Houston-Galveston Psychoanalytic Institute, Houston, Texas. Dr. Gabbard is also Joint Editor-in-Chief of the International Journal of Psychoanalysis.