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Understanding Therapeutic Action 1st Edition by Lawrence E Lifson ISBN 0415733022 9780415733021

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Author(s): Lawrence E. Lifson
ISBN(s): 9780415733021, 0415733022
Edition: 1
File Details: PDF, 8.08 MB
Year: 2013
Language: english
SKU: EB-5853440 Categories: , Tag:

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Product details: 

ISBN 10: 0415733022 

ISBN 13: 9780415733021

Author: Lawrence E. Lifson

Most of the existing psychodynamic literature approaches the treatment process from one particular theoretical perspective or another. Yet, what contemporary psychotherapists need most is practical information that transcends individual perspectives. After all, they must be able to treat patients who suffer from structural conflict, structural deficit, and relational conflict, and they must be able to understand the theories of therapeutic action associated with these concepts of psychopathology in relation to one another. Originally published in 1996, Understanding Therapeutic Action: Psychodynamic Concepts of Cure both surveys different theories of therapeutic action and offers an integrative model of treatment. Editor Lawrence E. Lifson has brought together contributors who are among the leading theoreticians and practitioners of psychodynamic psychotherapy. Their chapters’ cover all the major perspectives on therapeutic action and are organized into sections covering structural and object relations theories; the self as the focus of therapeutic action; and an integrative approach to the concept of cure. The emphasis throughout is on the translation of theory into clinical practice, with attention given to the contributions of patient and therapist alike in the curative process. Providing clinicians with a comprehensive overview and synthesis of the different models of therapeutic action, this collection is an illuminating exercise in comparative psychotherapy and a valuable tool for enhancing the applicability and effectiveness of clinical work.

Table of contents: 

I. Therapeutic Structure and Structural Change
1 Toward a New Understanding of Neutrality
Drive-Structure Versus Relational-Field Theories
The Safe-Enough Clinical Environment
Neutrality and the Curative Factors in Psychoanalytic Theory and Practice
Curative Factors and the Place of Neutrality in Psychoanalytic Psychotherapy
Psychotherapy, Neutrality, and Drive Versus Relational Psychology
Case Example
The Safe-Enough Environment for Psychoanalytic Psychotherapy
Case Example
Curative Factors in Psychoanalytic Psychotherapy
Case Example
References
2 The Therapeutic Alliance and the Real Relationship in the Analytic Process
Alliance Versus Real Relationship
Reality in the Analytic Relationship
The Real Relationship as Resistance
Some Relevant History
The Characters of the Analyst and the Patient
Clinical Relevance
A Therapeutic Mismatch
The Demand for Reality
References
3 Trauma, Memory, and the Therapeutic Setting
References
4 The Importance of Diagnosis in Facilitating the Therapeutic Action of Psychodynamic Psychotherapy of an Adolescent
The Diagnosis of Identity Diffusion and Reality Testing
The Diagnosis of Narcissistic Pathology
The Antisocial Personality Disorder in Adolescence
General Considerations About the Diagnostic Evaluation of Character Pathology in Adolescence
References
5 Transitional Objects, Selfobjects, Real Objects, and the Process of Change in Psychodynamic Psychotherapy
Transitional Objects
Selfobjects
Real Objects
Borderline and Narcissistic Personality Disorder Psychopathology
The Process of Change in Patients with Borderline and Narcissistic Personality Disorders
Projective Identification
The Relationship of Projective Identification to Transitional Phenomena
Transitional Objects and Pseudotransitional Objects
The Holding Environment, the Real Relationship, and Internalization
References
II. The Self as the Focus of Therapeutic Action
6 I. Some General Principles of Psychoanalytic Psychotherapy A Self-Psychological Perspective
The Nature of Psychopathology
An Outline of the Conduct and Process of Psychotherapy
Therapeutic Ambience and the Transference
The Multiple Curative Factors in Each Treatment Process
Concluding Remarks
References
7 II. Speaking in the Interpretive Mode and Feeling Understood Crucial Aspects of the Therapeutic Action in Psychotherapy
Selfobject Transferences and Self-Cohesion
Speaking in the Interpretive Mode and Feeling Understood: Translating Theory into Practice
Clinical Example
Discussion of the Clinical Vignette
Summary
References
8 Mode of Therapeutic Action
Self-Righting
Shared Expanding Awareness
Rearrangement of Symbolic Representations
References
9 Optimal Responsiveness Its Role in Psychic Growth and Change
Optimal Responsiveness: Origin of the Concept
Optimal Responsiveness and Internalization
Optimal Responsiveness and Psychological Provision
Instincts, Affects, and Developmental Needs
Optimal Frustration and Optimal Responsiveness
Optimal Responsiveness and Affective Development
A Broader View of Human Motivation
Optimal Responsiveness and the Training Wheels of Life
Brief Case Illustration
References
III. An Integrative Approach to the Concept of Cure
10 When Interpretations Fail A New Look at the Therapeutic Action of Psychoanalysis
Reference
11 The Therapeutic Action of Play in the Curative Process
References
12 Process with Involvement The Interpretation of Affect
The Basic Components of Affect
Wish
Memory
Cognition
Communication
Negotiation
Ownership
Attachment
Development
Competence
The Compulsion to Repeat
References
13 Listening to Affect Interpersonal Aspects of Affective Resonance in Psychoanalytic Treatment
The Crisis of the Moment—The Inside and Outside of Experience
Case Illustration
Affective Resonance—Lingering, Malingering, and Emergence
Lingering versus Malingering
Emergence
A Theoretical Home for Affective Participation
Conclusion
References
14 From Structural Conflict to Relational Conflict A Contemporary Model of Therapeutic Action
The Drive-Conflict Model of Therapeutic Action
The Deficiency-Compensation Model of Therapeutic Action
The Relational-Conflict Model of Therapeutic Action
Clinical Vignette
A Second Clinical Vignette
Empathic Failures Determined by the Patient’s History

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