A Clinical Guide to Psychodynamic Psychotherapy - A Clinical Guide to Psychodynamic Psychotherapy -

What is psychodynamic psychotherapy?The core competences of psychodynamic psychotherapy Aim and outline of the book Notes on terminology and use of clinical material : Theory and research An overview of psychoanalytic theory Freud’s structural and developmental theories The topographical model of the mind The structural model of the mind Stages of psychosexual development Anxiety and psychopathology Anna Freud’s concept of developmental lines The beginnings of Object Relations theory: Melanie Klein and Wilfred Bion Unconscious phantasy and internalised objects The Paranoid-Schizoid Position Wilfred Bion: on containment and thinking Object Relations Theory: the British independents Fairbairn and object-seeking motivation Winnicott: the holding environment and the ‘good enough mother’Winnicott: the development of the true self or false self North American developments: a greater focus on the Self Object-relational models: Kohut and Kernberg Interpersonal-relational models: Sullivan and Mitchell Related theoretical developments Attachment theory Mentalisation theory Neuropsychoanalysis Thinking about theory and practice Efficacy and outcome research The rise of evidence-based practice The efficacy of psychodynamic psychotherapy The ‘active ingredients’ of therapy Research on patient experience of therapy Distinctive features of psychodynamic psychotherapy Neuroscientific evidence for the benefits of psychotherapy Working with outcome measures : Competences The setting and the analytic frame Assessment and formulation What is a psychodynamic assessment?The purpose of a psychodynamic assessment What works for whom?The referral route The different roles of assessor and therapist in organisational settings Conducting an assessment When to consider the role for psychotropic medication Developing a psychodynamic formulation Structuring a psychodynamic formulation An illustrative psychodynamic formulation Assessing suitability for psychodynamic psychotherapy Key areas around suitability for psychodynamic psychotherapy Realistic aims for psychotherapy Anxiety and defences “Why are you being so defensive?” Understanding anxiety and defences Are defences necessary?Types of defences Destructive defensive behaviour Defences and attachment styles The false self Working with defences in therapy Resistance in psychotherapy Mentalising What is mentalisation?A brief history of mentalisation How do we develop the capacity to mentalise?Recognising impaired mentalising Restoring good mentalising Managing ruptures in the therapeutic relationship Monitoring our own mentalising capacities as therapists Unconscious communications Listening for unconscious communication Types of unconscious communication Free association, manifest and latent content Patterns of verbal and non-verbal communication Dreams as unconscious communication Unconscious communication through the transference and countertransference Making an interpretation Transference and countertransference Transference What is transference?Different types of transference Transference neurosis Self object transferences The cautionary tale Working in the transference Making transference interpretations Countertransference Role responsiveness and countertransference How to recognise and monitor your countertransference Particular types of transference-countertransference dynamics Projective identification and countertransference Acting out and acting in Endings Termination vs ending Developmental perspectives on endings When to end?Endings, recapitulated losses and resistance Endings from the therapist’s perspective : Adaptations and practicalities Brief applications of psychodynamic work What do we mean by brief?Selection criteria for brief psychodynamic therapy Trajectory of brief psychodynamic therapy Why offer brief psycho dynamic therapy?Challenging situations and clinical dilemmas Challenges to the analytic frame Challenges in the therapeutic relationship Ruptures in the therapeutic alliance Erotic transference and countertransference Patients who ask questions and request advice Patients who challenge therapeutic boundaries The ‘good patient’ and/or the idealised therapist Risks in the clinical setting Suicide and safeguarding risks Regression in psychotherapy Working with difference Sexuality and gender diversity Racialised and classed identities Disability and ableism Working with differences Technology and social media The therapist’s online presence Privacy, confidentiality and data protection Patient’s use of technology in the setting and the transference Online communication: emails and texts Online banking Distance psychotherapy Appendix 1: Specimen terms and conditions Appendix 2: Specimen referral/pre-assessment questionnaire Appendix 3: Specimen end of therapy report Appendix 4: Specimen social media contract Appendix 5: Specimen privacy notice for website