Modes of Therapeutic Action

Author: Martha Stark

Publisher: Jason Aronson, Incorporated

ISBN: 076570742X

Category: Psychology

Page: 384

View: 9482

DOWNLOAD NOW »

How do we position ourselves, moment by moment, in relation to our patients and how do these positions inform both what we come to know about our patients and how we intervene? Do we participate as neutral object, as empathic self-object, or as authentic subject? Do we strive to enhance the patient's knowledge, to provide a corrective experience, or to work at the intimate edge? In an effort to answer these and other clinically relevant questions about the process of psychotherapeutic change, Martha Stark has developed a comprehensive theory of therapeutic action that integrates the interpretive perspective of classical psychoanalysis (Model 1), the corrective-provision perspective of self psychology and those object relations theories emphasizing the internal 'absence of good' (Model 2), and the relational perspective of contemporary psychoanalysis and those object relations theories emphasizing the internal 'presence of bad' (Model 3). Model I is about knowledge and insight. It is a one-person psychology because its focus is on the patient and the internal workings of her mind. Model 2 is about corrective experience. It is a one-and-a-half-person psychology because its emphasis is not so much on the relationship per se, but on the filling in of the patient's deficits by way of the therapist's corrective provision; what ultimately matters is not who the therapist is, but, rather, what she can offer. Model 3 is about relationship, the real relationship. It is a two-person psychology because its focus is on patients and therapists who relate to each other as real people; it is about mutuality, reciprocity, and intersubjectivity. Whereas Model 2 is about 'give' and involves the therapist's bringing the best of who she is into the room, Model 3 is about 'give-and-take' and involves the therapist's bringing all of who she is into the room. As Dr. Stark repeatedly demonstrates in numerous clinical vignettes, the three modes of therapeutic actionDknowledge, experience, and relationshipDare not mutually exclusive but mutually enhancing. If, as therapists, we can tolerate the necessary uncertainty that comes with the recognition that there is an infinite variety of possibilities for change, then we will be able to enhance the therapeutic potential of each moment and optimize our effectiveness as clinicians.
Release

How Does Treatment Help?

On the Modes of Therapeutic Action of Psychoanalytic Psychotherapy

Author: Arnold Rothstein

Publisher: International Universities Press

ISBN: N.A

Category: Psychology

Page: 232

View: 3497

DOWNLOAD NOW »

Release

How Talking Cures

Revealing Freud's Contributions to All Psychotherapies

Author: Lee Jaffe

Publisher: Rowman & Littlefield

ISBN: 1442239905

Category: Psychology

Page: 106

View: 3228

DOWNLOAD NOW »

Sigmund Freud repeatedly revised his understanding of how our minds work, how to understand mental illness, and how to relieve emotional, psychological suffering. With each revision, however, he did not methodically integrate previous ideas with newer ones. In How Talking Cures: Revealing Freud's Contributions to All Psychotherapies, a careful review of his concepts at each stage of his thinking reveals six different ways that talking cures—six distinct generic modes of therapeutic action by which all present-day psychotherapies work. Lee Jaffe demonstrates how these therapeutic actions can link treatment recommendations to individual diagnoses, and how they function during treatment itself. Different views of how psychoanalytic treatments work are analyzed according to their emphasis or de-emphasis of these six modes of therapeutic action. As a result, comparisons of all approaches to talking cures, and decisions about the choice of treatment for a given patient can be grounded in an understanding of the essential ways that each therapeutic procedure works, rather than an allegiance to what providers happened to be taught during their training.
Release

Therapeutic Action

A Guide to Psychoanalytic Therapy

Author: Enrico E. Jones

Publisher: Rowman & Littlefield

ISBN: 0765702436

Category: Psychology

Page: 381

View: 3168

DOWNLOAD NOW »

This book advances a new understanding of producing change in psychotherapy. It proposes the concept of interaction structure, repeated mutually influencing interactions between therapist and patient that are a fundamental aspect of therapeutic action. Interaction structures allow consideration of both the intrapsychic and the interpersonal by recognizing the intrapsychic as an important basis for what occurs in clinical interaction. This book clarifies the process of therapy, and is a guide to the practice of psychoanalytic psychotherapy. Using transcripts of clinical sessions, Dr. Enrico E. Jones offers an unusual window on the interactive structures that actually occur between patient and therapist and identifies specific interventions that successfully promote change.
Release

Drug-Device Combination Products

Delivery Technologies and Applications

Author: Andrew Lewis

Publisher: Elsevier

ISBN: 1845697480

Category: Medical

Page: 560

View: 3619

DOWNLOAD NOW »

Drug delivery systems represent a vast area of research and development within biomaterials and medicine and the demand for sophisticated drug delivery devices continues to drive novel product development. Advanced drug delivery devices can offer significant advantages over conventional drugs and devices alone, such as increased efficiency, improved performance and convenience. The purpose of this book is to illustrate how effective drug delivery can be achieved by means other than tablets. The book will provide a thorough analysis of the fundamentals, applications and new technologies of drug-device combination products for use throughout the human body. Part one provides readers with an introduction and background to the field. Chapters in Part two discuss areas of application such as catheter based products, drug eluting stents and beads and anti-biotic loaded cements. Part three covers the development of drug device combination products with chapters on such topics as pre-clinical testing, sterilisation, patent issues and regulation of drug device combination products. With its distinguished editor and team of international contributors, Drug-device combination products: delivery technologies and applications is an invaluable reference for product development specialists, materials scientists and engineers in the biomedical industry and academia as well as those concerned with drug delivery. Illustrates how effective drug delivery can be achieved by means other than tablets providing readers with a comprehensive introduction and background to the field Provides a thorough analysis of the fundamentals, applications and new technologies of drug device combination products Discusses areas of application such as catheter based products and reviews the development of drug device combination products including pre-clinical testing and sterilisation
Release

Elements of Electro-biology

Or the Voltaic Mechanism of Man ; of Electro-pathology, Especially of the Nervous System; and of Electro-therapeutics

Author: Alfred Smee

Publisher: N.A

ISBN: N.A

Category: Electricity

Page: 164

View: 8086

DOWNLOAD NOW »

Release

The Clinical Exchange

Techniques Derived from Self and Motivational Systems

Author: Joseph D. Lichtenberg,Frank M. Lachmann,James L. Fosshage

Publisher: Routledge

ISBN: 1135061084

Category: Psychology

Page: 272

View: 4736

DOWNLOAD NOW »

In this practical sequel to the same authors' Self and Motivational Systems (TAP, 1992), Lichtenberg, Lachmann, and Fosshage offer ten principles of technique to guide the clinical exchange. These principles, which pertain equally to exploratory psychotherapy and psychoanalysis, integrate the findings of self psychology with recent developmental research that has refined our understanding of the self as a center of experience and motivation. The ten principles of technique not only provide a valuable framework for attending to a wide range of motivations, but lead to basic revisions in the theory and technical management of affects, transference, and dreams.
Release