Psychoanalytic psychotherapy : a handbook [E-Book]

Machine generated contents note: ch. One Psychoanalytic Theory Of The Human Mind -- Psychoanalytic models of the mind -- The unconscious (topographic model, 1900) -- The psychic apparatus (structural model, 1923) -- Contemporary models of the human mind -- A note on symbolisation and mentalization -- Drives and psychosexuality -- Bi-phasic psychosexual development -- Drives and erogenous body zones -- Object relations -- Object relations theory -- So-called undifferentiated narcissistic, or objectless, stage -- Transitional stage -- True object relations -- Part-objects and whole objects -- Narcissism and self-system -- Narcissism and the self -- Historical review -- Regulation of self-esteem -- The ideal self -- The self-system: "three pillar model" by Mentzos -- Primary process and secondary process, pleasure--unpleasure principle, and reality principle -- ch. Two Psychoanalytic Theory Of Psychic Development Through The Life Span.

Contents note continued: Methodology of psychological theory of development -- Reconstruction -- Observation -- Baby-watchers -- Overview of the fundamental theories on psychic development -- Sigmund Freud (1856--1939) -- Rene A. Spitz (1887--1974) -- John Bowlby (1907--1990) -- Melanie Klein (1882--1960) -- Margaret Mahler (1897--1985) -- Donald W. Winnicott (1896--1971) -- Erik H. Erikson (1902--1994) -- Heinz Kohut (1913--1981) -- Joseph Lichtenberg (1925-- ) -- Conclusional remark -- Perinatal stage and the first year of life: the oral stage -- The second and third year: the anal stage -- Fourth to sixth year: the infantile-genital (oedipal) stage -- Drive maturation -- Object choice -- Incest avoidance -- Structural changes emerging from the resolution of the oedipal conflict -- Sixth to tenth year: latency -- Stage of latency -- Eleventh to twenty-first year: puberty or adolescence -- Eleventh to twelfth year: preadolescence -- Twelfth to about twentieth year: adolescence.

Contents note continued: Twelfth to about fourteenth year: early adolescence -- Fourteenth to about sixteenth year: middle adolescence -- Sixteenth to about eighteenth year: late adolescence -- Eighteenth to twentieth year: post-adolescence -- Twenty-first year to the end of life: adulthood and old age -- Twenty-first to about thirty-fifth year: early adulthood -- Living together without children -- Living together with children: triangulation -- Living as a single -- Thirty-fifth year to about sixty-fifth year: middle adulthood -- Over sixty-five years: late adulthood, old age, and death -- ch. Three Conflict, Trauma, Defence Mechanisms, And Symptom Formation -- Primary and secondary process -- Conflict -- Conflict, excessive demand, and stress -- Trauma -- Trauma and conflict -- The mechanisms of defence -- The psychoanalytical concept of neurosis -- Defence mechanisms and their functions -- Classification of defence mechanisms -- Narcissistic defence mechanisms.

Contents note continued: Immature defence mechanisms -- Neurotic defence mechanisms -- Mature defence -- Psychosocial mechanisms of defence -- Symptoms and suffering -- Symptoms: their origin, and their meaning -- Symptoms and the way to transmit these to the patient in a psychotherapeutic treatment -- Symptoms and the change in them during the past century -- Symptoms as an attempt to solve unconscious conflicts -- Coping with unconscious conflict and trauma -- ch. Four Dreams -- The history of the theory of dreaming and dream research -- Freud's dream theory -- Dream creating motives -- Sleep and dream work -- Topical regression -- Condensation -- Displacement -- Secondary revision -- Special elements of dream presentation -- Psychoanalytical and empirical dream research -- The functions of dreaming -- Other dream-like mentations -- The dream as therapy material -- ch. Five The Therapeutic Relationship -- Expectations and aims of the treatment.

Contents note continued: Removing developmental restraints -- Aspects of the self -- Relatedness to others -- Acceptance of reality -- Richness of experience and liveliness -- Coping mechanisms -- Integrative capacity -- Self-analytic capabilities -- Discussion -- The essential asymmetry of the therapeutic relationship -- The patient's regression -- Definition -- History of the concept -- Further development of the concept after Freud -- The concept of regression in the view of other psychoanalytic concepts -- The transference of the patient -- Clinical example (from Mueller-Pozzi, 1991) -- The transference and countertransference of the therapist -- Clinical example (from Mueller-Pozzi, 1991) -- Resistance -- Conscious or unconscious acting against the analyst -- Against the treatment itself -- Not profiting from the treatment -- Remaining silent -- No associations or too many associations -- Leaving out certain subjects of life -- Fast relief of symptoms -- Acting out.

Contents note continued: Function of resistance -- Resistance and defence -- Working on resistance -- Analyst's resistance -- The treatment alliance -- Ethical aspects -- Common ethical rules -- Special ethical rules -- ch. Six The Setting In Psychoanalytic Psychotherapy -- Frame and setting of the psychotherapy -- Components of the frame or setting of psychoanalytic therapy -- Ethical dimension and rules of conduct -- Functions of the frame -- The rule of abstinence -- Neutrality and anonymity -- The rule of free association -- Setting components: time and room -- Aspect of time -- Aspect of room (office) -- Additional remarks -- Other aspects of the setting -- The fee -- Changing the setting and the therapeutic method -- Parallel treatments and medication -- The patient and his relatives -- Modification and application of the psychoanalytical method -- Frequency of the treatment of psychoanalysis and psychotherapy -- Psychoanalytic psychotherapy.

Contents note continued: Psychoanalytic short-term therapy -- Psychoanalytic couple therapy -- Psychoanalytic family therapy -- Psychoanalytic therapy for children and adolescents -- Psychoanalytic group therapy -- ch. Seven Diagnosis And Treatment In Psychoanalytic Psychotherapy -- The initial interview -- The first contact -- Appointment for initial interview -- Referring of the patient -- Ethical aspects -- How to deal with the first interview -- Second interview -- Scenic information from the patient -- Initial interviews and transference and countertransference -- Diagnosis, indication, and contraindication -- Assessment for psychoanalytic psychotherapy -- Check list for assessment -- Documentation of the diagnostic interviews -- Indication and contraindication for psychoanalytic psychotherapy -- Operationalised psychodynamic diagnosis (OPD) -- The therapeutic contract of psychotherapy -- The working alliance -- How does the patient work? -- Fundamental rule.

Contents note continued: Transference -- Transference and transference neurosis -- Resistance -- Acting out -- How does the therapist work? -- Rule of abstinence -- Psychodynamic listening: "the third ear" -- Free-floating attention---evenly suspended attention -- Countertransference -- Methods of talking to the patient: general and special intervention techniques -- The therapeutic process -- General definition and typical characteristics of the psychotherapeutic process -- Resistance -- Therapy as a safe place -- Reality and fantasy in the psychotherapeutic process -- Specific characteristics of the psychotherapeutic process -- Acting-out, enactments, action dialogue -- Working through -- Indicators of progress in therapy -- Different aims in psychoanalytic psychotherapy and psychoanalysis -- Indicators of stagnation and crisis -- Breaking off the therapy -- The process of termination -- The therapeutic relationship after the end of the therapy.

Contents note continued: How to present or to write a case report -- ch. Eight Psychopathology And Psychodynamics Of Neurosis -- General theories of neuroses -- Historical aspects of the term "neurosis" -- Trauma vs. conflict -- The disappearance of the term "neurosis" in ICD-10 and DSM-IV -- The systematics of mental disorders -- Epidemiology of mental disorders -- Actual tendencies of mental health in Germany -- What is neurosis? -- The systematics of neuroses -- The classical systematic of neuroses and personality disorders -- Symptom neurosis -- Traumatic neurosis -- The personality disorders -- Mode of neurotic conflict processing -- The symptom systematic of neuroses -- Patient-orientated and psychodynamic thinking -- Hysteria: dissociative and somatoform disorders -- Preliminary remark -- The psychodynamic concept -- Symptoms of hysteria and hysterical character formation -- Case examples -- Psychogenesis of hysteria -- Anxiety disorders -- Preliminary remark.

Contents note continued: Phobic disorders -- Psychodynamic concept of phobic neurosis -- Psychogenesis and psychodynamics -- Other anxiety disorders as defined by the ICD-10 -- The psychodynamic concept -- Depression (dysthymia) -- Depression has many faces -- Typical symptoms of depression: a depressive core syndrome -- Psychodynamics of depression -- Vulnerability (disposition) to depression -- The typical basic conflict of depressive patients -- Precipitating factors -- The depressive patient in the diagnostic interview -- The depressive patient in psychodynamic psychotherapy -- Obsessive--compulsive neurosis (OCD) and obsessive--compulsive personality disorder (OCPD) -- Epidemiology -- Course of illness -- Co-morbidity -- Clinical picture -- Psychodynamic understanding of OCD and OCPD -- Diagnosis -- Therapy -- Traumatic neurosis: post traumatic stress disorder (PTSD) -- History and definition of trauma and PTSD -- Psychodynamic consideration -- Personality disorders.

Contents note continued: Personality disorders: general features and critical aspects -- Critical comments -- Pathological narcissism -- The symptoms -- Early theoretical considerations -- Further developments -- Borderline personality disorder -- Identity diffusion -- Patterns of thinking and feeling: defence mechanisms -- Differential diagnosis -- The central problem -- The defence mechanisms -- Level of achieved self-integration -- Some aspects of treatment -- ch. Nine Psychopathology And Psychodynamics Of Psychosomatic Disorders -- General aspects of psychosomatic medicine -- The history of psychosomatic medicine in Western countries -- General psychosomatic medicine -- Psychosomatic disorders and ICD-10 -- Epidemiology -- Definitions -- The classification of psychosomatic disorders -- Classical systematisation of psychosomatic disorders -- The descriptive classification -- Psychoanalytical models of psychosomatic diseases -- Preliminary remarks.

Contents note continued: Conversion model {Freud, 1895d) -- Model of "organ neurosis" (Alexander, 1950) -- Model of de- and re-somatisation (Schur, 1955) -- Model of alexithymia (Marty & de M'Uzan, 1957) -- Model of two-phasic repression (Mitscherlich, 1974) -- Model of stress -- Historical aspects -- Biological models of stress -- Psychosocial models of stress -- Disposition for stress -- Stress and trauma -- Final remark -- Somatisation and somatoform autonomous disorders -- Somatisation in general -- Somatoform autonomous disorders -- Somatoform symptoms and the relationship to depression and anxiety -- Somatoform pain disorder -- The pathogenetic context of somatoform pain disorder -- Relationship between patient and doctor -- Triggering situations for somatoform pain -- Treatment of patients with chronic pain -- Psychotherapeutic attitude -- Guidelines -- Case report -- Vertigo -- Case report -- Tinnitus -- Sexual dysfunction.

Contents note continued: Psychodynamic aspects concerning partnership in sexual dysfunctions -- Diagnostic problems of sexual dysfunction -- Psychoanalytic treatment of sexual dysfunctions -- Organic diseases with psychosocial components -- Epigenetic and psychosomatic disorders -- Therapeutic aspects -- Some examples of treatment for outpatients -- Eating disorders -- Preliminary remarks -- Psychoanalytical theories of eating disorders -- Food as self-object -- Food intake, addiction, and compulsion -- Symptoms and psychodynamic aspects of eating disorders -- Anorexia nervosa -- Definition -- Epidemiology and course of the disease -- Symptomatology -- Causes and psychodynamic understanding -- Therapeutic aspects -- Bulimia nervosa -- Definition and symptoms -- Causes and psychodynamics -- Therapeutic aspects -- Anorexia nervosa in comparison with bulimia nervosa -- Change of symptoms -- Obesity (adiposity) -- Definition and symptoms -- Epidemiology -- Symptomatology.

Contents note continued: Causes and psychodynamics -- Therapeutic aspects -- Theory and practice of inpatient psychoanalytic psychotherapy -- Introduction -- The psychoanalytic fundamentals of inpatient psychodynamic psychotherapy -- Reality of relationship and the setting in inpatient psychodynamic psychotherapy -- Structuring of the multi-personal situation -- Transference processes within the inpatient psychodynamic therapy -- Inpatient group psychotherapy -- Integrating teamwork -- Conclusion -- ch. Ten Psychotic Disorders, Addiction, And Suicide -- Psychodynamics and psychotherapy of psychosis -- Conflict and/or dilemma -- The role of anxiety -- The role of aggression -- The role of narcissism -- The development of psychoanalytic treatment of psychotics -- The psychoanalytical theory of addiction -- Preliminary remarks -- Psychoanalytical theories -- Psychotherapeutic aspects -- Psychodynamics and psychotherapy of suicide -- Epidemiology of suicide and suicide attempts.

Contents note continued: Forms of suicide -- The psychoanalytical theory of suicide -- The classical psychoanalytical view -- Suicide as a reaction to severe narcissistic hurts -- Suicide driven by fantasies -- Treatment of suicidal patients.

Includes bibliographical references (pages 303-312) and index.

The book gives the reader an introductory understanding of the psychoanalytic theory of the human mind, the psychic development, psychic conflicts, trauma, symptom formation, and dreams. Related to these theoretical aspects the book then introduces the fundamentals of psychoanalytic-oriented psychotherapy. The first part of this book deals with important technical aspects of the psychotherapeutic treatment such as the therapeutic relationship, the setting, the diagnosis, and the process of treatment. The second part explores the psychoanalytic understanding of specific clinical disorders, including neuroses and personality. A Basic Book of Psychoanalytic Psychotherapy will provide a complete overview from a psychoanalytical point of view of theoretical and clinical aspects of psychodynamic or psychoanalytic psychotherapy.

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