Psychodynamic Psychotherapy

Deborah Cabaniss is Professor of Clinical Psychiatry, Director of Psychotherapy Training, and Associate Director of Residency Training in the Columbia University Department of Psychiatry. Dr. Cabaniss, who is also Director of the Virginia Apgar Academy of Medical Educators at the Columbia University College of Physicians and Surgeons, is a recipient of Columbia Universitys Presidential Award for Outstanding Teaching. She has published extensively on topics related to psychiatric and psychoanalytic education, and is a Training and Supervising Analyst at the Columbia University Center for Psychoanalytic Training and Research. Carolyn J. Douglas is Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons, and Adjunct Associate Professor of Clinical Psychiatry at Weill Medical College of Cornell University. Dr. Douglas is the author of several publications on teaching supportive psychotherapy to psychiatric residents, the psychotherapy selection process, and psychodynamic psychotherapy. Anna R. Schwartz is Assistant Clinical Professor of Psychiatry at the Columbia University College of Physicians and Surgeons, and Director of the Psychodynamic Psychotherapy Program at the Columbia University Center for Psychoanalytic Training and Research. Dr. Schwartz is also a former recipient of the Irma Bland Teaching Award from the American Psychiatric Association. Sabrina Cherry is Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons and currently practices psychiatry and psychoanalysis in New York City. Dr. Cherry is also a Training and Supervising Analyst and active teacher of psychoanalytic candidates at Columbia Center for Psychoanalytic Training and Research.

Preface xi Acknowledgments xiii Use of This Manual xv About the Companion Website xvii Introduction xix Part One What Is Psychodynamic Psychotherapy? 1 1 The Treatment for a Mind in Motion 3 2 How Does Psychodynamic Psychotherapy Work? 8 Part Two Assessment 15 3 Creating a Safe Place and Conducting an Assessment 17 4 Assessing Domains of Function 27 5 The Initial Formulation 47 6 Indications for Psychodynamic Psychotherapy 57 Part Three Beginning the Treatment 69 7 Informed Consent and Collaborative Goal Setting 71 8 Setting the Frame and Establishing Boundaries 80 9 Developing a Therapeutic Alliance 94 10 Technical Neutrality 103 11 Conducting a Psychotherapy Session 111 12 Our Patients Feelings about Us and Our Feelings about Our Patients 120 13 Empathic Listening 129 14 Looking for Meaning 138 15 Medication and Therapy 142 Part Four Listen/Reflect/Intervene 151 16 Learning to Listen 153 17 Learning to Reflect 159 18 Learning to Intervene 169 Part Five Conducting a Psychodynamic Psychotherapy: Technique 201 19 Affect 205 20 Free Association and Resistance 219 21 Transference 234 22 Countertransference 254 23 Unconscious Conflict and Defense 266 24 Dreams 283 Review Activity for Part Five: The Microprocess Moment Understanding a Moment in Therapy 296 Part Six Meeting Therapeutic Goals 299 25 Improving Self-Perceptions and Self-Esteem Regulation 301 26 Improving Relationships with Others 311 27 Improving Adapting to Stress 319 28 Improving Cognitive Function 327 Part Seven Working Through and Ending 341 29 Working Through 343 30 Ending 352 Review Activity for Parts Six and Seven: The Macroprocess Summary Understanding How Things Change in Treatment 365 31 Continuing to Learn 370 Appendix 1 How to Use Psychodynamic Psychotherapy: A Clinical Manual A Guide for Educators 375 Appendix 2 Template for Assessment of the Microprocess Moment and Video Review 384 Appendix 3 The Post-Evaluation Psychodynamic Psychotherapy Educational Resource The PEPPER 385 Recommended Reading 388 Index 401