Treating Affect Phobia A Manual for Short-Term Dynamic Psychotherapy

ISBN-10: 1572308109
ISBN-13: 9781572308107
Edition: 2003
List price: $55.00 Buy it from $47.19
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Description: This hands-on manual teaches the nuts and bolts of practicing short-term dynamic psychotherapy. reflecting the ongoing evolution of the approach, it emphasizes 'affect phobia', or conflict about feelings.

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Book details

List price: $55.00
Copyright year: 2003
Publisher: Guilford Publications
Publication date: 1/24/2003
Binding: Paperback
Pages: 365
Size: 8.50" wide x 11.00" long x 0.75" tall
Weight: 2.266
Language: English

This hands-on manual teaches the nuts and bolts of practicing short-term dynamic psychotherapy. reflecting the ongoing evolution of the approach, it emphasizes 'affect phobia', or conflict about feelings.

Full author info (did not fit in title information field): Leigh McCullough, PhD, Psychotherapy Research Program, Harvard Medical School, Boston, MA, Nat Kuhn, MD, Psychotherapy Research Program, Harvard Medical School, Stuart Andrews, MA, LMHC, Psychotherapy Research Program, Harvard Medical School, Amelia Kaplan, BA, doctoral candidate, Graduate School of Applied and Professional Psychology, Rutgers/m-/The State University of New Jersey, Piscataway, NJ, Jonathan Wolf, BA, doctoral candidate in medicine, Boston University School of Medicine, Boston, MA, and Cara Lanza Hurley, MA, doctoral candidate, Clinical Psychology Program, Loyola University Chicago, Chicago, IL

Introduction
Theory, Evaluation, and Formulation
Affect and Affect Phobia in Short-Term Treatment
What Is an Affect Phobia?
Why This Therapy Focuses on Affect
The Definition and Classification of Affect
Adaptive versus Maladaptive Expression of Affects
The Development and Treatment of Affect Phobias: An Introduction
The Importance of Anxiety Regulation
Goals of Treatment
Chapter 1 Exercises
Affect Phobia, Psychodynamic Conflict, and Malan's Two Triangles
Reformulating Psychodynamic Conflict as Affect Phobia
Understanding Affect Phobias by Using Malan's Two Triangles: The Universal Principle of Psychodynamic Psychotherapy
Making Important Distinctions about Feelings
Restructuring Affect Phobias through Systematic Desensitization: The Main Treatment Objectives
Chapter 2 Exercises
Assessment and Selection of Treatment for the Patient
Overview of the Initial Assessment
How the DSM Multiaxial Assessment Guides Treatment Selection
How to Rate the Global Assessment of Functioning (GAF) Scale
Indications and Contraindications for Short-Term Dynamic Psychotherapy
Using the GAF Scale to Tailor Treatment to Patients' Needs
The Supportive-Exploratory Continuum of Interventions
Chapter 3 Exercises
How to Formulate a Core Psychodynamic Conflict: Spotting Affect Phobias
An Overview of the Formulation Process
Identifying Defenses: How Adaptive Feelings Are Avoided
Identifying the Adaptive Activating Feelings: What Feelings Are Feared and Avoided?
Identifying Anxieties/Inhibitions: The Reason Why Adaptive Feelings Are Avoided
Summarizing the Formulation in Terms of Affect Phobia
Examples of How to Formulate Core Conflicts
Identifying Pitfalls in Formulating Core Conflicts
Repetition to Revise and Refine the Formulation
Chapter 4 Exercises
Defense and Affect Restructuring
Introduction to Part II
Defense Restructuring, Section 1: Defense Recognition
Overview of Defense Recognition
Pointing Out Defenses against Phobic Affects
Validating Defenses
Pointing Out Strengths That Exist Alongside Defenses
Managing Difficult Defenses
Repeating Interventions until Defenses Are Recognized
Chapter 5 Exercises
Defense Restructuring, Section 2: Defense Relinquishing
Overview of Defense Relinquishing
Identifying Consequences of Defensive Behavior: Costs and Benefits
Distinguishing the Origin of Defenses from the Maintenance of Defenses: Then versus Now
Grieving Losses Due to Defenses
Building Self-Compassion When There Is No Grief
Identifying the Secondary Gain of Defenses: Hidden Meanings and Rewards
Repeating Interventions to Enhance Motivation to Give Up Defenses
Chapter 6 Exercises
Affect Restructuring, Section 1: Affect Experiencing
Overview of Affect Experiencing
Exposure to Phobic Feeling/the Feared Affect
Response Prevention: Defense Restructuring as Needed
Identifying Pitfalls in Affect Experiencing
Repeating Interventions until Affect Phobia Is Desensitized
Some Frequently Asked Questions
Chapter 7 Exercises
Affect Restructuring, Section 2: Affect Expression
Overview of Affect Expression
Building Expressive and Receptive Capacities
Bearing Interpersonal Conflict
Integrating Feelings
Role Playing of Difficult Interactions
Providing Information to Aid Expression
Pitfalls in Affect Expression
Repeating Practice until Affect Expression Flows Naturally
Chapter 8 Exercises
Self- and Other-Restructuring
Introduction to Part III
Self-Restructuring: Building Compassion and Care for Self
Overview: Restructuring for a Positive Sense of Self
Building Receptive Capacity to One's Own Feelings
Changing Perspectives on the Self: Encouraging Patients to Imagine How Others See Them
Finding and Encouraging the Lost Voice
Encouraging "Parenting" of the Self
Reducing the Externalization of Needs
Repeating Interventions until Phobias about Self-Feelings Are Desensitized and Self-Worth Improves
Chapter 9 Exercises
Other-Restructuring: Building Adaptive Inner Images of Others
Overview: Restructuring Affect Phobias about Relationships with Others
Building the Receptive Capacity to Others' Feelings
Changing Perspectives: Viewing Others More Accurately and Compassionately
Identifying and Restructuring Addictive Attachments
Recovering "Lost Loves": Caring Persons in the Past
Repeating Interventions until Phobias about Relationships Are Desensitized
Chapter 10 Exercises
Diagnostic Considerations and Termination
Treating Specific Diagnoses: The Relationship between DSM Diagnoses and Affect Phobias
How Affect Phobias Underlie Diagnoses and Are Maintained by Primary and Secondary Gain
Integrating Nature and Nurture: The Biopsychosocial Model
Using Axis I Diagnoses to Inform Treatment of Affect Phobias
Using Axis II Diagnoses to Guide Treatment of Affect Phobias
Conclusion: Focusing on Affect Phobias That Underlie Diagnoses
Termination
Overview of Termination
Assessing What Changes Have Been Made
Assessing Why Changes Have Been Made
Celebrating Progress and Acknowledging What Needs More Work
Exploring the Full Range of Feelings for the Therapist
Replacing the Loss of Therapy
Conclusion and Commencement
Answers to Exercises
References
Index

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