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