Principles+of+Psychotherapy

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Principles of Psychotherapy Principles of Psychotherapy Promoting Evidence-Based Psychodynamic Practice Third Edition By Irving B. Weiner and Robert F. Bornstein John Wiley & Sons, Inc. This book is printed on acid-free paper. 1 Copyright # 2009 by John Wiley & Sons, Inc. All rights reserved. Published by John Wiley & Sons, Inc., Hoboken, New Jersey. Published simultaneously in Canada. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 646-8600, or on the web at doc.001pp.com. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) 748-6011, fax (201) 748-6008. Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering professional services. If legal, accounting, medical, psychological or any other expert assistance is required, the services of a competent professional person should be sought. Designations used by companies to distinguish their products are often claimed as trademarks. In all instances where John Wiley & Sons, Inc. is aware of a claim, the product names appear in initial capital or all capital letters. Readers, however, should contact the appropriate companies for more complete information regarding trademarks and registration. For general information on our other products and services please contact our Customer Care Department within the U.S. at (800) 762-2974, outside the United States at (317) 572-3993 or fax (317) 572-4002. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. For more information about Wiley products, visit our website at doc.001pp.com. Library of Congress Cataloging-in-Publication Data Weiner, Irving B. Principles of psychotherapy: promoting evidence-based psychodynamic practice/by Irving B. Weiner, Robert F. Bornstein. – 3rd ed. p.; cm. Includes bibliographical references and indexes. ISBN 978-0-470-12465-9 (cloth: alk. paper) 1. Psychotherapy. 2. Evidence-based psychology. I. Bornstein, Robert F. II. Title. [DNLM: 1. Psychotherapy–methods. 2. Evidence-Based Medicine–methods. WM 420 W423pa 2009] RC480.W373 2009 616.89014—dc22 ***70 Printed in the United States of America 10 9 8 7 6 5 4 3 2 1 Contents Preface vii PART ONE INTRODUCTION 1 The Nature and Goals of Psychotherapy 3 2 The Patient 11 3 The Therapist 25 4 Theory, Research, and Practice in Psychotherapy 41 PART TWO THE INITIAL PHASE OF PSYCHOTHERAPY 5 Evaluation and Assessment 61 6 The Treatment Contract 81 7 Conduct of the Interview 105 Case Interlude I: Evaluation and Assessment of Ms. A 120 PART THREE THE MIDDLE PHASE OF PSYCHOTHERAPY 8 Communicating Understanding: Interpretation 129 9 Interference with Communication: Resistance 171 10 The Psychotherapy Relationship: Transference 215 11 The Psychotherapy Relationship: Countertransference 257 PART FOUR THE FINAL PHASE OF PSYCHOTHERAPY 12 Termination 277 Case Interlude II: Psychotherapy with Ms. A 311 References 325 Author Index 363 Subject Index 373 v Preface P SYCHOTHERAPY HAS BEEN described as both an art and a science. Those who view psychotherapy as an art note that practice and experience are vital in honing the clinician’s therapeutic skills; those who view therapy as a science point out that, without a ?rm bedrock of empirical data, clinicians can never be certain which therapeutic techniques are most effective and can be best employed. A central theme of Principles of Psychotherapy is that psychotherapy is neither art alone nor science alone, but both: Effective psychotherapy is an art that rests on science. Like its two previous editions, this revision of Principles of Psychotherapy is addressed to psychotherapy practitioners and is primarily a manual of principles for conducting psychotherapy in clinical practice. As before, the text provides detailed guidelines for conducting psychotherapy from the initial evaluation interviews through the termination phase of treatment. These guidelines are ampli?ed throughout with illustrations of what therapists should consider saying and doing in various circumstances and why certain interventions are most likely to be effective. Two key considerations characterize the presentation of principles in this third edition: ?rst, that the conduct of psychotherapy should be conceptually based, and second, that the conduct of psychotherapy should be evidence based. With respect to the conceptual basis of psychotherapy, the text attends not only to what therapists should do in working with patients, which de?nes their treatment strategies; and not only to when and how they should do what they do, which comprise their treatment tactics; but also to why they should intervene in certain ways at certain times, which consists of conceptual principles that should always guide a therapist’s decisions. Conducting psychotherapy within a conceptual framework that helps identify the goals of treatment and strategies and tactics for achieving these goals enhances clinicians’ capacities to identify appropriate and effective ways of intervening on their patients’ behalf. With respect to the evidentiary basis of psychotherapy, the text hews closely to the three widely recognized pillars of evidence in professional vii viii PREFACE practice. First, the presentation of principles in each chapter draws on relevant empirical data wherever such data are available. Second, where adequate research studies do not yet exist, clinical expertise as reported in the literature provides support for the recommendations made. Third, the text attends throughout to formulating interventions that are attentive to patient needs, preferences, and values. Along with its focus on evidence-based practice, the text includes a case study that illustrates many of the concepts and principles discussed. This case study is presented in two parts, the ?rst of which reviews the background history, clinical evaluation, and treatment planning for Ms. A, a 28-year-old woman with complaints of depression and interpersonal dif?culties. The second part describes the course of twice-weekly psychotherapy with Ms. A and includes an annotated verbatim transcript of her 221st session, which took place shortly before termination. The text has also been updated to keep it current with the literature, especially with respect to the substantial volume of psychotherapy research ?ndings that have been reported in the last dozen years. Of the 667 references cited in the text, 332—about half—have appeared since 1997, when t 内容过长，仅展示头部和尾部部分文字预览，全文请查看图片预览。 clinical and forensic psychology. ROBERT F. BORNSTEIN, PHD, is Professor of Psychology in the Derner Institute of Advanced Psychological Studies at Adelphi University. He is a Fellow of the American Psychological Association, Association for Psychological Science, and Society for Personality Assessment; and his research on personality disorders, most recently the dependent personality, has been funded by grants from the National Institute of Mental Health and the National Science Foundation. [文章尾部最后500字内容到此结束,中间部分内容请查看底下的图片预览]请点击下方选择您需要的文档下载。

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