Handbook of Integrated Short-Term

This remarkable guide for conducting short-term psychotherapy details the tools and techniques of brief psychotherapy, addressing four main areas: understanding, conceptualizing, and formulating the patient's problems; setting realistic treatment goals; knowing what to say to patients; and maintaining a positive therapeutic alliance.

Arnold Winston, M.D., is Chairman of the Department of Psychiatry at Beth Israel Medical Center and is Professor and Vice Chairman of the Department of Psychiatry at the Albert Einstein College of Medicine in New York, New York.

Beverly Winston, Ph.D., is Supervising Psychotherapist of the Department of Psychiatry at Beth Israel Medical Center; Assistant Clinical Professor of Psychiatry at the Albert Einstein College of Medicine; Adjunct Associate Professor of Social Work at New York University; and Faculty at the New York School for Psychoanalytic Psychotherapy and Psychoanalysis in New York, New York.

Preface	p. xiii
Acknowledgments	p. xvii
History of Brief Psychotherapy	p. 1
Introduction	p. 1
Evolution of Brief Psychotherapy	p. 3
Conclusions	p. 10
Theoretical Concepts: An Integrated Approach	p. 11
Developmental Theory	p. 13
Conflict Theory	p. 17
Cognitive Theory	p. 20
Conclusions	p. 22
Assessment and Case Formulation	p. 23
Structural Approach	p. 24
Genetic Approach	p. 28
Dynamic Approach	p. 28
Cognitive-Behavioral Approach	p. 30
Initial Evaluation	p. 32
Trial Therapy	p. 33
Case Example: Right Side of the Continuum (Conflict Model-Expressive Psychotherapy	p. 34
Case Example: Left Side of the Continuum (Structural/Deficit Model-Supportive Psychotherapy)	p. 44
Patient Selection	p. 54
Conclusions	p. 56
The Therapeutic Relationship	p. 57
Transference	p. 58
Countertransference	p. 63
The Real Relationship	p. 65
The Therapeutic Alliance	p. 66
Essential Elements and Interventions	p. 73
Essential Elements	p. 73
Interventions	p. 80
Cognitive-Behavioral and Dynamic Psychotherapy: Similarities and Differences	p. 89
Transitioning Between Approaches	p. 92
Conclusions	p. 93
The Partnership: Medication and Psychotherapy	p. 95
Efficacy Studies	p. 96
Psychopharmacology-Psychotherapy Integration	p. 101
Conclusions	p. 106
Initial Phase of Treatment	p. 107
Supportive Psychotherapy--The Woman Who Lived On The Edge	p. 109
Supportive-Expressive Psychotherapy--The Woman Who Thought She Was a Murderer	p. 121
Expressive-Supportive Psychotherapy--Sarah's Choice	p. 131
Expressive Psychotherapy--The Man Who Never Said Goodbye	p. 151
Conclusions	p. 163
Midphase of Treatment	p. 165
Supportive Psychotherapy--The Woman Who Lived On The Edge	p. 167
Supportive-Expressive Psychotherapy--The Woman Who Thought She Was a Murderer	p. 173
Expressive-Supportive Psychotherapy--Sarah's Choice	p. 181
Expressive Psychotherapy--The Man Who Never Said Goodbye	p. 194
Conclusions	p. 202
Termination Phase of Treatment	p. 203
Supportive Psychotherapy--The Woman Who Lived On The Edge	p. 205
Supportive-Expressive Psychotherapy--The Woman Who Thought She Was a Murderer	p. 210
Expressive-Supportive Psychotherapy--Sarah's Choice	p. 221
Expressive Psychotherapy--The Man Who Never Said Goodbye	p. 231
Conclusions	p. 245
Research in Brief Psychotherapy	p. 247
Outcome Research	p. 248
Process Research	p. 254
Conclusions	p. 261
In Conclusion	p. 263
References	p. 265
Index	p. 281
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Handbook of Integrated Short-Term Psychotherapy

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