Wisdom in the Practice of Psychotherapy

, by Karasu, T. Byram

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ISBN: 9780765702364 | 0765702363
Cover: Hardcover
Copyright: 8/1/2001

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Acknowledgments	p. xiii
Preface	p. xv
On Psychological Theories and Their Limitations	p. 1
Theories of Psychotherapy Should Anchor, Not Drown, the Therapist	p. 3
On the Patienthood Role and Its Implications	p. 9
A Patient Is a Sufferer Who Cannot Cope and Who Believes in the Therapist	p. 11
Diagnosis in Psychotherapy Means Understanding Human Conditions That Are Both Unique and Universal	p. 16
Behind the Question, What Do I Want? Is the Larger Question, Who Am I?Or Even, Am I?	p. 20
Patients Come to Treatment in Search of a Substitute Object, If Not a Substitute Self	p. 26
On Therapeutic Settings and Their Mythologies	p. 33
The Therapist Must Establish a Psychologically Safe Environment, Wherein Anything Can Be Said and Any Feeling Experienced	p. 35
The Therapist Establishes the Optimum Therapeutic Environment through a Balance of Neutrality and Empathy	p. 39
The Therapist and the Patient Need to Share a Viewor Mythof Illness and Its Cure	p. 43
A Shared Myth between Therapist and Patient May Be Culturally Inherited, but Their Shared Intention Must Be Mutually Cultivated	p. 48
By Heightening or Lowering Arousal, the Therapist Enters the Patient's World	p. 56
On Clinical Listening and Its Nuances	p. 65
The Therapist's Suspended Attention Is Not Only Objective but Empathic	p. 67
The Therapist Who ""Completely Understands"" the Patient Has Stopped Listening	p. 71
Therapists Tend to Underestimate the Power of Listening and Overestimate the Power of Speaking	p. 81
Do Not Strangle the Patient's Questions by Answering Them	p. 84
The Therapist's Silence Is Intended to Facilitate Treatment; the Patient's Silence Unintentionally Resists It	p. 89
Silence Is Not Always Golden; It Can Be Misused by the Therapist and Misunderstood by the Patient	p. 92
Behind the Patient's Silence Is a Wish to Be Understood without Verbalizing	p. 95
On Therapeutic Relationships and Their Variations	p. 101
The Therapist and Patient Develop a Communicative Intimacy That Does Not Exist in Other Relationships	p. 103
The Patient's Patterns of Relatedness Determine the Moment-To-Moment Course of the Therapeutic Relationship	p. 107
The Patient's Undue Dependency on or Failure to Get Close to the Therapist Represent Two Sides of a Rapprochement Conflict	p. 120
The Therapist's Failure to Facilitate Transference May Reflect Excessive Activity; Failure to Establish an Empathic Bond Reflects Insufficient Feeling for the Patient	p. 124
On Verbal Communication and Its Difficulties	p. 131
Psychotherapy Communication Can Begin Only Where Ordinary Conversation Leaves off	p. 133
Only the Unconscious Can Reach the Unconscious	p. 138
Anything That Can't Be Said Concisely Is Best Not Said at All	p. 150
The Therapist Must Develop a Latency O F Response, Then Work F Urther to Shorten the Time	p. 152
On Treatment Processes and Their Paradoxes	p. 155
The Patient Will Be Both Eager for and Resistant to Change; the Therapist Must Accept the Patient's Whole While Rejecting Dysfunctional Parts	p. 157
The Therapist Never Rests in the Presence of Negative Transference	p. 165
Positive Transference Can Be Perilous and Is the Main Culprit in Benign Premature Termination, Acting Out, and Prolonged Dependency	p. 171
The Therapist May Be Deceived by Positive Transference at Any Stage of the Therapy, When the Therapist's Self-Image Matches the Patient's Transferential Disposition	p. 181
The Therapist's Failure to Distinguish Actual Negative Feelings from Negative Transference Will Enrage the Patient and Bring the Treatment to a Rapid End	p. 183
The Therapist's Failure to Distinguish Actual Positive Feelings from Positive Transference Will Diminish the Patient and Bring the Session to a Slow End	p. 188
The Beginning and Ending of Sessions Tend to Be Untidy and Must Be Tied Together	p. 194
Exit and Entrance Lines Reflect the Transferential Themes of Separation and Intimacy	p. 196
On Technique and Its Boundaries	p. 205
The Therapist Must Not Have a Private Agenda	p. 207
The Therapist's Task Is to Experience the Patient's Dilemma, Not to Solve the Patient's Problems	p. 211
The Careful Interpretation Meets Four Criteria: Optimum Timing, Minimum Dosage, Concrete Detail, and Individual Focus	p. 217
Theory-Driven Interpretations Are Impersonal and Alienating to the Patient	p. 226
Every Interpretation Is Incorrect on Some Level	p. 233
The Therapist's Technique Bends under the Weight of the Patient's Weakness	p. 237
All Interpretations Are Deprivations: Good Ones Bring Disappointment and Bad Ones Cause Disengagement	p. 243
The Interpretation of Symptoms May Dissolve Resistance, but the Interpretation of Character Traits May Generate It	p. 249
Minimum Cues Should Not Be Met with Even Minimum Confrontations	p. 257
On Curative Agents and Their Deceptions	p. 265
Good Moments and Sudden Insights May Deceive the Patient and Derail the Therapist	p. 267
The Success of Psychotherapy Can Be Attributed to the Patient, and Its Failure to the Therapist	p. 272
Only When the Patient Becomes More Vulnerable within Treatment Will He or She Become Less Vulnerable outside Treatment	p. 276
Therapy, like All Relationships, Is Time-Limited	p. 278
Psychotherapy Is like a Slow-Cooking Process That Has No Microwave Substitute	p. 282
Every Therapist Must Be Prepared for the Element of Surprisewhich Can Come Only in the Psychotherapy Experience Itself	p. 285
References	p. 287
Index	p. 295
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Wisdom in the Practice of Psychotherapy

Summary

Table of Contents

Supplemental Materials