By D. H. Malan (auth.)
The unique target of the current paintings, which was once initiated by means of Dr. Michael Balint, was once to discover short Psychotherapy performed by means of psycho-analysts who're really expert and skilled. To this has been additional an try to reconcile the 'clinical' and 'objective' ways to psychodynamic fabric, by means of treating medical decisions precisely as conscientiously as is acceptable, not more and no much less. A overview of past paintings ends up in little sure end. an entire spectrum of perspectives are available, from the main 'conservative' (e.g. short psychotherapy is just powerful within the mildest and newest health problems; the strategy used can be superficial-any try and pass 'deeper' will result in long term remedy; and the consequences are just palliative) to the main 'radical' (seriously sick sufferers should be generally helped through a method containing lots of the crucial components of long term tools resembling psycho-analysis). the current paintings is predicated primarily at the remedies of 19 sufferers, handled by means of a workforce of therapists less than the chief send of Dr. Balint. The research is essentially retrospective, however it is designed to fill a number of the vital gaps to be present in the literature: 1. designated case histories are given of all sufferers taken care of; 2. specific cognizance is paid to lengthy follow-up; three. a mode of assessing healing effects has been built that is considered as psychodynamically legitimate and is predicated on released proof; four. The relation is tested among consequence and (a) the features of sufferers, (b) the features of technique.
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Extra resources for A Study of Brief Psychotherapy
Any technique of brief psychotherapy must therefore be based on differences from analysis, and particularly on a conscious opposition to one or more of the lengthening factors already described in Chapter 2. Of these, the most easily corrected is the analyst's tendency to passivity. The corresponding need for some kind of 'activity' in brief psychotherapy is one of the few matters of almost universal agreement in this whole field. Passivity in analysis has many aspects: the use of the couch, of free association, the willingness to deal with whatever material the patient brings, the sense of timelessness.
Finesinger, 1948) discourage the interpretation of dreams for the same reason as they discourage free association, because they feel it leads away from reality. A different aspect of 'activity' is emphasized by several modern schools of brief psychotherapy, and forms one of the principles on which there is the greatest measure of agreement. This comprises several related principles: that the therapist must first of all abandon another of the lengthening factors, namely therapeutic 28 Review of previous work on briefpsychotherapy perfectionism, and plan a limited aim from the beginning, pursuing it by guiding the patient by means of some technique of selective attention.
Since one of the lengthening factors is the therapist's preoccupation with ever 'deeper' and 'earlier' feelings, it is clear that one way of shortening therapy may be to keep interpretations more 'superficial'. Whether or not this is sufficient to give the patient worth while help is a matter for experience to decide. This leads to a very important question of technique: whether the therapist (a) should make his interpretations only in terms of the current life problem, the relation to people in the patient's present life, or external reality; or (b) should not be afraid where necessary to make interpretations about the roots of the patient's neurosis in childhood, his relation with his parents, or his inner world.
A Study of Brief Psychotherapy by D. H. Malan (auth.)