Psychodynamic Psychotherapy

Deborah Cabaniss is Professor of Clinical Psychiatry, Director of Psychotherapy Training, and Associate Director of Residency Training in the Columbia University Department of Psychiatry. Dr. Cabaniss, who is also Director of the Virginia Apgar Academy of Medical Educators at the Columbia University College of Physicians and Surgeons, is a recipient of Columbia University’s Presidential Award for Outstanding Teaching. She has published extensively on topics related to psychiatric and psychoanalytic education, and is a Training and Supervising Analyst at the Columbia University Center for Psychoanalytic Training and Research. Carolyn J. Douglas is Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons, and Adjunct Associate Professor of Clinical Psychiatry at Weill Medical College of Cornell University. Dr. Douglas is the author of several publications on teaching supportive psychotherapy to psychiatric residents, the psychotherapy selection process, and psychodynamic psychotherapy. Anna R. Schwartz is Assistant Clinical Professor of Psychiatry at the Columbia University College of Physicians and Surgeons, and Director of the Psychodynamic Psychotherapy Program at the Columbia University Center for Psychoanalytic Training and Research. Dr. Schwartz is also a former recipient of the Irma Bland Teaching Award from the American Psychiatric Association. Sabrina Cherry is Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons and currently practices psychiatry and psychoanalysis in New York City. Dr. Cherry is also a Training and Supervising Analyst and active teacher of psychoanalytic candidates at Columbia Center for Psychoanalytic Training and Research.

Preface


Acknowledgments


Use of this Manual


About the Companion Website


Introduction


PART ONE: What Is Psychodynamic Psychotherapy? 1


1 The Treatment for a Mind in Motion 2


2 How Does Psychodynamic Psychotherapy Work? 7


PART TWO: Assessment 14


3 Creating a Safe Place and Conducting an Assessment 16


4 Assessing Domains of Function 25


5 The Initial Formulation 42


6 Indications for Psychodynamic Psychotherapy 51


PART THREE: Beginning the Treatment 61


7 Informed Consent and Collaborative Goal Setting 63


8 Setting the Frame and Establishing Boundaries 71


9 Developing a Therapeutic Alliance 84


10 Technical Neutrality 92


11 Conducting a Psychotherapy Session 99


12 Our Patients’ Feelings about Us and Our Feelings about Our Patients 107


13 Empathic Listening 115


14 Looking for Meaning 123


15 Medication and Therapy 127


PART FOUR: Listen/Reflect/Intervene 135


16 Learning to Listen 136


17 Learning to Reflect 141


18 Learning to Intervene 150


PART FIVE: Conducting a Psychodynamic Psychotherapy: Technique 175


19 Affect 177


20 Free Association and Resistance 189


21 Transference 202


22 Countertransference 220


23 Unconscious Conflict and Defense 231


24 Dreams 246


Review activity for Part Five “The Microprocess Moment:” Understanding a Moment in Therapy 257


PART SIX: Meeting Therapeutic Goals 260


25 Improving Self–Perceptions and Self–Esteem Regulation 261


26 Improving Relationships with Others 270


27 Improving Adapting to Stress 276


28 Improving Cognitive Function 383


PART SEVEN: Working Through and Ending 296


29 Working Through 297


30 Ending 304

Review activity for Parts Six and Seven – “The Macroprocess Summa