Preface xi
Acknowledgments xiii
Use of This Manual xv
About the Companion Website xvii
Introduction xix
Part One What Is Psychodynamic Psychotherapy? 1
1 The Treatment for a Mind in Motion 3
2 How Does Psychodynamic Psychotherapy Work? 8
Part Two Assessment 15
3 Creating a Safe Place and Conducting an Assessment 17
4 Assessing Domains of Function 27
5 The Initial Formulation 47
6 Indications for Psychodynamic Psychotherapy 57
Part Three Beginning the Treatment 69
7 Informed Consent and Collaborative Goal Setting 71
8 Setting the Frame and Establishing Boundaries 80
9 Developing a Therapeutic Alliance 94
10 Technical Neutrality 103
11 Conducting a Psychotherapy Session 111
12 Our Patients’ Feelings about Us and Our Feelings about Our Patients 120
13 Empathic Listening 129
14 Looking for Meaning 138
15 Medication and Therapy 142
Part Four Listen/Reflect/Intervene 151
16 Learning to Listen 153
17 Learning to Reflect 159
18 Learning to Intervene 169
Part Five Conducting a Psychodynamic Psychotherapy: Technique 201
19 Affect 205
20 Free Association and Resistance 219
21 Transference 234
22 Countertransference 254
23 Unconscious Conflict and Defense 266
24 Dreams 283
Review Activity for Part Five: The “Microprocess Moment” – Understanding a Moment in Therapy 296
Part Six Meeting Therapeutic Goals 299
25 Improving Self-Perceptions and Self-Esteem Regulation 301
26 Improving Relationships with Others 311
27 Improving Adapting to Stress 319
28 Improving Cognitive Function 327
Part Seven Working Through and Ending 341
29 Working Through 343
30 Ending 352
Review Activity for Parts Six and Seven: “The Macroprocess Summary” – Understanding How Things Change in Treatment 365
31 Continuing to Learn 370
Appendix 1 How to Use Psychodynamic Psychotherapy: A Clinical Manual – A Guide for Educators 375
Appendix 2 Template for Assessment of the Microprocess Moment and Video Review 384
Appendix 3 The Post-Evaluation Psychodynamic Psychotherapy Educational Resource – The “PEPPER” 385
Recommended Reading 388
Index 401
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.
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