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Psychodynamic Counselling in a Nutshell


Synopsis


Susan Howard explains in a clear, jargon-free style, the concepts at the heart of the psychodynamic approach, and, drawing on case material, describes the therapeutic practice which rests on those ideas. Assuming no previous knowledge of the subject, the book introduces:

  • the history of the approach
  • main key concepts
  • practical techniques used by practitioners

In the first chapter, you are introduced to a client, Layla, whose case you′ll revisit throughout the book, helping you connect theory and practice. This edition also includes new material on working with diversity and difference, neuroscience and extended discussion on ethics.

Howard, Susan

Summary

Chapter 1: Understanding Psychodynamics

* Defines psychodynamics as understanding and addressing unconscious processes that influence behavior and mental health.
* Explores the role of early childhood experiences in shaping personality and psychopathology.
* Real Example: A client struggles with anxiety and perfectionism, which may stem from a childhood environment that emphasized high expectations and criticism.

Chapter 2: The Unconscious Mind

* Describes the unconscious mind as a reservoir of thoughts, feelings, and impulses that we are unaware of.
* Discusses how unconscious conflicts and desires can affect our behavior and mental well-being.
* Real Example: A client discovers through therapy that their fear of intimacy stems from an unresolved unconscious conflict from childhood.

Chapter 3: Defense Mechanisms

* Explores defense mechanisms as unconscious mental processes that protect us from anxiety or distress.
* Identifies common defense mechanisms such as projection, denial, and regression.
* Real Example: A client who avoids social situations may be using avoidance as a defense mechanism to protect themselves from the anxiety of being judged.

Chapter 4: Psychodynamic Assessment

* Outlines the process of conducting a psychodynamic assessment, including gathering information about the client's past, present, and unconscious processes.
* Describes different assessment techniques such as interviews, observations, and projective tests.
* Real Example: A therapist uses dream analysis as a projective test to gain insights into a client's unconscious conflicts and motivations.

Chapter 5: Psychodynamic Interventions

* Discusses the main therapeutic interventions used in psychodynamic counseling.
* Explores techniques such as free association, transference analysis, and dream interpretation.
* Real Example: A therapist encourages a client to engage in free association to uncover their unconscious thoughts and feelings about a relationship they are struggling with.

Chapter 6: Transference and Countertransference

* Explains transference as the unconscious redirection of feelings and behaviors from past relationships onto the therapist.
* Describes countertransference as the therapist's unconscious reactions to the client's transference.
* Real Example: A client may experience intense feelings of attachment towards the therapist, which may represent unresolved feelings from their childhood relationship with a caregiver.

Chapter 7: Termination and Outcome

* Explores the process of ending psychodynamic therapy and the factors that influence its outcome.
* Outlines strategies for preventing premature termination and fostering a successful therapeutic alliance.
* Real Example: A client may experience a sense of loss or anxiety when therapy concludes, and the therapist works with them to process these feelings and facilitate a healthy transition.