Wisdom in the practice of psychotherapy

著者

書誌事項

Wisdom in the practice of psychotherapy

T. Byram Karasu

BasicBooks, c1992

大学図書館所蔵 件 / 全7件

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注記

Includes bibliographical references and index

内容説明・目次

内容説明

Provides clinical guidance for psychotherapists at all levels in the form of brief clinical "wisdoms". The author explores particular moments and interactions in the therapy process, from setting the stage for patient receptivity and forming a therapeutic alliance to curative agents and outcomes.

目次

  • Part 1 On psychological theories and their limitations: theories of psychotherapy should anchor, not drown, the therapist. Part 2 On the patienthood role and its implications: a patient is a sufferer who cannot cope and who believes in the therapist
  • diagnosis in psychotherapy means understanding human conditions that are both unique and universal
  • behind the question, what do I want? is the larger question, who am I? - or even, am I? patients come to treatment in search of a substitute object, if not a substitute self. Part 3 On therapeutic settings and their mythologies: the therapist must establish a psychologically safe environment, wherein anything can be said and any feeling experienced
  • the therapist establishes the optimum therapeutic
  • environment through a balance of neutrality and empathy
  • the therapist and the patient need to share a view - or myth - of illness and its cure
  • a shared myth between therapist and patient may be culturally inherited, but their shared intention must be mutually cultivated
  • by heightening or lowering arousal, the therapist enters the patient's world. Part 4 On clinical listening and its nuances: the therapist's suspended attention is not only objective but empathic
  • the therapist who "completely understands" the patient has stopped listening
  • therapists tend to underestimate the power of listening and overestimate the power of speaking
  • do not strangle the patient's questions by answering them
  • the therapist's silence is intended to facilitate treatment
  • the patient's silence unintentionally resists it
  • silence is not always golden
  • it can be misused by the therapist and misunderstood by the patient
  • behind the patient's silence is a wish to be understood without verbalizing. Part 5 On therapeutic relationships and their variations: the therapist and patient develop a communicative intimacy that does not exist in other relationships
  • the patient's patterns of relatedness determine the moment-to-moment course of the therapeutic relationship
  • the patient's undue dependency on or failure to get close to the therapist represent two sides of a rapprochement conflict
  • the therapist's failure to facilitate transference may reflect excessive activity
  • failure to establish an empathic bond reflects insufficient feeling for the patient. Part contents.

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