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Moments Of Uncertainty In Therapeutic Practice

Author: Robert Waska
Publisher: Columbia University Press
ISBN: 0231525230
Size: 47.74 MB
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One of therapy's greatest challenges is the moment of transference, when a patient unconsciously transfers emotion or desire to a new and present object in some cases the therapist. During the course of treatment, a patient's projections and the analyst's struggle to divert them can stress, distort, or contaminate the therapeutic relationship. It may lead to various forms of enactment, in which the therapist unconsciously colludes with the client in interpretation and treatment, or it can lead to projective identification, in which the client imposes negative feelings and behaviors onto the therapist, further interfering with analysis and intervention. Drawing on decades of clinical case experience, Robert Waska leads practitioners through the steps of phantasy and transference mechanisms and their ability to increase, oppose, embrace, or neutralize analytic contact. Operating from a psychoanalytic perspective, he explains how to cope professionally with moments of transference and maintain an objective interpretive stance within the ongoing matrix of projective identification, countertransference, and enactment. Each chapter discusses a wide spectrum of cases and clinical situations, describing in detail the processes that invite a playing out of the patient's phantasies and the work required to reestablish balance. Refreshingly candid, Waska recognizes the imperfections of analysis yet reaffirms its potential for greater psychological integration and stability for the patient. He acknowledges the limits and frequent roadblocks of working with difficult patients, such as those who suffer from psychic retreat, paranoid phantasies, and depressive anxieties, yet he indicates an effective path for resetting the clinical moment and redirecting the course for treatment.

Freedom From Obsessive Compulsive Disorder

Author: Jonathan Grayson
Publisher: Penguin
ISBN: 042527389X
Size: 43.90 MB
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Draws on the author's work at the Philadelphia Anxiety and Agoraphobia Treatment Center to outline a self-guided program that combines multiple treatment methods and focuses on relapse prevention and recovery.

Toward A Psychology Of Uncertainty

Author: Doris Brothers
Publisher: Taylor & Francis
ISBN: 1135469024
Size: 13.95 MB
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Since trauma is a thoroughly relational phenomenon, it is highly unpredictable, and cannot be made to fit within the scientific framework Freud so admired. In Toward a Psychology of Uncertainty: Trauma-Centered Psychoanalysis, Doris Brothers urges a return to a trauma-centered psychoanalysis. Making use of relational systems theory, she shows that experiences of uncertainty are continually transformed by the regulatory processes of everyday life such as feeling, knowing, forming categories, making decisions, using language, creating narratives, sensing time, remembering, forgetting, and fantasizing. Insofar as trauma destroys the certainties that organize psychological life, it plunges our relational systems into chaos and sets the stage for the emergence of rigid, life-constricting relational patterns. These trauma-generated patterns, which often involve denial of sameness and difference, the creation of complexity-reducing dualities, and the transformation of certainty into certitude, figure prominently in virtually all of the complaints for which patients seek analytic treatment. Analysts, she claims, are no more strangers to trauma than are their patients. Using in-depth clinical illustrations, Dr. Brothers demonstrates how a mutual desire to heal and to be healed from trauma draws patients and analysts into their analytic relationships. She recommends the reconceptualization of what has heretofore been considered transference and countertransference in terms of the transformation of experienced uncertainty. In her view the increased ability of both analytic partners to live with uncertainty is the mark of a successful treatment. Dr. Brothers’ perspective sheds fresh light on a variety of topics of great general interest to analysts as well as many of their patients, such as gender, the acceptance of death, faith, cult-like training programs, and burnout. Her discussions of these topics are enlivened by references to contemporary cinema and theatre.

Advances In Visual Methodology

Author: Sarah Pink
Publisher: SAGE
ISBN: 1446258386
Size: 35.50 MB
Format: PDF
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A stunning collection of cutting-edge essays which brings together the leading scholars in visual research. Clearly structured, and written in an engaging and accessible style throughout, this invigorating work will be the 'must have' text for teachers and students of `the visual' across the arts, humanities and social sciences. - Elaine Campbell, Reader in Criminology, Newcastle University This is a book about research that takes the challenge of the internet seriously, that rises above disciplinary difference and points to new directions for social research. - Rob Walker, Emeritus Professor, University of East Anglia This innovative book examines and introduces cutting edge visual methods in social research. It explores the development of visual methodology as a field of interdisciplinary and post-disciplinary practice spanning scholarly and applied concerns. Positioned at the innovative edge of theory and practice in contemporary visual research, Pink's engaging book goes beyond the methods, ideas and fields of practice outlined in existing texts and handbooks. This book examines: -How new theoretical and methodological engagements are developing and emerging in research practice; -the impact new approaches are having on the types of knowledge visual research produces and critiques; -the ways visual research intersects with new media; -and the implications for social and cultural research, scholarship and intervention. This book will be essential reading for any student or researcher thinking of using visual methods in their own research. Sarah Pink is Professor of Social Sciences at Loughborough University.

Collaboration And Assistance In Music Therapy Practice

Author: John Strange
Publisher: Jessica Kingsley Publishers
ISBN: 1784502235
Size: 79.10 MB
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Relating the innovative ways in which assistants and collaborators can become an integral part of a course of music therapy, this book explores how the involvement of a diverse range of individuals, such as family members, learning support assistants, caregivers and medical staff, can contribute to successful sessions. Illustrated by clinical examples, the book will help music therapists and students to make the most of opportunities to collaborate with individuals other than the client who may be present during therapy sessions. The book also takes into account the challenges that can arise in music therapy collaboration, and explores the relationships that can develop between music therapists, clients and collaborators.

Principles And Practice Of Radiation Therapy

Author: Charles M. Washington
Publisher: Elsevier Health Sciences
ISBN: 0323287816
Size: 39.14 MB
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The only radiation therapy text written by radiation therapists, Principles and Practice of Radiation Therapy, 4th Edition helps you understand cancer management and improve clinical techniques for delivering doses of radiation. A problem-based approach makes it easy to apply principles to treatment planning and delivery. New to this edition are updates on current equipment, procedures, and treatment planning. Written by radiation therapy experts Charles Washington and Dennis Leaver, this comprehensive text will be useful throughout your radiation therapy courses and beyond. Comprehensive coverage of radiation therapy includes a clear introduction and overview plus complete information on physics, simulation, and treatment planning. Spotlights and shaded boxes identify the most important concepts. End-of-chapter questions provide a useful review. Chapter objectives, key terms, outlines, and summaries make it easier to prioritize, understand, and retain key information. Key terms are bolded and defined at first mention in the text, and included in the glossary for easy reference. UPDATED chemotherapy section, expansion of What Causes Cancer, and inclusions of additional cancer biology terms and principles provide the essential information needed for clinical success. UPDATED coverage of post-image manipulation techniques includes new material on Cone beam utilization, MR imaging, image guided therapy, and kV imaging. NEW section on radiation safety and misadministration of treatment beams addresses the most up-to-date practice requirements. Content updates also include new ASRT Practice Standards and AHA Patient Care Partnership Standards, keeping you current with practice requirements. UPDATED full-color insert is expanded to 32 pages, and displays images from newer modalities.

Snowball In A Blizzard

Author: Steven Hatch
Publisher: Basic Books
ISBN: 0465098576
Size: 10.41 MB
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There’s a running joke among radiologists: finding a tumor in a mammogram is akin to finding a snowball in a blizzard. A bit of medical gallows humor, this simile illustrates the difficulties of finding signals (the snowball) against a background of noise (the blizzard). Doctors are faced with similar difficulties every day when sifting through piles of data from blood tests to X-rays to endless lists of patient symptoms. Diagnoses are often just educated guesses, and prognoses less certain still. There is a significant amount of uncertainty in the daily practice of medicine, resulting in confusion and potentially deadly complications. Dr. Steven Hatch argues that instead of ignoring this uncertainty, we should embrace it. By digging deeply into a number of rancorous controversies, from breast cancer screening to blood pressure management, Hatch shows us how medicine can fail—sometimes spectacularly—when patients and doctors alike place too much faith in modern medical technology. The key to good health might lie in the ability to recognize the hype created by so many medical reports, sense when to push a physician for more testing, or resist a physician’s enthusiasm when unnecessary tests or treatments are being offered. Both humbling and empowering, Snowball in a Blizzard lays bare the inescapable murkiness that permeates the theory and practice of modern medicine. Essential reading for physicians and patients alike, this book shows how, by recognizing rather than denying that uncertainty, we can all make better health decisions.

Conundrums And Predicaments In Psychotherapy And Psychoanalysis

Author: Richard Tuch
Publisher: Routledge
ISBN: 1351627031
Size: 31.87 MB
Format: PDF
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From time to time therapists find themselves in a bind—faced with a challenging situation, unsure how to proceed. Such a conundrum leaves the therapist on edge, concerned that the success of treatment might rest on how he or she responds to the circumstance. The situation seems to call for more than pat clinical protocol, leaving the therapist uncertain as he or she ventures into novel territory wondering "what do I do now?" Conundrums and Predicaments in Psychotherapy and Psychoanalysis: The Clinical Moments Project comprises twelve distinct clinical moments during which the treating/presenting analyst feels him- or herself in just such a quandary. The presented moment comes to a head at a point where the therapist feels uncertain what his or her next and best "move" might be—one that balances the protection of the therapeutic alliance with the need to address a clinical development head on. Space is then left for 25 well-known analysts ("commentators") of varying theoretical persuasions to weigh in, sharing what they think about the situation and how they imagine they might have proceeded. In the final analysis, the point of this project is not to determine how the moment "should" have been handled given the input of experts; rather, it aims to illuminate the clinical theories that therapists carry with them into sessions where they operate implicitly, directing their attention to select sorts of data that are then used to fashion an intervention. This, then, is the ultimate lesson of the Clinical Moments Project—to learn how to listen to how therapists listen to the unfolding material. This book will be of great interest to psychoanalysts and psychoanalytic psychotherapists of all persuasions.

Don T Feed The Monkey Mind

Author: Jennifer Shannon
Publisher: New Harbinger Publications
ISBN: 1626255083
Size: 16.64 MB
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The very things we do to control anxiety can make anxiety worse. This unique guide offers a cognitive behavioral therapy (CBT)-based approach to help you recognize the constant chatter of your anxious “monkey mind,” stop feeding anxious thoughts, and find the personal peace you crave. Ancient sages compared the human mind to a monkey: constantly chattering, hopping from branch to branch—endlessly moving from fear to safety. If you are one of the millions of people whose life is affected by anxiety, you are familiar with this process. Unfortunately, you can’t switch off the “monkey mind,” but you can stop feeding the monkey—or stop rewarding it by avoiding the things you fear. Written by psychotherapist Jennifer Shannon, this book shows you how to stop anxious thoughts from taking over using proven-effective cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness techniques, as well as fun illustrations. By following the exercises in this book, you’ll learn to identify your own anxious thoughts, question those thoughts, and uncover the core fears at play. Once you stop feeding the monkey, there are no limits to how expansive your life can feel. This book will show you how anxiety can only continue as long as you try to avoid it. And, paradoxically, only by seeking out and confronting the things that make you anxious can you reverse the cycle that keeps your fears alive.

Liquid Times

Author: Zygmunt Bauman
Publisher: John Wiley & Sons
ISBN: 0745639607
Size: 14.43 MB
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The passage from ‘solid’ to ‘liquid’ modernity has created a new and unprecedented setting for individual life pursuits, confronting individuals with a series of challenges never before encountered. Social forms and institutions no longer have enough time to solidify and cannot serve as frames of reference for human actions and long-term life plans, so individuals have to find other ways to organise their lives. They have to splice together an unending series of short-term projects and episodes that don’t add up to the kind of sequence to which concepts like ‘career’ and ‘progress’ could meaningfully be applied. Such fragmented lives require individuals to be flexible and adaptable – to be constantly ready and willing to change tactics at short notice, to abandon commitments and loyalties without regret and to pursue opportunities according to their current availability. In liquid modernity the individual must act, plan actions and calculate the likely gains and losses of acting (or failing to act) under conditions of endemic uncertainty. Zygmunt Bauman’s brilliant writings on liquid modernity have altered the way we think about the contemporary world. In this short book he explores the sources of the endemic uncertainty which shapes our lives today and, in so doing, he provides the reader with a brief and accessible introduction to his highly original account, developed at greater length in his previous books, of life in our liquid modern times.