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Unbearable Affect

Author: David Garfield
Publisher: Karnac Books
ISBN: 1780493347
Size: 44.54 MB
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In this cohesive, dramatic, and highly readable book, David Garfield establishes a roadmap for the diagnosis and psychotherapeutic treatment of psychotic disorders based on finding, understanding and reordering of unbearable affect. He provides concrete clinical advice, vivid examples, and crisp jargon-free descriptions of theoretical concepts and clinical techniques. Most of all, he demonstrates that it is possible for psychotic patients to take control of their conditions, rebuild family relationships, and establish themselves in the viable productive lives that they have long despaired of achieving.

Unbearable Affect

Author: David A. S. Garfield
Publisher: Wiley-Interscience
Size: 31.78 MB
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What happens when emotion becomes unbearable? In some psychotic patients, delusions, hallucinations, and incoherence are the result, while others suffer from negativism, autism, or emotional paralysis. In this remarkable book, Dr. David Garfield builds on the work of Semrad, Jung, and Bleuler in identifying affect as "the driving force behind all our actions and omissions" and in using emotion as the focus and guide for healing psychotic patients. This is particularly important in an age when antipsychotic drugs and modern neuroscience have rendered many patients less symptomatic, but still dysfunctional. The book is divided into three sections, which correspond with the three stages of psychotherapy of psychosis. The first section deals with finding and understanding unbearable affect in the initial clinical work with psychosis. Unbearable affect is seen as the focal point around which psychosis turns. The book explores techniques for identifying affect in the patient's first communications; examines the precipitating event that brought the patient to clinical attention; and establishes links among primary mental processes, affect, and psychosis. The second section outlines techniques for helping patients contain and transform unbearable affect. These include special techniques for dealing with "shame, pride, and paranoid psychoses" as well as persecutory states. This section also addresses the therapist's role as the missing eyes and hands of the patient, and the necessity that the patient make contact with the emotionality of the clinician. The book's third section is geared toward keeping patients out of psychosis once they have stabilized. It illustrates how healthy emotional change can enable patients to enlist the help of others in difficult affect-laden situations, contrasts theories of change in the psychotherapy of psychosis with the affect-centered approach, and addresses the issue of posttreatment access to the therapist. Built on a solid theoretical foundation and furnished with clinical experience and practical advice, Unbearable Affect provides a powerful tool through which to approach the healing of psychotic patients. Mental health professionals who work with psychotic patients in hospitals, prisons, shelters, clinics, or private practice will find this sensitive book highly illuminating. Struggle alongside a young psychiatrist as he learns to understand and help desperately ill mental patients. Unbearable Affect is that rarest of literary jewels, a work of genuine and profound scientific merit that also has a deeply moving story to tell. It traces the progress of a fictional young psychiatrist, Tony Potter, as he immerses himself in the lives and psyches of patients who suffer from the worst kinds of mental torment. Dr. Potter's clinical encounters demonstrate that affect lies at the center of psychosis and must therefore be the focus of any meaningful course of psychotherapy. Dr. David Garfield cuts a path through the underbrush of psychotherapeutic theories and techniques to lead us on a journey of discovery. First, we discover the ordinary within the extraordinary, the real person whose existence has been obscured by the swirling symptoms of psychosis. Next, we go in search of the extraordinary within the ordinary, the great strength, ability, and human potential that can survive even the worst psychoses, and which are the foundations upon which the healing process is built. Young Dr. Potter confronts patients suffering from a variety of psychoses, and after each encounter we learn what the great authors and researchers of the mind have had to say about the condition, and how state-of-the-art psychotherapy addresses it. In this cohesive, dramatic, and highly readable account, Dr. Garfield establishes paradigms for the diagnosis and psychotherapeutic treatment of psychotic disorders based on location, understanding, and reordering of unbearable affect. He provides concrete clinical advice, vivid examples, and crisp jargon-free descriptions of theoretical concepts and clinical techniques. Most of all, he demonstrates that it is possible for psychotic patients to take control of their conditions, rebuild family relationships, and establish themselves in the viable, productive lives that they have long despaired of achieving.

Psychotherapy For People Diagnosed With Schizophrenia

Author: Andrew Lotterman
Publisher: Routledge
ISBN: 1317540964
Size: 15.67 MB
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In this unique book, Andrew Lotterman describes a creative approach to the psychotherapy of people diagnosed with schizophrenia and other forms of psychosis. Lotterman focuses on specific techniques that can be used in psychological therapy with people who have symptoms such as hallucinations, delusions, paranoia, ideas of reference, looseness of association and pressured speech. Formerly titled Specific Techniques for the Psychotherapy of Schizophrenic Patients, this edition updates research on the biology and psychology of psychosis and explores the many controversial issues surrounding diagnosis. It also includes two new chapters on the psychology and treatment of paranoia and on the experience of having a shattered self and the delusion of being the Messiah. Lotterman’s innovative approach aims to help patients with one of the most debilitating symptoms of psychosis: the collapse of language use. By restoring language as a way of communicating the patient’s meaningful inner life to himself and to others, the patient is then able to undertake a more traditional form of verbal psychotherapy. The book presents detailed case histories of patients who have benefited from this method, highlighting the specific techniques used and the psychological improvements that followed. The approach presented here complements medication-based treatments that have only had partial success, as well as other psychological approaches such as cognitive behavioural therapy, family therapy and social skills training. Psychotherapy for People Diagnosed with Schizophrenia will be a valuable text for clinicians working with people suffering from psychosis, including psychotherapists, psychoanalysts, psychologists, physicians and social workers. It will also be of great interest to academics and students.

Self Psychology And Psychosis

Author: David Garfield
Publisher: Karnac Books
ISBN: 1782202285
Size: 49.91 MB
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In this groundbreaking volume, David Garfield and Ira Steinman bring us into the immediacy of the analyst’s consulting room in direct confrontation with the thought disorder, delusions and hallucinations of their patients grappling with psychosis. From the early days of psychoanalysis when Freud explicated the famous Schreber case, analysts of all persuasions have brought a variety of theories to bear on the problem of schizophrenia and the other psychoses. Here, as William Butler Yeats notes, “the centre cannot hold” and any sense of self-esteem - positive feelings about oneself, a continuous sense of self in time and a functional coherence and cohesion of self - is shattered or stands in imminent danger. What makes psychoanalytic self psychology so compelling as a framework for understanding psychosis is how it links together the early recognition of narcissistic impairment in these disorders to the “experience-near” focus which is the hallmark of self psychology. Now, with Garfield and Steinman’s descriptions of healing in the mirroring, idealizing and twinship experiences of treatment, the theory of self psychology, in a comprehensive fashion, is brought to bear on the psychoses for the very first time. Join Garfield and Steinman as they bring the reader into these analytic journeys, inspired by Kohut and his followers and crafted with their own original insights as patients find their way back to a meaningful and functional existence.

Early Intervention In Psychosis

Author: Max J. Birchwood
Publisher: Wiley
ISBN: 9780471978664
Size: 12.21 MB
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The early recognition and treatment of psychosis--particularly in adolescents and young adults--is increasingly accepted as an important factor in the individual experience of mental illness, which can have major implications for mental health care and treatment. This book is one of the first books available on the treatment of psychosis.

Handbook Of Psychodynamic Approaches To Psychopathology

Author: Patrick Luyten
Publisher: Guilford Publications
ISBN: 1462522041
Size: 75.41 MB
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Authoritative and comprehensive, this volume provides a contemporary psychodynamic perspective on frequently encountered psychological disorders in adults, children, and adolescents. Leading international authorities review the growing evidence base for psychoanalytic theories and therapeutic models. Chapters examine the etiology and psychological mechanisms of each disorder and thoroughly describe effective treatment strategies. Highly accessible, the book is richly illustrated with clinical case material. It demonstrates ways in which psychodynamic theory and therapy are enhanced by integrating ideas and findings from neuroscience, social and personality psychology, cognitive-behavioral therapy, and other fields. Winner—Goethe Award for Psychoanalytic and Psychodynamic Scholarship

Psychoanalytic Psychotherapy

Author: Nancy McWilliams
Publisher: Guilford Press
ISBN: 9781606235829
Size: 61.91 MB
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Addressing the art and science of psychodynamic treatment, Nancy McWilliams distills the essential principles of clinical practice, including effective listening and talking; transference and countertransference; emotional safety; and an empathic, attuned attitude toward the patient. The book describes the values, assumptions, and clinical and research findings that guide the psychoanalytic enterprise, and shows how to integrate elements of other theoretical perspectives. It discusses the phases of treatment and covers such neglected topics as educating the client about the therapeutic process, handling complex challenges to boundaries, and attending to self-care. Presenting complex information in personal, nontechnical language enriched by in-depth clinical vignettes, this is an essential psychoanalytic work and training text for therapists.