In the competition between therapy modalities in the United States today, group psychotherapy is clearly on the ropes. As I write these words, the Commission for the Recognition of Specialties and Proficiencies in Professional Psychology (CRSPPP) of the American Psychological Association is considering another petition offered by APA Division 49 (Group Psychotherapy) to have group […]
Abstract Literature has shown the importance of mentalizing techniques in symptom remission and emotional understanding; however, no study to date has looked at the dynamic relations between mental state talk and affect regulation in the psychotherapy process. From a psychodynamic perspective, the emergence of the child’s capacity to regulate affect through the therapist’s reflection on […]
Evidence-based practice in psychology has been defined as the integration of the best available research, clinical expertise, and the individual client’s characteristics, values, and preferences (APA, 2006). This definition suggests that psychotherapists should be able, and willing, to integrate techniques from different theoretical orientations based on the context. Although integration is important, it is also […]
Abstract Couple therapy outcomes tend to be judged by randomized controlled trial evidence, which comes primarily from the United States. United Kingdom and European outcome studies have tended to be naturalistic and there is a debate as to whether “laboratory” (RCT) studies are useful benchmarks for the outcomes of “clinic” (naturalistic) studies, not least because […]
Have you ever seen anyone else doing supervision—except your own? Whenever I am giving a workshop on clinical supervision to psychotherapy supervisors, I ask if any of them have every seen another psychologist supervising a trainee, let along watched a master supervisor doing so. On every occasion, only a few hands go up. Although clinical […]
If you are a psychotherapist of a certain age you no doubt remember the 1982 New York Times Magazine article on Short-Term Dynamic Psychotherapy (STDP; Davanloo, 1980) by journalist Dava Sobel. In contrasting STDP (“the most aggressive form of psychic medicine to rest on the principles of Sigmund Freud”) to traditional psychoanalytic psychotherapy, Sobel noted, […]
Abstract In the context of a randomized clinical trial of psychoanalytic psychotherapy (PPT) versus cognitive behavior therapy (CBT) for bulimia nervosa (BN), this study performed secondary analyses of (a) the relation between attachment and pretreatment symptom levels, (b) whether client pretreatment attachment moderated treatment outcome, (c) whether change in client attachment was associated with symptomatic change, and (d) whether […]
Jeremy Holmes (2014) offers here a book, rich with the wisdom of an experienced clinician, that celebrates the imagination as an essential component of the psychotherapeutic process, using examples from literature to provide insight into important aspects of clinical work. He argues that literature and psychodynamic therapy share an “aesthetics” based upon a “paradoxical combination […]
Informed by the author’s 37 years of clinical experience with transgender individuals, this article presents an introductory model for clinicians who provide depth psychotherapy to this population. The author points out that primary concerns of transgender individuals in psychotherapy are often the same as most people; yet developing their transgender self without the “mirroring” from […]