Read e-book online A Study of Brief Psychotherapy PDF

By D. H. Malan (auth.)

ISBN-10: 146134395X

ISBN-13: 9781461343950

ISBN-10: 1461343976

ISBN-13: 9781461343974

The unique goal of the current paintings, which used to be initiated through Dr. Michael Balint, used to be to discover short Psychotherapy conducted through psycho-analysts who're rather expert and skilled. To this has been further an try to reconcile the 'clinical' and 'objective' methods to psychodynamic fabric, through treating medical decisions precisely as conscientiously as is suitable, not more and no much less. A evaluation of earlier paintings ends up in little sure end. a whole spectrum of perspectives are available, from the main 'conservative' (e.g. short psychotherapy is simply powerful within the mildest and latest health problems; the approach used might be superficial-any try to cross 'deeper' will bring about long term treatment; and the consequences are just palliative) to the main 'radical' (seriously sick sufferers may be generally helped by means of a method containing many of the crucial components of long term tools corresponding to psycho-analysis). the current paintings relies basically at the treatments of 19 sufferers, taken care of by means of a group of therapists less than the chief­ send of Dr. Balint. The research is basically retrospective, however it is designed to fill the various very important gaps to be present in the literature: 1. specific case histories are given of all sufferers handled; 2. specific realization is paid to lengthy follow-up; three. a style of assessing healing effects has been built that's considered as psychodynamically legitimate and relies on released proof; four. The relation is tested among end result and (a) the features of sufferers, (b) the features of technique.

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This whole process is best illustrated by a simplified example from our own work: The patient (the Articled Accountant), a young man of 22, was sent for treatment after an acute outburst of uncontrollable homosexual feelings. Interview revealed the following: 1. that the homosexual feelings appeared soon after a girl in the office had shown some interest in him (the patient said, 'homosexual feelings seemed easier somehow'); 2. that he had hardly been aware before this of sexual feelings directed towards either sex; 3.

42 CHAPTER 5 The Assessment of Therapeutic Results This very difficult problem was the subject of a separate paper (Malan, 1959). The whole difficulty may be illustrated by a single example, the agoraphobic girl quoted by Bandler (in Obemdorf, Greenacre, and Kubie, op. cit. 1948) and already mentioned in Chapter 3 (p. 23). The essential point illustrated by this patient is that (i) while she dressed and behaved in such a way that men were attracted by her, she suffered from agoraphobia; and that (ii) when she lost her agoraphobia, she was founu to have changed her behaviour in such a way that men were no longer interested in her.

In Stekel's technique, for instance, this takes the form of active interpretation, particularly ofthe patient's dreams, based on free use of the therapist's previous experience and intuition. The great emphasis on dreams is clearly an attempt to by-pass the resistances and quickly enter the patient's unconscious world. g. Finesinger, 1948) discourage the interpretation of dreams for the same reason as they discourage free association, because they feel it leads away from reality. A different aspect of 'activity' is emphasized by several modern schools of brief psychotherapy, and forms one of the principles on which there is the greatest measure of agreement.

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A Study of Brief Psychotherapy by D. H. Malan (auth.)


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