By Jeffrey L. Binder Phd
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The meanings and reasons of listening to voices that others can't pay attention (auditory verbal hallucinations, in psychiatric parlance) were debated for hundreds of thousands of years. Voice-hearing has been either respected and condemned, understood as a symptom of illness in addition to a resource of otherworldly conversation.
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Extra info for Key Competencies in Brief Dynamic Psychotherapy: Clinical Practice Beyond the Manual
Given that procedural knowledge allows us to fly largely by autopilot, so to speak, how are the coordinates initially set and subsequently adjusted? In terms of our particular domain of interest, how is the changing therapeutic context understood? Therapists must have a conscious cognitive map or “working model” of the immediate therapeutic situation, including just enough theory to comprehend the problem context and design intervention strategies, but not so much as to get in the way of attunement to the patient and spontaneous reactions to the changing context.
132). An extension of this position is that assessment should be a high priority right from the beginning of any treatment, regardless of the anticipated length. An important component of assessment is the process of understanding the patient in order to guide and focus the type and content of interventions. Attention to Termination Issues and Effective Management of the Process It is commonly assumed that a distinguishing factor of time-limited therapies is the interpersonally tricky negotiation of the termination phase.
For example, the Menninger researchers discovered that the therapists conducting long-term expressive psychoanalytic therapy and classical analysis provided many more “supportive” interventions than would have been expected, according to theory, and the outcomes of some of the “supportive” psychotherapies indicated as much or more enduring intrapsychic “structural” change than many of the classically conducted analyses (Wallerstein, 1989). The researchers’ concluded that there are a variety of ways of facilitating significant psychological change.
Key Competencies in Brief Dynamic Psychotherapy: Clinical Practice Beyond the Manual by Jeffrey L. Binder Phd