Individual Psychotherapy and the Science of Psychodynamics

Individual Psychotherapy and the Science of Psychodynamics

1st Edition - March 29, 1979

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  • Author: David H. Malan
  • eBook ISBN: 9781483191867

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Individual Psychotherapy and the Science of Psychodynamics present an extensive examination of the basic principles of dynamic psychotherapy. It discusses the concept of constructive aggression. It addresses the analysis of expressive and defensive mechanisms. Some of the topics covered in the book are the therapeutic effects from history taking; common syndromes of sexual problems in women; qualities needed by a therapists; characteristics of unconscious communication; common syndromes of problems of masculinity in men; evolution and analysis of Oedipus complex; and Koch’s postulates in psychodynamics. The passive defenses against aggression and the link with depression are fully covered. An in-depth account of the meaning of paranoid feelings is provided. The evaluation of the oedipal depression in men and women are completely presented. A chapter is devoted to the identification of transference neurosis. Another section focuses on the origin of human aggression. The analysis of phobic anxiety, anorexia nervosa, and hypochondriasis are briefly covered. The book can provide useful information to psychologists, therapists, students, and researchers.

Table of Contents

  • 1. Psychotherapy in Everyday Life

    The Economics Student

    2. Inner Mechanisms in Everyday Life

    Nine Stories

    The Spoilt Son

    The Anthropologist and the Cat

    Upsetting the Sugar

    The Franciscans in the Middle Ages

    Sour Grapes

    Roberta in Hospital

    The Social Worker and her Father

    The Anatomy Viva

    The Snake and the Wasp


    Expressive and Defensive Mechanisms

    The Return of the Repressed

    Guilt and Concern

    Preliminary Summary

    The Application of these Concepts to Symptoms

    Depreciation or Rejection of What is Desired

    Unconscious Mechanisms and Feelings

    Self-Defeating and Self-Destructive Mechanisms

    The Triangle of Conflict

    The Effect on the Environment; Vicious Circles; Conjoint Therapy


    3. Unconscious Communication

    An Example of Association

    Association and Emotional Significance

    Unconscious and Preconscious

    Free Association in Psychotherapy

    Association and Communication

    Unconscious Communication in Everyday Life - Sandra and the Puppies

    The Neurological Patient

    Rapport and its Use in Psychotherapy

    The Here-and-Now; Transference

    The Interior Decorator

    The Girl Afraid of Breakdown

    The Military Policeman

    The Characteristics of Unconscious Communication

    4. Elementary, though not Necessarily Easy, Psychotherapy


    Qualities Needed by a Therapist

    The Geologist

    The Question of Advice

    The Influence of the Past

    The Question of Therapeutic Effects

    5. Elementary Psychotherapy Continued: Symptoms, Precipitating Factors, and Psychiatric Consultation

    Therapeutic Effects from History-Taking: The Drama Student

    The Adopted Son

    The Farmer's Daughter

    The Daughter with a Stroke

    Retrospect of Clinical Examples

    6. A Note on the Observations of Psychoanalysis

    7. Common Syndromes I: Sexual Problems in Women

    The Economics Student (Contd.)

    Mixed Feelings about Men

    The Director's Daughter

    Background and Complaints

    Anger with Men and with the Origin of Symptoms

    Oedipal Feelings

    Primitive Feelings

    Envy of Men

    The Pilot's Wife

    8. Common Syndromes II: Problems of Masculinity in Men

    The Concert-Goer

    The Dental Patient

    The Articled Accountant

    The Minicab Driver


    The Indian Scientist

    Further Discussion

    The Oedipus Myth and the Male Oedipus Complex


    Weak Fathers

    Dead or Absent Fathers

    The Relation with the Mother

    The Oedipus Complex and Evolution

    Love and Longing for the Father

    The Son in Mourning


    9. The Relation with the Therapist: 'Transference'


    History of Transference

    The Falling Social Worker — Two Different Kinds of Transference

    The Contralto: A Question of Trust

    The Mother of Four: Transference in the Initial Interview

    The Carpenter's Daughter: Transference in the Early Stages of Therapy

    Homosexual Transference

    The Son in Mourning (Contd.): Love of a Male Patient for a Male Therapist

    10. The Dialog of Psychotherapy and the Two Triangles

    The Basic Principles of Dynamic Psychotherapy

    The Interior Decorator (Contd.), Illustrating Fluctuations in Rapport

    The Question of Reassurance

    The Interior Decorator (Contd.)

    'Defense Should be Interpreted Before Impulse'

    The Interior Decorator (Contd.)

    The Two Triangles

    Account of an Imaginary Therapy

    First Phase: Completion of the Triangle of Conflict in Relation to the Girl-friend (O)

    Second Phase: The Link with the Past (O/P Link)

    Third Phase: Resistance, and the Entry of Transference

    Fourth Phase: The Interpretation of the Resistance and the T/O Link

    Fifth Phase: Crisis, the T/P Link, Breakthrough

    Sixth Phase: The Threat of Termination, Relapse

    Seventh Phase: Acting out

    Eighth Phase: Over-determination — An Earlier Trauma

    The Use of Dreams in Dynamic Psychotherapy

    Eighth Phase (Contd.)

    Final Phase: Working Through Termination, Together with the T/P Link


    Summary of Principles Illustrated by 'An Imaginary Therapy'

    The Two Triangles: General Principles

    The Universal Technique

    11. Three Linked Themes: Aggression, Elimination of Bodily Products, and Obsessional Phenomena


    The Concept of Constructive Aggression

    The Discovery of Constructive Self-Assertion: The Almoner

    The Maintenance Man and the Meaning of a Urinary Phobia

    Elimination of Bodily Products

    The Maintenance Man (Contd.)

    Obsessional Anxiety and Fear of Aggression

    The Pesticide Chemist

    'Koch's Postulates' in Psychodynamics

    The Meaning of Obsessional Symptoms

    Aggression and Sibling Rivalry

    The Divorced Mother

    The Compulsion to Repeat

    The Divorced Mother (Contd.)

    Passive Defenses Against Aggression and the Link with Depression

    12. An Introduction to Depression

    Depression and Miscarried Grief - The Nurse in Mourning

    The Nurse in Mourning, Initial Assessment Interview

    The Therapist's Role in Acute Grief

    The Nurse in Mourning, Motivation

    The Nurse in Mourning, Therapy

    The Issue of Ambivalence in Depression

    The Meaning of Paranoid Feelings

    Retrospect of Depressive Patients

    Oedipal Depression in Women

    Oedipal Depression in Men

    The Depressed Tailor

    The Son in Mourning (Contd.)

    Depression and Rejected Love

    Depressive Self-Reproaches


    Defensive Use of Genuine Feelings in Depression: A Man of Sorrows

    The Helping Profession Syndrome

    13. Regression and Long-Term Therapy

    The Mental Welfare Officer

    The Carpenter's Daughter (Contd.)

    The Cricketer


    Regression and Dependence

    'Needs' and 'Demands'

    The 'Corrective Emotional Experience'

    Transference and the Transference Neurosis

    14. Deeper Layers of Depression

    Maternal Deprivation

    The Depressive Position

    The Ghanaian Girl

    The Mother of Four (Contd.)

    The Convent Girl

    The Theme of Feeding

    The Irishwoman with the Cats: An Internal Persecutor

    The Personnel Manager: The Depressive Position

    The Treatment of Maternal Deprivation; Internal Spoiling

    The Personnel Manager (Contd.)

    Climax of Therapy: Reaching the Depressive Position



    An Important Word of Caution

    15. Primitive Phenomena

    Psychodynamics and the Failure of Common Sense

    'Fed Upon His Mother's Tears' — An Experience under LSD

    The Cricketer: Attacking the Good

    The Refugee Musician and the Treatment of Near-Psychotic Patients

    The Technique with Near-Psychotic Patients

    The Refugee Musician (Contd.)

    The Depressive Position in a Paranoid Patient


    Oral, Anal, and Genital'

    The Foster Son: Savagery and Closeness

    The Origin of Human Aggression

    16. Termination and Breaks in Treatment

    Simple Gratitude as a Response to Termination — The Geologist (Contd.)

    The Patient has Received Enough Help — The Gibson Girl

    'Flight into Health' - the Factory Inspector

    Premature Withdrawal as a Way of Avoiding Feelings about Termination — The Neurasthenic's Husband

    Intense Grief and Anger — The Swiss Receptionist

    The Issue of Termination Carried to the Limit — The Man with School Phobia


    17. Assessment for Psychotherapy: I. General Principles

    The Use of Interpretations in the Initial Interview: Trial Therapy

    An Example of the Importance of Avoiding Deep Contact in the Initial Interview

    Summary of the Use of Interpretations in the Initial Interview; Motivation


    18. Assessment for Psychotherapy (Contd.): II. The Importance of the Psychiatric Inquiry and Differential Diagnosis

    The Fostered Irish Girl

    Phobic Anxiety


    Obsessional Anxiety



    Anorexia Nervosa

    The Law of Increased Disturbance

    Depression and the Question of Suicide

    Paranoid and Other Psychotic Conditions

    The Refugee Musician (Contd.)

    Hildebrand's Excluding Factors

    The Fostered Irish Girl (Contd.): Actual Diagnosis

    Assessing Inner Strength and External Support

    The Use of Projective Tests

    Disposal and Treatment


    19. Assessment for Psychotherapy (Contd.): III. The Psychodynamic Assessment and Psychotherapeutic Forecasting

    The Film Director's Secretary

    Identifying the Life Problem

    Psychotherapeutic Forecasting

    Severity, Strength, and Weakness

    Psychotherapeutic Forecasting (Contd.): Dangers

    The Question of Support

    Dynamic Evidence

    The Patient's Capacity and Motivation for Insight

    Choice of Treatment

    20. Assessment for Psychotherapy (Contd.): IV. The Indications for Brief Psychotherapy

    The Man from Singapore

    The Problem of Differential Psychodynamic Diagnosis

    Choice of Treatment: the Criteria for Planned Brief Psychotherapy

    21. Assessment for Psychotherapy (Contd.): V. Contra-Indications to Uncovering Psychotherapy

    The Man from Borstal

    The Man with Psychic Pain

    22. Assessment for Psychotherapy (Contd.): VI. The Consequences of Making Contact

    The Foster Son (Contd.)

    23. Epilogue: The Future of Psychotherapy and Psychodynamics



Product details

  • No. of pages: 288
  • Language: English
  • Copyright: © Butterworth-Heinemann 1979
  • Published: March 29, 1979
  • Imprint: Butterworth-Heinemann
  • eBook ISBN: 9781483191867

About the Author

David H. Malan

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