Individual Psychotherapy and the Science of Psychodynamics

1. Psychotherapy in Everyday Life The Economics Student2. 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 Discussion 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 Summary3. 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 Communication4. Elementary, though not Necessarily Easy, Psychotherapy Recapitulation Qualities Needed by a Therapist The Geologist The Question of Advice The Influence of the Past The Question of Therapeutic Effects5. 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 Examples6. A Note on the Observations of Psychoanalysis7. 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 Wife8. Common Syndromes II: Problems of Masculinity in Men The Concert-Goer The Dental Patient The Articled Accountant The Minicab Driver Discussion The Indian Scientist Further Discussion The Oedipus Myth and the Male Oedipus Complex 'Castration' 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 Conclusion9. The Relation with the Therapist: 'Transference' Recapitulation 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 Therapist10. 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 Comment Summary of Principles Illustrated by 'An Imaginary Therapy' The Two Triangles: General Principles The Universal Technique11. Three Linked Themes: Aggression, Elimination of Bodily Products, and Obsessional Phenomena Recapitulation 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 Depression12. 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 Suicide Defensive Use of Genuine Feelings in Depression: A Man of Sorrows The Helping Profession Syndrome13. Regression and Long-Term Therapy The Mental Welfare Officer The Carpenter's Daughter (Contd.) The Cricketer Discussion Regression and Dependence 'Needs' and 'Demands' The 'Corrective Emotional Experience' Transference and the Transference Neurosis14. 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 Termination Follow-up An Important Word of Caution15. 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 Discussion Oral, Anal, and Genital' The Foster Son: Savagery and Closeness The Origin of Human Aggression16. 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 Coda17. 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 Conclusion18. Assessment for Psychotherapy (Contd.): II. The Importance of the Psychiatric Inquiry and Differential Diagnosis The Fostered Irish Girl Phobic Anxiety Hysteria Obsessional Anxiety Hypochondriasis Psychopathy 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 Conclusion19. 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 Treatment20. 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 Psychotherapy21. Assessment for Psychotherapy (Contd.): V. Contra-Indications to Uncovering Psychotherapy The Man from Borstal The Man with Psychic Pain22. Assessment for Psychotherapy (Contd.): VI. The Consequences of Making Contact The Foster Son (Contd.)23. Epilogue: The Future of Psychotherapy and PsychodynamicsReferencesIndex