The importance of therapeutic alliance is described. Therapeutic alliance, transference, and transference acting-out are defined and distinguished from each other and the therapeutic task of helping the patient to convert transference acting-out to therapeutic alliance and transference is outlined. The differences in the form and content of the intrapsychic structure are described to show why different therapeutic techniques are necessary to establish the therapeutic alliance: Confrontation with the borderline and mirroring interpretation of narcissistic vulnerability with the Narcissistic Personality Disorder. A brief case illustrates each.
The emphasis in Dynamic Psychotherapy over the past few decades has shifted from a focus on insight and the recovery of early memories to a recognition that the quality of the patient-therapist relationship is the quintessential factor upon which the success of therapy depends. This involves both the real relationship and transference-countertransference elements, all within a systems-theory orientation.
The enormous changes brought about in the last 25 years by the women's movement and the sex role revolution have opened new possibilities and problems-sources of conflict and new strengths for women, men and families. There is a challenge now for psychotherapists to break through their own remnant stereotypes of feminine mystique, masculine mystique, and obsolete assumptions about family so that they may distinguish between personal and political pathology and help evolving women, men and families find and use more consciously their new strengths and confront real problems realistically.
Dialogue 11 from the Evolution of Psychotherapy 1990 - Family Therapy: Terminable or Interminable? featuring Salvador Minuchin, MD, and Carl Whitaker, MD.
Moderated by Stephen Gilligan, PhD.
Topical Panel 10 from the Evolution of Psychotherapy 1990 - Therapeutic Uses of Humor
Featuring Arnold Lazarus, PhD; Miriam Polster, PhD; Carl Whitaker, MD; Cloe Madanes, Lic Psychol.
Moderated by Michael Yapko, PhD.
Topical Panel 11 from the Evolution of Psychotherapy 1990 - Transference / Countertransference
Featuring Alexander Lowen, MD; James Masterson, MD; Rollo May, PhD; and Erving Polster, PhD.
Moderated by Ruth McClendon, MSW.
Topical Panel 12 from the Evolution of Psychotherapy 1990 - Therapy and Social Control
Featuring Mary Goulding, MSW; Jay Haley, MA; Salvador Minuchin, MD; and Thomas Szasz, MD.
Moderated by Stephen Gilligan, PhD.
This address includes a brief history of Reality Therapy, and explains that it is based on control theory and that it is applied to both counseling and managing clients. Case examples are used to show that it is composed of two major components: Creating the counseling environment and the procedures that lead to change.
The evaluation is the single most important clinical task of therapists who work with sexual problems. That is because accurate assessment is the key to successful treatment, and many unnecessary therapy failures can be traced to inadequate evaluation procedures and to the failure of the therapist to elicit pertinent information. Traditional psychological and psychiatric examinations, which emphasize the childhood roots of sexual problems are not adequate for evaluating sexual disorders. Dr. Kaplan will demonstrate her method of evaluation, which focuses on the patient's or couple's current sexual behavior and experience. This, together with historic information, provides the information required for understanding the dynamics of the dysfunction and for formulating a rational treatment plan.