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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 by way of Dr. Michael Balint, was once to discover short Psychotherapy conducted by way of psycho-analysts who're particularly expert and skilled. To this has been further an try to reconcile the 'clinical' and 'objective' methods to psychodynamic fabric, by way of treating medical decisions precisely as conscientiously as is suitable, not more and no much less. A overview of past paintings ends up in little yes end. an entire spectrum of perspectives are available, from the main 'conservative' (e.g. short psychotherapy is simply powerful within the mildest and most modern health problems; the approach used could be superficial-any try and cross 'deeper' will result in long term remedy; and the implications are just palliative) to the main 'radical' (seriously ailing sufferers may be generally helped by way of a method containing many of the crucial parts of long term equipment comparable to psycho-analysis). the current paintings is predicated primarily at the remedies of 19 sufferers, taken care of through a staff of therapists below the chief­ send of Dr. Balint. The learn is basically retrospective, however it is designed to fill a few of the vital gaps to be present in the literature: 1. designated case histories are given of all sufferers taken care of; 2. specific consciousness is paid to lengthy follow-up; three. a mode of assessing healing effects has been constructed that's considered as psychodynamically legitimate and relies on released proof; four. The relation is tested among consequence and (a) the features of sufferers, (b) the features of technique.

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The only examples I have found of detailed accounts of relatively severe cases treated successfully, with a clear statement of long follow-up, are, once more, those of Alexander and French 25 Historical and theoretical survey (op. cit. 1946). g. a girl with a quite severe, though recent, generalized hysterical illness (Case K; twelve sessions; follow-up three years); a man with a five-year history of duodenal ulcer (Case L; thirty-seven sessions; follow-up two years); and a man of 24 who had suffered from attacks of bronchial asthma since the age of 14 (Case Q; c.

First of all, it is possible to draw up a list of the known disturbances in a patient's life. The search for these can be greatly assistedexactly as in medicine-by empirical and theoretical knowledge: if a patient complains of night sweats, it is natural for a physician to inquire about cough and loss of weight; if a patient complains of agoraphobia, it is natural for a psychiatrist to inquire about sexual inhibition. Moreover, whether or not the psychiatrist believes that the sexual inhibition and the agoraphobia are psychopathologically connected, the sexual inhibition-if foundis there and must be taken into account in any assessment of the patient's emotional health.

Termination and follow-up are very little discussed in the literature and, although these questions will be shown to have 34 Review of previous work on brief psychotherapy played a very large part in our own work, they can be dismissed briefly here. Only Stekel (op. cit. 1938) seems to discuss the problem of resentment at termination. Most of the other passages where termination is mentioned imply that termination should be considered either when there is danger of drifting into long-term therapy (pumpian-Mindlin, op.

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


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