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The Patient as the Center

Integrating Psychodynamic Approaches with Other Mental Health Treatments

William G. Herron Rafael Art. Javier

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English
Rowman & Littlefield
01 December 2023
This practical guide shows counselors how to make the healing benefits of psychodynamic “talk therapy” available to any client, including those limited in available sessions by insurance, financial restrictions, or agency policy.

The current mental health system relies on a single model of medication and behavior therapies, motivated by economic expediency rather than treatment quality, which results in a revolving door of treatment that leaves society constantly vulnerable to the impact of mental illness. As a remedy, Integrating Psychodynamic Approaches with Other Mental Health Treatments: The Patient as the Center offers the integration of psychoanalytic and behavioral therapies and practices that are consistently evaluated for effectiveness and customized to each patient’s needs. These include recognition of the complexity of mental illness, possible need for intervention throughout the life cycle, open access to treatment, adequate funding, long-term facilities, consistent retrofitting of treatments, and duration and frequency determined by patient-therapist arrangement. This resource is particularly useful for clinicians in training or early in their careers who are in the process of making decisions about the treatment approaches that make sense for them and their clients, as well as for the more seasoned clinicians jaded by bureaucracy that obstructs best treatment practice and seeking alternative approaches.

By:   ,
Imprint:   Rowman & Littlefield
Country of Publication:   United States
Dimensions:   Height: 254mm,  Width: 177mm,  Spine: 13mm
Weight:   417g
ISBN:   9781538163276
ISBN 10:   1538163276
Pages:   200
Publication Date:  
Recommended Age:   From 18 to 22 years
Audience:   College/higher education ,  Primary
Format:   Paperback
Publisher's Status:   Active
Introduction Chapter 1: Mental Health Treatment The Modern Treatment Area Current Mental Health Delivery The Next Step Integrated Psychotherapy Chapter 2: The Clinical Value of Psychoanalysis Distinctions Psychoanalytic Therapy Identity Diffusion/Confusion The Personalized Approach Doing What Works Symptom Relief Customized Treatment Chapter 3: Pluralism: Pathways to Integration Pluralism in Psychoanalysis Integration Drive Reconsidered Another Step Away Distinctions from Traditional Psychoanalysis Diagnosis Overall Approach The Relational Turn Next Step Chapter 4: Session Notes and Comments Case #1: Slow Motion Case #2: If Only Case #3: The Other Reality Case #4: More Delusions Case #5: Not My Fault Case #6: I am Addicted Case #7: No Respect Case #8: Sort of True Case# 9: The Dream When It Does Not Work Chapter 5: The Crooked Path of Effectiveness Intersectionality Integration Some Considerations Psychoanalytic Training Disruptions Further Comments Integrative Specifics Etiology The Non-Analytic Patient Concluding Remarks Chapter 6: Psychotherapy Research Outcomes: Possibilities and Limitations On Determining Core Ingredients for Therapeutic Change On the Role of Common Factors A Shifting of Responsibility for Change Where Are We in Our Scientific Enterprise? What Are We Left With? Uniqueness of Psychoanalytic-Focused Interventions Crisis in the Academy Concluding Thoughts: In Search of Intellectual Humility Chapter 7: Language and Its Vicissitude in Bilingual Treatments A Case of Intersectional Trauma: A Search for Meaning The Case Synopsis of Ms. G Multigenerational Trauma Vicissitudes of a Traumatic Life I Have Feelings Too: Navigating Her Emotions in Two Languages In Search of Her Father On Relying on a Second Language to Forge a New Identity Concluding Thoughts Chapter 8: On the Neuroscientific Basis of Intersectional-Colored Trauma and Its Sequalae Trauma and Its Neurological and Psychic Representation On the Vicissitude of Self-Development in Traumatic Contexts On the Intimate Interplay Between a Victim and a Perpetuator Critical Moments and Trauma Development The Anatomy of Our Affective State Clinical Implications Where Can We Go from Here? Conclusion Chapter 9: On Inherent Psychological Factors in Some Criminal Behaviors Is There a Reasonable Explanation for Criminal Behaviors? A Psychological Explanatory Model of Criminal Behavior A View of Criminality in Psychoanalytic Contexts The Role of Trauma in Criminal Behaviors Concluding Thoughts Chapter 10: Summary and Conclusions References Index About the Authors

William G. Herron is a supervisor in the Psychiatric Residency Program at Bergen New Bridge Medical Center and in independent practice in Woodcliff Lake, NJ. He was professor in the Clinical Psychology Program at St. John's University for forty years and director of Clinical Psychology and of School Psychology during his time there. He was also Faculty, Supervisor, Training Analyst, and Clinical Director at the Contemporary Center for Advanced Psychoanalytic Studies and at the New Jersey Institute for Psychoanalytic Training where he was Training Board Chair. He has authored, co-authored, or coedited fourteen books, primarily with a psychodynamic emphasis, as well as numerous articles. His frequent collaborator is Rafael Javier. His most recent book was Understanding Domestic Violence (2018), and his most recent article was “The Impact of Pluralism” (2019) published in Psychology and Psychological Research International Journal. Rafael Art. Javier is a professor of Psychology and the director of the Post-Graduate Professional Development Programs and the Postdoctoral Certificate Programs in Forensic Psychology at St. John’s University. He was the first, founding director of the Center for Psychological Services and Clinical Studies at St. John's University for almost twenty years. He is also a faculty and supervisor at the Object Relations Institute for Psychotherapy and Psychoanalysis and founding member of the Center of Latin American and Caribbean Studies (CLAS). Dr. Javier has presented at national and international conferences on psycholinguistic and psychoanalytic issues in research and treatment and on ethnic and cultural issues in psychoanalytic theories and practice, including on issues of violence and the impact on general cognitive and emotional functioning. He has published extensively on the subject including several coedited books. His current research includes issues of violence and moral development, suicide in adolescents and young adults, and autobiographical memory and bilingualism. His most recent books include Understanding Domestic Violence: Theories, Challenges, Remedies, co-edited with William Herron, and Assessing Trauma in Forensic Context, coedited with Drs. Elizabeth Owen and Jemour Maddux. He is the editor-in-chief of the Journal of Psycholinguistic Research, and he is on the editorial board of the Journal of Psycholinguistic Research, the Journal of Social Distress and the Homeless, and the Journal of Infant, Child, and Adolescent Psychotherapy. He was the 2017-2018 President of the Forensic Division of the New York State Psychological Association and the past vice-president of the Association of Hispanic Mental Health Professionals. He was appointed as Special Advisor to the Executive Board of the New York State Psychological Association and is a Fellow of the American Psychological Association.

Reviews for The Patient as the Center: Integrating Psychodynamic Approaches with Other Mental Health Treatments

If you are looking for an excellent extensive review and update on psychotherapy integration from a psychoanalytic perspective, Herron and Javier's latest book is the book for you. It also contains a thought-provoking chapter on the impact of intersectionality and bilingualism on therapy for trauma.--F. Michler Bishop, PhD, private practice, New York; author of Modern Integrative Counseling and Psychotherapy In their inspiring new book, Herron and Javier--two trusted and respected authors--tackle the formidable task of revitalizing psychodynamic approaches to address a wider range of problems and reach a broader segment of society. This book succeeds on multiple levels. It makes a compelling case for retrofitting psychodynamic approaches by bringing them up to date with current knowledge and integrating them with other fields. Such a revision is urgent if psychodynamic approaches are to fulfill their potential for wider application in the midst of the current mental health crisis. Critical to retrofitting psychodynamic approaches is placing the patient at the center of treatment and elevating the amelioration of suffering as the clinician's prime objective. Herron and Javier convincingly challenge the all too prevalent notion that symptom relief is secondary to improved insight. The Patient as the Center has the potential to not only change the practice of psychodynamic psychotherapy but also, by detailing the iatrogenic impact of managed care, it has the rare potential to affect social policy.--Christopher Christian, PhD, editor-in-chief, Psychoanalytic Psychology; assistant clinical professor, Yale School of Medicine; training and supervising analyst, Institute for Psychoanalytic Training and Research


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