Jeffrey Longhofer, Ph.D., PsyA., LCSW

Psychotherapy - Psychoanalysis - Parent Guidance

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Psychodynamic Diagnosis and Assessment
Research and Instruments
Laboratory of Personality and Psychopatholody
Emory University

Books on Diagnosis and Assessment
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This manual is based on current neuroscience and treatment outcome studies that demonstrate the importance of focusing on the full range and depth of emotional and social functioning. Beginning with a classification of the spectrum of personality patterns and disorders found in individuals and then describing a profile of mental functioning that permits a clinician to look in detail at each of the patient's capacities, the entries include a description of the patient's symptoms with a focus on the patient's internal experiences as well as surface behaviors. Intended to expand on the DSM (Diagnostic and Statistical Manual of Mental Disorders)and ICD (International Statistical Classification of Diseases and Related Health Problems) efforts in cataloging the symptoms and behaviors of mental health patients, this manual opens the door to a fuller understanding of the functioning of the mind, brain, and their development.

The Alliance of Psychodynamic Organizations is a collaboration of the major psychoanalytic organizations including the American Psychoanalytic Association, International Psychoanalytical Association, the Division of Psychoanalysis of the American Psychological Association, American Academy of Psychoanalysis, and National Membership Committee on Psychoanalysis in Clinical Social Work.
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This is the first text to come along in many years that makes psychoanalytic personality theory and its implications for practice accessible to beginning practitioners. The last book of its kind, which was published more than 20 years ago, predated the development of such significant concepts as borderline syndromes, narcissistic pathology, dissociative disorders and self-defeating personality. Contemporary students often react with bewilderment to the language of pioneering analysts like Reich and Fenichel and, since 1980, the various volumes of the Diagnostic and Statistical Manual of Mental Disorders (DSM) have reflected an empirical-descriptive orientation that deliberately eschews psychodynamic assumptions. Consequently, today's therapist in training may have little exposure to the rich clinical and theoretical history behind each disorder mentioned in DSM; to psychoanalytic expertise with widely recognized character patterns not mentioned in DSM, such as depressive and hypomanic psychologies, high-functioning schizoid personalities, and hysterical personalities; or to a comprehensive, theoretically sophisticated rationale that links assessment to treatment. Filling the need for a text that clearly lays out the conceptual heritage that psychoanalytic practitioners take for granted, this important new volume explicates the major clinically important character types and suggests how an appreciation of the patients' individual personality structure should influence the therapist's focus and style of intervention. Dispensing with the dense jargon that often discourages people from learning, Nancy McWilliams writes in a lucid, personal manner that demystifies psychodynamictheory and practice. Innumerable clinical vignettes are presented with humor, candor, and compassion, bringing abstract concepts to life. Comprehensive in scope, Psychoanalytic Diagnosis will be valued by seasoned clinicians and students alike. Psychodynamically oriented readers will find it an excellent introduction to psychoanalytic diagnostic thinking. For those identified with other approaches, it will foster psychoanalytic literacy, providing them with the capacity to better understand the approaches of their analytically oriented colleagues.

Nancy McWilliams, PhD, teaches psychoanalytic theory and therapy at the Graduate School of Applied and Professional Psychology at Rutgers—The State University of New Jersey. A senior analyst with the Institute for Psychoanalysis and Psychotherapy of New Jersey and the National Psychological Association for Psychoanalysis, she has a private practice in psychodynamic therapy and supervision in Flemington, New Jersey. Her previous book,
Psychoanalytic Diagnosis has become a standard text in many training programs for psychoanalysts, both in the United States and abroad. She has also authored articles and book chapters on personality, psychotherapy, psychodiagnosis, sexuality, feminism, and contemporary psychopathologies.
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What kinds of questions do experienced therapists ask themselves when facing a new client? How can clinical expertise be taught? From the author of the landmark Psychoanalytic Diagnosis, this book takes clinicians step-by- step through developing an understanding of each client's unique psychology and using this information to guide and inform treatment decisions. McWilliams shows that while seasoned practitioners rely upon established diagnostic categories for record-keeping and insurance purposes, their actual clinical concepts and practices reflect more inferential, subjective, and intuitive processes. Interweaving illustrative case examples with theoretical insights and clinically significant research, chapters cover assessment of client temperament, developmental issues, defenses, affects, identifications, relational patterns, self-esteem needs, and pathogenic beliefs.

The author's latest contribution to the field of psychotherapy is an artful and detailed development of the thought processes and subjective, empathic components of the therapeutic experience that ultimately guide development of case formulation in psychotherapeutic treatment. She set out to develop a written model of the thoughts, processes, and subjective aspects used by experienced analysts for developing treatment plans. This is a worthy, albeit ambitious goal, since learning the psychotherapeutic process has traditionally occurred through a mentorship model. She meets her objective well, producing an invaluable resource for those wanting to develop skill in the art of psychotherapy. The book is primarily targeted toward those in the process of learning to become psychotherapists. It may, however, be equally beneficial for experienced therapists as well as for practitioners insisting on an "empirically based" approach to patient care. The author has excellent credibility, both from her academic and professional standing as well as from her landmark book
Psychoanalytic Diagnosis. She presents a contemplative presentation of the thought processes and empathic experiences of an experienced psychotherapist, beautifully illustrated through case presentations. These thoughts and subjective experiences develop into an understanding of the dynamics of the patient's personality, which allow the case formulation to flow effortlessly from the understanding of the person. This is an excellent book. It is pleasurable reading, from a gifted author who simplifies one of the most arduous tasks of psychotherapeutic treatment.

Nancy McWilliams, PhD, teaches psychoanalytic theory and therapy at the Graduate School of Applied and Professional Psychology at Rutgers—The State University of New Jersey. A senior analyst with the Institute for Psychoanalysis and Psychotherapy of New Jersey and the National Psychological Association for Psychoanalysis, she has a private practice in psychodynamic therapy and supervision in Flemington, New Jersey. Her previous book,
Psychoanalytic Diagnosis has become a standard text in many training programs for psychoanalysts, both in the United States and abroad. She has also authored articles and book chapters on personality, psychotherapy, psychodiagnosis, sexuality, feminism, and contemporary psychopathologies.
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This new edition of the classic psychodynamic psychiatry text, Psychodynamic Psychiatry in Clinical Practice, continues its tradition as the most readable, scholarly, and practical introduction to psychodynamic theory and practice available. Kept within arm's reach of all mental health professionals, this invaluable “one-stop” reference will prepare you to teach students and treat patients more effectively with its truly integrative psychodynamic approach.
The author has meticulously updated every chapter of the previous edition, adding new illustrative case examples and discussing the most recent research findings and concepts in psychodynamic psychiatry. It introduces the basic principles of psychodynamic psychiatry and the four fundamental theoretical frameworks derived from psychoanalytic theory: ego psychology, object relations theory, self psychology, and attachment theory. Drawing on the latest breakthroughs in neuroscience to validate the latest psychodynamic thinking, the author includes neuroanatomical illustrations that highlight the need to integrate psychoanalytic theories of development with brain development and the impact of environment on gene expression.
The eminently practical
Psychodynamic Psychiatry in Clinical Practice is organized into three distinct sections based on DSM-IV diagnoses:
  • • Section I, Basic Principles and Treatment Approaches in Dynamic Psychiatry, begins by laying a foundation in psychoanalytic theory. It focuses on how to apply psychoanalytic theory to specific types of evaluation and treatment, including psychodynamic assessment, brief therapy, individual and group psychotherapy, familyand marital therapy, pharmacotherapy, and hospital/partial hospital treatment.
  • • Section II, Dynamic Approaches to Axis I Disorders, covers the major psychiatric disorders and discusses how to apply psychodynamic understanding to the treatment of patients with these disorders.
  • • Section III, Dynamic Approaches to Axis II Disorders, provides a psychodynamic understanding of personality disorders and covers in detail the principles of psychodynamic psychotherapy for these conditions.
The fourth edition of Psychodynamic Psychiatry in Clinical Practice details the theory of psychodynamic psychotherapy and the adaptation of psychodynamic thinking to specific disorders. As such, it is an ideal companion to Dr. Gabbard's Long-Term Psychodynamic Psychotherapy: A Basic Text, which details the techniques of dynamic psychotherapy.

The bestselling
Psychodynamic Psychiatry in Clinical Practice is the definitive reference for training programs of all kinds at all levels. This new edition provides a clear synthesis of diagnostic understanding and treatment unmatched in the literature. Marked by Dr. Gabbard's distinctly lucid and compelling prose, it is the ultimate psychiatric guide for the busy clinician and mental health student.
stacks_image_390E6B6C-A665-47DC-B933-B9D0EED76542
This new edition of the classic psychodynamic psychiatry text, Psychodynamic Psychiatry in Clinical Practice, continues its tradition as the most readable, scholarly, and practical introduction to psychodynamic theory and practice available. Kept within arm's reach of all mental health professionals, this invaluable “one-stop” reference will prepare you to teach students and treat patients more effectively with its truly integrative psychodynamic approach.
The author has meticulously updated every chapter of the previous edition, adding new illustrative case examples and discussing the most recent research findings and concepts in psychodynamic psychiatry. It introduces the basic principles of psychodynamic psychiatry and the four fundamental theoretical frameworks derived from psychoanalytic theory: ego psychology, object relations theory, self psychology, and attachment theory. Drawing on the latest breakthroughs in neuroscience to validate the latest psychodynamic thinking, the author includes neuroanatomical illustrations that highlight the need to integrate psychoanalytic theories of development with brain development and the impact of environment on gene expression.

The eminently practical
Psychodynamic Psychiatry in Clinical Practice is organized into three distinct sections based on DSM-IV diagnoses:
  • • Section I, Basic Principles and Treatment Approaches in Dynamic Psychiatry, begins by laying a foundation in psychoanalytic theory. It focuses on how to apply psychoanalytic theory to specific types of evaluation and treatment, including psychodynamic assessment, brief therapy, individual and group psychotherapy, family and marital therapy, pharmacotherapy, and hospital/partial hospital treatment.
  • • Section II, Dynamic Approaches to Axis I Disorders, covers the major psychiatric disorders and discusses how to apply psychodynamic understanding to the treatment of patients with these disorders.
  • • Section III, Dynamic Approaches to Axis II Disorders, provides a psychodynamic understanding of personality disorders and covers in detail the principles of psychodynamic psychotherapy for these conditions.
The fourth edition of Psychodynamic Psychiatry in Clinical Practice details the theory of psychodynamic psychotherapy and the adaptation of psychodynamic thinking to specific disorders. As such, it is an ideal companion to Dr. Gabbard's Long-Term Psychodynamic Psychotherapy: A Basic Text, which details the techniques of dynamic psychotherapy.
The bestselling
Psychodynamic Psychiatry in Clinical Practice is the definitive reference for training programs of all kinds at all levels. This new edition provides a clear synthesis of diagnostic understanding and treatment unmatched in the literature. Marked by Dr. Gabbard's distinctly lucid and compelling prose, it is the ultimate psychiatric guide for the busy clinician and mental health student.
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