This manual presents a carefully researched, detailed psychodynamic treatment program for the alleviation of a transdiagnostic range of primary Axis I anxiety disorders, including panic disorder, generalized anxiety disorder, social anxiety disorder, post-traumatic stress disorder, and related psychological problems. First exploring the principles of psychodynamic theory and formulation, the authors then present a three-phased process of panic focused psychodynamic psychotherapy-extended range (PFPP-XR): initial evaluation, interpretation of central conflicts and defense mechanisms, and termination. Each phase is discussed in depth and relies on central case illustrations to demonstrate techniques and results. A subsequent chapter explores how to address complex issues that may arise during the course of treatment. Altogether, this manual not only provides a demonstrated, adaptable approach for anxiety disorders, but also clearly embodies a spirit of research and empiricism heretofore rare in psychodynamic psychotherapies, with an eye toward future development.
--- from the publisher
The Importance of a Psychodynamic Manual for Panic and Anxiety Disorders. Vignette, Part I. Part I: Theoretical Background. Basic Psychodynamic Concepts. The Psychodynamic Formulation. The Role of Development in the Pathogenesis of Panic and Anxiety Disorders. Part II: Treatment. The Framework of Panic Focused Psychodynamic Psychotherapy - eXtended Range. Some Techniques of Psychodynamic Psychotherapy as They Apply to Panic and Anxiety Disorders. Initial Evaluation and Early Sessions. Common Psychodynamic Conflicts in Panic and Anxiety Disorders. Defense Mechanisms in Panic and Anxiety Disorders. Working Through and Termination. Part III: eXtended Range. Psychodynamic Approaches to Agoraphobia and Other Phobias. Psychodynamic Approaches to Social Anxiety Disorder. Psychodynamic Approaches to Generalized Anxiety Disorder. Psychodynamic Approaches to Post-Traumatic Stress Disorder. Psychodynamic Approaches to Anxiety Related Personality Disorders. Common Clinical Difficulties in Practicing Panic Focused Psychodynamic Psychotherapy - eXtended Range. Vignette, Part II: Psychodynamic Formulation and Therapeutic Action. Afterword.
"My first impression of this book was that of a straightforward manual for psychodynamic psychotherapy that does not hesitate to go directly at anxiety and panic, two very difficult symptoms to treat. As I read deeper into the interpretation of patients' behaviors, thoughts, and dreams, the authors' wealth of wisdom and clinical experience began to overwhelm me. For the beginner, this book will be eye-opening. For the experienced therapist, it is indeed a pleasure to listen to skilled colleagues at work." - Robert Freedman, M.D., Editor, American Journal of Psychiatry
"Psychodynamic psychotherapy is one of the most prevalent treatments in American psychiatry, particularly for patients who suffer from anxiety disorders. In spite of this, until now we have had little knowledge based on systematic research about how to do it, with whom it is effective, and what are its results. In this new and greatly expanded edition of their classic work, Busch, Milrod, Aronson, and Singer, pioneers in research on dynamic psychotherapy in panic disorder, provide us with the state of the art—a manual of treatment and summary of research findings, enriched by brief, elegant summaries and vivid case histories and clinical vignettes. They have expanded their range of clinical conditions considered from panic disorder to a wide variety of other anxiety disorders. Every clinician who sees these patients—and that means every clinician who sees patients—will be enlightened and enriched by their discussion." - Robert Michels, M.D., Walsh McDermott University Professor of Medicine and Psychiatry, Cornell University
"This book represents a giant leap forward in how we communicate about psychotherapeutic technique. Not only will readers acquire literally hundreds of critical understandings about how to treat patients presenting with panic and anxiety disorders, but educators and researchers finally have a model of how psychodynamic technique can be communicated in a simple, readily accessible manner without the jargon and with all unnecessary rhetoric removed. The very survival of psychodynamic ideas depends upon a 21st century educational strategy that is fit for that purpose—this manual leads the way." - Peter Fonagy, Ph.D., FBA, Freud Memorial Professor, University College London
About the Authors:
Fredric N. Busch, M.D., is Clinical Associate Professor of Psychiatry, Weill Cornell Medical College, and Faculty, Columbia University Institute for Psychoanalytic Training and Research. He is co-author of Psychotherapy and Medication (Analytic Press, 2007) and editor of Mentalization (Routledge, 2008).
Barbara L. Milrod, M.D., is Professor of Psychiatry, Weill Cornell Medical College, and Faculty, New York Psychoanalytic Institute and Columbia University Institute for Psychoanalytic Training and Research.
Meriamne B. Singer, M.D., is Assistant Clinical Professor of Psychiatry, Columbia College of Physicians and Surgeons, Faculty Research Associate, Weill Cornell Medical College, and Faculty, Columbia University Institute for Psychoanalytic Training and Research.
Andrew C. Aronson, M.D., is Associate Professor of Psychiatry, Mount Sinai School of Medicine, Medical Director of Ambulatory Psychiatry Services, Mount Sinai Medical Center, and Adjunct Research Associate in Psychiatry, Weill Cornell Medical College.