This hands-on manual from http://www.affectphobia.org teaches the nuts and bolts of practicing short-term dynamic psychotherapy, the research-supported model first presented in Changing Character, McCullough's foundational text. Reflecting the ongoing evolution of the approach, the manual emphasizes "affect phobia," or conflict about feelings. It shows how such proven behavioral techniques as systemic desensitization can be applied effectively within a psychodynamic framework, and offers clear guidelines for when and how to intervene. Demonstrated are procedures for assessing patients, formulating core conflicts, and restructuring defenses, affects, and relationship to the self and others. Presented in an easy-to-use, large-size format, the book features a wealth of case examples and write-in exercises to help therapists build and practice key skills.
Table of Contents
I. Theory, Evaluation, and Formulation.
1. Affect and Affect Phobia in Short-Term Treatment.
2. Affect Phobia, Psychodynamic Conflict, and Malan's Two Triangles.
3. Assessment and Selection of Treatment for the Patient.
4. How to Formulate a Core Psychodynamic Conflict: Spotting Affect Phobias.
II. Defense and Affect Restructuring.
Introduction to Part II.
5. Defense Restructuring Phase I: Defense Recognition.
6. Defense Restructuring Phase II: Defense Relinquishing.
7. Affect Restructuring Phase I: Affect Experiencing.
8. Affect Restructuring Phase II: Affect Expression.
III. Self- and Other- Restructuring.
Introduction to Part III.
9. Self-Restructuring: Building Compassion and Care for Self.
10. Other-Restructuring: Building Adaptive Inner Images of Others.
IV. Diagnostic Considerations and Termination.
11. Treating Specific Diagnoses: The Relationship between DSM Diagnoses and Affect Phobias.
Appendix: Answers to Exercises.