Negotiating the Therapeutic Alliance

A half-century of psychotherapy research has shown that the quality of the therapeutic alliance is the most robust predictor of treatment success. This practical book provides a systematic framework for negotiating impasses in the alliance and transforming them into therapeutic breakthroughs. The book is grounded in recent developments in relational psychoanalysis, as well as findings from the authors' highly regarded research program. Chapters spell out clear principles of intervention illustrated with extensive clinical vignettes and transcript material.

ISBN 1572305126   Pages 260 ISBN13 9781572305120 (What's this?)   Volumes 1 Publisher Guilford Publications   Weight (grammes) 558 Imprint Guilford Publications   Published in New York Format Hardback   Height (mm) 234 Publication date 31 Jan 2000   Width (mm) 156 Library of Congress 99057055   Spine width (mm) 19 DEWEY 616.8914   Academic level Undergraduate, Postgraduate, Professional / Scholarly DEWEY edition DC21

1		The Therapeutic Alliance Reconsidered		1
2		Fundamental Assumptions and Principles		30
		Agency versus Relatedness		31
		Constructivism and Realism		34
		Beginner's Mind: The Dangers of Reification		36
		One-Person and Two-Person Psychologies		38
		Interventions as Relational Acts		41
		Motivation and Emotion		42
		Affective Appraisal and Communication		45
		Understanding and Experiencing/Insight and Awareness		47
		Participant-Observation and Observing-Participation		51
		Intersubjectivity		52
		Mindfulness: The Therapist's Observational Stance and Inner Work		55
		Circles, Cycles, and Matrices		59
		Beyond Countertransference		62
		Multiple Selves		67
		The Paradox of Acceptance		69
3		Understanding Alliance Ruptures and Therapeutic Impasses		72
		Hope and Despair		73
		Resistance: Intrapsychic, Characterological, and Relational		77
		Will and Responsibility		81
		Impasses as Windows into Core Organizing Principles		85
		Restructuring the Patient's Relational Schemas		88
		Affective Miscoordination and Repair		90
		Recovering a Split-Off Part of the Self		92
		Transitional Experience		94
		Optimal Disillusionment		98
		Subjects and Objects		101
		More...

"While clinical research has demonstrated the efficacy of a variety of psychotherapeutic procedures, what is often overlooked is the critical role played by the 'common factors' of psychotherapy. This important book details procedures for optimizing the therapeutic alliance and maximizing treatment effectiveness. It should be read by all clinicians." --David H. Barlow, PhD, Professor and Director Center for Anxiety and Related Disorders, Boston University "This is a splendid book, expertly written by two exceptionally creative psychotherapy theorists and researchers. Its strength lies in drawing out the implications for practice of the relational perspective, and doing so in both a scholarly and practical way. It is broad and integrative, bringing together psychoanalytic and experiential perspectives as well as Western and Eastern outlooks. The clinical vignettes are excellent, as is the coverage of procedures for teaching and training. All therapists will benefit enormously from learning about this exciting and powerful approach." --Stanley B. Messer, PhD, Professor and Chair, Department of Clinical Psychology, Graduate School of Applied and Professional Psychology, Rutgers University "A remarkable achievement. This masterfully crafted guide to relational psychotherapy is one of only a handful of books that have bridged the chasm between empirical research and improvements in psychotherapeutic technique. It represents one of the few genuine advances in psychotherapeutic technique over the last quarter-century. Focusing on the difficult-to-engage patient, the authors provide a wise, detailed, and comprehensive guide to effective psychotherapy intervention which always remains firmly grounded in theory and research. All therapists, novices and experts, will improve the quality and effectiveness of their work having read this book." --Peter Fonagy PhD, Freud Memorial Professor of Psychoanalysis, University of London "This forward-looking book docu

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