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Many students enter graduate programs with little or no experience of psychodynamic psychotherapy. Efforts to impart clinical skills have often been less than systematic and beginning psychotherapists have not always been encouraged to think about what they are doing and why they are doing it from a scientific standpoint. Thoughtfully building on current debates over efficacy and effectiveness, this book outlines a promising approach to training in which the work of therapy is divided into tasks patterned after Luborsky's influential delineation of "curative factors"--significant developments in the course of the therapy that are crucial for effective change. Each task step for the therapist-cognitive, behavioral, affective, or a combination--is analyzed, taught separately, and then put in sequence with the other task steps. Curative factors have been extensively studied in recent years and the approach rests on a solid empirical base. In a climate of increased accountability, clinicians must demonstrate that they are responding to providers' requests to conduct evidence-based practices. Core Processes in Brief Psychodynamic Psychotherapy will be an invaluable resource not only for students and trainees, but for established therapists who find themselves asked to justify their work.
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CORE PROCESSES IN BRIEF PSYCHODYNAMIC PSYCHOTHERAPY Advancing Effective Practice Denise Charman Core Processes in Brief Psychodynamic Psychotherapy Advancing Effective Practice Core Processes in Brief Psychodynamic Psychotherapy Advancing Effective Practice Edited by Denise P. Charman Victoria University 2004 LAWRENCE ERLBAUM ASSOCIATES, PUBLISHERS Mahwah, New Jersey London Copyright © 2004 by Lawrence Erlbaum Associates, Inc. All rights reserved. No part of the book may be reproduced in Any form, by photostat, microform, retrieval system, or any other means, without the prior written permission of the publisher. Lawrence Erlbaum Associates, Inc., Publishers 10 Industrial Avenue Mahwah, New Jersey 07430 Cover design by Sean Trane Sciarrone Library of Congress Cataloging-in-Publication Data Core Processes in Brief Psychodynamic Psychotherapy: Advancing Effective Practice / Edited by Denise P. Charman. p. cm. ISBN 0-8058-4067-2 (cloth : alk. paper) – ISBN 0-8058-4068-0 (pbk. : alk paper) 1. Brief psychotherapy. 2. Psychodynamic psychotherapy. 3. Evidence-based medicine. I. Charman, Denise, 1948RC480.55.C676 2003 616.89’14—dc21 2003040838 Books published by Lawrence Erlbaum Associates are printed on acid-free paper, and their bindings are chosen for strength and durability. Printed in the United States of America 10 9 8 7 6 5 4 3 2 1 List of Contributors Phillip Apostol, Center for Psychotherapy Research, Department of Psychiatry, University of Pennsylvania Health System, PA Elizabeth G. Arnold, Private Practice, New York, NY Ted P. Asay, Private Practice, Dallas, TX Dawn Bennett, Clinical Psychology Service, St. Ives House, Blackburn, England Denise P. Charman, Department of Psychology, Victoria University, Melbourne, Victoria, Australia Paul Crits-Christoph, Center for Psychotherapy Research, University of Pennsylvania Medical Center, Philadelphia, PA Michael Duffy, Counseling Psychology Program, Department of Educational Psychology, Texas A&M University, College Station, TX Tracy D. Eells, Department of Psychiatry and Behavioral Sciences, University of Louisville, Louisville, KY Barry A. Farber, Teachers College, Columbia University, New York, NY Jackie Fosbury, The Diabetes & Endocrinology Day Centre, St Thomas’ Hospital, London, England Jesse D. Geller, Private Practice, New Haven, CT Charles J. Gelso, Department of Psychology, University of Maryland, College Park, MD Mary Beth Connolly Gibbons, Center for Psychotherapy