Short-Term Psychodynamic Psychotherapy: An Analysis of the Key Principles

304 Pages·2002·44.501 MB·English

by  Penny Rawson

SHORT-TERM
PSYCHODYNAMIC
PSYCHOTH ERAPY
AN ANALYSIS OF THE KEY PRINCIPLES

SHORT-TERM
PSYCHODYNAMIC
PSYCHOTH ERAPY
AN ANALYSIS OF THE KEY PRINCIPLES
by
Penny Rawson
KARNAC
First published in 2002 by
Kamac Books Ltd.
118 Finchley Road, NW3 5lIT
Copyright © 2002 Penny M. Hamilton Rawson
All rights reserved. No part of this publication may be reproduced, stored in
a retrieval system, or transmitted, in any form or by any means, electronic,
mechanical, photocopying, recording, or othervvise, without the prior written
permission of the publisher.
British Library Cataloguing in Publication Data
A C.I.P. for this book is available from the British library
ISBN: 9781855752931
10 9 8 7 6 5 4 3 2 1
Edited, designed, and typeset by The Shldio Publishing Services Ltd, Exeter
wwwkarnachooks.com
vi TABLE OF CONTENTS
CHAPTER FIVE
Part One
Analysis of the emergent key themes:
findings from the in-depth cycle of analysis 55
5.1.1. "What is understood by the phrase "short-term" 58
5.1.2. Psychodynamic roots 68
5.1.3. Flexibility 82
5.1.4. Activity 110
5.1.5. The focus in focal and short-term psychotherapy 137
5.1.6. The therapeutic alliance and motivation 158
5.1.7. Importance of the first session 170
Part Two
Summary of the findings from the in-depth analysis
of the key themes and provisional conclusions 195
CHAPTER SIX
Client commentaries: C, M and I
and a complete case example: Case I 203
6.1. Client CIS commentary 204
6.2. Client MIs commentary 206
6.3. Client 1's complete case 209
6.4. Client 1's comment on the therapy experience 226
CHAPTER SEVEN
The analysis within the wider context of the latest
thinking in the field 229
CHAPTER EIGHT
Inconsistency in the "universal characteristics" seen in
the literature 251
CHAPTER NINE
Concluding chapter: Brief psychodynamic psychotherapy:
A contextual framework and key principles 259
APPENDIX 279
BIBLIOGRAPHY 281
INDEX 293
INDEX OF APPENDIX AND TABLES
APPENDIX Selected reviews, substantive early
works and status of authors 279
TABLE I Key themes from case studies 35
TABLE II Analysis of colleagues' case studies
against my own categories 37
TABLEID Proponents of short-term psychotherapy
consistently referred to in the literature 38
TABLE IV Main ideas emerging as common
elements in short-term psychotherapy
from the reviews in the Appendix 48
TABLE V Ideas/themes introduced by some of
the reviewers 49
TABLE VI Analysis of cases against key themes
drawn from authors' reviews 50
TABLE vn Important aspects of the first session as
seen from the research case work 192
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INDEX OF ILLUSTRATIONS
ILLUSTRATION I B's Illustration -
Rupert/Bob /Suzanne 127
ILLUSTRATION IT B's Illustration - Mouth 128
ILLUSTRATION ill B's Illustration - Suzi 130
ILLUSTRATION IV 1's Illustration - Entrapped 211
ILLUSTRATION V 1's Illustration - Imprisoned 212
ILLUSTRATION VI 1'5 Illustration - X is shot 215
ILLUSTRATION VlI 1's Illustration - "Real justice Ha Ha" 216
ILLUSTRATION vm 1'5 Illustration - A safe haven 217
ILLUSTRATION IX 1's Illustration - When will it end? 219
ILLUSTRATION X 1's Illustration - The key 220
viii
Acknowledgements
I would like to gratefully acknowledge the help received
without which this book would not have been written. I would
especially like to thank Fr. Tom More for his reading and re-
reading and for his encouragement and support. Thanks are also
due to colleagues who have allowed their work to be analysed or
offered comment, in particular B. Nolan, C. Swan, G. Dargert,
A. Mann and Dr. Frances Lannon. Thanks are due to Sally Beard
who tidied up and kept track of the typing side of the work and
others who also contributed to the typing. There is one person who
could be said to have inspired the whole initiative and who merits a
special place in these acknowledgements and that is Louis Marteau.
I am very grateful to the clients who permitted their work in
therapy to be used, many of whom took the time and trouble to
write their own version of the experience to aid the analysis.
Some of the case work has been changed in order to protect
confidentiality and some of the material excluded altogether for the
same reason. All names used in the case material are fictitious and
any resemblance to any individual is therefore chance.
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