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The Supportive–Expressive Continuum

The Supportive–Expressive Continuum  

Brian A. Sharpless

in Psychodynamic Therapy Techniques: A Guide to Expressive and Supportive Interventions

Print Publication Year: 
Mar 2019
Series: 
Other
Published Online: 
Feb 2019
eISBN: 
9780190676308
DOI: 
10.1093/med-psych/9780190676278.003.0005
Specialty: 
Clinical Psychology, Psychosocial Interventions and Psychotherapy
Item type: 
chapter
ISBN: 
9780190676278
Disorder: 
Mood Disorders
5 The Supportive–Expressive Continuum Be as expressive as you can be, and as supportive as you have to be . — , p. 688) Be as supportive as you can be so you can be as expressive as you will need to be . — , p. 214) As noted in , psychodynamic therapy is a very flexible treatment approach. It can be applied to patients who are high functioning (e.g., the “worried well,” classic neurotic problems), low-functioning (e.g., treatment-refractory schizophrenia), and just about any level in between. Until relatively recently, though, far more attention
Psychodynamic Therapy TechniquesA Guide to Expressive and Supportive Interventions

Psychodynamic Therapy Techniques: A Guide to Expressive and Supportive Interventions  

Brian A. Sharpless

Print Publication Year: 
Mar 2019
Series: 
Other
Published Online: 
Feb 2019
eISBN: 
9780190676308
DOI: 
10.1093/med-psych/9780190676278.001.0001
Specialty: 
Clinical Psychology, Psychosocial Interventions and Psychotherapy
Item type: 
book
ISBN: 
9780190676278
Disorder: 
Mood Disorders
Psychodynamic Therapy Techniques A Guide to Expressive and Supportive Interventions Section I Background Information for Psychodynamic Therapy Techniques Section II The “Classic” Psychodynamic Therapy Techniques in Contemporary Practice Section III The Expanded Range of Psychodynamic Therapy Techniques
Characteristics of “Good” Psychodynamic Interventions

Characteristics of “Good” Psychodynamic Interventions  

Brian A. Sharpless

in Psychodynamic Therapy Techniques: A Guide to Expressive and Supportive Interventions

Print Publication Year: 
Mar 2019
Series: 
Other
Published Online: 
Feb 2019
eISBN: 
9780190676308
DOI: 
10.1093/med-psych/9780190676278.003.0006
Specialty: 
Clinical Psychology, Psychosocial Interventions and Psychotherapy
Item type: 
chapter
ISBN: 
9780190676278
Disorder: 
Mood Disorders
6 Characteristics of “Good” Psychodynamic Interventions If there is a cardinal law of psychoanalysis, it is to avoid talking nonsense . . . don’t throw out words that have meaning only to the analyst . — , p. 34) An old proverb states, “It’s not what you say, but how you say it.” In psychodynamic therapy, though, both need to be pretty good. Notice I did not say “perfect,” as there is no such thing as the perfect execution of any technique. Certain skills (e.g., phrasing, timing) never stop developing so long as they are continually practiced. Unfortunately for
Introduction

Introduction  

Brian A. Sharpless

in Psychodynamic Therapy Techniques: A Guide to Expressive and Supportive Interventions

Print Publication Year: 
Mar 2019
Series: 
Other
Published Online: 
Feb 2019
eISBN: 
9780190676308
DOI: 
10.1093/med-psych/9780190676278.003.0001
Specialty: 
Clinical Psychology, Psychosocial Interventions and Psychotherapy
Item type: 
chapter
ISBN: 
9780190676278
Disorder: 
Mood Disorders
1 Introduction Psychotherapy is a strange business. It is also very hard to do well. Both these statements make sense if you consider what psychotherapy really entails. At its core, psychotherapy is intended to alleviate human suffering through only a combination of words and a relationship . Other fields may use drugs, surgeries, deep brain stimulation, etc., but this is not the case in psychotherapy. For better or worse, it has always been a “talking cure” ( , p. 30) and remains so to this day. The various modalities—psychodynamic therapy included—just tend to speak a bit

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