Includes bibliographical references (pages 212-230) and indexes
The relationship between case formulation and psychotherapy -- Orientation to interviewing -- Assessing what cannot be changed -- Assessing developmental issues -- Assessing defense -- Assessing affects -- Assessing identifications -- Assessing relational patterns -- Assessing self-esteem -- Assessing pathogenic beliefs -- Appendix: Sample contract
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What kinds of questions do experienced therapists ask themselves when facing a new client? How can clinical expertise be taught? From the author of the landmark Psychoanalytic Diagnosis, this book takes clinicians step-by- step through developing an understanding of each client's unique psychology and using this information to guide and inform treatment decisions. McWilliams shows that while seasoned practitioners rely upon established diagnostic categories for record-keeping and insurance purposes, their actual clinical concepts and practices reflect more inferential, subjective, and intuitive processes. Interweaving illustrative case examples with theoretical insights and clinically significant research, chapters cover assessment of client temperament, developmental issues, defenses, affects, identifications, relational patterns, self-esteem needs, and pathogenic beliefs