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Treating Affect Phobia: A Manual for Short-Term Dynamic Psychotherapy Paperback – January 24, 2003

ISBN-13: 978-1572308107 ISBN-10: 1572308109 Edition: 1st

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Product Details

  • Paperback: 310 pages
  • Publisher: The Guilford Press; 1 edition (January 24, 2003)
  • Language: English
  • ISBN-10: 1572308109
  • ISBN-13: 978-1572308107
  • Product Dimensions: 10.8 x 8.5 x 0.8 inches
  • Shipping Weight: 1.9 pounds (View shipping rates and policies)
  • Average Customer Review: 4.9 out of 5 stars  See all reviews (15 customer reviews)
  • Amazon Best Sellers Rank: #640,309 in Books (See Top 100 in Books)

Editorial Reviews

Review

"This work is an extraordinary synthesis of depth and practicality. It is as clear, concrete, and richly exampled a treatment manual as I have seen, yet it depicts not a simple or mechanistic therapy but one that goes to the very heart of human feeling and experience. Incorporating a profoundly integrative vision, Treating Affect Phobia will be of great value not only to psychodynamically oriented therapists but to anyone in the field who appreciates the accumulating evidence for the central role of affect--and fear of affect--in our lives."--Paul L. Wachtel, PhD, Doctoral Program in Clinical Psychology, City College and the CUNY Graduate Center, New York

"This is the training manual that teachers and practitioners of short-term dynamic therapy have been eagerly anticipating. It is the first psychodynamically oriented volume that expertly guides the novice through emotion-focused, time-sensitive psychotherapy in an explicit, step-by-step fashion. The manual is enhanced by very useful exercises that allow therapists to try out their interventions and compare them to the authors' expert responses. This volume represents a new and exciting development in the teaching, learning, and practice of psychodynamic/integrative therapy in general, and brief psychotherapy in particular."--Stanley B. Messer, PhD, Dean, Graduate School of Applied and Professional Psychology, Rutgers University

"This is a treatment manual with a number of fabulous characteristics: it takes the astute clinical observations of psychodynamic therapists and sets them within modern principles of learning and behavioral change; it draws from the best of the behavior therapy treatments for phobias; it is beautifully clear and easy to follow; and it has comprehensive learning exercises at the end of each chapter to help the clinician actually learn how to apply the treatment in clinical practice. I plan to have my students read it."--Marsha M. Linehan, PhD, Department of Psychology, University of Washington

"This carefully reasoned and researched manual starts with the simple assumption that many people are afraid of their own emotions, offers easy ways to identify whatever is being expressed or even suppressed, and explains clearly the authors' suggestions for treatment."--Donald L. Nathanson, MD, The Silvan S. Tomkins Institute and Department of Psychiatry and Human Behavior, Jefferson Medical College


"This is the training manual that teachers and practitioners of short-term dynamic therapy have been eagerly anticipating. It is the first psychodynamically oriented volume that expertly guides the novice through emotion-focused, time-sensitive psychotherapy in an explicit, step-by-step fashion. The manual is enhanced by very useful exercises that allow therapists to try out their interventions and compare them to the authors' expert responses. This volume represents a new and exciting development in the teaching, learning, and practice of psychodynamic/integrative therapy in general, and brief psychotherapy in particular. -Stanley B. Messer, PhD, Graduate School of Applied and Professional Psychology, Rutgers-"--The State University of New Jersey
(The State University of New Jersey 2003-01-26)

About the Author

Leigh McCullough, PhD, until her death in 2012, was Associate Clinical Professor and Director of the Psychotherapy Research Program at Harvard Medical School (Boston, Massachusetts), and a visiting professor at the Norwegian University of Science and Technology (Trondheim, Norway). She was the 1996 Voorhees Distinguished Professor at the Menninger Clinic and received the 1996 Michael Franz Basch Award from the Silvan Tomkins Institute for her contributions to the exploration of affect in psychotherapy. Dr. McCullough was on the editorial boards of Psychotherapy Research and the Journal of Brief Therapy, and conducted training seminars in Short-Term Dynamic Psychotherapy (STDP) worldwide.

Nat (Nathaniel S.) Kuhn, MD, PhD, is Clinical Instructor in Psychiatry and Assistant Director of the Psychotherapy Research Program at Harvard Medical School. He teaches STDP and supervises at the Cambridge Hospital and elsewhere. Dr. Kuhn has a private psychotherapy and psychiatry practice in the Boston area, and a Web site, www.natkuhn.com. Before going to medical school he was a mathematician.

Stuart Andrews, PhD, is a psychotherapist in private practice in Brookline, Massachusetts, and Assistant Director of the Psychotherapy Research Program at Harvard Medical School. He has presented at international conferences and conducted training seminars on STDP. He has taught and supervised clinicians and students, and published articles on psychotherapy integration and short-term therapy. Mr. Andrews is also Director of the Center for Families in Transition, where his program, "For the Sake of the Children," is mandated in a number of communities in Massachusetts for parents going through divorce.

Amelia Kaplan is a graduate student in clinical psychology at the Graduate School of Applied and Professional Psychology, Rutgers University, where she pursues interests in mind-body psychology, STDP, group therapy, and human sexuality.

Jonathan Wolf, MD, was a member of the Psychotherapy Research Program for three years. After graduating from Boston University School of Medicine, he entered the Harvard Longwood Psychiatry Residency Training Program.

Cara Lanza Hurley, PhD, received her doctorate in clinical psychology from Loyola University Chicago in 2005.

Customer Reviews

4.9 out of 5 stars
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Easy to read format.
Anne-Taylor Wilson
Using the therapy described in this book has been very helpful to me as a therapist.
judy
This is the only "manual" I recommend to supervisees or seasoned colleagues.
Emily H. Bailey

Most Helpful Customer Reviews

12 of 12 people found the following review helpful By Emily H. Bailey on June 5, 2006
Format: Paperback
This is the only "manual" I recommend to supervisees or seasoned colleagues. It is a wonderful "how-to" for psychotherapists, and so much more. Integrating elements from both psychodynamic and cognitive behavioral traditions, it offers a simple yet powerful conceptual framework for understanding inner psychological conflict. The model clearly illuminates how maladaptive behavior in a client (or anyone)represents their best effort at avoiding feared emotional states. In creating so much conceptual clarity, it allows the therapist to more readily arrive at a place of compassion and effective intervention. Numerous and creative strategies are suggested for working with inner conflict, often in the context of clinical vignettes illustrating exemplary and inspiring work of mature and compassionate therapists. It never trivializes the depth of human suffering. This is a wonderful book!
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7 of 7 people found the following review helpful By J. Weathers on June 29, 2008
Format: Paperback
Treating Affect Phobia is a manual for short-term work with relatively high-functioning individuals whose emotional blocks influence their work, relationships, or their quality of life. Novices and senior clinicians alike will find this manual useful. It focuses psychodynamic work by combining the exposure work of CBT, and it elaborates CBT by including exposure to avoided emotions. The writing is clear and direct. There is enough specificity for a novice, and the exercises at the end of the chapters help the reader to absorb and practice the material. Those clinicians with a CBT background will find the book refreshingly present-focused. The explanation of defenses and the careful working with defenses and anxiety-regulation are clear and understandable even without a psychodynamic background. For those unfamiliar with exposure therapy, the book offers a radical way of enhancing comfort with avoided affect.

For the senior clinician, the book offers a unique and efficient approach to short-term dynamic Psychotherapy, but there is enough subtlety for repeated readings.

The book targets high-functioning individuals (those with a GAF score 50 or above), but has chapters on working with those with less stable object relations. I have found that the model can be adapted for those with a lower GAF.
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7 of 7 people found the following review helpful By Marron on June 1, 2006
Format: Paperback Verified Purchase
This is without a doubt the clearest book I have ever read about how to understand and formulate psychodynamic conflict, and how to address it in psychotherapy. Integrating elements of psychodynamic, cognitive-behavioral, and interpersonal models, the manual is at once respectful of clients and a very good "how-to" for therapists at any level. It is deceptively simple, in that appears to be for those new to the field, but in fact it is astute and complex.
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6 of 6 people found the following review helpful By Vida Kazemi on June 7, 2006
Format: Paperback
The authors have produced a very clear presentation of how to identify and treat psychodynamic conflicts using active methods. For the beginning therapist, it offers a step by step detailed approach. For the more advanced therapist, it has a very clear and useful organization that provides a resource for thinking about the stuck places in therapy. Both supervisors and supervisees will find it helpful.
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7 of 8 people found the following review helpful By Martha Sweezy on June 4, 2006
Format: Paperback
Affect Phobia is a brilliant clinical model, the Triangle of Conflict is a teaching tool of beauty, and this manual is a pleasure to read. The theory is creatively integrative and above all functional. I find my thinking clarified, I know how to stay on track when a client's avoidant behavior takes center stage, and at all times I have guidance in attending to emotion. My recommendation is: buy it, read it, share it with the people you supervise! Your work will be enriched.
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3 of 3 people found the following review helpful By Mark A. Lumley, Ph.D. on September 30, 2011
Format: Paperback
As the Director of a Clinical Psychology Ph.D. training program (Department of Psychology, Wayne State University, Detroit, Michigan), I am exceptionally pleased with this manual. It is a required text in a graduate psychotherapy practicum that I teach, and I have used it for 8 years. I have retained it for the class, in part, because my students find it to be an easily accessible, highly informative, and enjoyable resource. They also regularly refer to it again in subsequent years, such as when they are taking an internship. I find that this text is ideal for those scholars and practitioners who seek to integrate theory and practice across traditional schools or theoretical orientations. The concept of treating a "phobia" and overcoming the various strategies that people use to avoid a stimulus will be highly attractive to those with cognitive-behavioral backgrounds. At the same time, the focus on affect, defenses, and their complexity, including how these are manifest in relationships, will please those with psychodynamic leanings. Finally, The host of examples and exercises make this a manual like none other. I strongly recommend it not only for clinicians, but also for those who teach or supervise.
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1 of 1 people found the following review helpful By Julie O'brien on December 11, 2012
Format: Paperback Verified Purchase
This book is an excellent book both for the novice as well as for the seasoned clinician. The assessment forms you can download from the website are an excellent way to indicate preliminary diagnosis and a guide for informing treatment.
I cannot recommend this book highly enough!
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1 of 1 people found the following review helpful By julie on January 30, 2014
Format: Paperback Verified Purchase
I haven't even gotten near to finishing this book yet because I'm stopping to highlight, absorb, and reread almost every page. Great source of learning, and has been immensely helpful in my therapeutic work!
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