"My first impression of this book was that of a straightforward manual for psychodynamic psychotherapy that does not hesitate to go directly at anxiety and panic, two very difficult symptoms to treat. As I read deeper into the interpretation of patients' behaviors, thoughts, and dreams, the authors' wealth of wisdom and clinical experience began to overwhelm me. For the beginner, this book will be eye-opening. For the experienced therapist, it is indeed a pleasure to listen to skilled colleagues at work." - Robert Freedman, Editor, American Journal of Psychiatry
"Psychodynamic psychotherapy is one of the most prevalent treatments in American psychiatry, particularly for patients who suffer from anxiety disorders. In spite of this, until now we have had little knowledge based on systematic research about how to do it, with whom it is effective, and what are its results. In this new and greatly expanded edition of their classic work, Busch, Milrod, Aronson, and Singer, pioneers in research on dynamic psychotherapy in panic disorder, provide us with the state of the art – a manual of treatment and summary of research findings, enriched by brief, elegant summaries and vivid case histories and clinical vignettes. They have expanded their range of clinical conditions considered from panic disorder to a wide variety of other anxiety disorders. Every clinician who sees these patients – and that means every clinician who sees patients – will be enlightened and enriched by their discussion." - Robert Michels, Cornell University, New York, USA
"This book represents a giant leap forward in how we communicate about psychotherapeutic technique. Not only will readers acquire literally hundreds of critical understandings about how to treat patients presenting with panic and anxiety disorders, but educators and researchers finally have a model of how psychodynamic technique can be communicated in a simple, readily accessible manner without the jargon and with all unnecessary rhetoric removed. The very survival of psychodynamic ideas depends upon a 21st century educational strategy that is fit for that purpose – this manual leads the way." - Peter Fonagy, University College London, UK
"It is hard not to say that this manual, developed after years of clinical trials, experimentation, teaching, and revisions, represents the most fully developed and useful empirically-based treatment that the world of psychodynamic psychotherapy has produced. We are all enriched by the ideas, principles, and manualized treatment offered in this important and excellent volume." - J. Stuart Ablon, Ph.D., and Raymond A. Levy, Psy.D., American Journal of Psychiatry
From the Inside Flap
Despite the enormous progress in the pharmacological and cognitive-behavioral treatments of panic disorder over the last 30 years, these treatments often provide only temporary or partial relief and many patients continue to experience persistent anxiety symptoms after the discontinuation of treatment. Substantial evidence exists that intrapsychic conflict and characterological features play a central role in the genesis and onset of panic disorder as well as the frequency of relapse after the termination of treatment. Many clinicians believe that psychodynamic psychotherapy is the best-suited approach to address these issues.
Based on extensive clinical experience and written by distinguished experts in the field, the Manual of Panic-Focused Psychodynamic Psychotherapy is the first manual to comprehensively examine the usefulness of exploratory psychotherapy in the treatment of panic disorder. It suggests that psychodynamic approaches can aid both psychopharmacological and cognitive-behavioral treatments and can often resolve panic symptoms in many patients when used as the sole treatment modality. The authors catalog psychological factors commonly present in panic disorder patients and describe how to address them within a psychodynamic psychotherapy. A wealth of clinical vignettes and a complete case example illustrate the psychodynamic approach to this disorder. Other treatment issues including defense mechanisms, transference, termination of treatment, and the use of this method in conjunction with other therapeutic approaches are also covered.