The Science of the Art of Psychotherapy (Norton Series on Interpersonal Neurobiology) Illustrated Edition
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- Psychoanalytic Psychology
“Dr. Schore has been a pioneer in writing about integrative neurobiological models of development . . . . [T]he text is of great value to anyone interested in the theoretical basis underlying attachment and affect regulation. Of particular interest to psychotherapists is that the book explores how psychotherapists’ neurobiology may be altered as a function of the practice of psychotherapy. . . . [O]f value to teachers who want to integrate important findings about current neuroscience into psychotherapy training. Any clinician who believes in the centrality of developmental processes regarding the understanding of adult patients will be riveted by the descriptions of the interdisciplinary data that support our theories of attachment and emotion regulation. . . . I recommend that all psychiatrists become conversant with Dr. Shore’s work.
- Journal of Clinical Psychiatry
“One would be hard pressed to find another book so extensively filled with an up-to-date and extensive review of contemporary studies on the affective and neuroscience literature related to psychotherapy and psychoanalysis as this. This work will likely be a major reference source for those interested in understanding the brain-mind-body relationships, particularly in the two-person model, focused on the dissociative process, and the autonomic nervous system concomitants.”
- Journal of Analytical Psychology
“I would recommend The Science of the Art of Psychotherapy to child psychiatry/psychology fellows, psychoanalysts, family therapists, . . . neuroscience majors, psychology students at all levels of training, and any student of attachment therapy.
- Journal of Psychiatric Practice
“[S]chore's contribution continues to be invaluable. He voraciously digests the hard science on our behalf, and shows us over and over again that the evidence is there, and that this really matters.
- Therapy Today
“Geared towards psychotherapists and scientists, this collection of the latest applicable research and advances in clinical practice creates an enriching centrality between these two realms in the mental health profession.
- Somatic Psychotherapy Today
“Readers familiar with Schore’s previous work will recognize his rigorous and wide-ranging scholarship. This book, like its predecessors, is a thoroughly researched, extensively referenced integration of varied literatures. . . . [T]his is a foundational book, providing a scientific and theoretical basis for scholars and researchers in modern attachment theory, affective neuroscience, and neuropsychiatry.
- Art Therapy
About the Author
- Hardcover : 480 pages
- Item Weight : 2.18 pounds
- ISBN-10 : 0393706648
- ISBN-13 : 978-0393706642
- Product Dimensions : 6.4 x 1.5 x 9.6 inches
- Publisher : W. W. Norton & Company; Illustrated Edition (April 2, 2012)
- Language: : English
- Best Sellers Rank: #383,493 in Books (See Top 100 in Books)
- Customer Reviews:
Top reviews from the United States
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Allan Schore shows us how both of these approaches failed to take seriously the importance of Affect, of feelings or emotions as the most important shaper of a persons psychic experience. He returns to Bowlby and attachment theory to remind us of the importance of emotional attunement beween the mother and her child. He explores the recent re-evaluation of right and left hemisphere brain specialisation. Schore shows us how patterns of feeling or affect laid down during the rapid growth period of the right brain in early child development; primarily the patterns of the baby's attachment relationship with its mother, come to dominate the child's life long patterns of relationship to others. The above are but a few of the important strands in Allan Schore's book. I heartily recommend 'The Science of the Art of Psychotherapy' to any thoughtful reader who is interested in psychotherapy.
I will give a couple examples of this repetition. Schore says in the introductory chapter that there has been a paradigm shift from a left-brain cognitive-behavioral approach to a right-brained, pre-verbal approach. Great! Let's learn about it! Yet a search of the Kindle version shows that the word paradigm occurs 117 times in the text. It is already toward the end of the text that we read, "At the outset of this contribution I proposed that three trends of the ongoing paradigm shift in the developmental sciences--studies of right brain development, research on emotion, and models of self-regulation....." etc. The same stuff about this paradigm shift is repeated over and over ad nauseum.
Example two. Search on auditory-prosodic. 19 separate times spread throughout the chapters is repeated the same discussion on the role of "episodes of visualfacial, auditory-prosodic, and tactile-gestural affective communications" between infant and attuned caregiver in forming normal right-brain attachment psychology. This is a central topic that needed to be fully developed and referenced one time in one chapter. I could go on and on. 33 separate places the story about HPA axis regulation is repeated. The phrase right brain or right hemisphere occurs well over 1000 times.
There is a lot of interesting material covered in this tome, such as the study on Borderline Personality Disorder and the chapter on Bowlby. But so much of these 480 pages is needless repetition that I suspect the author of being motivated by something other than a goal to present the material in a clear fashion. It feels more like he was tasked to come up with something prodigious for the Norton Series. Gravity equals gravitas. His own name, Schore, is referenced 582 times. So maybe this is just an accomplished academician running victory laps--many victory laps. Whatever. The irritation this book caused me results in a 2 star rating.
Speaking of the right brain, the functional MRI scan has recently created an explosion of knowledge of dynamic functional neuroanatomy. Perhaps this knowledge will lead to some progress in psychological therapies. But there is a limit to the usefulness of neuroanatomical explanations, which, ironically enough, goes directly to the paradigm shift from cognitive to intuitive psychotherapy that is the topic of this book. Any configuration of neural matrix activity that one might label as a thought, emotion, sensation, feeling-- what have you-- can be imaged with fMRI. One may experience an aha! moment where the activity of visualizing where the enjoyment of an Oreo cookie occurs in the brain suddenly crosses from the novel to the banal; every brain function occurs somewhere in the brain, and suddenly we are back to square one. The academic activity of categorizing cortical and subcortical regions and nuclei is just a left brain, language-based heuristic after all. We still have to engage that realm of intuitive limbic communication with the client. So, when the goal is connecting with another human, all this talk about the right brain has the same function as talking about Chakras. It is the human compulsion to explain with the left brain what is intuited by the right brain but is in practice ineffable. So, whereas Dr. Shore might recognize in my review a sympathetic nervous system discharge causing increased blood pressure and a right brain rage response, I will describe this review as venting my spleen, and claim it to be the more apt description.
Which leads to my last comment about this book, which might just be a nitpick. Nothing is more left brainy than academic jargon. Consider the following sentence: "The attuned mother synchronizes the spatiotemporal patterning of her exogenous sensory stimulation with the infant's spontaneous expressions of his endogenous organismic rhythms." 480 pages of this style of writing. It's curious to read a book about the limits of an overly cognitive approach to human psychology written in this style.
One gathers that psychotherapy is an art but it is based on the solid knowledge base of neurobiology. Most readers would not have any problem in understanding that a psychotherapist will benefit from the science and can translate it into his/her practice. The reverse ,i.e that art can be converted into physiological and neurobiological functions is a complex tenet. This is what I think the book tried to do and mostly succeeded. As a psychotherapist, I would have liked clinical examples. Also, there are some repetitious ideas that can be challenging to ignore. One thing is clear, that bringing the patient's past into present and then psychotherapist interpreting it from the moment of meeting is an exciting concept.
Top reviews from other countries
A wonderful piece of work. Be patient and read it. It will influence how you practice therapy.