Transforming the Internal World and Attachment

Clinical Applications, Volume II

Geoff Goodman

• Publisher: Jason Aronson, Inc.
• Year: 2009
• Edition: 2
• eBook ISBN:
  9780765707116
• Topic: Psychology
• Subtopic: Clinical Psychology
• Index: Psychology

Transforming the Internal World and Attachment reviews and discusses four theories about what makes psychotherapy effective across forms of treatment, treatment settings, and diagnostic categories: mindfulness, mentalization, psychological mindedness, and the attachment relationship. Geoff Goodman offers some provisional hypotheses about therapeutic effectiveness and suggests some ways of testing these hypotheses empirically, using sophisticated assessment instruments that measure psychotherapy process and outcome. Managed-care companies are withholding reimbursements for treatments not considered "empirically supported." Instead of engaging in horse races with randomized controlled trials (RCTs), Geoff Goodman suggests that we need to establish an empirical basis for the therapeutic effectiveness of all forms of treatment, move beyond examining common factors such as the therapeutic alliance, and turn our collective attention to common factors that psychotherapy researchers often erroneously promote as specific factors. Perhaps these so-called specific factors produce therapeutic change regardless of the brand-name treatment packages through which they are typically delivered. These specific factors might also work better for particular groups of patients with specific problem areas such as affect dysregulation and impulsivity. In Volume II, Goodman demonstrates how these specific factors can be implemented in a variety of therapeutic settings with a variety of patients.

Table of contents

• Figures and Tables
• Acknowledgments
• Chapter One Introduction
• Chapter Two The Protective Bubble: Processes of Therapeutic Change Observed in an Analysand with Narcissistic Personality Disorder
• Chapter Three The Jellyfish: Processes of Therapeutic Change in an Analysand with Borderline Personality Disorder
• Chapter Four “I Feel Stupid and Contagious”: Two-Person Clinical Supervision of Fledgling Therapists Treating Patients Who Have Negative Therapeutic Reactions
• Chapter Five Quantitatively Based Methods of Assessing Competence in Clinical Supervision and the Clinical Curriculum
• Chapter Six Processes of Therapeutic Change in a Spirituality Group for Inpatients with Borderline Personality Disorder
• Chapter Seven Attachment-Based Processes of Therapeutic Change with Prepubertal Children: The Impact of Parent, Child, and Therapist Mental Representations on Intervention Points of Entry
• Chapter Eight The Internal World Meets External Reality: Entering the Mind of Victims of Political Torture
• References
• Author Index
• Subject Index
• About the Author