This practical guide shows practicing psychotherapists and other helping professionals how to make the healing benefits of psychodynamic “talk therapy” available to any client, including those limited in available sessions by insurance, financial restrictions, or agency policy.
The current mental health system relies on a single model of medication and behavior therapies, motivated by economic expediency rather than treatment quality, which results in a revolving door of treatment that leaves society constantly vulnerable to the impact of mental illness. As a remedy, The Patient as the Center: Integrating Psychodynamic Approaches with Other Mental Health Treatments offers the integration of psychoanalytic and behavioral therapies and practices that are consistently evaluated for effectiveness and customized to each patient’s needs. These requirements include recognition of the complexity of mental illness, possible need for intervention throughout the life cycle, open access to treatment, adequate funding, long-term facilities, consistent retrofitting of treatments, and duration and frequency determined by patient-therapist arrangement. After a careful examination of various therapeutic models and extant research data, the authors highlight the pervasive lack of integrative consideration of issues of multisectionality and multiple identities in clinical conceptualization and practice, while providing ample clinical examples of how such an integration can be accomplished. This resource is particularly useful for clinicians in training or early in their careers who are in the process of making decisions about the treatment approaches that make sense for them and their clients, as well as for the more seasoned clinicians jaded by bureaucracy that obstructs best treatment practice and who are seeking alternative approaches.
William G. Herron is a supervisor in the Psychiatric Residency Program at Bergen New Bridge Medical Center and in independent practice in Woodcliff Lake, NJ. He was professor in the Clinical Psychology Program at St. John's University for forty years and director of Clinical Psychology and of School Psychology during his time there. He was also Faculty, Supervisor, Training Analyst, and Clinical Director at the Contemporary Center for Advanced Psychoanalytic Studies and at the New Jersey Institute for Psychoanalytic Training where he was Training Board Chair. He has authored, co-authored, or coedited fourteen books, primarily with a psychodynamic emphasis, as well as numerous articles. His frequent collaborator is Rafael Javier. His most recent book was Understanding Domestic Violence (2018), and his most recent article was “The Impact of Pluralism” (2019) published in Psychology and Psychological Research International Journal.
Rafael Art. Javier is a professor of psychology and the director of the Post-Graduate Professional Development Programs and the Postdoctoral Certificate Programs in Forensic Psychology at St. John’s University and also a Consultant/Supervisor at the New York University Postdoctoral Program in Psychotherapy and Psychoanalysis. He was the first, founding director of the Center for Psychological Services and Clinical Studies at St. John's University for almost twenty years. He is also a faculty member and supervisor at the Object Relations Institute for Psychotherapy and Psychoanalysis and founding member of the Center of Latin American and Caribbean Studies (CLAS). Dr. Javier has presented at national and international conferences on psycholinguistic and psychoanalytic issues in research and treatment and on ethnic and cultural issues in psychoanalytic theories and practice, including on issues of violence and the impact on general cognitive and emotional functioning. He has published extensively on the subject including several coedited books. His current research includes issues of violence and moral development, suicide in adolescents and young adults, and autobiographical memory and bilingualism. His most recent books include Understanding Domestic Violence: Theories, Challenges, Remedies, co-edited with William Herron, and Assessing Trauma in Forensic Context, coedited with Drs. Elizabeth Owen and Jemour Maddux. He is the editor-in-chief of the Journal of Psycholinguistic Research, and he is on the editorial board of the Journal of Psycholinguistic Research, the Journal of Social Distress and the Homeless, and the Journal of Infant, Child, and Adolescent Psychotherapy. He was the 2017-2018 President of the Forensic Division of the New York State Psychological Association and the past vice-president of the Association of Hispanic Mental Health Professionals. He was appointed as Special Advisor to the Executive Board of the New York State Psychological Association and is a Fellow of the American Psychological Association.
CHAPTER 1: MENTAL HEALTH TREATMENT
The Modern Treatment Area
Current Mental Health Delivery
The Next Step
CHAPTER 2: THE CLINICAL VALUE OF PSYCHOANALYSIS
The Personalized Approach
Doing What Works
CHAPTER 3: PLURALISM: PATHWAYS TO INTEGRATION
Pluralism in Psychoanalysis
Another Step Away
Distinctions from Traditional Psychoanalysis
The Relational Turn
CHAPTER 4: SESSION NOTES AND COMMENTS
Case 1: Slow Motion
Case 2: If Only
Case 3: The Other Reality
Case 4: More Delusions
Case 5: Not My Fault
Case 6: I Am Addicted
Case 7: No Respect
Case 8: Sort of True
Case 9: The Dream
When It Does Not Work
CHAPTER 5: THE CROOKED PATH OF EFFECTIVENESS
The Nonanalytic Patient
CHAPTER 6: PSYCHOTHERAPY RESEARCH OUTCOMES: POSSIBILITIES AND LIMITATIONS
On Determining Core Ingredients for Therapeutic Change
On the Role of Common Factors
A Shifting of Responsibility for Change
Where Are We in Our Scientific Enterprise?
What Are We Left With?
Uniqueness of Psychoanalytic-Focused Interventions
Crisis in the Academy
Concluding Thoughts: In Search of Intellectual Humility
CHAPTER 7: LANGUAGE AND ITS VICISSITUDE IN BILINGUAL TREATMENTS
A Case of Intersectional Trauma: A Search for Meaning
The Case Synopsis of Ms. G
Vicissitudes of a Traumatic Life
I Have Feelings Too: Navigating Her Emotions in Two Languages
In Search of Her Father
On Relying on a Second Language to Forge a New Identity
CHAPTER 8: ON THE NEUROSCIENTIFIC BASIS OF INTERSECTIONAL-COLORED TRAUMA AND ITS SEQUALAE
Trauma and Its Neurological and Psychic Representation
On the Vicissitude of Self-Development in Traumatic Contexts
On the Intimate Interplay Between a Victim and a Perpetuator
Critical Moments and Trauma Development
The Anatomy of Our Affective State
Where Can We Go from Here?
CHAPTER 9: ON INHERENT PSYCHOLOGICAL FACTORS IN SOME CRIMINAL BEHAVIORS
Is There a Reasonable Explanation for Criminal Behaviors?
A Psychological Explanatory Model of Criminal Behavior
A View of Criminality in Psychoanalytic Contexts
The Role of Trauma in Criminal Behaviors
CHAPTER 10: SUMMARY AND CONCLUSIONS
About the Authors
If you are looking for an excellent extensive review and update on psychotherapy integration from a psychoanalytic perspective, Herron and Javier’s latest book is the book for you. It also contains a thought-provoking chapter on the impact of intersectionality and bilingualism on therapy for trauma.
In their inspiring new book, Herron and Javier—two trusted and respected authors—tackle the formidable task of revitalizing psychodynamic approaches to address a wider range of problems and reach a broader segment of society. This book succeeds on multiple levels. It makes a compelling case for retrofitting psychodynamic approaches by bringing them up to date with current knowledge and integrating them with other fields. Such a revision is urgent if psychodynamic approaches are to fulfill their potential for wider application in the midst of the current mental health crisis. Critical to retrofitting psychodynamic approaches is placing the patient at the center of treatment and elevating the amelioration of suffering as the clinician's prime objective. Herron and Javier convincingly challenge the all too prevalent notion that symptom relief is secondary to improved insight. The Patient as the Center has the potential to not only change the practice of psychodynamic psychotherapy but also, by detailing the iatrogenic impact of managed care, it has the rare potential to affect social policy.
In The Patient as the Center, Herron and Javier skillfully navigate the intricate landscape of integrative approaches in psychology, shedding light on a crucial discourse that has long been overshadowed. This groundbreaking book challenges the status quo, eloquently illustrating how the apparatus of modern medicine, with all its advancements, can inadvertently hinder patients and limit access to quality care.
The strength of this book lies in its ability to seamlessly weave together various psychotherapeutic approaches as well as other disciplines, offering a comprehensive understanding of how to optimize care for the betterment of patient well-being. The authors present a compelling case for an integrative approach, emphasizing the importance of treating the whole person rather than merely addressing symptoms.
One of the key takeaways from the book is the exploration of how psychological factors intertwine with physical health, and how neglecting these connections can result in incomplete and sometimes misguided treatments. Through engaging case studies and a wealth of research, the authors skillfully demonstrate how a harmonious integration can be undertaken.
The writing style is both accessible and engaging, making complex concepts easily digestible for readers with varying levels of familiarity with psychology and medicine. The book strikes a perfect balance between academic rigor and readability, ensuring that it appeals to professionals in the field as well as the general reader seeking a deeper understanding of holistic mental health treatment.
What sets The Patient as the Center apart is its call to action. Instead of merely highlighting the shortcomings of the current system, the book provides practical insights and recommendations for how healthcare professionals and institutions can embrace integrative approaches. This empowering aspect transforms the narrative from a critique of modern medicine into a guide for positive change.
In a world where specialized silos often dictate treatment, this book emerges as a beacon of hope, advocating for a more inclusive and patient-centered approach. It is a must-read for anyone passionate about the future of mental health and the holistic well-being of individuals. This text has the potential to reshape perspectives and inspire transformative practices in the realms of both psychology and modern medicine.