Manual of Panic Focused Psychodynamic Psychotherapy - eXtended Range: 1st Edition (Paperback) book cover

Manual of Panic Focused Psychodynamic Psychotherapy - eXtended Range

1st Edition

By Fredric N. Busch, Barbara L. Milrod, Meriamne B. Singer, Andrew C. Aronson


232 pages

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This manual presents a carefully researched, detailed psychodynamic treatment program for the alleviation of a transdiagnostic range of primary Axis I anxiety disorders, including panic disorder, generalized anxiety disorder, social anxiety disorder, post-traumatic stress disorder, and related psychological problems. First exploring the principles of psychodynamic theory and formulation, the authors then present a three-phased process of Panic Focused Psychodynamic Psychotherapy-Extended Range (PFPP-XR): initial evaluation, interpretation of central conflicts and defense mechanisms, and termination. Each phase is discussed in depth and relies on central case illustrations to demonstrate techniques and results. A subsequent chapter explores how to address complex issues that may arise during the course of treatment. Altogether, this manual not only provides a demonstrated, adaptable approach for anxiety disorders, but also clearly embodies a spirit of research and empiricism heretofore rare in psychodynamic psychotherapies, with an eye toward future development.


"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

Table of Contents

The Importance of a Psychodynamic Manual for Panic and Anxiety Disorders. Vignette, Part I. Part I: Theoretical Background. Basic Psychodynamic Concepts. The Psychodynamic Formulation. The Role of Development in the Pathogenesis of Panic and Anxiety Disorders. Part II: Treatment. The Framework of Panic Focused Psychodynamic Psychotherapy eXtended Range. Some Techniques of Psychodynamic Psychotherapy as They Apply to Panic and Anxiety Disorders. Initial Evaluation and Early Sessions. Common Psychodynamic Conflicts in Panic and Anxiety Disorders. Defense Mechanisms in Panic and Anxiety Disorders. Working Through and Termination. Part III: eXtended Range. Psychodynamic Approaches to Agoraphobia and Other Phobias. Psychodynamic Approaches to Social Anxiety Disorder. Psychodynamic Approaches to Generalized Anxiety Disorder. Psychodynamic Approaches to Post-Traumatic Stress Disorder. Psychodynamic Approaches to Anxiety Related Personality Disorders. Common Clinical Difficulties in Practicing Panic Focused Psychodynamic Psychotherapy eXtended Range. Vignette, Part II: Psychodynamic Formulation and Therapeutic Action. Afterword.

About the Authors

Fredric N. Busch, M.D., is Clinical Associate Professor of Psychiatry, Weill Cornell Medical College, and Faculty, Columbia University Institute for Psychoanalytic Training and Research. He is co-author of Psychotherapy and Medication (Analytic Press, 2007) and editor of Mentalization (Routledge, 2008).

Barbara L. Milrod, M.D., is Professor of Psychiatry, Weill Cornell Medical College, and Faculty, New York Psychoanalytic Institute and Columbia University Institute for Psychoanalytic Training and Research.

Meriamne B. Singer, M.D., is Assistant Clinical Professor of Psychiatry, Columbia College of Physicians and Surgeons, Faculty Research Associate, Weill Cornell Medical College, and Faculty, Columbia University Institute for Psychoanalytic Training and Research.

Andrew C. Aronson, M.D., is Associate Professor of Psychiatry, Mount Sinai School of Medicine, Medical Director of Ambulatory Psychiatry Services, Mount Sinai Medical Center, Adjunct Research Associate in Psychiatry, Weill Cornell Medical College, and Member, New York Psychoanalytic Society and Institute.

About the Series

Psychoanalytic Inquiry Book Series

Like its counterpart, Psychoanalytic Inquiry: A Topical Journal for Mental Health Professionals, the Psychoanalytic Inquiry Book Series presents a diversity of subjects within a diversity of approaches to those subjects. Under the editorship of Joseph Lichtenberg, in collaboration with Melvin Bornstein and the editorial board of Psychoanalytic Inquiry, the volumes in this series strike a balance between research, theory, and clinical application. We are honored to have published the works of various innovators in psychoanalysis, such as Lachmann, Fosshage, Stolorow, Orange, Sander, Wurmser, Grotstein, Jones, Brothers, Busch, and Lichtenberg, among others. 

The series includes books and monographs on mainline psychoanalytic topics, such as sexuality, narcissism, trauma, homosexuality, jealousy, envy, and varied aspects of analytic process and technique.  In our efforts to broaden the field of analytic interest, the series has incorporated and embraced innovative discoveries in infant research, self psychology, intersubjectivity, motivational systems, affects as process, responses to cancer, borderline states, contextualism, postmodernism, attachment research and theory, medication, and mentalization. As further investigations in psychoanalysis come to fruition, we seek to present them in readable, easily comprehensible writing.

After 25 years, the core vision of this series remains the investigation, analysis and discussion of developments on the cutting edge of the psychoanalytic field, inspired by a boundless spirit of inquiry.

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Subject Categories

BISAC Subject Codes/Headings:
PSYCHOLOGY / Movements / Psychoanalysis
PSYCHOLOGY / Mental Health