2nd Edition

Psychodynamic Therapy, Second Edition A Guide to Evidence-Based Practice

    Firmly grounded in contemporary clinical practice and research, this pragmatic guide for professionals and students is now in a revised and expanded second edition. The book explains the theory underlying psychodynamic approaches and lays out a model for understanding psychopathology. Vivid case examples demonstrate how to tailor psychodynamic therapy effectively for individual patients. The authors provide a framework for diagnosing the patient’s core psychodynamic problem and engaging the most useful mechanisms of change, using an integrative approach. Special topics include remote and hybrid treatment, combining therapy with psychopharmacology, and working with couples and families.

    New to This Edition
    *Incorporates cutting-edge research on psychotherapy process and mechanisms of change.
    *Chapter on telepsychotherapy, including clear recommendations for practice.
    *More attention to the social determinants of health--the psychic effects of adversity and various forms of oppression.
    *New and revised case examples, with diversity in age, gender, race, culture, and sexual identity.

    See also Practicing Psychodynamic Therapy: A Casebook, edited by Summers and Barber, which features 12 in-depth cases that explicitly illustrate the approach in this book.

    I. Context
    1. Why Dynamic Psychotherapy?
    2. Pragmatic Psychodynamic Psychotherapy: Conceptual Model and Techniques
    3. Psychodynamic Therapy and Other Therapies
    II. Opening Phase
    4. The Therapeutic Alliance: Goal, Task, and Bond
    5. Core Psychodynamic Problems, Part I
    6. Core Psychodynamic Problems, Part II
    7. Psychodynamic Formulation
    8. Defining a Focus and Setting Goals
    III. Middle Phase
    9. The Narrative: Building a Personal Story
    10. Change
    11. Therapeutic Moments: Emotions in Psychotherapy
    12. Therapist Strengths, or Managing Your Countertransference
    IV. Telepsychotherapy and Combining Treatments
    13. Telepsychotherapy
    14. Psychopharmacology and Psychotherapy
    15. The Patient Is Part of a Family, with Ellen Berman
    V. Ending
    16. Goals and Termination


    Richard F. Summers, MD, is Senior Residency Advisor and Clinical Professor of Psychiatry at the Perelman School of Medicine of the University of Pennsylvania. He served as Co-Director of Residency Training at Penn from 1998 to 2017. Dr. Summers is a nationally recognized educator, author, and clinician. He is treasurer of the American Psychiatric Association and past president of the American Association of Directors of Psychiatry Residency Training. He has published widely on psychodynamic therapy, the therapeutic alliance, focus in psychotherapy, physician well-being, positive psychology, and psychiatry residency training.

    Jacques P. Barber, PhD, ABPP, is Professor Emeritus and Dean Emeritus of the Gordon F. Derner School of Psychology at Adelphi University. He is also Adjunct Professor of Psychiatry at New York University and Professor Emeritus in the Department of Psychiatry and in the Graduate Psychology Group at the University of Pennsylvania. Dr. Barber is past president of the International Society for Psychotherapy Research and a recipient of its Outstanding Early Career Award and Distinguished Research Career Award. He has published numerous articles and books on topics including psychodynamic therapy, psychotherapy research, and the therapeutic alliance.

    Sigal Zilcha-Mano, PhD, is Professor of Clinical Psychology at the University of Haifa, Israel, where she heads the Psychotherapy Research Lab in the Department of Psychology, She is Associate Editor of the Journal of Consulting and Clinical Psychology and serves on the editorial boards of eight other journals. Dr. Zilcha-Mano is a recipient of the Outstanding Early Career Achievement Award from the Society for Psychotherapy Research, the American Psychological Foundation/Division 29 Early Career Award, and the New Researcher Award from the Society for the Exploration of Psychotherapy Integration. She has published over 160 peer-reviewed research articles on psychodynamic psychotherapy and mechanisms of change.

    "This book amply demonstrates the relevance of psychodynamic therapy in mental health practice today. The underlying concepts are fully explained and firmly rooted in the context of contemporary psychology. Look no further for a readable and well-informed account of current practice! The authors take readers by the hand, leading them chapter by chapter through the phases of contemporary psychodynamic treatment. Newcomers will learn about the distinctive features of the clinical relationship, the personalized nature of the approach, and how to implement treatment in their current practice, even if using telepsychotherapy; seasoned clinicians will be brought up to date on the core elements of contemporary psychodynamic therapy."--Anthony W. Bateman, FRCPsych, Visiting Professor, University College London, United Kingdom, and Copenhagen University, Denmark

    "Psychodynamic psychotherapy is a powerful clinical tool. This approach--and the evidence for its effectiveness--needs to be clearly introduced and articulated to new therapists and those who wish to broaden their skills. Summers, Barber, and Zilcha-Mano illuminate crucial therapeutic ideas and applications in this book. Like the first edition, the second edition of this guide is certain to become a mainstay in psychotherapy curricula."--Barbara Milrod, MD, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine

    "Trainees often ask for a book to help them organize their thinking and structure the treatment in psychodynamic psychotherapy. This book will gratify their wishes, with an approach that is both general and personalized. The book has the voice of a supervisor--kind, clear, honest, direct, and human. Varied, realistic case examples are accompanied by reflection questions that model how an experienced practitioner might think. The authors speak to the questions, fears, and decisions therapists face, making psychodynamic practice accessible and appealing without glossing over its complexity."--Jordan Bate, PhD, Ferkauf Graduate School of Psychology, Yeshiva University

    "This is among the very best books on practicing psychotherapy. The authors beautifully illustrate how to apply evidence-based principles to particular patients’ problems--the chapters on psychodynamic formulation, therapeutic focus, and building a personal story provide rich material for individualizing treatment. Therapists at all levels of training and from diverse theoretical perspectives will benefit from reading this excellent second edition."--George Silberschatz, PhD, Department of Psychiatry and Behavioral Sciences, University of California, San Francisco; President, San Francisco Psychotherapy Research Group

    "The second edition retains the superb descriptions of the major psychoanalytic models and psychodynamic approaches, along with illustrative clinical vignettes, that made the first edition so compelling. The book highlights modifications of traditional approaches that make psychodynamic psychotherapy applicable to a broader range of patients and increase its effectiveness. The second edition incorporates the expanding evidence base for psychodynamic therapy and includes cases with more diversity in age, race, gender, sexual orientation, and nationality. The new chapter on telepsychotherapy brings therapists up to date on the opportunities and challenges of this growing form of therapy and contains valuable clinical recommendations. This volume is essential reading for trainees and experienced mental health professionals."--Fredric N. Busch, MD, Department of Psychiatry, Weill Cornell Medical College, and faculty, Columbia University Center for Psychoanalytic Training and Research-