The Therapist's Answer Book
Solutions to 101 Tricky Problems in Psychotherapy
Therapists inevitably feel more gratified in their work when their cases have better treatment outcomes. This book is designed to help them achieve that by providing practical solutions to problems that arise in psychotherapy, such as:
Do depressed people need an antidepressant, or psychotherapy alone? How do you handle people who want to be your “friend,” who touch you, who won’t leave your office, or who break boundaries? How do you prevent people from quitting treatment prematurely? Suppose you don’t like the person who consults you? What if people you treat with CBT don’t do their homework? When do you explain defense mechanisms, and when do you use supportive approaches?
Award-winning professor, Jerome Blackman, answers these and many other tricky problems for psychotherapists. Dr. Blackman punctuates his lively text with tips and snippets of various theories that apply to psychotherapy. He shares his advice and illustrates his successes and failures in diagnosis, treatment, and supervision. He highlights fundamental, fascinating, and perplexing problems he has encountered over decades of practicing and supervising therapy.
Table of Contents
Part I: A Very Quick Take on Assessment and Technique. Part II: General Principles about Treatment. Part III: Techniques with Different Types of Disturbances. Part IV: Techniques with Acting In and Acting Out. Part V: Your Reactions to People in Treatment. Part VI: Modification to the "Frame" of Treatment. Part VII: Special Issues.
Jerome S. Blackman, MD, is Professor of Clinical Psychiatry at Eastern Virginia Medical School. He has taught at Beijing University, Tulane School of Social Work, Virginia Wesleyan College, Old Dominion University, MIT Educational Studies Program, and Naval Medical Center–Portsmouth, and presented at programs in Germany, Italy, China, and the United States. His first book, 101 Defenses, has been translated into Chinese and Romanian.
“The Therapist's Answer Book is a must have for both the beginning and seasoned psychotherapist. Dr. Blackman solves problems that all therapists encounter in an erudite, useful, down-to-earth manner while being sophisticated, witty, and elegant at the same time. This book is a treasure.” - Jane S. Hall, LCSW, FIPA, Contemporary Freudian Society, APsaA
“With extraordinary clarity, Dr. Blackman masterfully integrates clinical theory, technique, and ethics to provide a richly comprehensive resource for addressing the daily concerns and problems inherent in psychotherapeutic treatment. The Therapist's Answer Book is a requisite addition to the psychotherapist's library.” - Janet N. Schiff, LCSW, FIPA (Fellow of the International Psychoanalytic Association)
“Drawing on four decades of clinical experience, Jerome Blackman gives tips on solving problems for which the psychotherapist is unprepared, ranging from a patient bringing a drink to a session, wishing for a hug, or asking about the therapist’s personal life. Concise descriptions of technical and theoretical reasons for direct, short answers make this book an excellent teaching tool.” - Vamık D. Volkan, MD, Emeritus Professor of Psychiatry, University of Virginia; author, Psychoanalytic Technique Expanded: A Textbook on Psychoanalytic Treatment
"Writing with his usual gift for clarity and unique ability to break down the complex aspects of the psychotherapeutic process, Jerome Blackman has written The Therapist's Answer Book, a book for the beginning and experienced clinician alike. What Blackman accomplishes is a book that weaves together theoretical models, creative approaches to assessing ego and superego functioning, and new ways of categorizing a range of behaviors and clinical dilemmas that confront us each day. Drawing upon years in his consulting room and his experience as a supervisor and teacher, Blackman uses clinical vignettes to illustrate the central issues involved in assessment, diagnosis, and technique. Blackman offers us both short and long answers to clinical questions. His short answers reflect years of thought and experience, and his long answers illustrate the clinical dilemma and narrative. His vignettes capture and answer the wide range of situations that we, as clinicians, question in our encounters with patients, from how to understand and address the patient who moves our furniture during a session to how to approach and understand patients we find asleep in our waiting room. As always, Blackman writes in an engaging, accessible way that clarifies the difficult situations that make up our work." - Meryl J. Botkin, Ph.D., San Francisco Center for Psychoanalysis; Assistant Clinical Professor in Psychiatry, University of California, San Francisco