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Therapeutic Communication: Principles and Effective Practice, by Paul L. Wachtel PhD
PDF Download Therapeutic Communication: Principles and Effective Practice, by Paul L. Wachtel PhD
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For every therapist who has ever thought, "I understand my patient, but what should I say at this moment?, " this book will provide practical, enlightening assistance. A trained psychoanalyst known for his integration of active methods from other orientations, Paul L. Wachtel examines in great detail precisely what the therapist can say to contribute to the process of healing and change. The reader is shown - through numerous examples, including annotated transcripts of actual therapy sessions - why some communications are particularly effective, while others, though addressing essentially the same content, actually promote the problems being treated. A uniquely practical book, Therapeutic Communication also offers the reader an exploration of theory that integrates psychodynamic principles with insights and discoveries from other approaches. Opening chapters probe how vicious circles perpetuate the patient's difficulties and how intrapsychic conflict and interpersonal realities mutually create each other. Later chapters explore communication strategies that will help resolve these difficulties. Dr. Wachtel illuminates the evaluative nature of seemingly "neutral" comments, and demonstrates how the therapist can generate communications that foster the patient's progress. Other chapters highlight how to build on the patient's strengths; how to promote and amplify change processes and help the patient "own" his insights through what Dr. Wachtel calls "attributional interpretations"; and how to utilize the art of gentle inquiry, phrasing questions in ways that protect the patient's self-esteem and mobilize his capacity to change. Rounding out the work is a comprehensive chapter on theprocess of "working through, " and a concluding chapter by Ellen Wachtel insightfully extending the book's ideas to work with couples. Jargon-free prose and respect for multiple psychotherapeutic perspectives make this book valuable not only to psychodynamically oriented therapists, but
- Sales Rank: #622382 in Books
- Brand: Brand: The Guilford Press
- Published on: 1993-03-19
- Original language: English
- Number of items: 1
- Dimensions: 1.12" h x 6.29" w x 9.24" l,
- Binding: Hardcover
- 308 pages
- Used Book in Good Condition
Most helpful customer reviews
13 of 14 people found the following review helpful.
Exposure and the Art of Interpretation in Therapy
By S. Greenhouse
Paul Wachtel is one of the first psychologists to devise an integrative theory of therapy. This book is well written and will be useful to the therapeutic practice of a great many therapists of differing theoretical orientations. In the early chapters he introduces key notions of his approach called "cyclical psychodynamics", which integrates behavioral, cognitive, and systems approaches within a contextually oriented psychodynamic theory and therapy. According to Wachtel anxiety is frequently the result of inner conflicts and experiences that the person has made attempts to avoid and are now surfacing into consciousness, further reinforcing defensive avoidance strategies. He further conceptualizes interpretation in therapy as a means to expose the person to the material of the anxiety as well as the anxiety itself. The bulk of the book explicates the finesse and tact involved in the communicative aspects of such exposure oriented interpretations in therapy, i.e., the art of knowing what to say and when to say it. I look forward to a book by Wachtel that introduces the reader to "all" aspects of his integrative approach.
51 of 53 people found the following review helpful.
A rare find-tells therapists *how* to talk to their clients!
By A Customer
Hundreds, maybe thousands, of books review various therapeutic procedures and treatment strategies, encompassing everything from Freudian analysis to primal scream therapy. Dr. Wachtel, however, shuns this traditional theoretical approach. Instead, he focuses on how what therapists actually *say* to their clients affects the therapy process. Dr. Wachtel clearly and succinctly describes the use of subtle word changes in the therapist's comments (both statements and questions) in order to facilitate further exploration and increase the likelihood of positive outcomes. In addition, he provides specific examples and excerpts from actual therapy sessions to highlight the application of his methods. These simple techniques are applicable to various theoretical orientations, therapist educational backgrounds, and client problems. Thus, this book would be useful to any clinician seeking to enrich his or her therapeutic skills, and I highly recommend it for beginning and seasoned practitioners alike
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