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An Introduction to Psychodynamic Counselling

An Introduction to Psychodynamic Counselling

Laurence Spurling

(2017)

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Book Details

Abstract

This engaging and accessible text explores the key assumptions, main theoretical ideas and principles of practice behind psychodynamic counselling. Looking at evidence-based practice, supervision, and the different stages of counselling, this new edition continues to be a valuable text for counsellors and psychotherapists from all disciplines.


Laurence Spurling initially trained as a social worker, and now works as a Senior Lecturer in Counselling at Birkbeck College, University of London, as a Consultant Adult Psychotherapist in the National Health Service, and in private practice as a psychotherapist.


Table of Contents

Section Title Page Action Price
Cover Cover
Contents v
Acknowledgements viii
Preface to the Third Edition ix
Introduction 1
1 The Basic Principles of Therapeutic Practice and the Concept of Containment 5
The therapeutic in everyday life 5
The roots of the therapeutic in ritual healing 9
From mastery to dialogue 12
Therapeutic dialogue 13
Containment: the basic therapeutic principle 19
Summary 23
Further reading 24
2 The Setting 25
The setting as the instrument of the container function of the counsellor 25
The features of the setting 26
Spatial aspects of the setting 27
Temporal aspects of the setting 28
Contractual aspects of the setting 30
The counsellor’s attitude and conduct as part of the setting 32
The setting functions as a set situation 35
An introduction to Mrs A: how the client accommodates to the setting 36
Summary 43
Further reading 44
3 Theory I: The Developmental Point of View and the Oedipus Complex 45
The purpose of theory 45
A theoretical perspective on loss and attachment 46
The developmental point of view 49
Making sense of symptoms and the theory of repression 51
The ego, identification with the object and the structure of depression 55
The Oedipus complex 58
4 Theory II: The Internal World and the Depressive and Paranoid-Schizoid Modes of Experience 66
Internal objects and the internal world 66
Mourning and the depressive position 72
The depressive and paranoid-schizoid modes of experience 74
The Oedipus complex and the depressive position 80
The early stages of the Oedipus complex and gender identity 82
Theory and belief 84
Summary 86
Further reading 88
5 Transference and its Manifestations 89
Mrs A: the nature of her transference onto the counsellor 89
Freud and the discovery of transference 92
Types of transference 94
Illustrations of the negative transference 95
Illustrations of the erotic transference 99
The social dimension of transference 104
6 Working in the Transference 106
How to recognize transference 106
Counter-transference 107
Working in the transference 112
Summary 117
Further reading 118
7 Phases of the Counselling Work 119
The beginning phase 119
The middle phase 128
The end phase 130
On time-limited, long-term and short-term work in counselling 136
Summary 139
Further reading 140
8 Working with More Disturbed Clients 141
A therapeutic consultation with an ill child 141
Psychosis 144
Narcissistic and borderline states of mind 149
Summary 154
Further reading 155
9 The Organizational Framework 156
An organizational perspective: understanding role, task, boundaries, culture and authority 157
Making use of an organizational understanding: two examples 158
The organization and the individual 163
Summary 165
Further reading 165
10 Working with Difference 167
What is competence in working with difference? 167
An example of trying to work with difference 168
Difference and similarity 170
‘Othering’ and racialization 171
How ‘othering’ works: a portrait of an anti-Semite 173
Normative unconscious processes 175
Gender and sexuality as normative 177
The Oedipus complex and melancholia 179
Creating a space in the transference to work with difference 181
Learning to work with difference 185
Summary 186
Further reading 187
References 188
Index 192