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Tea with Freud: An Imaginary Conversation about How Psychotherapy Really Works by Steven B. Sandler
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An error occurred, please try again. Brand New: A new, unread, unused book in perfect condition with no missing or damaged pages. This book takes a new look at dynamic psychotherapy, from its most basic theory to the furthest limits of its capabilities. It invites the reader to re-examine a few of the most basic concepts underlying the practice of psychotherapy. What is emotion? What is a defense mechanism? It begins with emotion theory, an area of academic study that has traditionally been neglected in psychotherapy training programs. Throughout the book, it is argued that the patient's experience of emotion is critical for a successful outcome in therapy, and that the therapist's understanding of emotion will provide a solid theoretical foundation for practice.
Attachment theory is also used extensively throughout the book. Case examples offer interventions that are designed to translate the theory into practical applications. In the middle chapters of the book, these basic ideas emotion theory and attachment theory are applied in an extended case example, using ample segments of verbatim dialogue. Memory theory is used to explain some of the treatment failures in dynamic psychotherapy.
Memory theory can lead to a revised approach that provides more durable outcomes. Dynamic psychotherapy has largely been a therapy of bad memories, therefore, a systematic approach to focusing on positive memories of early attachment experiences is outlined. We must not only help the patient to face negative memories of his past; we must also help revive and strengthen positive memories until they have "trace dominance" over negative ones.
Finally, the possibility that dynamic psychotherapy can lead to spiritual growth is explored. Early parent-child experiences of oneness can serve as the developmental precursors of the spiritual experience. Some of the child development literature, including Mahler's notion of "symbiosis" is reviewed.
Some preliminary work with patients is presented, in which they are invited to broaden their new emotional connection with a parent and others until it leads to a greater sense of spiritual connection and o. In this inspired, comprehensive account of Sandler "s EDT approach, the author develops a systematic procedure to help patients overcome the toxic effect of negative memories and restore and remodel positive memories.
Sandler "s book is a precious learning tool for psychotherapy students and is inspiring for fellow therapists. By outlining polarities of approach-withdrawal, expansion-contraction, action tendency-potential, and the like, Sandler bravely and successfully faces the often-avoided and treacherous subject of emotion. Congratulations Steve!
A brief history of psychoanalysis: From Freud to fantasy to folly
A neuron does not function on its own, and many neurons are part of more than one network. Moreover, networks function via degeneracy, meaning that a given network has a repertoire of functional configurations i. I am not claiming that subcortical regions are irrelevant to emotion. I hypothesize that an instance of emotion is a brain state that makes the sensory array meaningful, and in so doing engages the pattern generators for whatever actions are functional in the context, given a person's current state.
I am not saying that the default mode and salience networks implement allostasis and therefore should not be mapped to other psychological categories. I am claiming that these and other domain-general networks can be mapped to many psychological categories at the same time. I am not saying that concepts are stored in the default mode network. The whole cascade is an instance of a concept. I am not saying that emotions are deliberate, nor denying that automaticity exists. I am saying that in humans, actual executive control e. All animal brains create concepts to categorize sensory inputs and guide action in an obligatory and automatic way, outside of awareness.
Automaticity and control are different brain modes each of which can be achieved with a variety of network configurations , not two battling brain systems. I am not saying that non-human animals are emotionless. Notice that I am not claiming that a fly feels nothing; it may feel affect Barrett, Scientific revolutions are difficult.
At the beginning, new paradigms raise more questions than they answer. They may explain existing anomalies or redefine lingering questions out of existence, but they also introduce a new set of questions that can be answered only with new experimental and computational techniques. This is a feature, not a bug, because it fosters scientific discovery Firestein, A new paradigm barely gets started before it is criticized for not providing all the answers.
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But progress in science is often not answering old questions but asking better ones. The value of a new approach is never based on answering the questions of the old approach. Such is the case with the theory of constructed emotion. Evidence from various domains of research is consistent with the proposed hypotheses for select neuroscience examples, see Table 2 , even as it casts aside some of the old unanswered questions of the classical view. Table 2. Selected neuroscience evidence supporting the theory of constructed emotion. Box 1. The curious case of SM.
Much of our understanding of the neural basis of fear comes from studying Patient S. She has difficulty experiencing fear in many normative circumstances e. She is able to mount a normal skin conductance response to an unexpectedly loud sound, but her brain seems not to use arousal as a learning cue in mild situations e. Interestingly, however, there is other evidence that S.
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She also spontaneously reports feeling worried. She can perceive fear in bodies and voices as is evidenced by her efforts to help her friend or call the police for others in danger.