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Learning from the Patient [Paperback]

Patrick Casement
5.0 out of 5 stars  See all reviews (3 customer reviews)
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Book Description

30 Nov 1992 0898621577 978-0898621570 New edition
Throughout Europe, Patrick Casement's work on the interactional aspects of the therapeutic process is well known and highly acclaimed. In Casement's lucid treatise, LEARNING FROM THE PATIENT, everything in psychoanalytic theory and technique is up for questioning and for careful testing in the clinical setting; every concept used is explained and illustrated with clinical examples. The author offers an unusual openness about what really happens in the consulting room, including mistakes--his own as well as others'. The patient's unconscious contribution to analytic work is fully illustrated. As a result of this approach, insight is arrived at with a rare freshness as theory is rediscovered in the consulting room.

In the course of this volume, Casement develops some familiar concepts and evolves a number that are new, such as: internal supervision, a process in which the analyst/therapist explores the implications of various options during each session with the patient; trial identification with the patient, which encourages analysts and therapists to look at themselves as a patient might see them; and communication by impact, a graphic way of considering the various dimensions of projective identification. Others include the dynamics of containment, the communication of hurt, the pain of contrast, and unconscious hope.

In Part I, Casement lays the foundation by establishing the first principles of psychoanalysis and psychoanalytic therapy, as well as those for the process of learning from the patient. In Part II, he more fully explores what emerges from this way of working. He discusses the importance of the analytic space and the need to keep it and the analytic process free from interference of any kind, including that of working style or theoretical bias. He makes a strong case for viewing the analytic process as an expression of the unconscious search for what previously was delayed and is now needed for healthy growth and recovery.

Highly accessible, honest, and most of all helpful, this book offers profound insights and is a joy to read. It has much to offer all levels of readership--from students to experienced practitioners--in the disciplines of analysis, psychotherapy, child therapy, clinical psychology, counseling, and social work. It is therefore of interest for anyone in the helping professions and all those concerned with the dynamics of human relationships.

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Learning from the Patient + Further Learning from the Patient: The Analytic Space and Process + Psychodynamic Counselling in Action (Counselling in Action series)
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Product details

  • Paperback: 386 pages
  • Publisher: Guilford Publications; New edition edition (30 Nov 1992)
  • Language: English
  • ISBN-10: 0898621577
  • ISBN-13: 978-0898621570
  • Product Dimensions: 22.7 x 15.2 x 1.9 cm
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (3 customer reviews)
  • Amazon Bestsellers Rank: 369,753 in Books (See Top 100 in Books)

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"Casement's book is masterly in his entirely convincing account of the complexity of unconscious communications that occur between patient and therapist....If I was asked to recommend one book on technique for the beginning therapist, I would recommend "Learning from the Patient."...It is the best book available." --Arnold H. Modell in" Psychoanalytic Psychology" "This is a remarkable and unusual addition to psychoanalytic literature, and a book form which any analyst, however experienced, is sure to learn something new and valuable. The future of psychoanalysis lies along the path that Casement is pointing out in this sensitive, excellent book." --Anthony Storr, F.R.C.P., F.R.C.Psych., F.R.S.L. "This is a landmark book, one of the outstanding contributions to the psychoanalytic literature in recent years. With his remarkable sensitivity to the subtle manifestations of the interactions taking place in the analytic hour and his awareness of the impact of patient and analyst on each other, Patrick Casement has demonstrated how a gifted analyst can make use of the her-and-now transactions to explore the rich tapestry of thoughts, fantasies, and memories that lie behind them. This book can serve as a teaching text for all therapists who are interested in learning from a master clinician...."--Theodore J. Jacobs, M.D. "Casement believes that the power of the therapist lies in learning how to help a patient experience himself through the therapeutic prism and he describes this by his own clinical work with a direct openness, a disciplined compassion, and a refreshing modesty that is intrinsically elegant....A valuable psychoanalytic offering.' --Rosalyn Benitez-Bloch, D.S.W. "Few analysts convey better than Casement the actual feeling of work in the consulting room. His non-dogmatic but rigorous attention to the total communication of the patient represents what is best and most convincing about modern psychoanalysis. His book will be of partic

About the Author

Patrick Casement is a training analyst of the British Psycho-Analytical Society. Having graduated in theology and anthropology at Cambridge, he worked for ten years as a social worker and qualified with the British Association of Psychotherapists before training to become a psychoanalyst. He is currently in full-time private practice. His first book, which comprises Part I of this volume, is well known throughout Europe and has achieved the status of a modern classic.

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Most Helpful Customer Reviews
12 of 12 people found the following review helpful
By A Customer
Casement offers an excellent book for the student therapist about to enter into practice. His explanations to situations are intriguing - and this keeps the reader interested.
This book combines both of Casement's original works: "On Learning from the Patient" and "On Further Learning from the Patient" into the one book.
There is usually an explanation to situations (even if many explanations) and Casement details many ways of looking at the therepeutic relationships in this book.
Casement even demonstrates to the reader where the author has made mistakes during the therapeutic process - and describes how he identified what was happening, and the steps he took to correct himself.
Uncomplicated in his style of writing, he writes as a friendly mentor.
I originally purchased this book for my with with the psychodynamic model, however I would see that many therapists of many models could make use of this excellent book.
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8 of 8 people found the following review helpful
5.0 out of 5 stars Person Centered Student Counsellor review 14 Jan 2004
Andrew Blackwell, Person Centered Student Counsellor,Bishop Otter
This book is a must for all psychotherapy and counselling students whatever " hat " you wear. It provides an intriguing and novel insight into the therapist / client relationship and brings to the author new concepts of understanding by focusing strongly on the client and showing that it is here that we have the most to learn. For the first time the tables are turned and we have a professional admitting to self appraised errors in practice yet outlining a clear and digestable learning from both this and all relational and therapeutic aspects of the client. Get out there and buy it or you will have missed a key plateau of learning.
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4 of 4 people found the following review helpful
By A Customer
I found Casement to be fascinating in his explanation of the interaction between he and his patients. He described his thoughts and ideas in an uncomplicated manner and as a student I found this to be most helpful. After reading his book, a lot of things finally made sense to me. I strongly recommend reading this book to all clinicians as it can be used within any framework and theory
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Amazon.com: 4.9 out of 5 stars  7 reviews
23 of 23 people found the following review helpful
4.0 out of 5 stars Pas de Deux 3 Sep 2001
By Susan G. Dunn - Published on Amazon.com
In the "pas de deux", the dance between the therapist and the patient, so much goes on it's nearly impossible to get a grip on it all and Casement does a beautiful job of describing this. So much of what he "knows" he knows in retrospect, but such is the stuff of case histories. Meanwhile, when you're together, the dance goes on! What I liked especially about this book is that he makes an attempt to be humble in the presence of his patients; an attempt anyway. If you've ever been in the helping professions, and can get your ego out of the way, that's just the way it is. You get your degree, you read and read, you have your own analysis or whatever, but what comes up in the therapy room never seems to have been covered in the text books. So you learn-as-you-go. His carefully delineated case histories take you step-by-step through the complicated process, and you will learn a lot from this book -- if nothing else you can take heart that it's a very complicated "dance" indeed. You can be taught the steps, but putting it together with your "partner" will be yours alone!
7 of 7 people found the following review helpful
5.0 out of 5 stars My 100-word book review 14 Mar 2006
By A. J. Cull - Published on Amazon.com
Patrick Casement's honesty in writing this book is an inspiration to those of us aiming to be counsellors. Not many therapists would reveal and discuss their own mistakes and oversights so openly, with a view to helping others learn from them. Casement promotes active listening skills and use of the "internal supervisor" to gain awareness both of the client's and one's own internal processes. Also key to his approach is a willingness to embrace uncertainty and not to make snap judgements, in effect to make use of what the poet John Keats called "negative capability." I highly recommend this book.
1 of 1 people found the following review helpful
5.0 out of 5 stars Practical clinical wisdom cracked open like a nut 22 May 2012
By Elizabeth Renee Blue - Published on Amazon.com
Format:Hardcover|Verified Purchase
My supervisor recommended this book to me and I must say, I was surprised by how excellent it was. First, Casement writes very clearly so its a pleasure to read. The essence of what he writes about is how to listen to a patient, as well as to yourself, so as to understand what impact you are having- or might have- on the person and the treatment. This deceptively simple and reductive statement cannot capture how deeply and extensively he makes use of this skill, so as to transform it into an art. He connects his practice approach to theory, especially to Winnicott's contributions, but the book remains a practical and not a theoretical work. I believe this book transcends theoretical orientation and the recommended way of working can be applied no matter what your orientation is. Many rich case examples bring to life the concepts they illustrate. I admire his honesty and his apparent dedication to plumbing the depths of his own experience in session. But the book is much more than an illustration of a master clinician at work. There is much wisdom to be found in this book and it can be read numerous times to fully absorb and incorporate it. This book goes on my 'desert island' list.
1 of 1 people found the following review helpful
5.0 out of 5 stars Outstanding! 7 Sep 2008
By Jeffrey Fait - Published on Amazon.com
I am a staff psychiatrist at an academic institution and I purchased this book for use in psychotherapy supervision with psychiatry residents. I am finding it is a great read for residents at all levels; practical for PGY-II's and helps III's and IV's take their therapy to a deeper level. Definitely recommended!
8 of 14 people found the following review helpful
5.0 out of 5 stars A wonderful book that captures the meaning of understanding. 9 Jun 1999
By A Customer - Published on Amazon.com
I found Casement to be fascinating in his explanation of the interaction between he and his patients. He described his thoughts and ideas in an uncomplicated manner and as a student I found this to be most helpful. After reading his book, a lot of things finally made sense to me. I strongly recommend reading this book to all clinicians as it can be used within any framework and theory
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