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Psychodynamic Techniques: Working with Emotion in the Therapeutic Relationship

Psychodynamic Techniques: Working with Emotion in the Therapeutic Relationship [Kindle Edition]

Karen J. Maroda
4.0 out of 5 stars  See all reviews (4 customer reviews)

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"Maroda’s proven skill at highly instructive use of courageous self-disclosure is superbly displayed in this revealing work on that rarest of topics: specific elucidation of technique in dynamic therapy. Full of practical advice and illuminating case material, this book is a godsend for therapists." - Thomas G. Gutheil, Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, USA

"Maroda brings such a wealth of seasoned clinical experience and wisdom to this book that it inevitably will be an invaluable resource. She offers a treatment-oriented presentation that is sophisticated yet lucid and pragmatic." - Edgar A. Levenson, William Alanson White Institute, New York, New York

"Though intended primarily for inexperienced clinicians, this book has much to offer therapists at every level of practice. It is in equal turns scholarly and eminently practical, and imparts the clinical wisdom of a senior therapist who is willing to discuss the intricacies of clinical process with emotional and professional candor. The multidimensional clinical illustrations are evocative and elegantly crafted. Highly recommended." - Jerrold R. Brandell, Distinguished Professor, Wayne State University School of Social Work, USA; Editor-in-Chief, Psychoanalytic Social Work

"With this engaging, readable book, Maroda answers a longstanding need for a primer on psychodynamic technique. In her characteristic melding of professional and personal experience, theoretical sophistication, research findings, and plain-spoken common sense, Maroda serves up a banquet of good advice that will nourish not only students and beginning therapists, but also experienced practitioners. She keeps the focus on the practical and generously illustrates her points with clinical vignettes that exemplify the emotional honesty she so consistently recommends. I look forward to assigning this welcome text to my graduate students in clinical psychology." - Nancy McWilliams, Graduate School of Applied and Professional Psychology, Rutgers, The State University of New Jersey, USA

"This is an outstanding contribution by a master clinician. Maroda takes the reader on an intimate tour of becoming a good psychotherapist. Her generous use of case examples allows the reader to enter into her consulting room, and illustrates the nuances of various dynamic methods. This book should be mandatory reading for graduate students facing the trepidation and uncertainty of immersing oneself in clinical practice." - Jon Mills, in private practice, Ajax, Ontario, Canada

"Maroda clearly describes how the psychotherapist's emotional responses to the patient's communications are essential to the change processes that lie at the core of the therapeutic relationship. Her clinical model for working more deeply in the affective realm is solidly grounded in interpersonal neurobiology. This extraordinary book is filled with practical information and rich case vignettes. I highly recommend it." - Allan N. Schore, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, USA

Product Description

Helping therapists navigate the complexities of emotional interactions with clients, this book provides practical clinical guidelines. Master clinician Karen J. Maroda adds an important dimension to the psychodynamic literature by exploring the role of both clients' and therapists' emotional experiences in the process of therapy. The book discusses how to become more attuned to one's own experience of a client; offer direct feedback and self-disclosure in the service of treatment goals; and manage intense feelings and conflict in the relationship. Specific techniques are illustrated with vivid case examples. Maroda clearly distinguishes between therapeutic and nontherapeutic ways to work with emotion in this candid and instructive guide.

Product details

  • Format: Kindle Edition
  • File Size: 596 KB
  • Print Length: 287 pages
  • Page Numbers Source ISBN: 1606234927
  • Publisher: The Guilford Press; 1 edition (24 Nov 2009)
  • Sold by: Amazon Media EU S.à r.l.
  • Language: English
  • ASIN: B005D7TMTA
  • Text-to-Speech: Enabled
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  • Average Customer Review: 4.0 out of 5 stars  See all reviews (4 customer reviews)
  • Amazon Bestsellers Rank: #301,701 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
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More About the Author

Karen J. Maroda, Ph.D., ABPP is Assistant Clinical Professor of Psychiatry at the Medical College of Wisconsin and in private practice in Milwaukee, Wisconsin. She is the past ethics chair and board member of Division 39 (Psychoanalysis) of the American Psychological Association, and past president of Section III, Women, Gender and Psychoanalysis, of Division 39. The author of two previous books, The Power of Countertransference, and Seduction, Surrender and Transformation, Dr. Maroda has also published numerous journal articles, book chapters and book reviews. She lectures nationally and internationally on a variety of aspects of the therapeutic process, including the place of affect, self-disclosure, countertransference, legitimate authority, and the need for clinical guidelines. On the board of three major journals, she actively encourages her colleagues to write and talk about what they actually do as therapists. She spoke in London in 2006 to the delight of her Australian mother and embraces the integrative approach endorsed by many in the UK and the rest of Europe.

Customer Reviews

4.0 out of 5 stars
4.0 out of 5 stars
Most Helpful Customer Reviews
5 of 5 people found the following review helpful
4.0 out of 5 stars Karen Maroda is always well worth reading 17 May 2010
Karen Maroda's book on countertransference is one of my favourite books and I always recommend it highly to other psychologists and psychotherapists. This latest publication of Maroda's is another book worth having in your library - she writes with such honesty and insight. I still prefer her book on countertransference - maybe the freshness of her insights and the passion of her beliefs were stronger in that book - this book feels less raw and had less impact on me - but still well worth reading and returning to when mulling over how we work with our clients. Well worth buying.
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4 of 4 people found the following review helpful
5.0 out of 5 stars Honest, Insightful and Practical 29 Nov 2010
Format:Hardcover|Verified Purchase
This is a very interesting and readable book on what could have been a difficult subject. It is clearly written with many examples from her work. The main thrust of her argument for successful therapy is to concentrate on, and encourage the expression of emotion, and to be free enough to be responsibly spontaneous. There is a good chapter on the difficulty of treating borderline personality disorder. There is also a chapter on self-disclosure, which used to be a definate 'no' for psychodynamic work! You could actually sum the book up as a humane person-centred approach to psychodynamic work! It would give anyone, from student to practitioner, lots of ideas and stimulating challenges for their work. I highly recommend it.
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3 of 3 people found the following review helpful
5.0 out of 5 stars Love it 31 Aug 2013
By Allison
Format:Paperback|Verified Purchase
Really good for those starting or well qualified as a counsellor. Has stack loads of case studies which make it seem really easy to read and understand. Better than a lot of academic books
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1 of 1 people found the following review helpful
2.0 out of 5 stars amateurish 21 April 2014
By pc
Format:Kindle Edition|Verified Purchase
I was disappointed in this one. As a student of psychotherapy, I felt this book missed out on the most important debate of the 21st Century within mental health. I lost respect for Maroda when she flimsily claimed "research suggests" or "increasing evidence shows" about genetics causing BPD. Misleading words like these are unfortunate. If Maroda is in possession of a piece of research which shows a statistically significant cause-effect relationship between brain/genetics and behaviour, the ever elusive holy grail of psychiatry, she would have won a Nobel Peace Prize. To use words like "appears to be different" and "is associated with" and then draw a causal analysis is just wrong. Literally everything in this world is "associated" with something else, quantified by a matter of degree. The research she cited means absolutely nothing in terms of what causes human behaviour, but she presents it as such; this shows how detached Maroda is from even the basic divisions between statistically significant and statistically insignificant research findings; and more ethically, it is also dismissive of the more serious, wider implications of the harm in pathologising human behaviour. Had I written this book, I certainly would not suggest research, I would only construct my work around reliable research that is based on empirical evidence. But I am a qualified research psychologist, and I know better. It is sadly authors such as Maroda who pass the baton of medical models of mental health forward, causing much confusion to the truth about mental health issues in this postmodern era. To that end, this will be an area of her work that I shall disregard as I cannot use this productively, as Maroda invites her readers to do with her material should they find they cannot use it.
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Most Helpful Customer Reviews on (beta) 4.7 out of 5 stars  6 reviews
19 of 21 people found the following review helpful
5.0 out of 5 stars Outstanding addition to my psychodynamic library 15 Jan 2010
By Kevin Nasky - Published on
This book by Dr. Maroda should be mandatory reading for all psychiatry residents. Like Nancy McWilliams (whose books I'm a huge fan of), Dr. Maroda explains psychodynamic concepts in plain language. She tackles many issues that are unfortunately poorly taught (or dismissed entirely!) in training. For example, her Chapter on Self-Disclosure fills a large gap in a young therapist's training, as the topic tends to be the proverbial elephant in the room, with trainees and experienced therapists, alike, afraid to broach the topic out of fear of criticism. Much of what Dr. Maroda explains in this book are concepts that I've inherently understood (e.g. patients want their realities [perceptions of the therapist's affects] confirmed), but have never seen explained in writing. If I could only recommend 5 books for psychodynamic psychotherapy neophytes, this would be one of them, along with McWilliams' three books and Salman Akhtar's 'Broken Structures.'
12 of 13 people found the following review helpful
5.0 out of 5 stars Perfect balance between theory and practice 25 Jun 2010
By Zachary Taylor - Published on
I picked up this book with no prior exposure to Maroda's work and immediately read it from cover to cover. As a fairly new clinician I find most books on technique are either extremely cheesy and superficial or so mired in theory as to be impractical. I think the other reviewers have picked up on this too -- that Maroda's book here was the perfect balance for me....hooray!

Some key concepts I walked away with were learning to look at both sides of the therapeutic relationship and how the therapist brings in and works with his/her own stuff which is something I have tried to cultivate and this book took me to the next level with it. The chapter on Borderline Personality was by far my favorite.

On a theoretical level, Maroda's focus on emotions is a conversation that needs to continue. The moment-to-moment emotional interactions in therapy, I'm convinced, hold keys to doors that pure cognitive insight could only dream of opening.

The only book I would put on par with this one is a little known book by Dr. Eric Cowan called "Ariadne's Thread." It's also that wonderful refreshing balance between theory and narrative and practical application.
11 of 12 people found the following review helpful
5.0 out of 5 stars Sophisticated yet practical and easy to read 5 Jan 2010
By K. A. Jones - Published on
Format:Hardcover|Verified Purchase
This is an excellent, readable resource for all types of mental health practioners. Maroda shares her wisdom from more than two decades of practice with memorable vignettes and accessible language. In a forthright manner she address difficult therapeutic issues such as erotic transference and countertransference as well as more mundane issues such as phone calls, email, gifts and fees. This is a wonderful resource for anyone who desires to be a competent, ethical and courageous healer of the psyche. The title should not put off theorists who are not psychodynamic theorists, although certainly they are her intended audience.
2 of 3 people found the following review helpful
5.0 out of 5 stars Unbelievable Book 23 Sep 2010
By Happy Reading - Published on
Format:Hardcover|Verified Purchase
I usually write a review because I am asked to do it. However, I am choosing to write a review on this book because it touched me in so many positive ways. This book is a must for anyone that is looking for more insight, intellect, or tools to become a better professional and/or individual. I am in AWE...with this book.

I have learned so much about myself fromt his bookthat it has inspired me to even write a book later on about my experiences. I would recommend this book to anyone that would like to become better in any way. I would also be contacting the Author of this book so I can thank her for such brilliant work.
0 of 1 people found the following review helpful
5.0 out of 5 stars Loved it! 26 Feb 2013
By Jessica E. Frost - Published on
Format:Hardcover|Verified Purchase
I am a counseling intern who is psychodynamic in orientation but my supervisors don't know how to guide me in this direction because they are of different orientations. This book is a great general map to working with emotion in a psychodynamic way and provides tons of good tips and pointers for me. I am defnitely going to order more books by this author.
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The therapist has to be fearless, in a sense, to pursue the material that the client is not readily talking about. &quote;
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This lowering of defenses and movement into deep, often previously unexplored, sadness and longing has traditionally been referred to as “regression.” &quote;
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Slowly it came to be seen as not primarily defensive, but rather as an “opening up”—or breaking down of walls that prevented the surfacing of deep, primitive feelings. &quote;
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