Working with the Core Relationship Problem in Psychotherapy: A Handbook for Clinicians

Foreword ix
Samuel Slipp

Preface xi

Introduction: The Unconscious and the Archaeology of Human Relationships xvii

Part One: The Core Relationship Problem 1

1 Construction of the Developmental Hypothesis: The Hypothesis

2 Construction of the Developmental Hypothesis: Method of Data Gathering 11

3 The Place of the Signifier in Psychoanalytic Object Relations Theory 23

4 The Contribution of Family System Pathology to Core Relationship Problems 35

5 Belief Systems and the Analytic Work 45

Part Two: some Common Clinical Problems and Issues 51

6 Deciphering the Compromise Formation: A Psychological Rosetta Stone 53

7 OCD: The Medicalization of Psychopathology and the Importance of Preserving a Psychology of the Mind 59

8 Working with Dissociated Self-States 69

9 Cherchez la Mere: Disturbances of Object-Seeking Behavior in the Wake of Early Abandonment Experiences 77

10 Money Issues and Analytic Neutrality 83

11 Religion, Values, and Clinical Issues 93

12 The Therapist’s Core Relationship Problem: Countertransference Resistance 99

13 Moments of Decision: What Do I Say? What Do I do? 107

Part Three: Difficult Patients and Clinical Problems 115

14 Interminable Therapy and Transference Resistance 117

15 When Helping doesn’t Help: The Negative Therapeutic Reaction 123

16 The Masochistic Personality Disorder – A Diagnosis worth Keeping: Working with the Good Girl and the Good Boy 129

17 “Those Wrecked by Success” Revisited: Envy and the Fear of Being Envied 143

18 Managed Care as a Clinical Issue 149

Part Four: For Supervisors Only 155

19 Core Relationship Problems and the Supervision Process 157

References 165

About the Author 173

About the Foreword Author 175

Index 177