Short-Term Dynamic Psychotherapy Evaluation and Technique

Short-term psychotherapy, although brief, is not ephemeral. In the decade or two of its existence, it has grown into a sturdy tree, and a sign of its maturity is the fact that it is now the subject of an increasing number of overview articles summarizing

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TOPICS IN GENERAL PSYCHIATRY Series Editor:

John C. Nemiah, M.D. Psychiatrist-in-Chief, Beth Israel Hospital and Professor of Psychiatry, Harvard Medical School

HYPNOSIS Fred H. Frankel, M.B.Ch.B., D.P.M. THE FRONTIER OF BRIEF PSYCHOTHERAPY David H. Malan, D.M., F.R.C. Psych. THE PRACTITIONER'S GUIDE TO PSYCHOACTIVE DRUGS Ellen L. Bassuk, M.D., and Stephen C. Schoonover, M.D. SOCIOCULTURAL ROOTS OF MENTAL ILLNESS: An Epidemiologic Survey John J. Schwab, M.D., and Mary E. Schwab, M.D. SHORT-TERM DYNAMIC PSYCHOTHERAPY: Evaluation and Technique Peter E. Sifneos, M.D.

Short-Terll1 Dynamic Psychotherapy Evaluation and Technique Peter E. Sifneos, M.D. Harvard Medical School

PLENUM MEDICAL BOOK COMPANY NEW YORK AND LONDON

Library of Congress Cataloging in Publication Data Sifneos, Peter E Short-term dynamic psychotherapy. (Topics in general psychiatry) Includes bibliographical references and index. 1. Psychotherapy. I. Title. [DNLM: 1. Psychotherapy, Brief. 2. Interview, Psychological. 3. Anxiety. WM420.3 S573s) RC480.S45 616.8'914 78-27561 ISBN-13: 978-1-4684-3532-0 e-ISBN-13: 978-1-4684-3530-6 DOl: 10.1007/978-1-4684-3530-6

© 1979 Plenum Publishing Corporation Softcover reprint of the hardcover 1st edition 1979

227 West 17th Street, New York, N.Y. 10011 Plenum Medical Book Company is an imprint of Plenum Publishing Corporation All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher

TO JEANNETTE

Understanding and warm Tolerant and magnanimous A tower of strength A beloved sister

Foreword Short-term psychotherapy, although brief, is not ephemeral. In the decade or two of its existence, it has grown into a sturdy tree, and a sign of its maturity is the fact that it is now the subject of an increasing number of overview articles summarizing its literature and findings. Yet it remains a young and vigorous discipline. Its pioneers have not been elevated to a pantheon of venerable but mute immortals; on the contrary, they are to be found at the forefront of the field, actively contributing to the development of its theory and practice. This volume is ample testimony to their continued creativity. Dr. Sifneos has lectured and written extensively about short-term anxiety-provoking psychotherapy (STAPP). Based on psychoanalytic principles, STAPP aims to resolve pathological psychic conflicts and help those suffering from them to learn new ways of being in their most intimate relationships. It does so by actively focusing the patients' sights on their Oedipal problems, and its effectiveness (given a proper selection of subjects by specific criteria) has been amply documented in controlled clinical studies. One of the significant virtues of Dr. Sifneos's therapeutic techniques is that they can be systematically taught to the aspiring psychotherapist. Dr. Sifneos has touched briefly on his procedures here and there thro