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Co-Creating Change: Effective Dynamic Therapy Techniques, by Jon Frederickson
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Written for therapists, Co-Creating Change shows what to do to help "stuck" patients (those who resist the therapy process) let go of their resistance and self-defeating behaviors and willingly co-create a relationship for change instead. Co-Creating Change includes clinical vignettes that illustrate hundreds of therapeutic impasses taken from actual sessions, showing how to understand patients and how to intervene effectively. The book provides clear, systematic steps for assessing patients' needs and intervening to develop an effective relationship for change. Co-Creating Change presents an integrative theory that uses elements of behavior therapy, cognitive therapy, emotion-focused therapy, psychoanalysis, and mindfulness. This empirically validated treatment is effective with a wide range of patients.
Co-Creating Change: Effective Dynamic Techniques has won the First Prize in Psychiatry at the British Medical Book Awards.
- Sales Rank: #224644 in Books
- Brand: Brand: Seven Leaves Press
- Published on: 2013-05-27
- Original language: English
- Number of items: 1
- Dimensions: 8.50" h x 5.75" w x 1.25" l, 1.85 pounds
- Binding: Paperback
- 536 pages
Features
- Used Book in Good Condition
Most helpful customer reviews
13 of 13 people found the following review helpful.
A must-read resource for students of psychotherapy!
By Maury
It is with great pleasure that I recommend Jon Frederickson's new book to fellow students of psychotherapy. As a graduate student in clinical psychology I have read many books on psychotherapeutic technique over the past few years, and I must say that Jon's is the most clear, useful, and accessible that I have yet encountered. This is especially impressive because the book synthesizes literature from so many disciplines. All schools of psychoanalysis are represented, as are somatic-experiencing, emotion-focused, mindfulness, paradoxical, and cognitive-behavioral models, so therapists from many backgrounds will have a frame of reference from which to approach the model that Jon presents. This is all integrated with Jon's refined understanding of affective neuroscience and philosophy, plus his extensive clinical experience. Jon is concise in his definitions and descriptions of clinical phenomena in ways that many of our most celebrated psychodynamic writers are not. In annotated transcripts he provides integrative interventions for hundreds of clinical situations across the spectrum of psychoneurosis and fragility, and also elaborates on the ethos and moment-to-moment diagnostic awareness that guides them. Regulating anxiety, addressing defenses, and exploring feelings--the book will help you sharpen all these essential psychotherapy skills. Jon demonstrates a balance of respect and challenge for the patient that facilitates the development of a healing relationship, oriented towards security, deep experience of core emotions, and achievement of shared goals. I know that I have become more skillful and knowledgeable while reading the book, and my clinical work has improved. I have had the opportunity to study with Jon here in Washington, DC (also highly recommended!!!), and I am so grateful to have his expertise and relentless compassion distilled in a single volume. This is one that I will reference and re-read throughout my career, and that I will always recommend to colleagues and students. Enjoy!
10 of 11 people found the following review helpful.
Master Supervisor in a Textbook.... Priceless!
By Allan Gold
As a psychiatrist, psychoanalyst, and more recently "mindfulness" and "somatic" psychotherapist, and as a teacher of psychotherapists at the professional and graduate level for three decades, I whole heartedly recommend Jon Frederickson's book, Co-Creating Change: Effective Dynamic Therapy Techniques, as the best single book I have read for learning psychotherapy over my long career.
Frederickson, who calls himself in his previous book, an "integrative psychotherapist" has distilled decades of his own experience as a teacher and practitioner to create a refreshing and bold approach to teaching psychotherapy in this book that is full of practical and theoretical wisdom. It is a tour de force which integrates psychoanalytic concepts, both Freudian and Object Relations, with up to date information from neuroscience, behaviorism, cognitive science, infant research, and attachment theory.. He has read widely and integrated a breadth of current models of psychotherapy including psychodynamic psychotherapy, cognitive behavioral therapy, somatic psychotherapy, and Gestalt and mindfulness techniques.
The book is effective from its first chapters on anxiety and creating a therapeutic alliance, helpful to beginners and experienced practitioners alike. The book moves forward systematically in its nearly 500 pages of text through complex and subtle problems involving working very skillfully with defenses, transferences, character resistances, and superego pathology, addressing specifically with clear examples of how to work with patients, including, in my experience, patients previously unapproachable in traditional psychotherapy. The book has much to teach advanced practitioners and teachers of psychotherapy as well.
Frederickson's work stems from pioneering works of Sigmund Freud, Melanie Klein, Wilfred Bion, and Habib Davenloo, that integrate classical psychoanalytic ideas with active techniques that efficiently and methodically engage and resolve resistance. Frederickson also documents current ongoing evidence based research by Allan Abbass in Canada and others internationally, proving that treatment of complex personality based problems can be resolved in months to a year with most cases using techniques presented in this book. This is true even when traditional approaches have taken much longer and have often been less effective.
Central to the method is the client's seeing moment to moment the ways that he or she distorts and cuts off experience of unconscious defenses, anxiety, emotions, and personality patterns. The therapist's skills in promoting awareness and determination for change then open the possibility for the client to interrupt "and take a stand against" these mental actions, to see what lies just beyond. This is done in a way that is titrated, safe, supported, and transformational. The book copiously illustrates powerful yet brief sequences of interaction that address and resolve the ubiquitous projections of these more complex, resistant, or fragile patients, and their evasions of motivation and responsibility, that often derail therapy.
Frederickson includes 25 pages of references that span the entire literature of psychoanalysis, the various psychotherapies, attachment theory, somatic psychotherapy, neurobiology, spirituality, and philosophy. He has distilled these in approachable language throughout the text, judiciously and unobtrusively, so that the reader can follow the theoretical and practical parts of the text with relative ease. The reference list includes internet resources as well as classic papers and texts for richer exploration.
As a teacher of psychotherapists for over 30 years, I have found that what most helps people to learn, and what learners most ask for, is supervision with mentors who model and show their own work. Frederickson's very finely attuned transcripts not only show in detail what he says to the client, but why he says what he says, as he articulates the unfolding of the clinical vignettes. These succinctly illuminate masterful ways to resolve the myriads of situations that can arise. Frederickson demonstrates expanding the therapeutic alliance, resolving resistances, and mobilizing the forces of emotion toward transformative changes. In this respect the book reminds me of some the best writing in psychotherapy by Michael Franz Basch, Mardi Horwitz, Leigh McCullough, and Patricia Coughlin (Frederickson's mentor). He masterfully weaves the models that he has described into the transcripts themselves as though teaching from a videotape, pausing frequently to explain his actions and the effect on the client's process as it unfolds.
The book is also a systematic and comprehensive modeling of the overall therapeutic process, geared to conducting psychotherapy at a pace and level most efficient for the strengths and difficulties of the particular client. One learns how to assess the level of difficulty and capacity in the individual through a structured process that moves through inquiry to diagnosis, an ongoing process that continues as an ongoing assessment through the layers of the unfolding treatment. The structure of the book helps the reader/practitioner, learn how to use himself or herself through words and therapeutic actions to assess at any given moment whether the client is resisting or engaging with the therapeutic process. All of us resist knowing our own emotions internally and but also regulate the level of intimacy with others by hiding our emotions from ourselves and each other. In therapy, clients do this even more intensively as the therapist attempts an inquiry into the client's problems, and tries to establish a consensus about and alliance for resolution of the client's internal conflicts. Effective psychotherapeutic interaction opens up the innate capacities in the client to feel and regulate anxiety, feel and regulate emotions, see and interrupt previously unconscious defenses, see and interrupt patterns of sabotage through self punishment (superego pathology) or identification with and re-enactment in the therapy of what was done to the client (character resistance). As the reader understands these mechanisms, he or she learns to assess and move through the complex layering of person's self created suffering, in an increasingly coherent investigative process. This reminds me of the complex dialectic of trial interventions leading to diagnosis and resolution in medical diseases. At each step of the way, throughout the book, Frederickson discusses the elements of whatever internal problem must be addressed at any given moment. He shows how these elements manifest, how to invite the client to see, dis-identify, track, see the cost, develop the will to take a stand, and develop the courage to persist in the face of pain and fear repeatedly through the stages of the therapeutic work.
The words of the Great Physician, Sir William Osler come to mind as I read and reread Frederickson's book. To paraphrase: "learning medicine on the wards without good textbooks is like going to sea without maps, but reading without seeing a diversity of patients is like not going to sea at all." Frederickson's book, like no other I have read, combines both a cohesive, very clear synthesis of the best past and current thinking about psychodynamics with a grand tour of lively examples to show us what to do and how to do integrative psychotherapy giving us maps, and flow charts, and lively detailed examples of how to do the work. I recommend this book without reservation.
7 of 7 people found the following review helpful.
Co-Creating Change should be in every psychotherapist's bookshelf.
By Monica Stone
If I had been able to buy Co-Creating Change when I first got licensed as a therapist, or better yet when I was studying in school, I would have enjoyed many more years of clarity about what I was doing and why. I would have known more about how to truly effect deep psychological healing in many of my clients.
The Author, Jon Frederickson, is a very clear thinker and he lays out the psychodynamic model he uses transparently and simply in this book. What's more, you and your client/patient share the same language and can really look at the defenses that are creating his/her suffering. The therapeutic work is experiential in the consulting room. Change happens in the "now" but the insights that can be realized through the model laid out in this book are life changing.
Jon reads all the literature on neuroscience and that research is laid down in this book (with copious references) to make the method more understandable. Buy this book! You won't be sorry and neither will your clients. My goal is to, as Jon says, "make every statement I make invite the patient to co-create a relationship for change with me."
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