The Anatomy of Change

Name: The Anatomy of Change
Author: Stephen Appelbaum

A Menninger Foundation Report on Testing the Effects of Psychotherapy

Paperback Engels 2013 9781461341444

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Samenvatting

The standard test battery developed by Rapaport, Gill, and Schafer at the Menninger Foundation constituted the most important research instrument (apart from clinical interviews) of the Foundation's psychotherapy research project. The battery's influence on clinical diagnosis and on research in personality assessment and change has been tremendous. In the hands of highly trained and skilled psychologists, the battery, constructed chiefly around projective tests, has been invaluable for diagnosing difficult cases. The complexity of interpreting it, however, and the many dimensions along which its findings can be organized, have made it frustratingly difficult to use in formal research. And its cost, because of the great time investment it requires, has made clinicians reticent about using it on a large scale. Dr. Appelbaum, an experienced psychotherapist and psycho analyst, was a distinguished member of the group of highly skilled psychologists who applied this test battery in the psychotherapy research reported here, although his role in this instance was re stricted to analyzing the findings of others who administered and interpreted the tests. In recent years, Dr. Appelbaum has been eval uating the mechanisms and effects of various psychotherapeutic approaches.

Specificaties

ISBN13:9781461341444

Taal:Engels

Bindwijze:paperback

Aantal pagina's:308

Uitgever:Springer US

Druk:0

Hoofdrubriek:Mens en maatschappij, Mens en maatschappij, Psychologie

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Inhoudsopgave

1. Task and Methods.- The Tests and Our View of Testing.- Some Clinical Issues and Practices.- Choice of Language and Its Implications.- Diagnosis.- Some Research Issues and Practices.- Patient Variables.- Summary of Goals.- 2. How the Tests Were Used.- The Patient.- Initial Test Study.- Initial Study.- Termination Test Study.- Follow-Up Test Study.- Confirmation Study Summary.- Discussion and Conclusion.- 3. Change in Each Patient Variable From Initial to Termination.- Psychological-Mindedness.- Insight.- Core Neurotic Conflicts.- Affect Organization.- Thought Organization.- Patterning of Defenses.- Ego Strength.- Anxiety Tolerance.- Alloplasticity.- Externalization.- Transference Paradigms at Termination.- Interpersonal Relations.- Symptoms.- Depression.- Conscious Guilt.- Unconscious Guilt.- Somatization.- Anxiety.- Secondary Gain.- Honesty.- Self-Concept.- Sublimation.- Extent of Desired Change.- IQ—Change in IQ during and after Long- Term Psychotherapy.- Routes to Change in IQ during and after Long-Term Psychotherapy.- Conclusions from Analyses of Single Variables.- 4. Overall Assessment of Change for Better or Worse.- Findings and Discussion.- Summary.- 5. Profile of Change: Factor Analytic Study of Patient Variables.- Findings and Discussion.- Summary.- 6. Patterns of Change.- Findings and Discussion.- Summary.- 7. Psychological Tests and Paired Comparison Analyses.- Findings and Discussion.- Summary.- 8. Comparing the Usefulness of Tests with other Psychiatric Information.- Study I.- Study II.- Study III.- Discussion.- Summary.- 9. Follow-up Study.- Follow-Up Findings.- Vicissitudes of Ideation.- Discussion.- Summary.- 10. Overview and Conclusions.- Personal and Personnel.- Research Design (With Respect to Tests).- Remarks on Findings.- Remarks on the Outcome Question.- Summary.- References and Bibliography.