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Bob Bennett, MD,CGP,FAPA
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Melissa Black, PhD,CGP
Dale C. Godby, PhD,CGP,ABPP
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Myrna Little, PhD,CGP
Scott Nelson, PhD, CGP
6330 LBJ
Fwy, Suite 150, Dallas, TX 75240
972-392-4155
THERAPEUTIC USE
OF THE SELF
Dale C. Godby, Ph.D.
Clinical Psychology Group Course
January 28, 2004
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Rosenberg, P.P. (1993). Qualities of the group therapist. In H.I. Kaplan
& B.J. |
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Sadock,(Eds.). Comprehensive Group Psychotherapy (Third
Edition). pp. 648-656.Baltimore: Williams & Wilkins. |
Role Play
In
a group that has been together for 2 years, with the last new member joining
10 months ago, a series of meetings develops in which some members begin to
express judgments about the moral behaviors of some of the others.
Tension and conflict develop around fundamentalist religious beliefs and the
group wants the therapist to settle the dispute.
DISCUSSION QUESTIONS
- What does this
saying mean? "A river can't rise higher than its source" Is it
useful to think about the therapist patient relationship in light of this
aphorism? How so?
- Do you agree or
disagree with Grotjahn that the therapist must be able to tolerate many
contradictions in herself? She has to be patient and impatient at the same
time. She has to be able to love and to hate, to be a friend and an
opponent to the same person. Only when she does not deny her
feelings will the patient be able to trust her. Why or why not?
- How important is
spontaneous responsiveness to effective psychotherapy? What are the
dangers? How is this different in individual and group
psychotherapy?
- Is patienthood
necessary to develop into a good therapist? If so, what type,
individual, family, group? Do you agree a therapist should consider
herself her own favorite patient?
- Grotjahn argues for
a bipolarity between the "blank screen" and "transparent humanity".
Towards which side of this polarity do you find yourself leaning? Which is
hardest for you to express? What type of balance do you strive for and how
do you imagine the balance you currently have effects your therapeutic
outcomes?
ANNOTATED BIBLIOGRAPHY
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Ekstein, R. & Mayman, M. (1957). On the Professional Identity of the
Clinical |
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Psychologist. Bulletin of the Menninger Clinic 21, 59-61.
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Early article on professional identity. Later Ekstein published an
excellent book on the Teaching and Learning of Psychotherapy.
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Grotjahn, M. (1977). Profile of the Group Therapist, Chapters 10-12 in
The Art and |
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Technique of Analytic Group Therapy. New York: Aronson.
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Grotjahn wrote the Rosenberg article in the first two editions of
Comprehensive Group Therapy. His entire book on group
psychotherapy is well worth consulting.
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Guy, J. D. (1987). The Personal Life of the Psychotherapist: The
Impact of Clinical |
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Practice on the Therapist's Intimate Relationships and Emotional Well
Being. |
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New York: John
Wiley and Sons.
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Very thorough discussion from factors leading to career choice to
retirement. Includes section on career satisfaction and burnout.
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Heath, S. (1991). Dealing with the Therapist's Vulnerability to
Depression. |
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Northvale, NJ:Aronson.
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Details the patient's impact on the therapist. Includes a chapter
that focuses on group.
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Jacobs, T. J. (1991). The Use of the Self: Countertransference and
Communication |
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in
the Analytic Situation. Madison, CT: International
Universities Press.
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A subtle and searching analysis of how our understanding of ourselves
can be used to foster the progress of our patients. It takes some
courage to face ourselves as honestly as Jacobs does.
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Menninger, K. (1957). Psychological Factors in the Choice of Medicine as
a |
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Profession. Bulletin of the Menninger Clinic 21: 51-58,
99-106.
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A fascinating account of the dynamics behind our choice of specialty.
He examines a number of medical specialties as well as psychiatry.
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Rippere, V. & Williams, R. (1985). Wounded Healers: Mental Health
Workers' |
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Experiences of Depression. New York: John Wiley & Sons.
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First person accounts of therapists who write of their own internal
struggles.
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Sussman, M. B. (1992). A
Curious Calling: :Unconscious Motivations for Practicing |
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Psychotherapy. Northvale, NJ: Aronson.
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An outgrowth of his doctoral dissertation and some work at the Menninger
Clinic. He includes a section on women therapists.
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Ticho, E. A. (1972). The effects of the analyst's personality on
psychoanalytic |
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treatment. Psychoanalytic Forum, 4, 135-172.
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Ticho's article is responded to by a group of therapists, Ralph Greenson,
perhaps the best known. He offers much on a very neglected topic.
Although written 26 years ago, you still seldom hear the therapist's
personality discussed.
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Welt, S.R. & Herron, W.G.
(1990). Narcissism and the Psychotherapist, |
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New York: Guilliford
Press.
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This work focuses on the narcissism of the therapist. It outlines its
negative aspect as well as its creative potential for the therapeutic
situation. |
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