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9781032054674

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'Once again Patricia Coughlin has written a crystal clear book, this time on the topic of working through. As she shows through multiple transcripts, deep change does not occur through a single magical breakthrough. Rather, it occurs due to the careful working through of multiple conflicts with different people from various times of life. Symptoms are often multiply determined. And to achieve lasting change, the therapist must systematically address and work through each of these conflicts and help patients bear the complex feelings involved. Numerous case vignettes illustrate the role of multiple causation in symptom development, how to address the need to repeat, the role of rupture and repair, and the corrective emotional experience. The case material demonstrates once again a master at work.' Jon Frederickson, MSW, Faculty, Washington School of Psychiatry, USA 'Dr. Coughlin's ambitious goal in writing this book -- to clarify the therapeutic processes that translate emotional insight into enduring change - is a welcome addition to the psychotherapy literature. Her particular model of short-term dynamic work has much to teach psychotherapists of every stripe and orientation about the techniques of interpersonal engagement that promote transformation that lasts. This is a book for senior clinicians and beginners alike, filled with practical wisdom.' Dr Robert Waldinger, Professor at Harvard Medical School; Director, Harvard Study of Adult Development, USA

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Patricia Coughlin is a Clinical Psychologist with over 40 years of experience as a therapist and teacher. She is the author of Maximising Therapeutic Effectiveness in Dynamic Psychotherapy (Routledge, 2016), Lives Transformed (Routledge, 2007), and Intensive Short Term Dynamic Psychotherapy (Routledge, 2004). She lectures, teaches, and trains psychotherapists internationally.

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