You’ll learn
- How empathy transforms therapy
- Why discuss death with patients
- Gains from avoiding quick diagnoses
- Ways to explore dreams in sessions
- The art of patient-therapist intimacy
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first KEY POINT
Today, neither clinical psychology nor psychiatry is paying enough attention to psychotherapy as a means of healing disorders. Commercial interests have given preference to quick fixes that end up doing more harm than good. Patients also do not have the tolerance required to commit to the kind of therapy that produces extensive growth and real change.The message in this summary centers around two therapeutic approaches: group therapy and existential therapy.
Existential therapy is one-to-one and addresses the clashes that people have with the harsh realities of the human condition. The four primary realities are:
• Death
• Isolation
• Meaning
• FreedomPracticing existential therapy requires a combination of therapeutic strategies rather than a rigid allegiance to theories or a particular school of thought. The goal is to help the patient experience harmony.
This summary contains more techniques than theories. They are a combination of valuable tips that a veteran psychiatrist believes will be an invaluable asset to budding therapists. The suggestions come from a 45-year practice and address the following areas:
• The relationship between the therapist and the patient
• Exploring existential concerns to achieve responsibility and decision
• Daily practice of therapy
• The role of dreams in therapy
• Dangers and benefits of being a therapistThese strategies apply to nonpsychotic patients. The goal of therapy is to encourage a change in character to achieve personal development. While every clinical situation is unique, you can modify the methods in this summary to suit your context.
second KEY POINT
According to Karen Horney, one of the eminent psychotherapists of the 20th century, humans have an innate desire to achieve self-actualization. All a therapist needs to do is remove the encumbrances that prevent the pursuit.

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