Cultivating Compassion: A Psychodynamic Understanding of Attention Deficit Hyperactivity Disorder

209 Pages·2017·5.587 MB·English

by  Francine Conway

Cultivating Compassion

Cultivating Compassion
A Psychodynamic Understanding of
Attention Deficit Hyperactivity Disorder
Francine Conway
ROWMAN&LITTLEFIELD
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LibraryofCongressCataloging-in-PublicationData
Names:Conway,Francine,author.
Title:Cultivatingcompassion:apsychodynamicunderstandingofattentiondeficithyperactivity
disorder/FrancineConway.
Description:Lanham:Rowman&Littlefield,[2017]|Includesbibliographicalreferencesandindex.
Identifiers:LCCN2016057699(print)|LCCN2017000118(ebook)|ISBN9781442269644(cloth:
alk.paper)|ISBN9781442273009(pbk.:alk.paper)|ISBN9781442269651(electronic)
Subjects:LCSH:Attention-deficit-disorderedchildren—Treatment.|Attention-deficithyperactivity
disorder.
Classification:LCCRJ506.H9C6652017(print)|LCCRJ506.H9(ebook)|DDC618.92/8589—
dc23
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Contents
Preface ix
Acknowledgments xii
Introduction:AHistoricalContextofADHD:FromMoral
IndictmenttoCompassion xv
ChapterHighlights xxix
1 APsychodynamicUnderstandingofADHDSymptoms:
EngenderingCompassion 1
NeurologicalPerspectivesonADHD 3
NeurologicalDeterminants 4
NeurologicalandNeurocognitiveModelsofADHDEtiology 10
PsychodynamicViewsonNeurologicalDeterminants 12
ThePsychodynamicPerspectiveonADHD 13
PsychodynamicDeterminants 15
EnvironmentalDeterminants 15
IntrapsychicDeterminants 20
Summary 30
ChapterHighlights 31
NeurologicalPerspectiveonADHD 31
ThePsychodynamicPerspectiveonADHD 32
2 PsychodynamicPsychotherapy:ACompassionateTreatment
Approach 35
TheEgoDevelopmentalModel 37
EgoPsychology 37
RelationalModelsofSelf-Development 43
TheInterpersonalApproach 43
TheWorkofMelanieKlein 47
v
vi Contents
TheWorkofDonaldWinnicott 51
TheWorkofWilfredBion 53
Summary 55
ChapterHighlights 56
TheEgoDevelopmentalModel 57
RelationalModelsofSelfDevelopment 58
3 PsychodynamicPsychotherapyInterventions 59
ThePsychoanalyticFramework 59
ThePsychodynamicTherapist’sDisposition 60
EgoPsychologyInterventions 62
EgoDefense 63
IntegrationofImmatureWishesintoEgoFunctions 65
TheTherapistasanAuxiliaryEgo 68
RelationalInterventions 69
UnderstandingandDevelopingaRelationshipwiththeChild 69
HoldingandContainingDifficultAffectiveExperiences 70
Countertransference 71
TheNarrativeApproach 72
JointAttention 72
PlayTherapy:PsychodynamicSupportiveExpressivePlay
Psychotherapy 74
OtherPsychodynamicTechniques 74
AnIntegrativeModelforAddressingEgo–Idand
Ego–SuperegoDifficulties 75
Technique:DevelopingtheChild’sCapacitytoMentalize/
Self-Reflect 78
CaseVignettes:ANoteonMethodology 80
APsychodynamicTheoreticalPerspectiveonChange 83
Summary 91
ChapterHighlights 91
4 PsychodynamicPsychotherapyofADHD:TreatmentGuidelines 95
AnIntegratedPsychodynamicModelofTreatment 96
InitialPhaseOfTreatment 99
DevelopingaTherapeuticRelationship 99
Emergence 101
IntersubjectiveSpace(TheComingTogether) 102
TheUseofEmpathytoDevelopaTherapeuticAlliance 103
WhentoTalkabouttheChild’sPresentingProblems 104
EngagingwithParentsandTeachers 104
TreatmentFormulation 105
UnderstandingtheChild’sDifficulties 105
IdentifyingDynamicIssues 105
Contents vii
TreatmentPhase 106
InterventionsforEgo–IdProblems 106
InterventionsforEgo–SuperegoProblems 109
ChapterHighlights 115
5 BehavioralandOtherApproaches:BehavioralTherapy,
CognitiveBehavioralTherapy,andParentandSchool
Interventions 117
BehavioralandCognitiveBehavioralPerspectivesonADHD 118
CognitiveBehavioralTherapy 118
BehavioralApproaches 121
WhatDoPsychodynamicPsychoanalystsThinkabout
BehavioralApproaches? 125
APsychodynamicApproachtoParentingandSchool
Interventions 126
ParentingandFamilyDynamics 126
ParentIntervention 128
SchoolIntervention 134
Summary 135
ChapterHighlights 136
CognitiveBehavioralApproach(CBT) 136
BehavioralApproaches 137
PsychodynamicApproachtoParentingandSchool
Interventions 137
Epilogue 139
TheMoralIndictmentofADHDChildren 140
EconomicFactors 140
CulturalFactors 141
CultivatingCompassionfortheADHDChild 145
ASocialConstructionView 145
AVisionforAllChildren 148
Conclusion 149
Bibliography 151
Index 169
AbouttheAuthor 177