Table Of Contentmccullough mech 2015.qxt_mccullough mechanical.qxt 1/6/16 2:03 PM Page 1
PSYCHOLOGY
Treating Affect phobia
LEIGH McCULLOUGH
NAT KUHN
MCullough
c
A Manual for Short-Term Dynamic Psychotherapy
Kuhn STUART ANDREWS
Andrews
“This work is an extraordinary synthesis of depth and prac- This hands-on manual teaches the nuts and bolts of Kaplan AMELIA KAPLAN
ticality. It is as clear, concrete, and richly exampled a treat- practicing short-term dynamic psychotherapy, the
Wolf
ment manual as I have seen, yet it depicts not a simple or research-supported model first presented in Changing
JONATHAN WOLF
Hurley
mechanistic therapy but one that goes to the very heart of Character, Leigh McCullough’s foundational text. Reflecting
human feeling and experience. Incorporating a profound- the ongoing evolution of the approach, the manual empha-
ly integrative vision, Treating Affect Phobiawill be of great sizes “affect phobia,” or conflict about feelings. It shows how CARA LANZA HURLEY
value not only to psychodynamically oriented therapists such proven behavioral techniques as systematic desensitiza-
but to anyone in the field who appreciates the accumulat- tion can be applied effectively within a psychodynamic frame-
ing evidence for the central role of affect—and fear of work, and offers clear guidelines for when and how to inter-
Treating
affect—in our lives.” —Paul L. Wachtel, PhD, vene. Demonstrated are procedures for assessing patients, for-
Doctoral Program in Clinical Psychology, mulating core conflicts, and restructuring defenses, affects,
City College and the CUNY Graduate Center, New York and relationship to the self and others. In an easy-to-use, large-
size format, the book features a wealth of case examples and T
“This is a treatment manual with a number of fabulous write-in exercises for building key clinical skills. The compan- r
characteristics: it takes the astute clinical observations of ion website (www.affectphobiatherapy.com) offers useful sup-
e
psychodynamic therapists and sets them within modern plemental resources, including Psychotherapy Assessment
a
principles of learning and behavioral change; it draws from Checklist (PAC) forms and instructions.
t
the best of the behavior therapy treatments for phobias; it
is beautifully clear and easy to follow; and it has compre- ABOUTTHEAUTHORS i
n
hensive learning exercises at the end of each chapter to help Leigh McCullough, PhD, until her death in 2012, was Associate
the clinician actually learn how to apply the treatment in Clinical Professor and Director of the Psychotherapy Research g Affect
clinical practice. I plan to have my students read it.” Program at Harvard Medical School and a visiting professor at
—Marsha M. Linehan, PhD, the Norwegian Institute of Science and Technology, in A A
Department of Psychology, Trondheim, Norway.
f
University of Washington
f
Nat Kuhn, MD, PhD, is a Clinical Instructor in Psychiatry and
e
“The training manual that teachers and practitioners of an Assistant Director of the Psychotherapy Research Program at
c
short-term dynamic therapy have been eagerly anticipat- Harvard Medical School. Manual for
t
ing. This is the first psychodynamically oriented volume
that expertly guides the novice through emotion-focused, Stuart Andrews, PhD, is an Assistant Director of the
time-sensitive psychotherapy in an explicit, step-by-step Psychotherapy Research Program at Harvard Medical School. p
fashion.” —Stanley B. Messer, PhD, h phobia
Short-Term
Graduate School of Applied and Professional Amelia Kaplanis a graduate student in clinical psychology at the
o
Psychology, Rutgers University Graduate School of Applied and Professional Psychology,
b
Rutgers University.
i
@ Sign up for exclusive offers! a
www.guilford.com/e-alerts Jonathan Wolf, MD, was a member of the Psychotherapy Dynamic
Research Program for three years.
Cover design by Paul Gordon
Cara Lanza Hurley, PhD,received her doctorate in clinical psy-
The Guilford Press
chology from Loyola University Chicago in 2005.
370 Seventh Avenue
Psychotherapy
New York, NY 10001
www.guilford.com ISBN 978-1-57230-810-7
9 781572 308107>
TREATING AFFECT PHOBIA
TREATING AFFECT PHOBIA
A Manual for Short-Term
Dynamic Psychotherapy
Leigh McCullough
Nat Kuhn
Stuart Andrews
Amelia Kaplan
Jonathan Wolf
Cara Lanza Hurley
THE GUILFORD PRESS
New York London
© 2003 Leigh McCullough
Published by The Guilford Press
A Division of Guilford Publications, Inc.
370 Seventh Avenue, Suite 1200, NewYork, NY 10001
www.guilford.com
All rights reserved
No part of this book may be reproduced, translated, stored in a retrieval system, or
transmitted, in any form or by any means, electronic, mechanical, photocopying,
microfilming, recording, or otherwise,without written permission from the Publisher.
Printed in the United States of America
This book is printed on acid-free paper.
Last digit is print number: 19 18 17 16 15 14 13 12 11 10
Library of Congress Cataloging-in-Publication Data
Treating affect phobia : a manual for short-term dynamic psychotherapy / Leigh
McCullough ...[et al.].
p. cm.
Includes bibliographical references and index.
ISBN 1-57230-810-9
1. Briefpsychotherapy. 2. Affect (Psychology). 3. Phobias. 4. Psychodynamic
psychotherapy. I. McCullough, Leigh.
RC480.55.T735 2003
616.89′14—dc21
2002155163
To our patients and our mentors
About the Authors
Leigh McCullough, PhD, until her death in 2012, was Associate Clinical
ProfessorandDirectorofthePsychotherapyResearchProgramatHarvard
Medical School (Boston, Massachusetts), and a visiting professor at the
Norwegian University of Science and Technology (Trondheim, Norway).
She was the 1996 Voorhees Distinguished Professor at the Menninger
Clinic and received the 1996 Michael Franz Basch Award from the Silvan
Tomkins Institute for her contributions to the exploration of affect in psy-
chotherapy. Dr. McCullough was on the editorial boards of Psychotherapy
Research and the Journal of Brief Therapy, and conducted training seminars
in Short-Term Dynamic Psychotherapy (STDP) worldwide.
Nat (Nathaniel S.) Kuhn, MD, PhD, is a Clinical Instructor in Psychiatry
and an Assistant Director of the Psychotherapy Research Program at Har-
vard Medical School. He teaches STDP and supervises at the Cambridge
Hospitalandelsewhere.Dr.Kuhnhasaprivatepsychotherapyandpsychia-
try practice in the Boston area, and a Web site, www.natkuhn.com. Before
going to medical school he was a mathematician.
StuartAndrews,PhD,isapsychotherapistinprivatepracticeinBrookline,
Massachusetts, and an Assistant Director of the Psychotherapy Research
ProgramatHarvardMedicalSchool.Hehaspresentedatinternationalcon-
ferences andconductedtrainingseminars onSTDP. He has taught andsu-
pervised clinicians and students, and published articles on psychotherapy
integrationandshort-termtherapy.Mr.AndrewsisalsotheDirectorofthe
Center forFamilies inTransition,where his program, “Forthe Sake ofthe
Children,” is mandated in a number of communities in Massachusetts for
parents going through divorce.
AmeliaKaplanisagraduatestudentinclinicalpsychologyattheGraduate
School of Applied and Professional Psychology, Rutgers University, where
she pursues interests inmind–bodypsychology, STDP, group therapy, and
human sexuality.
Jonathan Wolf, MD, was a member of the Psychotherapy Research Pro-
gram for three years. After graduating from Boston University School of
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