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Psychoanalytic Case Formulation

by Nancy McWilliams

A framework for understanding clients in clinical practice

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Awards & Recognition

  • Award recognition

    Winner of the Gradiva Award

    Gradiva Award

AlbakiReads Editorial

A framework for understanding clients in clinical practice

Nancy McWilliams presents case formulation as a way for clinicians to build an individualized understanding of a client and use it to inform treatment decisions. The book distinguishes formal diagnostic categories used for documentation from the more interpretive judgments involved in clinical work. Its chapters organize that inquiry around temperament, development, defenses, emotional life, identifications, relationships, self-esteem, and beliefs associated with psychological distress. Case examples, theoretical discussion, and clinically relevant research connect these topics to the practical task of making sense of a client’s psychology.

Good fit for readers who enjoy

  • Clinicians seeking a structured approach to understanding clients and informing treatment decisions.
  • Readers interested in psychoanalytic approaches to assessment and case formulation.
  • Students or practitioners studying clinical concepts such as defenses, relational patterns, and developmental issues.

Themes

Psychoanalytic case formulationClinical assessment and treatment planningIndividual psychology and developmentDefenses, relationships, and self-esteem

Based on publisher information and book metadata.

Book overview

What kinds of questions do experienced therapists ask themselves when facing a new client? How can clinical expertise be taught? From the author of the landmark Psychoanalytic Diagnosis, this book takes clinicians step-by- step through developing an understanding of each client's unique psychology and using this information to guide and inform treatment decisions. McWilliams shows that while seasoned practitioners rely upon established diagnostic categories for record-keeping and insurance purposes, their actual clinical concepts and practices reflect more inferential, subjective, and intuitive processes. Interweaving illustrative case examples with theoretical insights and clinically significant research, chapters cover assessment of client temperament, developmental issues, defenses, affects, identifications, relational patterns, self-esteem needs, and pathogenic beliefs.

Winner--Gradiva Award, National Association for the Advancement of Psychoanalysis
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