The Self in Process: Toward a Post-rationalist Cognitive TherapyIn this powerful work, Dr. Guidano critiques the separation of observer and observed, shows how the very meaning of "self" is thus redefined, and delineates the clinical ramifications of the newly conceived self for a "post-rationalist" cognitive therapy. Clinicians, according to Guidano, can do more than help patients change dysfunctional behavior. By directing therapy toward core emotional themes and utilizing the interactional aspects of the therapeutic relationship, practitioners can modify patients' core patterns of self-perception and thereby realize substantive and lasting change. Part I of the volume lays the theoretical groundwork and Part II, replete with case examples, discusses psychotherapeutic applications. In the first part, Guidano explicates his construct of the self, examining the differentiation of self-boundaries, discussing developmental pathways of self-organization, and describing the impact of self-boundaries on lifespan development. In Part II, he constructs his post-rationalist framework for cognitive therapy with discussions of the therapist's attitude, assessment procedures, self-observation method, and the structure and dynamics of therapeutic change. Case illustrations demonstrate how the practitioner, whom he views as "a strategically oriented perturber," can prepare the clinical and interpersonal context; focus and reorder immediate experiencing; and help the patient reconstruct his or her affective style. . |
Contents
THEORETICAL PREMISES | 1 |
An Evolutionary Approach to Selfhood Processes | 7 |
The Differentiation of SelfBoundaries | 16 |
The SelfOrganization of Personal Meaning Dimensions | 31 |
Methodological Implications for Psychopathology | 56 |
SelfBoundaries and Lifespan Development | 65 |
PSYCHOTHERAPEUTIC PRINCIPLES | 91 |
Common terms and phrases
ability able abstract affect-laden affectional bonds affective anger appraisal aspects attachment figure attachment theory attitude awareness basic became become behavior being-in-the-world caregivers client clinical cognitive cognitive therapy conscious consistent continuity corresponds critical developmental differentiation dimension eating disorders emergence emotional modulation essential evolutionary epistemology existential explaining external father fear feelings felt focusing Gregory Guidano Hillsdale human experience immediate experience immediate experiencing intense interaction interpersonal intersubjective lifespan Mahoney matched mother moviola N. J. Smelser negative one's oneself ongoing ontological organization orthogenetic oscillations P.M.Org parents perceived perception personal meaning perspective perturbing possible praxis of living Press primates problem procedure progressive Psychology psychopathology psychotherapy reality reconstruct relationship reordering reorganization Richard role Sandra scenes seemed selective inattention self-image self-observational self-organizing self-referent self-referring selfhood dynamics sense shifting situation social specific structure subjective therapeutic therapist therapy tion tonalities triggered understanding unfolding viewpoint wife Winnie York