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Facilitating the Process of Working Through in Psychotherapy: Mastering the Middle Game

Author(s) : Patricia Coughlin

Reviews and Endorsements

"Once again Patricia Coughlin has written a crystal clear book, this time on the topic of working through. As she shows through multiple transcripts, deep change does not occur through a single magical breakthrough. Rather, it occurs due to the careful working through of multiple conflicts with different people from various times of life. Symptoms are often multiply determined. And to achieve lasting change, the therapist must systematically address and work through each of these conflicts and help patients bear the complex feelings involved. Numerous case vignettes illustrate the role of multiple causation in symptom development, how to address the need to repeat, the role of rupture and repair, and the corrective emotional experience. The case material demonstrates once again a master at work." - Jon Frederickson, MSW, Faculty, Washington School of Psychiatry, USA.

"Dr. Coughlin’s ambitious goal in writing this book – to clarify the therapeutic processes that translate emotional insight into enduring change – is a welcome addition to the psychotherapy literature. Her particular model of short-term dynamic work has much to teach psychotherapists of every stripe and orientation about the techniques of interpersonal engagement that promote transformation that lasts. This is a book for senior clinicians and beginners alike, filled with practical wisdom." - Dr Robert Waldinger, Professor at Harvard Medical School; Director, Harvard Study of Adult Development, USA.

"Patricia Coughlin has done it again! She has written another outstanding book that clearly demonstrates her standing as a master clinician and highly talented teacher of Intensive Short-Term Dynamic Psychotherapy. Her focus on the crucial but neglected topic of working-through patient difficulties during the process of therapy is of critical importance to clinicians, especially those practicing psychodynamic and experiential therapies. I found the varied and fascinating case vignettes from Dr. Coughlin’s practice to be a great help in understanding how she achieves such a high level of success even with very resistant patients. This superb volume can’t help but lift the standard of practice in our field." - Stanley B. Messer, Ph.D, Distinguished Professor Emeritus and former Dean, Graduate School of Applied and Professional Psychology, Rutgers University, USA.

"The remarkable effectiveness of Patricia Coughlin’s therapeutic prowess and courage is apparent throughout this volume’s compelling documentation of her particular style of implementing ISTDP. She draws the reader into her moment-by-moment, deeply empathetic process that reveals and then unlocks life-shaping patterns of distress down to their inner core. She is to me a kindred spirit in the quest to make liberating, transformational change the norm in psychotherapy. This is an important contribution from one of the clinical field’s true masters." - Bruce Ecker, LMFT, co-founder of Coherence Therapy, co-director of the Coherence Psychology Institute, and co-author of Unlocking the Emotional Brain: Eliminating Symptoms at Their Roots Using Memory Reconsolidation

"In her latest volume, Facilitating the Process of Working through in Psychotherapy: Mastering the Middle Game, Patricia Coughlin provides the reader with a roadmap to the central task of working through in psychotherapy. Few volumes address this topic in such an in-depth manner. Dr. Coughlin’s strong foundation in classic literature, contemporary research, extensive clinical experience, along with her talent for simplifying the complexity of psychotherapy makes this a must read for all psychotherapists. It is clear when you immerse yourself in this important volume that you are in the hands of a master psychotherapist. She courageously takes her patients and herself to emotional experiences typically avoided but which are the foundation of deep change. Copious clinical case examples demonstrating the complexity of the endeavor, as well as the therapeutic responses that deepen emotional experience are skillful interwoven with technical suggestions and theoretical insight." - Jeffrey J. Magnavita, Ph.D., ABPP, CEO/Founder, Strategic Psychotherapeutics®, LLC, Host of Eminent Psychotherapists Revealed®