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Why another book on psychotherapy? asks Horneyan analyst Jack Danielian and his co-author, Patricia Gianotti. Paul Wachtel gives a succinct answer to the question on the cover of the book: “For years, the contributions of Karen Horney, and her prescient anticipation of much in the contemporary relational point of view, have been largely unrecognized or underappreciated. With the publication of this very valuable book that should no longer be the case. Jack Danielian and Patricia Gianotti illuminate the role of shame, dissociation, problematic characterological solutions, and integrative, experience-near theory with admirable clarity and clinical relevance. This is a wonderful teaching tool both for beginners and seasoned practitioners.” The authors' goal is to create a multilayered text about the process of psychotherapy. To achieve this they draw upon the seminal works of Ferenczi and Horney, as well as recent advances in the interpersonal, intersubjective, and relational schools. The book is structured to integrate their rich understanding of Horneyan theory and others that followed her with clinical applications illustrated in detailed case examples. Through this structure the authors hope to help clinicians become more aware of the assumptions that guide their decision making process.
In Chapter 1, “The Fundamental Principles of Therapeutic Listening,” the authors introduce the key concepts for their theoretical framework as well as a diagrammatic presentation of the “Four Quadrant Model.” These key concepts include: narcissism and narcissistic defences, the non-linear Horneyan dynamic thinking that contains the reciprocal linkages between all aspects of the mind (past/present, cognitive/affective, interpersonal /intrapsychic), empathy and immersion in patient's subjective state, recognition of a paradigm shift, and character (structure/disorder). The Four Quadrant Model is detailed in Chapter 2.
Chapter 2, “An Overview of the Therapeutic Model,” provides a basic