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Directed to psychiatric residents and their supervisors, this book consists primarily of edited tape-recorded conferences with residents and supervisors at Hillside Hospital. The first part is devoted to general problems of treatment, the second to special clinical problems, and the third to supervisors' conferences. A variety of subjects is presented including the theory of the therapeutic relationship, types of psychotherapy, the theory of hospital treatment, administrative problems, goals of treatment, the structure of the treatment relationship, education and reality, values in psychotherapy, interviewing, obsessive-compulsive defenses, acting out, depression, masochism, and the transference.
To quote from the cover, 'The author combines tightly reasoned chapters on basic theory and rationale of psychoanalytic psychotherapy with freely structured conferences in which the application of his approach and underlying thinking are illustrated in specific clinical settings'. These are consistent with the broad framework of traditional psychotherapy though many analysts would disagree with some of the concepts. For example, there is to be no therapy in the first session because the patient is entitled to one session to decide whether he wants to be treated by that particular therapist or wants to change his mind and not go into treatment at all. A correct interpretation results in object loss and depression and one may disagree with the author's prognosis of the patient with homosexual behavior, or with his differentiation between psychoanalysis and psychotherapy.
As an introduction to psychotherapy the book is a worthwhile contribution. It is written in a clear, concise, straightforward manner with a good balance between basic concepts and clinical examples. By presenting cases in the form of clinical conferences, Dr. Tarachow reveals the interplay between teacher and student; he presents his ideas in context, and offers numerous illustrations of his conduct of t