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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
In Psychoanalytic Therapy, Dr. Nancy McWilliams demonstrates an integrative psychoanalytic approach characterized by the effort to create an egalitarian, here-and-now relationship in which therapist and client may work collaboratively on the client's problems. Her therapeutic process is organic: Instead of following a set method, she derives her style of working from psychoanalytic ideas applicable to the particular client and consistent with her own personality. In this session, Dr. McWilliams interviews a woman in her mid-30s who is in an apparently abusive, longstanding relationship with a significantly older man. McWilliams listens to the client's experience and then helps her cope with her fear of separation.
Psychoanalytic therapy does not fit well into the paradigm of an expert applying a technique. It is more like a laboratory in relationship. In this peculiar and safe arrangement, one person is encouraged to say as much as possible about his or her thoughts, feelings, fantasies, wishes, hopes, conflicts, and impulses—especially as they arise within the treatment and are felt toward the therapist—while the other tries to make sense out of these expressions. Repetitive patterns are observed by both parties, and meanings are inferred that cast light on the patient's life outside the consulting room. Beyond those generalities, it is hard to characterize a "typical" psychoanalytic treatment.
Nancy McWilliams, PhD, is the author of Psychoanalytic Diagnosis: Understanding Personality Structure in the Clinical Process (1994), Psychoanalytic Case Formulation (1999), and Psychoanalytic Psychotherapy: A Practitioner's Guide (2004), and is associate editor of the forthcoming Psychodynamic Diagnostic Manual. She teaches at the Graduate School of Applied and Professional Psychology at Rutgers, the State University of New Jersey. She is president-elect of the American Psychological Association's (APA's) Division 39 (Psychoanalysis), associate editor of the Psychoanalytic Review, and on the editorial board of the journals Psychoanalytic Psychology and Contemporary Psychoanalytic Studies. Dr. McWilliams has written widely on personality structure and personality disorders, psychodiagnosis, sex and gender, trauma, intensive psychotherapy, and contemporary challenges to the humanistic tradition in psychotherapy. Her books have been translated into 12 languages, and she has lectured widely both nationally and internationally. Her book on case formulation was given the Gradiva Award for best psychoanalytic clinical book of 1999, and in 2004 she was given the Rosalee Weiss Award for contributions to practice by the APA's Division 42 (Psychologists in Independent Practice). A graduate of the National Psychological Association for Psychoanalysis, she is also affiliated with the Institute for Psychoanalysis and Psychotherapy of New Jersey and the National Training Program in Contemporary Psychotherapy. She has a private practice in Flemington, New Jersey.
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