Psychodynamic Therapy

Second Edition
A Guide to Evidence-Based Practice

Richard F. Summers, Jacques P. Barber, and Sigal Zilcha-Mano

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“For the newcomer the book offers a comprehensive framework for approaching the patient in actual clinical practice. For seasoned practitioners it offers a refocused perspective on ongoing therapeutic work. For the teacher the text provides an excellent outline for focusing on the clinical situation. For the researcher it offers a framework that lends itself to use as a research manual.”

Journal of the American Psychoanalytic Association (on the first edition)


“This book has enormous value to both students and advanced practitioners. We hope that this book is adopted by institutes, graduate programs, and medical schools as a promising text to teach psychodynamic psychotherapy as well as a means of enhancing its effectiveness and preserving its credibility.”

Clinical Social Work Journal (on the first edition)


“Summers and Barber focus the light of empirical evidence on this treatment and on its competitors in a clear, concise, and well organized format….We recommend this book to supervisors and their students.”

Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry (on the first edition)


“This book is extremely well written and remarkably easy to pick up and read….Between the superbly detailed case studies and the respect for the core beliefs of psychodynamic theory, this book encompasses all there is to know about dynamic psychotherapy, in an accessible manner, and is an essential read for those wanting to know everything about psychodynamic theory in the present day.”

Clinical Psychology Forum (on the first edition)


“A very useful book for practitioners, students, and trainers alike.”

Therapy Today (on the first edition)


“This book amply demonstrates the relevance of psychodynamic therapy in mental health practice today. The underlying concepts are fully explained and firmly rooted in the context of contemporary psychology. Look no further for a readable and well-informed account of current practice! The authors take readers by the hand, leading them chapter by chapter through the phases of contemporary psychodynamic treatment. Newcomers will learn about the distinctive features of the clinical relationship, the personalized nature of the approach, and how to implement treatment in their current practice, even if using telepsychotherapy; seasoned clinicians will be brought up to date on the core elements of contemporary psychodynamic therapy.”

—Anthony W. Bateman, FRCPsych, Visiting Professor, University College London, United Kingdom, and Copenhagen University, Denmark


“Psychodynamic psychotherapy is a powerful clinical tool. This approach—and the evidence for its effectiveness—needs to be clearly introduced and articulated to new therapists and those who wish to broaden their skills. Summers, Barber, and Zilcha-Mano illuminate crucial therapeutic ideas and applications in this book. Like the first edition, the second edition of this guide is certain to become a mainstay in psychotherapy curricula.”

—Barbara Milrod, MD, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine


“Trainees often ask for a book to help them organize their thinking and structure the treatment in psychodynamic psychotherapy. This book will gratify their wishes, with an approach that is both general and personalized. The book has the voice of a supervisor—kind, clear, honest, direct, and human. Varied, realistic case examples are accompanied by reflection questions that model how an experienced practitioner might think. The authors speak to the questions, fears, and decisions therapists face, making psychodynamic practice accessible and appealing without glossing over its complexity.”

—Jordan Bate, PhD, Ferkauf Graduate School of Psychology, Yeshiva University


This is among the very best books on practicing psychotherapy. The authors beautifully illustrate how to apply evidence-based principles to particular patients’ problems—the chapters on psychodynamic formulation, therapeutic focus, and building a personal story provide rich material for individualizing treatment. Therapists at all levels of training and from diverse theoretical perspectives will benefit from reading this excellent second edition.”

—George Silberschatz, PhD, Department of Psychiatry and Behavioral Sciences, University of California, San Francisco; President, San Francisco Psychotherapy Research Group


“The second edition retains the superb descriptions of the major psychoanalytic models and psychodynamic approaches, along with illustrative clinical vignettes, that made the first edition so compelling. The book highlights modifications of traditional approaches that make psychodynamic psychotherapy applicable to a broader range of patients and increase its effectiveness. The second edition incorporates the expanding evidence base for psychodynamic therapy and includes cases with more diversity in age, race, gender, sexual orientation, and nationality. The new chapter on telepsychotherapy brings therapists up to date on the opportunities and challenges of this growing form of therapy and contains valuable clinical recommendations. This volume is essential reading for trainees and experienced mental health professionals.”

F irmly grounded in contemporary clinical practice and research, this pragmatic guide for professionals and students is now in a revised and expanded second edition. The book explains the theory underlying psychodynamic approaches and lays out a model for understanding psychopathology. Vivid case examples demonstrate how to tailor psychodynamic therapy effectively for individual patients. The authors provide a framework for diagnosing the patient’s core psychodynamic problem and engaging the most useful mechanisms of change, using an integrative approach. Special topics include remote and hybrid treatment, combining therapy with psychopharmacology, and working with couples and families.