Books by Steven A. Frankel, MD

Evidence from Within Evidence from Within: A New Paradigm for Clinical Practice
Steven A. Frankel, MD
Rowman and Littlefield, 2008
This book squarely addresses the questions “Does psychotherapy work? When does it work and how well?” It proposes a practical and innovative model of psychological and psychiatric assessment and treatment. Having read this book, the practitioner should have a set of valuable, new techniques for conducting a results-oriented psychotherapy. The book and the methods it advocates can be used as a practice guide for any office-based mental health clinician. Emphasized is the therapist’s responsibility to deliver a treatment that is effective and has built-in provision for independent monitoring of treatment progress. Apart from psychological assessment and self-report questionnaires, information about diagnosis and progress comes from a finely-tuned collaboration between therapist and patient. The approach described has been evolved and tested by the author and his colleagues for over fifteen years. The book is replete with clinical illustrations that capture the dilemmas typically faced by practicing psychotherapists.

In addition to giving detailed descriptions and justifications for the techniques recommended, included is a chapter reviewing the current literature on the value of specific interventions versus those that are less structured and primarily relationship based, as well as one on the application of the methods to child and adolescent treatment. An additional chapter compares methods based on a medical model with those tied primarily to a psychological model. The chapter discusses the reliability of each way of gaining clinical data and conducting treatment. Almost any psychological or psychiatric school of thought or treatment method is compatible with the model treatment described in the book, providing appropriate assessment and monitoring of treatment progress are done.

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Making Psychotherapy Work Making Psychotherapy Work: Collaborating Effectively with Your Patient
Steven A. Frankel, MD
Psychosocial Press (imprint of International Universities Press), 2007
The transformative ingredient in psychotherapy is an uncanny, moving conjunctive experience in which the patient and therapist are transformed. For this result, the most profound connection between the two is required. Both need to be dedicated to sorting out an abundance of conflicting and confusing verbal and nonverbal messages conveying what each needs and believes. The therapist’s commitment must be unwavering in his or her willingness to strive to develop the most precise understanding and regard for the patient.

Making Psychotherapy Work: Collaborating Effectively with Your Patient brings these principles to life. It describes a psychotherapy so deep-reaching and engaging that neither participant, therapist or patient can avoid being influenced and intrinsically changed by the other.

Steve Frankel brings this point of view to refinement in this, his third book. Here the conjunctive method is most fully evolved, providing a highly digestible theoretical and practical framework for the practicing psychotherapist. Each of Dr. Frankel’s books, Intricate Engagements: The Collaborative Basis of Therapeutic Change, Hidden Faults: Recognizing and Resolving Therapeutic Disjunctions, and, now, Making Psychotherapy Work: Collaborating Effectively with Your Patient), contributes to the development of Frankel’s highly effective and eminently usable portrayal of the psychotherapy process.

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Intricate Engagements Intricate Engagements: The Collaborative Basis of Therapeutic Change
Steven A. Frankel, MD
Jason Aronson (imprint of Rowman & Littlefield), 1995 and 2004
Intricate Engagements confronts one of the fundamental challenges of contemporary psychotherapy and psychoanalysis. At each clinical moment psychotherapists are flooded with possibilities. To manage this situation they often take refuge in preconceived ideas about psychology and change. Intricate Engagements helps therapists find their way through and out of this maze. Dr. Frankel shows how to chart a course through the moment-to-moment uncertainty of the therapeutic situation in a way that maintains the compelling immediacy and often terrifying intimacy required for two people to influence each other.

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Hidden Faults Hidden Faults: Recognizing and Resolving Therapeutic Disjunctions
Steven A. Frankel, MD
Psychosocial Press (imprint of International Universities Press), 2000
Disjunctions: the spectrum of breaches in therapy, from subtle to devastating, when therapist and patient miss and confound each other. Disjunctions may briefly confuse the therapeutic partners, or even grind the therapy to a halt. Always, they provide unique opportunities for therapist and patient to understand each other and bring their work to ever more profound levels!Hidden Faults explores therapeutic disjunctions and their place in resolving stalemate and furthering progress in psychotherapy. Disjunction is a concept that can be used with any psychodynamic system supporting a two-person view of therapy, where the inner life of both participants is open for inquiry and change. Little of significance will happen in therapy if the therapist is not willing to be fundamentally influenced by the patient, since transformation in the therapist is the most powerful sign to the patient of being taken seriously. Steven Frankel illustrates this central point using extensive case material showing therapist and patient in their human, often agonizing struggles to bring about creative change.

The author calls his picture of the mind, “the self and other unit model.” The major activities in working within this structure are recognizing the multiple relational configurations each partner brings to the therapy field, and identifying and resolving the inevitable disjunctions that interfere with therapeutic movement. In contrast to traditional models where the patient’s wisdom may be minimized, Dr. Frankel holds that heartfelt initiation from each partner in recognizing and healing failures in rapport leads to developmental momentum and lasting creative change.

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