The Presenting Past: The Core Of Psychodynamic Counselling And Therapy

Product Information

The revised edition of this best-selling book not only introduces much more material about the basic psychodynamic themes of trust and dependency, authority and autonomy, and cooperation and competition, but also makes a major break with developmental stages, preferring to show how the real issues that concern people are present at every point in life. As in the highly successful first edition, the themes are lavishly illustrated with case examples, and the useful appendix is extended. This edition contains a completely new chapter on the way the major themes appear at different points in the process of counselling and therapy. For any patient presenting with system-specific symptoms, group their symptoms together: “Diarrhoea started 3 weeks ago with no obvious trigger. No pain, blood or mucous. Passing stool 3 times per day at 6 on Bristol stool chart. Bloating occurs 1 hour after meals and is uncomfortable but not painful. No recent changes to diet.” Other important positive and negative findings

Museum visit to see real world examples of heritage presentation and to provide field data for group work. At this stage, it is important to highlight any positive or negative findings which can rule out a likely pathology, a more sinister cause, or an emergency. If the patient is presenting as a follow-up visit to outpatients and does not have a presenting complaint, you can include other relevant details (e.g. reason for attendance or referral): “ Mrs Smith is a 58-year-old woman presenting to clinic for follow-up of ongoing loose stool and bloating without obvious cause.” History of presenting complaint The book shows Jacobs at his best and is a testimony to his lifetime of experience. Michael Jacobs and Dawn Freshwater provide a clear modernisation on this classic, best-selling text.Having successfully completed this module, you will be able to demonstrate knowledge and understanding of:

This should be a brief one-line summary containing the patient’s name, age, presenting complaint and key past medical history.This guide provides a step-by-step approach to presenting a history, including an example patient presentation. Other relevant details include occupation, alcohol intake, smoking history and specialty-specific information (e.g. a travel history in patients with infective symptoms or religion if providing medications with animal products or blood transfusions). For example, “Before this episode of pain, she mobilised independently but is currently finding it difficult to navigate stairs at home. She lives with her husband and works as a school secretary; her work is unaffected by the pain. She has never smoked and only drinks alcohol socially.” Examination findings This new edition of The Presenting Past is a wonderfully readable overview of the developmental principles underlying psychodynamic counselling. Theories of Freud, Klein, Bowlby, Winnicott, Kohut and others are organized into three broad developmental themes: trust and attachment; authority and autonomy; and cooperation and competition. It is illuminated with rich clinical examples which bring alive how theory is helpful to understanding clients. Jacobs' lucid, lively style makes the connection between theory and practice clear and accessible. This outstanding book will appeal to established clinicians as well as students training in counselling and psychotherapy." Jan Grant, Associate Professor, Counselling Psychology, Curtin University, Western Australia She takes naproxen 500mg once daily, omeprazole 20mg once daily, and an over-the-counter multivitamin. Not on steroids, blood thinners or bisphosphates. No known allergies.

When you combine the perfect and continuous tenses, you get the perfect continuous tense. It’s typically used just like the perfect tense, except it describes ongoing actions that happen over a period of time. A person's past is ever present, from infancy to old age, and it affects the dynamics of therapy and the therapist-patient relationship. An original and reliable approach to the development of personality that every therapist and student therapist should possess. Jacobs, one of the founders of psychodynamic therapy and counselling, avoids the twin perils of unimaginative, meaningless causality on the one hand and indifferent, irresponsible reference to fate on the other." Andrew Samuels, Professor of Analytical Psychology, University of Essex, UK

Assessment

The simple present is the most basic of the English tenses. It’s used for individual actions or habitual actions in the present. In this new edition, Jacobs and Freshwater give psychodynamic counselling and therapy a truly human face. The connections between theory and practice are highlighted through the use of compelling case examples and end of chapter exercises. Combined with an approachable writing style, this edition is the go-to for busy professionals and trainees.

Depending on the situation, presentations can last anywhere from a few minutes (much like an SBAR) to more than 10 minutes for complex patients with new presentations. However, the approach to these presentations is similar – they aim to convey full, pertinent information to a listener unfamiliar with the patient.We use the continuous tenses (also known as the progressive tenses) for ongoing actions or actions that happen a while before completion. For example, They are studying all night means the studying lasts many hours before it’s finished. For example , “Routine bloods show a microcytic anaemia. The most recent X-ray shows left hip replacement and narrowing of joint space in the right hip, which has not progressed significantly since the previous X-ray 6 months ago”. Summary For regular verbs, you form the simple past tense by adding the suffix – ed to the end of the verb (or just – d if the past tense verb already ends in an e ). The construction of the perfect continuous tense uses a conjugation of the auxiliary verb have , the auxiliary verb been (the past participle of be ), and the present participle of the main verb.