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Turning Points in Dynamic Psychotherapy

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In this volume, Akhtar addresses the intricacies of in-depth psychotherapy. He has deliberately limited his exploration five specific areas in order to be able to explore them thoroughly: Initial assessment, boundaries, money, disruptions, and suicidal crises. Akhtar's more than three decades of clinical experience has taught him that most problems in the course of dynamic psychotherapy involve these areas, therefore their proper understanding and management is key to productive therapeutic work. Each chapter of this compact book tackles one of these areas in detail, outlining not only the conceptual issues at hand but also the technical strategies that emanate from them. While theoretical grounding does serve as a preamble for the delineation of its technical strategies, the book is replete with clinical vignettes and explicatory comments that illustrate the interventions. This work is designed to introduce the younger generation of therapists to ways of thinking and working that experienced practitioners have found clinically useful.

176 pages, Paperback

First published January 1, 2009

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About the author

Salman Akhtar

151 books62 followers
Salman Akhtar is an Indian-American psychoanalyst practicing in the United States. He is an author and Professor of Psychiatry and Human Behavior at Jefferson Medical College in Philadelphia.

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66 reviews13 followers
August 23, 2026
I think my issue with this book that the psychiatrist physician Salman is trying to be the therapist/psychoanalyst Salamn at the same time. Which i think you can’t.

I can now understand what is the issue when it comes to dynamic psychotherapy where a trained physician who love psychoanalysis as a concept but he wants manualized therapy to fit his own thinking and training. Where i don’t know if that’s possible, although i understand the need for such an approach but we shouldn’t say it’s driven from psychoanalysis. it’s something else new different ( And quoting psychoanalyst like we’re talking about dynamic psychotherapy is wrong) i do understand the need for especially young psychiatrist to be influenced by dynamic psychotherapy to help them practice.

I didn’t like what was written ( knowing that way much influenced by psychoanalysis) and i don’t think recommending such a book to someone is beneficial. There’s far better psychoanalyst/ therapists who talked about this topic in a better way where you don’t see this confusing of qouting psychoanalysis but don’t nothing psychoanalysis is saying,

i understand that slaman is much influenced by his training as a doctor and we doctors used to such a way of thinking. i question if this is helpful really to the patient or not ?

Displaying 1 - 2 of 2 reviews