I picked this book up on a whim because I found it on sale at a used book store and I am so grateful I did. It quickly became one of my favourite books on modern psychoanalytic theory and technique. This book finally helped me to understand and appreciate the ego psychological approach, and as someone who dabbles in many different types of therapy, I really appreciated that there are principles in here that I could use in multiple treatment settings and circumstances. It is directive without being prescriptive. It is practical without being concrete. It is reflective without being too abstract. I am a now a big Fred Busch fan and look forward to revisiting this book over the hopefully (long) years of my career as a therapist and educator.
For those who want a taste of the content, my gestalt take-away is that we need to respect defenses and the underlying anxiety laden content they protect. If we have this respect it means we will stay with our patients, in the here-and-now of the room, and help them see the connections between their own thoughts, feelings and behaviours. Based on the current reflective capacity of the patient, we can either be more or less present in this process and reflect things that are either more or less explicit, always using the patients response as a guide. These principles allow for a disciplined and observable approach that keep us, and our patients, accountable to our therapeutic process.
In my mind, there are rich connections between the methods and principles as outlined by Dr. Busch and those I have encountered in mentalization based treatments, mindfulness, acceptance and commitment therapy, cognitive behavioural therapy, meta-cognitive therapy, humanistic therapies. Generally, when I see this degree of overlap it is convincing to me that the theoretician has landed on something that is universal.
Regardless of your persuasion, if you are interested in therapy, I encourage you to pick up this short book and see what Fred Busch stirs up for you.