Psychoanalytic Case Formulation

McWilliams shows that while seasoned practitioners rely upon established diagnostic categories for record-keeping and insurance purposes, their actual clinical concepts and practices reflect more inferential, subjective, and intuitive processes.

Interweaving illustrative case examples with theoretical insights and clinically significant research, chapters cover assessment of client temperament, developmental issues, defenses, affects, identifications, relational patterns, self-esteem needs, and pathogenic beliefs.

Some people think this book is only for beginners. I disagree. It seems simple because McWilliams is a gifted writer and teacher, and has a knack to explain the most difficult concepts with everyday language that a 6 year old would understand. If you want an easy read with a lot of substance, read McWilliams. If you want a painful read with little substance, read Lacan (haha.) I am a beginner therapist, and this book has helped me immensely. The professor that recommended it has been practising for 35 years and *still* finds it useful. (Note: he is a renowned clinician and scholar... not just anybody)

Every sentence counts. There is no superfluous material here. You get your every penny's worth of information. The book is also a page-turner--since when is a textbook supposed to be this enjoyable??? And McWilliams, who is obviously comfortable in her own skin, does not show the dogmatism that is typical in other writers. She is open to admit the usefulness of other approaches to therapy, and this very openness makes this text a useful resource for anyone interested in psychotherapy, even if they are coming from a different approach (cognitive behavioral, humanistic...).


A Good Read   July 9, 2000
Susan G. Dunn (San Antonio, Texas USA)
30 out of 31 found this review helpful

Nancy Mc Williams is imminently readable. She has the gift of de-mystifying difficult concepts; or, put another way, she does not apparently have ego-needs that compel her to make the concepts of psychotherapy, or the field itself, obtuse. She also has quite an ability to cut-to-the-chase. Consider, for example, her description of "insight": "Part of the emphasis on understanding is that the two of them [patient and therapist] need something to talk about while the nonspecific relational factors are doing their quiet healing." Her personality shows through in her writing, so you will learn at two levels -- what she is telling you explicity,which is invaluable, and what she is telling you implicitly -- what it is about her that makes her so effective -- and believe me, you would want her to be your therapist, supervisor, whatever. As an aside, she seems to have a particular interest in, and gift for working with, addicts and sociopaths. Read the book, make charts, keep it at hand. It's a good read.