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Psychotherapy with Adolescent Girls and Young Women


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Table of Contents

1. The Mother-Daughter Bond and Its Implications for Understanding the Therapeutic Relationship 2. Embracing Resistance and Building Attachment3. When Parents Collude with Their Daughter's Resistance4. Challenging Resistance and Sustaining Attachment 5. The Going Gets Tough When the Patient Gets Angry6. When Attachment to a Therapist Is Not Therapeutic: Recognizing Malignant Regression 7. Beyond Idealization: Fostering Genuine Intimacy and Mutuality8. Repetition as a Path to New Experience9. Allowing for Attachment after Therapy Ends

About the Author

Elizabeth Perl, PhD, ABPP, Department of Psychiatry, Northwestern University Medical School, USA


"This book illuminates the interwoven processes of attachment, maturation, and individuation in adolescence and young adulthood through compelling, masterfully formulated clinical illustration. Seamlessly integrating theory with practice, Perl draws on her vast experience to create an unusually practical text that avoids formulaic techniques and instead articulates an orientation in which the therapeutic relationship is used to awaken developmental possibilities. Her understanding of the potentially adaptive elements in behaviors that in less skilled hands might be treated wholly as pathological usefully informs the treatment of a wide range of patients, adolescent and adult alike. A pleasure to read, this book does more than tell us what troubles our youthful patients - it leaves us with a rich appreciation of what to do about it." - Richard J. Eichler, Director, Counseling and Psychological Services, Columbia University, USA "Perl expertly guides the reader into a complex understanding of psychotherapy with adolescent girls and young women, using frank kindness, sophisticated knowledge, and remarkable openness, an approach that closely parallels her work with her young patients. She carefully outlines the principles of relational dynamic psychotherapy with this population, focusing on attachment, resistance, and autonomy, and vividly illustrates her approach with unforgettable vignettes. Perl's book is a key addition to the field of adolescent psychotherapy as well as psychotherapy more generally, and will be extremely useful to students and trainees in varied disciplines." - Lynn Ponton, Department of Psychiatry, University of California, San Francisco, USA "The development of a person's sense of self requires a delicate balance of loving attachment to primary caregivers and ample opportunity for expressions of autonomy. In this illuminating book, Perl, through her rich and varied clinical experiences, presents a therapeutic approach that includes profound respect for her patients' ways of participating in the process. Sometimes a patient has to resist what seems good for her from the therapist's point of view in order to protect her highly vulnerable sense of separateness and individuality. Perl shows how deeply respectful engagement with such opposition can be critical to therapeutic action. A very wise, practical, even indispensable guide for therapists working with adolescent girls and young women as they negotiate the often turbulent transition from childhood to adult life, this book also has extensive implications for therapy with patients of either gender and of any age." - Irwin Z. Hoffman, Lecturer in Psychiatry, University of Illinois College of Medicine; private practice, Chicago, USA "Dr. Perl's contributions to our understanding of 'the adaptive edge of resistance' (p. 2) as well as the therapeutic challenges posed by attachment and resistance are worthy of consideration by all mental health practitioners. This text will serve as a valuable resource for practitioners working with older adolescents and young adult women in outpatient and residential settings. It should be required reading for clinicians in college-based counseling settings. All readers will benefit from Dr. Perl's candor regarding her practice experience and her respect for the relational, dynamic, and developmental processes that inform therapeutic engagement and practice." - Cheryl Springer, Clinical Social Work Journal, Vol. 38, No. 1, March 2010

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