Relational Patterns, Therapeutic Presence: Concepts and Practice of Integrative Psychotherapy
Book Details
- Publisher : Routledge
- Published : August 2025
- Cover : Paperback
- Pages : 402
- Category :
Psychoanalysis - Category 2 :
Forthcoming - Catalogue No : 98174
- ISBN 13 : 9781041037590
- ISBN 10 : 1041037597
Also by Richard G. Erskine
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Relational Patterns, Therapeutic Presence presents a comprehensive integrative theory and style of therapeutic involvement that reflects a relational and non-pathological perspective.
Containing work from the course of Richard Erskine’s career, this book provides an essential introduction to developmentally-based, relationally-focused integrative psychotherapy. The methods described are contact based, profoundly respectful, developmentally attuned, co-constructive, and intersubjective. Rather than a theoretical integration of therapeutic concepts and techniques, Erskine focusses on the concept of internal integration—a convergence of physiology, affect, and cognition so that behaviour is by choice of the current contacts, and not simulated by fear, compulsion, or conditioning. This Classic Edition includes a new prelude by the author.
Written in a conversational style, Relational Patterns, Therapeutic Presence will be essential reading for psychotherapists in practice and in training.
Reviews and Endorsements
Richard Erskine is a respected and admired developer of integrative psychotherapy, well known for his writings and teaching on Inquiry, Attunement, and Involvement in the therapeutic relationship. The various chapters offer vivid case vignettes that provide useful examples of how to conduct in-depth psychotherapy. This book is an ideal resource for those who wish to gain a deeper understanding of a developmentally-based, relationally-focused integrative psychotherapy.
Ray Little, author of several articles and book chapters on the theory and methods of psychotherapy, Edinburgh, Scotland
This book is a treasure to help psychotherapists understand clients’ unconscious process and non-verbal communication. Richard Erskine skilfully demonstrates the theory and practice of a relationally-focused and developmentally-based psychotherapy that facilitates the integration of the fragmented parts of the self. This book is a must-read for every psychotherapist, from beginners to the very experienced.
Ruth Birkebaek, MD; psychotherapist, supervisor, international trainer, London, UK
Richard Erskine’s book blends theory and practice in a comprehensive and complementary way. It is an excellent guide for those who want to understand and practice relational-focused integrative psychotherapy. You will find in every paragraph of this book a creative synthesis of knowledge and method, an inspiring resource for all psychotherapists.
Dr. Şafak Ebru Toksoy, Institute of Graduate Programs, Trauma and Disaster Mental Health, Istanbul Bilgi University
Each chapter provides a richly coloured tapestry of Integrative Psychotherapy. The presentation of client material helps to give the reader a vibrant image of how in-depth psychotherapy looks in practice. It is a wonderful, essential creation, beautifully crafted, with many practical ideas and concepts, interwoven and interconnected.
Sally Openshaw, President, International Integrative Psychotherapy Association (IIPA); IIPA Certified Trainer and Supervisor; UKCP Registered Psychotherapist; COSRT Accredited Sexual and relational Therapist and Supervisor
Table of Contents
Prelude to the Classic Edition
Acknowledgements
About the Author
Foreword by Joshua Zavin
Preface
Introduction: Philosophical Principles of Integrative Psychotherapy
1. Integrative Psychotherapy: Theory, Process, and Relationship
2. A Therapy of Contact-In-Relationship
3. Attunement and Involvement: Therapeutic Responses to Relational Needs
4. Psychotherapy of Unconscious Experience
5. Life Scripts and Attachment Patterns: Theoretical Integration and Therapeutic Involvement
6. Life Scripts: Unconscious Relational Patterns and Psychotherapeutic Involvement
7. The Script System: An Unconscious Organization of Experience
8. Psychological Functions of Life Scripts
9. Integrating Expressive Methods in a Relational Psychotherapy
10. Bonding in Relationship: A Solution to Violence?
11. A Gestalt Therapy Approach to Shame and Self-Righteousness: Theory and Methods
12. The Schizoid Process
13. Early Affect-Confusion: The “Borderline” Between Despair and Rage
14. Balancing on the “Borderline” of Early Affect-Confusion
15. Relational Healing of Early Affect-Confusion
16. Introjection, Psychic Presence, and Parent Ego States: Considerations for Psychotherapy
17. Resolving Intrapsychic Conflict: Psychotherapy of Parent Ego States
18. What Do You Say Before You Say Goodbye? Psychotherapy of Grief
19. Nonverbal Stories: The Body in Psychotherapy
20. Narcissism or the Therapist’s Error?
References
Index
About the Author(s)
Richard G. Erskine, Ph.D., is a clinical psychologist and licensed psychoanalyst. He is the Training Director of the Institute for Integrative Psychotherapy in New York City and conducts seminars, workshops and training programs in the United States and internationally. He is also a certified clinical transactional analyst and a licensed psychoanalyst who has specialized in psychoanalytic self-psychology and object-relations theory. Richard has developed Integrative Psychotherapy, a theory and set of methods that emphasizes affective, cognitive, behavioral and physiological integration. His books include Beyond Empathy: A Therapy of Contact-in-Relationship (with Jan Moursund and Rebecca Trautmann), Integrative Psychotherapy: The Art and Science of Relationship (with Jan Moursund), and Integrative Psychotherapy in Action.
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