Interpersonal Process in Psychotherapy: A Relational Approach / Edition 4

Interpersonal Process in Psychotherapy: A Relational Approach / Edition 4

by Edward Teyber
     
 

In this one-of-a-kind book, experienced educator and clinician, Ed Teyber provides a unifying conceptual framework for beginning therapists and specific "how-to's" for using the therapist-client relationship to facilitate change. Clinically authentic and thoroughly revised, this new edition gets right to the heart of what students who are beginning to work in a… See more details below

Overview

In this one-of-a-kind book, experienced educator and clinician, Ed Teyber provides a unifying conceptual framework for beginning therapists and specific "how-to's" for using the therapist-client relationship to facilitate change. Clinically authentic and thoroughly revised, this new edition gets right to the heart of what students who are beginning to work in a therapeutic setting need to know.
Capturing the questions and concerns of beginning therapists, Teyber helps student therapists understand the therapeutic process and how change occurs. The book includes therapeutic goals and intervention strategies for each phase of treatment, and is organized to parallel the course of treatment from initial client contact to termination. Teyber succeeds in bridging the gap between basic skills, case formulations, and intervention strategies with real clients in real settings.
Always focused on the therapist-client relationship, this book integrates cognitive-behavioral, family systems, and psychodynamic theories. Multicultural coverage is thorough and richly illustrated. Highlighting how the interpersonal, cognitive, and affective domains interrelate, the book is compelling reading for beginning counselors.
Teyber clarifies each of the major issues that arise in treatment and shows how theory leads to practice. He skillfully leads beginning counselors past the uncertainty of how to build a strong working alliance with divers clients, and gives guidelines for understanding the interactions that take place between therapists and clients.
Long known for its clarity and immediacy, Teyber's new edition is now accompanied by a powerful teaching and learning package. With the combination of the new edition of this highly respected text, your classroom instruction, the new student workbook, and the new video that shows process in practice, your students will have all the ingredients for success.

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Product Details

ISBN-13:
9780534365660
Publisher:
Cengage Learning
Publication date:
12/01/1999
Series:
Counseling Series
Edition description:
Older Edition/Workbook

Table of Contents

Part 1An Interpersonal Process Approach1
Chapter 1Introduction and Overview3
The Need for a Conceptual Framework4
The Interpersonal Process Approach5
Theoretical and Historical Context5
Basic Premises12
Client Diversity and Response Specificity20
Model of Therapy23
Limitations and Aims24
Suggestions for Further Reading27
Part 2Responding to Clients29
Chapter 2Establishing a Working Alliance31
Conceptual Overview31
Chapter Organization32
A Collaborative Relationship32
Balancing Directive and Nondirective Initiatives33
Beginning the Initial Interview35
Understanding the Client39
Clients Do Not Feel Understood or Affirmed40
Demonstrating Understanding42
Identify Recurrent Themes46
Process Comments Facilitate a Collaborative Alliance50
Performance Anxieties53
Care and Understanding as Preconditions of Change54
Closing56
Suggestions for Further Reading56
Chapter 3Honoring the Client's Resistance58
Conceptual Overview58
Chapter Organization59
Reluctance to Address Resistance60
The Therapist's Reluctance61
The Client's Reluctance62
Conceptualizing Resistance65
Identifying Resistance65
Formulating Working Hypotheses66
Responding to Resistance68
Resistance During the Initial Telephone Contact68
Resistance at the End of the First Session72
Resistance during Subsequent Sessions79
Closing85
Suggestions for Further Reading86
Chapter 4An Internal Focus for Change87
Conceptual Overview87
Chapter Organization88
Shifting to an Internal Focus88
A Prerequisite for Change88
Focusing Clients Inward93
Reluctance to Adopt an Internal Focus95
Placing the Locus of Change with Clients98
Using the Therapeutic Relationship to Foster Clients' Initiative98
Therapeutic Interventions That Place Clients at the Fulcrum of Change103
Enlisting Clients in Resolving Their Own Conflicts106
Recapitulating Clients' Conflicts106
Providing a Corrective Emotional Experience108
Tracking Clients' Anxiety109
Identifying Signs of Clients' Anxiety110
Approach Clients' Anxiety Directly110
Observe What Precipitates Clients' Anxiety111
Focus Clients Inward to Explore Their Anxiety112
Closing114
Suggestions for Further Reading115
Chapter 5Responding to Conflicted Emotions116
Conceptual Overview116
Chapter Organization116
Responding to Clients' Conflicted Emotions117
Approaching Clients' Affect118
Expanding and Elaborating Clients' Affect120
Identifying and Punctuating the Predominant Affect124
An Old Wound124
Multiple Stressors125
A Characterological Affect125
Clients' Affective Constellations126
Anger-Sadness-Shame127
Sadness-Anger-Guilt129
Holding Clients' Pain131
Clients Resist Feelings to Avoid Interpersonal Consequences132
Providing a Holding Environment134
Change from the Inside Out138
Personal Factors That Prevent Therapists from Responding to Clients' Emotions141
Therapists' Need to Be Liked141
Therapists' Misperceptions of Their Responsibility142
Family Rules144
Situational Problems in Therapists' Own Lives146
Closing147
Suggestions for Further Reading148
Part 3Conceptualizing Client Dynamics149
Chapter 6Familial and Developmental Factors151
Conceptual Overview151
Chapter Organization151
Structural Family Relations152
The Parental Coalition152
How the Parental Coalition Influences Child Adjustment154
The Separateness-Relatedness Dialectic160
Child-Rearing Practices162
Three Styles of Parenting162
Consequences of Child-Rearing Practices164
Authoritarian Parenting, Love Withdrawal, and Insecure Attachment165
Relating the Three Dimensions of Family Life176
Closing177
Suggestions for Further Reading178
Chapter 7Inflexible Interpersonal Coping Strategies179
Conceptual Overview179
Chapter Organization180
A Conceptual Model180
Clients' Developmental Needs181
Clients' Compromise Solutions182
Resolving the Generic Conflict189
Case Study of Peter: Moving Toward Others192
Developmental History and Precipitating Crisis192
Precipitating Crises, Maladaptive Relational Templates, and Symptom Development194
The Course of Treatment196
Two Case Summaries200
Carlos: Moving Against Others200
Maggie: Moving Away from Others204
Closing207
Suggestions for Further Reading208
Chapter 8Current Interpersonal Factors209
Conceptual Overview209
Chapter Organization209
How Clients Bring Their Conflicts into the Therapeutic Relationship210
Eliciting Maneuvers210
Testing Behavior215
Transference Reactions221
Optimum Interpersonal Balance227
Enmeshment227
Disengagement228
Effective Involvement229
The Ambivalent Nature of Conflict231
The Two Sides of Clients' Conflicts231
Ambivalent Feelings234
Closing236
Suggestions for Further Reading237
Part 4Resolution and Change239
Chapter 9An Interpersonal Solution241
Conceptual Overview241
Chapter Organization243
Enacting a Resolution of Clients' Conflicts in the Interpersonal Process243
Bringing Clients' Conflicts into the Therapeutic Relationship243
Using the Process Dimension to Resolve Conflicts246
Working with Clients' Conflicts in the Therapeutic Relationship260
Intervening Within the Therapeutic Relationship261
Therapists' Initial Reluctance to Address the Process264
Closing272
Suggestions for Further Reading273
Chapter 10Working Through and Termination275
Conceptual Overview275
Chapter Organization275
Working Through276
The Course of Client Change: An Overview276
The Working-Through Process278
From Present Conflicts, Through Family-of-Origin Work, and on to Future Plans287
Termination296
Accepting That the Relationship Must End297
Ending the Relationship302
Closing303
Suggestions for Further Reading303
Appendix AProcess Notes305
Appendix BCase Formulation Guidelines309
Bibliography313
Name Index319
Subject Index323

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