Interpersonal Process in Psychotherapy: A Relational Approach / Edition 4

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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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Editorial Reviews

Teyber (psychology, California Sate U.) focuses on the interpersonal relationship established between clients and counselors as a primary tool to help clients overcome psychological problems. Integrating a number of psychiatric approaches with illustrative case studies, he explains for the beginning therapist the ways in which clients' relations with therapists mirror relations with others and, therefore, can be used as a window to understanding the clients' general interpersonal problems. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780534365660
  • Publisher: Cengage Learning
  • Publication date: 12/1/1999
  • Series: Counseling Series
  • Edition description: Older Edition/Workbook
  • Edition number: 4

Table of Contents

Part 1 An Interpersonal Process Approach 1
Chapter 1 Introduction and Overview 3
The Need for a Conceptual Framework 4
The Interpersonal Process Approach 5
Theoretical and Historical Context 5
Basic Premises 12
Client Diversity and Response Specificity 20
Model of Therapy 23
Limitations and Aims 24
Suggestions for Further Reading 27
Part 2 Responding to Clients 29
Chapter 2 Establishing a Working Alliance 31
Conceptual Overview 31
Chapter Organization 32
A Collaborative Relationship 32
Balancing Directive and Nondirective Initiatives 33
Beginning the Initial Interview 35
Understanding the Client 39
Clients Do Not Feel Understood or Affirmed 40
Demonstrating Understanding 42
Identify Recurrent Themes 46
Process Comments Facilitate a Collaborative Alliance 50
Performance Anxieties 53
Care and Understanding as Preconditions of Change 54
Closing 56
Suggestions for Further Reading 56
Chapter 3 Honoring the Client's Resistance 58
Conceptual Overview 58
Chapter Organization 59
Reluctance to Address Resistance 60
The Therapist's Reluctance 61
The Client's Reluctance 62
Conceptualizing Resistance 65
Identifying Resistance 65
Formulating Working Hypotheses 66
Responding to Resistance 68
Resistance During the Initial Telephone Contact 68
Resistance at the End of the First Session 72
Resistance during Subsequent Sessions 79
Closing 85
Suggestions for Further Reading 86
Chapter 4 An Internal Focus for Change 87
Conceptual Overview 87
Chapter Organization 88
Shifting to an Internal Focus 88
A Prerequisite for Change 88
Focusing Clients Inward 93
Reluctance to Adopt an Internal Focus 95
Placing the Locus of Change with Clients 98
Using the Therapeutic Relationship to Foster Clients' Initiative 98
Therapeutic Interventions That Place Clients at the Fulcrum of Change 103
Enlisting Clients in Resolving Their Own Conflicts 106
Recapitulating Clients' Conflicts 106
Providing a Corrective Emotional Experience 108
Tracking Clients' Anxiety 109
Identifying Signs of Clients' Anxiety 110
Approach Clients' Anxiety Directly 110
Observe What Precipitates Clients' Anxiety 111
Focus Clients Inward to Explore Their Anxiety 112
Closing 114
Suggestions for Further Reading 115
Chapter 5 Responding to Conflicted Emotions 116
Conceptual Overview 116
Chapter Organization 116
Responding to Clients' Conflicted Emotions 117
Approaching Clients' Affect 118
Expanding and Elaborating Clients' Affect 120
Identifying and Punctuating the Predominant Affect 124
An Old Wound 124
Multiple Stressors 125
A Characterological Affect 125
Clients' Affective Constellations 126
Anger-Sadness-Shame 127
Sadness-Anger-Guilt 129
Holding Clients' Pain 131
Clients Resist Feelings to Avoid Interpersonal Consequences 132
Providing a Holding Environment 134
Change from the Inside Out 138
Personal Factors That Prevent Therapists from Responding to Clients' Emotions 141
Therapists' Need to Be Liked 141
Therapists' Misperceptions of Their Responsibility 142
Family Rules 144
Situational Problems in Therapists' Own Lives 146
Closing 147
Suggestions for Further Reading 148
Part 3 Conceptualizing Client Dynamics 149
Chapter 6 Familial and Developmental Factors 151
Conceptual Overview 151
Chapter Organization 151
Structural Family Relations 152
The Parental Coalition 152
How the Parental Coalition Influences Child Adjustment 154
The Separateness-Relatedness Dialectic 160
Child-Rearing Practices 162
Three Styles of Parenting 162
Consequences of Child-Rearing Practices 164
Authoritarian Parenting, Love Withdrawal, and Insecure Attachment 165
Relating the Three Dimensions of Family Life 176
Closing 177
Suggestions for Further Reading 178
Chapter 7 Inflexible Interpersonal Coping Strategies 179
Conceptual Overview 179
Chapter Organization 180
A Conceptual Model 180
Clients' Developmental Needs 181
Clients' Compromise Solutions 182
Resolving the Generic Conflict 189
Case Study of Peter: Moving Toward Others 192
Developmental History and Precipitating Crisis 192
Precipitating Crises, Maladaptive Relational Templates, and Symptom Development 194
The Course of Treatment 196
Two Case Summaries 200
Carlos: Moving Against Others 200
Maggie: Moving Away from Others 204
Closing 207
Suggestions for Further Reading 208
Chapter 8 Current Interpersonal Factors 209
Conceptual Overview 209
Chapter Organization 209
How Clients Bring Their Conflicts into the Therapeutic Relationship 210
Eliciting Maneuvers 210
Testing Behavior 215
Transference Reactions 221
Optimum Interpersonal Balance 227
Enmeshment 227
Disengagement 228
Effective Involvement 229
The Ambivalent Nature of Conflict 231
The Two Sides of Clients' Conflicts 231
Ambivalent Feelings 234
Closing 236
Suggestions for Further Reading 237
Part 4 Resolution and Change 239
Chapter 9 An Interpersonal Solution 241
Conceptual Overview 241
Chapter Organization 243
Enacting a Resolution of Clients' Conflicts in the Interpersonal Process 243
Bringing Clients' Conflicts into the Therapeutic Relationship 243
Using the Process Dimension to Resolve Conflicts 246
Working with Clients' Conflicts in the Therapeutic Relationship 260
Intervening Within the Therapeutic Relationship 261
Therapists' Initial Reluctance to Address the Process 264
Closing 272
Suggestions for Further Reading 273
Chapter 10 Working Through and Termination 275
Conceptual Overview 275
Chapter Organization 275
Working Through 276
The Course of Client Change: An Overview 276
The Working-Through Process 278
From Present Conflicts, Through Family-of-Origin Work, and on to Future Plans 287
Termination 296
Accepting That the Relationship Must End 297
Ending the Relationship 302
Closing 303
Suggestions for Further Reading 303
Appendix A Process Notes 305
Appendix B Case Formulation Guidelines 309
Bibliography 313
Name Index 319
Subject Index 323
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