The Real World Guide to Psychotherapy Practice [NOOK Book]

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Overview

Managed care has radically reshaped health care in the United States, and private long-term psychotherapy is increasingly a thing of the past. The corporatization of mental health care often puts therapists in professional quandaries. How can they do the therapeutic work they were trained to do with clients whom they may barely know, whose care is intruded upon by managed care administrators? With unrelenting pressure to substitute medications for therapy and standardized behavior protocols for individualized ...
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The Real World Guide to Psychotherapy Practice

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More About This Book

Overview

Managed care has radically reshaped health care in the United States, and private long-term psychotherapy is increasingly a thing of the past. The corporatization of mental health care often puts therapists in professional quandaries. How can they do the therapeutic work they were trained to do with clients whom they may barely know, whose care is intruded upon by managed care administrators? With unrelenting pressure to substitute medications for therapy and standardized behavior protocols for individualized approaches, what becomes of the therapist–client relationship?

Unflinchingly honest, The Real World Guide to Psychotherapy Practice offers both compelling stories and practical advice on maintaining one’s therapeutic integrity in the managed care era. Resisting a one-size-fits-all approach, the authors focus on the principles of forming relationships with patients, and especially patients likely to be under-served (e.g., the uninsured poor) or difficult to treat.

The Real World Guide to Psychotherapy Practice gives voice to therapists’ frustrations with the administrative constraints under which they work. But it accepts the reality and offers guidance and inspiration to committed therapists everywhere.
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Editorial Reviews

Berkshire Medical Journal

[The Real World Guide to Psychotherapy Practice] is designed to educate the novice, elucidate new and innovative techniques with difficult populations, and sustain workers in the field in these difficult times of managed health care… These approaches privilege emotional learning and affective connection above the formalistic and arbitrary trappings of older psychoanalytic models, and are more easily applied to treatment in a range of settings. In summary, this timely book demonstrates the complexity of the field, the collegiality of its editors, and provides a rich meal for the hungry clinician.
— Doreen Rothman, Ph.D.

Readings

The editors posit that establishing an effective relationship between the patient and the psychotherapist is the essential first step in all forms of psychotherapy. The authors of the book's 12 essays elaborate on this thesis through their experiences as therapists in a variety of professional endeavors with patients/clients in medical, mental health, and social programs.
— Donald J. Carek, M.D.

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Product Details

  • ISBN-13: 9780674725379
  • Publisher: Harvard University Press
  • Publication date: 12/15/2000
  • Sold by: Barnes & Noble
  • Format: eBook
  • File size: 2 MB

Meet the Author

Alex N. Sabo is Chairman of the Division of Psychiatry and Behavioral Sciences at the Berkshire Medical Center and Associate Professor of Clinical Psychiatry at the University of Massachusetts Medical School.

Leston Havens was Professor of Psychiatry at Harvard Medical School and Cambridge Hospital.

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Table of Contents

  • Introduction: Psychotherapy at the Start of a New Century [Alex N. Sabo]
  • Part I. The Relationship in Clinical Work
    • 1. Forming Effective Relationships [Leston Havens]
    • 2. The Relational Aspects of Psychopharmacology [Alex N. Sabo and Bliss Inui Rand]


  • Part II. How the Work Gets Done
    • Commentary to Part II [Leston Havens]
    • 3. Psychotherapy with People Stressed by Poverty [Janna Malamud Smith]
    • 4. Group Psychotherapy with Violent Men [Donald Scherling]
    • 5. Psychotherapy in Emergency Situations [Todd Griswold]
    • 6. Treating Psychoses [Leston Havens]
    • 7. Working with the Borderline Patient [Alex N. Sabo]
    • 8. The Psychotherapy of a Desperate Situation [Caren Plank]


  • Part III. Rethinking Psychotherapy
    • Commentary to Part III [Leston Havens]
    • 9. The Field of Brief Psychotherapy [James P. Gustafson]
    • 10. The Therapeutic Relationship in Dialectical Behavior Therapy [Clive J. Robins and Cedar R. Koons]
    • 11. Treating Chronically Traumatized People: Known Approaches and New Approaches [Emily Newman]
    • 12. Our Psychoanalytic Legacy: The Relevance of Psychoanalysis to Psychotherapy [Alfred Margulies]


  • Epilogue [Leston Havens]
  • Acknowledgments
  • Name Index
  • Subject Index

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