ISBN-10:
020527532X
ISBN-13:
9780205275328
Pub. Date:
07/15/1998
Publisher:
Allyn & Bacon, Inc.
Psychotherapy: Processes and Techniques / Edition 1

Psychotherapy: Processes and Techniques / Edition 1

by Christiane Brems, Christiane Brems

Hardcover

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Product Details

ISBN-13: 9780205275328
Publisher: Allyn & Bacon, Inc.
Publication date: 07/15/1998
Pages: 351
Product dimensions: 7.13(w) x 9.49(h) x 0.88(d)

Table of Contents

Preface vii
PART 1 Assessment 1(119)
1 Setting the Stage
1(36)
Before the First Contact
2(15)
Therapist Traits
2(7)
Atmosphere of the Office
9(2)
Structure of the Setting
11(4)
Legal and Ethical Issues
15(2)
The First Contact
17(15)
Models for a First Contact
17(1)
Purpose and Content of Screening Interviews
18(1)
Sample Informed Consent
19(10)
Process of Screening Interviews
29(3)
Summary and Concluding Thoughts
32(1)
Documentation and Record-Keeping
33(4)
Sample Screening Report
33(4)
2 The Intake Interview
37(37)
Process of an Intake Interview
38(3)
Rapport Building Issues
41(2)
Cultural Sensitivity
43(4)
Data Gathering in the Intake Interview
47(16)
The Presenting Concern
47(2)
Family History (Origin and Nuclear)
49(2)
Sexual History
51(2)
Social and Sociocultural History
53(3)
Academic and Professional History
56(1)
Health and Developmental History
56(2)
Substance Use and Nutritional History
58(3)
Strengths
61(1)
Behavioral Observations
62(1)
Closing the Intake Interview
63(1)
Summary and Concluding Thoughts
64(1)
Documentation and Record-Keeping
64(10)
Sample of a Partial Intake Report
66(8)
3 Gathering Additional Intake Information
74(46)
Genogram Construction
75(8)
Mapping the Genogram
76(2)
Recording Family Information
78(1)
Delineating Family Relationships
79(4)
Final Notes about Genograms
83(1)
Parenting Skills Assessment
83(15)
Parenting Strategies
84(8)
Parenting Philosophies
92(3)
Parenting Goals and Related Issues
95(2)
Final Notes about Parenting Skills Assessment
97(1)
Substance Use Assessment
98(14)
Types of Drugs
99(4)
Diagnostic Issues
103(2)
Assessment Strategies
105(6)
Final Notes about Substance Use Assessment
111(1)
Mental Status Exams
112(7)
Appearance and Level of Physical Activity
112(1)
Mood and Affect
113(1)
Sensorium and Perception
114(2)
Cognitive Functioning
116(1)
Interpersonal Style
117(1)
Final Notes about Mental Status Exams
118(1)
Summary and Concluding Thoughts
119(1)
Documentation and Record-Keeping
119(1)
PART 2 Process 120(178)
4 Case Conceptualization and Treatment Planning
120(51)
Diagnosis
121(15)
List of Therapist-Identified Problems
121(4)
DSM-IV Diagnosis
125(10)
Concluding Thoughts about the DSM-IV and the Diagnostic Process
135(1)
Etiological Conceptualization
136(13)
The Three Ps
136(6)
Case Dynamics
142(6)
Concluding Thoughts about the Conceptualization
148(1)
Goal Setting
149(8)
Shared Goals
152(1)
Therapist Goals
153(1)
Client Goals
154(3)
Treatment Planning
157(10)
Therapist-Related Factors
158(1)
Client-Related Factors
159(2)
Environmental Factors
161(1)
Symptom-Related Factors
161(2)
Goal-Related Factors
163(2)
Concluding Thoughts about Treatment Plans
165(2)
Feedback
167(1)
Summary and Concluding Thoughts
168(1)
Documentation and Record-Keeping
168(3)
Recommendation Section of the Intake Report
169(2)
5 Catalysts for Change
171(44)
Catalysts for a Therapeutic Environment and Relationship
172(1)
Catalysts That Facilitate Therapy Process
173(40)
Catalysts That Facilitate Communication
174(6)
Catalysts That Facilitate Affective Self-Awareness and Internalization
180(17)
Catalysts That Facilitate Cognitive Self-Awareness and Insight
197(16)
Summary and Concluding Thoughts
213(2)
6 A Framework for Process in Psychotherapy
215(45)
Processing the Relationship
217(19)
Using the Transference Relationship
218(4)
Providing a Corrective Emotional Experience
222(3)
Creating a Holding Environment
225(4)
Understanding Projective Identification
229(3)
Facilitating Internalization
232(3)
Concluding Thoughts about the Relationship Process in Psychotherapy
235(1)
Processing Treatment Challenges
236(9)
Definition of Resistance
236(1)
Signs and Symptoms of Resistance
237(2)
Purposes and Sources of Resistance
239(2)
Dealing with Resistance as a Helpful Therapeutic Process
241(4)
Phases of Process in Therapy
245(14)
Recollection
246(4)
Reconstruction
250(3)
Re-Experience
253(3)
Resolution
256(2)
Concluding Thoughts about the Phases of the Therapy Process
258(1)
Summary and Concluding Thoughts
259(1)
7 Pragmatic Issues Related to Process in Psychotherapy
260(38)
Common Questions
262(15)
Opening Questions and Closing Comments
262(2)
Starting and Ending Individual Sessions
264(2)
No-Shows and Cancellations
266(2)
Fee Payment
268(1)
Phone Contacts
269(1)
Food and Drink in Sessions
270(1)
Homework
271(3)
Bibliotherapy and Workbooks
274(1)
Clients Outside of Sessions
275(2)
Common Challenges
277(9)
Personal Questions
277(2)
Questions about Other Clients
279(1)
Complaints about Another Therapist
280(4)
Sexual Advances and Seductiveness
284(1)
Intoxicated Clients
285(1)
Mandated Clients
285(1)
Common Intense Affects
286(8)
Dealing with Loss of Control over Emotions
287(1)
Dealing with Uncontrollable Crying
288(1)
Dealing with Strong Anxiety Reactions and Panic
288(1)
Dealing with Thought Racing and Pressured Speech
289(1)
Dealing with Depersonalization and Dissociation
290(2)
Dealing with Psychotic Breaks, Hallucinations, and Delusions
292(1)
Dealing with Anger and Hostility
293(1)
Summary and Concluding Thoughts
294(1)
Documentation and Record-Keeping
295(3)
Sample Progress Note
296(2)
PART 3 Endings 298(35)
8 Termination of Therapy
298(35)
Natural Terminations
300(18)
Reasons for Natural Termination
301(1)
Signs and Signals of Readiness for Natural Termination
302(2)
General Procedural Guidelines for Successful Natural Termination
304(8)
Stages of Client Reactions during Natural Termination
312(6)
Premature Terminations
318(8)
Client-Initiated Premature Termination
318(3)
Therapist-Initiated Premature Termination
321(3)
Making Referrals due to Premature Termination
324(2)
Summary and Concluding Thoughts
326(1)
Documentation and Record-Keeping
327(6)
Sample of a Partial Termination Report
328(5)
References 333(10)
Author Index 343(4)
Subject Index 347

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