Clinical Strategies for Becoming a Master Psychotherapist (eBook)

Front Cover 1
Clinical Strategies for Becoming a Master Psychotherapist 4
Copyright 5
Contents 6
List of CONTRIBUTORS 14
Chapter 01 The Art and Science of Psychotherapy 16
Psychotherapy is not Entirely an Art 17
Psychotherapy is not Only a Science 19
Psychotherapy is both an Art and a Science 21
An Outline of the Problems Encountered in the Art of Psychotherapy 22
References 25
Chapter 02 Enhancing Client Motivation to Change 26
Definition 27
Enhancing Motivation for Change 28
Assessment 33
Theoretical Underpinnings of Motivational Interviewing 34
The Practice of Motivational Interviewing 35
Summary 48
Recommended Reading and Online Resources 49
References 49
Chapter 03 The Therapeutic Alliance: Cultivating and Negotiating the Therapeutic Relationship 52
Definition 53
Identification 54
Theory and Conceptualization 55
Case Formulation 57
Clinical Strategies 58
Key Mistakes 63
Case Study 64
Summary 67
References 68
Chapter 04 Narrative Psychotherapy as Effective Story-Making: An Introduction 70
Why a Narrative Approach to Psychotherapy? 70
Conceptualizing Psychotherapy as Active Story-Making 71
A Suggested Conceptual Framework 72
Suggested Clinical Practices for Narrative Psychotherapy 77
A Story Unfinished 83
Story-Making’s Universe, or Narration’s Neglect in Psychotherapy 83
A Story Retold 84
References 85
Chapter 05 Recognizing and Dealing with Cultural Influences in Psychotherapy 86
Definition of Culture and Other Terms 87
Recognizing and Dealing with Cultural Influences in the Client 89
Dealing and Recognizing Cultural Influences in the Therapist 91
Case Illustration 96
Summary 98
References 98
Chapter 06 Effective Understanding and Dealing with Manipulation 102
References 108
Chapter 07 Recognizing and Dealing with Transference 110
Definition 110
Detection and other Assessment Issues 113
Theory and Conceptualization 114
Impact on Case Formulation 115
Clinical Strategies 118
Key Mistakes and Miscomprehensions 122
Case Study 123
Summary 126
References 127
Chapter 08 The Temporal Structure of Therapy: Key Questions Often Associated with Different Phases of Sessions and Treatments (Plus Twenty-one Helpful Hints) 128
The Temporal Structure of Therapy 130
Some Questions to Consider at Different Junctures in Therapy 131
A Few Other Hints 134
References 140
Chapter 09 Resistance as an Ally in Psychotherapy 144
A Definition: Patients have a Right to their Resistance 144
Who is Presenting What, and Why? 145
Initial Strategies for Working with Resistance 146
Imperative Strategies for Working with Resistance 151
Different Strokes for Different Folks: Who is Presenting? 155
Summary 157
References 158
Chapter 10 Enhancing Psychotherapy through Appropriate entry points 160
Entry Point: a Definition 161
The Landscape: Onion and Garlic Psychodynamics 161
Analyzable Onion Conditions 164
Analyzable Garlic Conditions 172
The Borderline Personality: A Category all its own 175
Onion and Garlic Nonanalyzable (Psychotic) Patients 176
Turning up the Heat With Garlic Patients 178
Summary 179
References 179
Chapter 11 Dealing with Feelings of Depression 182
Definitions 182
Theory and Conceptualization 185
Case Formulation 186
Clinical Strategies 187
Key Mistakes and Miscomprehensions 196
Case Study 198
Summary 202
References 202
Chapter 12 Designing and Assigning Effective Homework 204
Definition and History of Homework in Psychotherapy 204
Theory and Conceptualization: The Purpose of Homework 205
Clinical Strategies 207
Key Mistakes and Miscomprehensions 217
Case Studies 218
Summary 220
References 221
Chapter 13 Skills Training: How the Master Clinician Understands and Teaches Competencies 224
Background: Why are Skills Necessary? 227
Potential Advantages of a Skills Training Approach 229
The Major Clinical Questions in Skills Training 233
Technology, Dissemination, and Skills Training 234
Summary and Conclusions 235
References 236
Chapter 14 Using Tasks in Ericksonian Psychotherapy 238
Setting Goals in Therapy 238
Setting Goals in Ericksonian Therapy 239
Gift Wrapping 240
A Taxonomy of Tasks 241
Additional Considerations 250
Summary 251
References 253
Chapter 15 Using Acceptance in Integrative Behavioral Couple Therapy 254
Definitions 255
Detection and other Assessment Issues 256
Theory and Conceptualization 257
Impact on Case Formulation 257
Clinical Strategies 258
Key Mistakes and Miscomprehensions 269
Case Example 270
Summary 273
References 273
Chapter 16 Short-Term Dynamic Psychotherapy Goes to Hollywood: The Treatment of Performance Anxiety in Cinema 276
Short-term Dynamic Psychotherapy 277
Case Illustrations 282
Clinical Issues and Summary 288
References 290
Chapter 17 The Importance of Novelty in Psychotherapy 292
Defining the Issue 293
Theory, Conceptualization, and Assessment 294
Impact on Case Formulation 295
Clinical Strategies 297
Key Mistakes and Misconceptions 301
Case Study 301
Summary 303
References 303
Chapter 18 Interruption Replaces Termination in Focused, Intermittent Psychotherapy throughout the Life Cycle 306
Step 1: Diminishing The Transference Through a Therapeutic Partnership 309
Step 2: Raising the Intensity of the Treatment Experience 310
Step 3: Clinical Strategies for Implementing the Interruption 313
Half a Century of Experience 315
Case Illustrations 317
Summary 322
References 322
Chapter 19 Suicidal Patients: The Ultimate Challenge for Master Psychotherapists 324
Outmoded Attitudes (or Misbeliefs) 325
The Suicidal Process 328
Interventions for Lethal Stage 3 Patients 331
Managing Lethal Paranoid Patients 333
Interventions for Nonlethal Patients 335
Case Illustration: Destiny 340
Summary 342
References 343
Author Index 344
Index 352