Concise Guide to Brief Dynamic and Interpersonal Therapy, 2nd edition (Concise Guides)

✍ Scribed by Hanna Levenson, Stephen F. Butler, Theodore A. Powers, Bernard D. Beitman

• Year: 2002
• Tongue: English
• Leaves: 226
• Edition: 2 Sub
• Category: Library

✦ Synopsis

In todayAs world of managed careAcharacterized by limited mental health resources, emphasis on accountability, concerns of third-party payers, and consumer needAthe demand for mental health professionals to use briefer therapeutic approaches is on the rise. Fully 84% of all clinicians are doing some form of planned brief therapy (6A20 sessions per year per patient). Yet despite clinical advances and outcome data that demonstrate the effectiveness of short-term therapy, many therapistsAin fact, 90% of those whose theoretical orientation is psychodynamic rather than cognitive-behavioralAare reluctant to learn briefer interventions, seeing value only in long-term, depth-oriented work. The second edition of this Concise Guide is intended to help educate both beginning and experienced clinicians in the strategies and techniques of time-attentive models and to foster more positive and optimistic attitudes toward using these important therapies. -The seven therapeutic models presented hereAincluding an entirely new chapter on time-limited group therapyAhighlight the importance of the interpersonal perspective. -The seven models, one per chapter, represent well-established short-term approaches to clinical issues that therapists commonly encounter in their clinical practices. These models also have clearly defined intervention techniques and formulation strategies and can be used within the 10- to 20-session time frame of most managed care settings. -The first part of each chapter dealing with a therapeutic model lists the various presenting problems the authors deem most suitable for treatment by that particular approach. The authors discuss the overall framework of each model, selection criteria, goals, therapeutic tasks and strategies, empirical support, and relevance for managed care, with clinical cases to illustrate the application of each model. The authors include updated chapters on supportive, time-limited, and interpersonal therapies; time-limited dynamic psychotherapy; short-term dynamic therapy for patients with posttraumatic stress disorder; brief dynamic therapy for patients with substance abuse disorders; an entirely new chapter on time-limited group therapy; and a final chapter on the reciprocal relationship between pharmacotherapy and psychotherapy. Meant to complement the more detailed information found in lengthier psychiatric texts, this Concise Guide (it is designed to fit into a jacket or lab coat pocket) is a practical and convenient reference for psychiatrists, psychiatric residents, and medical students working in a variety of treatment settings, such as inpatient psychiatry units, outpatient clinics, consultation-liaison services, and private offices.

✦ Table of Contents

Contents......Page 6
About the Authors......Page 16
Introduction to the Concise Guides Series......Page 18
Psychodynamic Orientation......Page 20
Interpersonal Focus......Page 21
Brief Psychotherapy......Page 22
Brief Dynamic Approaches......Page 23
Values and Attitudes......Page 25
Specific Models Presented......Page 28
2 Supportive Therapy: Treatment for Lower-Functioning Patients...and Others?......Page 34
Selection of Patients......Page 37
Goals of Treatment......Page 38
The Therapeutic Alliance......Page 39
Reducing Anxiety......Page 40
Enhancing Self-Esteem......Page 41
Respecting Defenses......Page 42
Clarification, Confrontation, and Interpretation......Page 43
Rationalization......Page 44
Encouragement......Page 45
Advising......Page 46
Responding to Ventilation......Page 47
Attention to, Not Interpretation of, Transference......Page 48
Conclusion......Page 49
Clinical Illustration......Page 50
Empirical Findings......Page 51
Relevance for Managed Care......Page 53
Basic Framework......Page 56
Theory and Technique......Page 57
Intake/Selection......Page 59
Honeymoon Phase......Page 60
Negative Transference Phase......Page 61
Termination Phase......Page 62
Reverberations for the Therapist......Page 63
Clinical Illustration......Page 64
Relevance for Managed Care......Page 71
4 Interpersonal Psychotherapy for Patients With Depression......Page 74
Basic Principles......Page 75
Goals......Page 77
Initial Sessions......Page 78
Intermediate Phase......Page 81
Termination Phase......Page 84
Clinical Illustration......Page 86
Interpersonal Formulation......Page 87
Problem Areas......Page 88
Therapist Confidence......Page 90
Empirical Findings......Page 91
Relevance for Managed Care......Page 93
5 Time-Limited Dynamic Psychotherapy......Page 96
Assumptions......Page 97
Goals......Page 99
The Cyclical Maladaptive Pattern......Page 100
Inclusion and Exclusion Criteria......Page 102
Treatment......Page 103
Clinical Illustration......Page 106
Relevance for Managed Care......Page 112
Theory of Change......Page 116
Patient Selection......Page 118
Goals of Treatment......Page 120
Integrating the Traumatic Information......Page 121
Viewing Trauma as a Challenge......Page 122
Intrusion-Denial Phases......Page 123
Content Themes......Page 129
Transference and Countertransference......Page 130
Clinical Illustration......Page 132
Empirical Findings......Page 136
Relevance for Managed Care......Page 137
7 Brief Dynamic Psychotherapy for Patients With Substance Abuse Disorders......Page 140
Conceptualizing Substance Abuse as a Psychiatric Disorder......Page 141
Therapist’s Attitude Toward Patients With Substance Abuse Disorders......Page 145
Twelve-Step Programs and Group Counseling......Page 146
Role of Various Psychoactive Substances......Page 148
Core Conflictual Relationship Theme......Page 151
Treatment Goals......Page 153
Transference and Countertransference......Page 157
Transference Implications......Page 159
Mr. H’s Core Conflictual Relationship Theme......Page 160
Empirical Findings......Page 162
Relevance for Managed Care......Page 164
8 Time-Limited Group Therapy......Page 168
Why Groups?......Page 169
Why Time-Limited Groups?......Page 171
Types of Groups and Theoretical Perspectives......Page 172
Interpersonal-Developmental-Existential Approach to Time-Limited Group Psychotherapy......Page 175
Focus......Page 176
Screening and Pregroup Preparation......Page 177
Technical Considerations......Page 182
Stages of Group Development......Page 183
Empirical Findings......Page 189
Relevance for Managed Care......Page 191
9 The Reciprocal Relationship Between Pharmacotherapy and Psychotherapy......Page 196
Obsessive-Compulsive Disorder and the “Worry Circuit”......Page 198
Psychopharmacology During the Stages of Psychotherapy......Page 199
Medication Compliance and a Key Cognitive Pattern......Page 200
As-Needed Ingestion Illustrates a Key Interpersonal Pattern......Page 203
Benzodiazepine Disinhibition Reveals Dysfunctional Patterns......Page 204
Medication Helps to Save Family Integrity......Page 206
Request for Pharmacotherapy for Spouse Helps Highlight a Marital Pattern......Page 207
Catalysts for Change......Page 208
Combined Treatment in the Era of Managed Care......Page 209
B......Page 214
C......Page 215
E......Page 217
I......Page 218
M......Page 219
N......Page 220
P......Page 221
S......Page 222
T......Page 224
Y......Page 226