Single-Session ‘One-at-a-Time’ Therapy: A Rational Emotive Behaviour Therapy Approach

✍ Scribed by Windy Dryden

• Publisher: Routledge
• Year: 2019
• Tongue: English
• Leaves: 77
• Series: Routledge Focus on Mental Health
• Edition: 1
• Category: Library

✦ Synopsis

Single-Session ‘One-at-a-Time’ Therapy: A Rational Emotive Behaviour Therapy Approach details a specific approach to Single-Session Therapy (SST) known as ‘One-At-A-Time’ (OAAT) Therapy and shows how this can be implemented from a Rational Emotive Behaviour Therapy (REBT) perspective. Windy Dryden argues that OAAT Therapy is a time-efficient, cost-effective means of providing help according to need.

Single-Session ‘One-at-a-Time’ Therapy outlines an innovative and experimental approach to improving mental health and will appeal to psychotherapists and counsellors looking for an accessible and authoritative guide to brief therapeutic work.

✦ Table of Contents

Cover
Endorsements
Half Title
Series Information
Title Page
Copyright Page
Table of contents
Preface
1 Two pathways to help
Two pathways to help
Pathway 1: Help at the point of availability
Pathway 2: Help at the point of need
This book
One-at-a-Time (OAAT) Therapy in a nutshell
Rational Emotive Behaviour Therapy (REBT) in a nutshell
2 Rational Emotive Behaviour Therapy: An introduction
Terminology
Rational
From beliefs to attitudes
From ‘rational’ to ‘flexible and non-extreme’ and ‘irrational’ to ‘rigid and extreme’
Types of attitudes
Rigid and extreme attitudes
Flexible and non-extreme attitudes
REBT’s situational ABC model
Origin and maintenance of disturbance
The origin of psychological disturbance
The maintenance of psychological disturbance
Theory of change
Skills and strategies
Notes
3 Single-Session Therapy and One-at-a-Time Therapy: An introduction
Terminology
Single-Session Therapy (SST)
One-at-a-Time (OAAT) Therapy
The single-session mindset in action
Celebrate the power of ‘now’ and create an expectation for SST/OAAT therapy
Develop an end-of-session focus
Agree on a focus in the session
Keep on track
Utilise client strengths
Negotiate a solution
Provide and/or utilise resources
Clarify next steps
My own applications of SST
Note
4 Good practice in SST/OAAT therapy
Agree why we are here and what can we do
The REBT position
Engage the client quickly through the work
The REBT position
Be prudently active
The REBT position
Be focused and help the client stay focused
The REBT position
Elicit the problem from the client’s perspective
The REBT position
Assess the problem1
The REBT position
Elicit the client’s goal/preferred future and keep focused on this
The REBT position
Ensure that the future focus is underpinned by a value, if possible
The REBT position
Explain interventions whenever practicable
The REBT position
Encourage the client to be as specific as possible but be mindful of opportunities for generalisation
The REBT position
Identify and encourage utilisation of client strengths
The REBT position
Identify and encourage utilisation of external resources
The REBT position
Identify previous attempts to solve the problem
The REBT position
Make liberal use of questions
The REBT position
Ensure client understanding and agreement
The REBT position
Identify and respond to the client’s doubts, reservations and objections (DROs)
The REBT position
Make an emotional impact
The REBT position
Encourage the client to take one meaningful point from the single session
The REBT position
Encourage the client to practise the solution in the session
The REBT position
Strive to end the session on an encouraging note
The REBT position
Note
5 Contributions from REBT to OAAT therapy
Adopt an adversity focus
Help the client set goals in response to the adversity
Use the ABC framework
Identify the ‘A’
Help the client to set a meaningful and realistic adversity-based goal
Emphasise choice of attitude
Engage the client in meaningful questioning of both attitudes
Encourage attitude-based practice of the solution in the session
Help the client understand the change process
Help the client to develop and implement a cognitive-behavioural plan
6 The role of context in OAAT therapy
OAAT therapy by walk-in
Service considerations
OAAT therapy by appointment
Change in advertised focus
Flexibility in OAAT
The structure of an OAAT therapy session at AUB
OAAT in private practice
Note
7 REBT-based OAAT therapy
‘Swiping right’
Suggest pre-session preparation
Clarify parameters of OAAT therapy
Initiate goal orientation
Identify strengths, resiliency factors and values
Identify external resources
Create a focus
Carry out an adversity-based assessment
Using the Situational AC part of the ABC framework
Set an adversity-based goal
Focus on basic attitudes and choice
Identify ‘B’
Underscore attitudinal choice
Initiating attitude change
Encourage in-session practice of the solution
Help the client to develop a plan
Encourage the client to summarise
Explain and encourage the implementation of the ‘reflect-digest-act-let time pass’ process
The ‘reflect-digest-act-let time pass’ process
The use and misuse of OAAT therapy
Deal with last-minute issues and end well
Notes
8 REBT-based OAAT therapy in action
‘Swiping right’
Suggest pre-session preparation
Clarify parameters of OAAT therapy
Initiate goal orientation
Identify strengths, resiliency factors and values
Identify external resources
Create a focus
Carry out an ABC assessment of the problem and possible solution
Focus on basic attitudes and choice
Encourage in-session practice of the solution
Help the client to develop a plan
Encourage the client to summarise
Explain and encourage the implementation of the ‘reflect-digest-act-let time pass’ process
Deal with last-minute issues and end well
Follow-up
Note
References
Index