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Breaking Through to Teens: A New Psychotherapy for the New Adolescence PDF

305 Pages·2005·1.04 MB·English
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BREAKING THROUGH TO TEENS This page intentionally left blank BREAKING THROUGH TO TEENS A New Psychotherapy for the New Adolescence RON TAFFEL THE GUILFORD PRESS New York / London © 2005 The Guilford Press A Division of Guilford Publications, Inc. 72 Spring Street, New York, NY 10012 www.guilford.com All rights reserved No part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher. Printed in the United States of America This book is printed on acid-free paper. Last digit is print number: 9 8 7 6 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data Taffel, Ron. Breaking through to teens : a new psychotherapy for the new adolescence / Ron Taffel. p.; cm. Includes bibliographical references and index. ISBN 1-59385-135-9 (alk. paper) 1. Adolescent psychotherapy. 2. Parent and teenager. [DNLM: 1. Psychotherapy—methods—Adolescent. 2. Adolescent Psychology. 3. Parent–Child Relations. 4. Professional–Patient Relations. WS 463 T124b 2005] I. Title. RJ503.T34 2005 616.89′00835—dc22 2004027861 To Leah and Sam, our teens at home— and to all the kids in these pages: Snowflakes on a winter’s wind that brought them into the springtime of their lives ABOUT THE AUTHOR Ron Taffel, PhD, has supervised and written about working with children and families for over two decades. He is one of the coun- try’s most sought-after speakers for both professional and parent audiences. Dr. Taffel is the award-winning author of over 100 aca- demic and popular articles, and has been a contributing editor to McCall’s and Parents magazines for 14 years. His childrearing guides, translated into numerous languages, include the critically acclaimedParentingbyHeart, NurturingGoodChildrenNow,andWhen Parents Disagree, as well as the professional handbook Getting ThroughtoDifficultKidsandParents.Hislatestpopularbookonado- lescence, The Second Family,was recently released in paperback. Dr. Taffel is the founder of Family and Couples Treatment Services at The Institute for Contemporary Psychotherapy in New York City, where he lives with his wife and two children. vi ACKNOWLEDGMENTS Adolescents have parents who affect them in obvious ways. They also have peer groups or, as I call them, “second families”—that profoundly affect them in mostly invisible ways. Throughout this book,Iopenlyacknowledgemyprofessional“parents.”Itakegreat pains to mention almost every supervisor and writer who influ- enced me during my career. I have had the good fortune of being able to synthesize the material they offered and to use it as pa- tients’needsandthecontextchanged.Withoutsophisticatedinput from all of the sources you will find attributed in these pages, this work couldn’t, wouldn’t, and shouldn’t have happened. Like a teen’s second family, however, several peer-group influ- encesdonotappearinthistextanddeservetobementioned.First, The Guilford Press. I have had good experiences with other pub- lishers, and yet rarely have I found the degree of collaboration that exists at Guilford, and in unexpected ways: Like everything else of far greater importance, the writing of this book was set back after September 11, 2001. Most of you do not realize that The Guilford Press is situated quite close to the site of the attacks—they, like all ofus,wereprofoundlyaffectedbythathorrificevent.Thepeopleat Guilford were kind to me, a strange word to use in business, but they were. They never pushed metoignore the clinical and service commitmentsIneededtofulfillasourcityrecovered.Ican’tthank them enough for this. For their unselfish grasp of what was truly important, I am forever indebted to Seymour Weingarten, Editor- in-Chief, and Bob Matloff, President, of The Guilford Press. Intermsofthebookitself,itisraretoexperiencevision,prac- vii viii Acknowledgments ticality,andclinicalsensefromaneditor—acombinationIfeltcon- tinuously from another invisible peer, Kathryn Moore, Executive Editor at Guilford. Kathryn is one of the most clinically astute and market-savvyeditorsIknow.Itiseasyworkingwithherbecauseof thesegifts,andalsobecauseshesucceedsatcreatingwhatwether- apists try to create: an ability to speak openly and then seriously work through difficult issues. Other authors in the field: If you have a chance to work with Kathryn, jump at it. In addition, a book is not just a book. It is an organization, which is really a collection of peers who try very hard to do the best they can. Paul Gordon designed the cover, Kim Miller was re- sponsible for pre-publicity, Katherine Lieber wrote the promo- tional copy, Jeanne Ford worked at copyediting, Anna Brackett did theinteriorbookdesignandproduction,SarahSmithprovidedcre- ative input—all within a ridiculous timetable. Real people always exist behind the scenes in organizations; we just don’t see them. But,withoutsuchpeers,weliterallywouldn’thavebookstoread. The second organization represented in the text is my profes- sional peer group, The Institute for Contemporary Psychotherapy (ICP).In1982ICPhadtheforesighttograntthefamilytherapydi- vision I founded full political and curriculum parity in one of New York’smostrespectedpsychoanalytictrainingandtreatmentfacili- ties. Their prescience was unique, as only now training facilities are finally attempting to lessen the distance between treatment perspectivesratherthanaccentuatethem.ICPhasahistoryofsuch prescience and the courage to take initiative before an area of need is recognized: In the ’70s they began The Center for the Study of Anorexia and Bulimia, the first eating disorders program in the country; at the same time ICP began one of the first low-fee pro- grams for children, college students, and performing and creative artists;inthe’80sICPwasoneofthefirstindependentfacilitiesto treat HIV and AIDS patients and open its treatment doors to the elderly; in the mid-’90s ICP began one of the first and perhaps most successful gay and lesbian affirmative psychotherapy pro- grams in the country; after 9/11 ICP threw hundreds of therapists intovolunteerworkwithagenerositythatwasstartling;andithas continued its commitment to treating trauma clients and educat- Acknowledgments ix ing professionals in the newest interventions. This is an organiza- tion that obviously has clinical foresight and determination, train- ing thousands of professionals and treating 25,000 clients over three decades. I could not have developed the form of therapy de- scribed in these pages without the full support of ICP, and without my peer and original training director, Judith Friedman. Finally, I would like to acknowledge Psychotherapy Networker and Rich Simon, its Editor-in-Chief. Again, in the background, an- other peer group quietly working: The entire organization and, of course, Rich gave me a platform for the approach outlined in this book.Lookthroughmy Networkerarticlesoverthepastdecadeand you will see threads of the material taking shape and gradually be- ing woven together. How can you thank colleagues enough when they’ve actually helped you to develop your own voice? Adults, not just teens, have peer groups, which are more sus- taining than we realize. The organizations I mention here have beenmy“secondfamily”ofpeers,whostrengthenedmeasI’vede- velopedandinvisiblyhelpedwritethewordsonthesepages,while granting me the independence to grow in my own unique ways.

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This book presents groundbreaking strategies for psychotherapy with today's teens, for whom high-risk behavior, lack of adult guidance, and intense anxiety and stress increasingly come with the territory. Ron Taffel addresses the key challenge of building a therapeutic relationship that is strong en
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