Clinical Strategies for Becoming a Master Psychotherapist PDF
Preview Clinical Strategies for Becoming a Master Psychotherapist
O’Donohue/ClinicalStrategiesforBecomingaMasterPsychotherapist O’Dononhue_prelims FinalProof page i 16.2.2006 2:08am Clinical Strategies for Becoming a Master Psychotherapist This Page is Intentionally Left Blank O’Donohue/ClinicalStrategiesforBecomingaMasterPsychotherapist O’Dononhue_prelims FinalProof page iii 16.2.2006 2:08am Clinical Strategies for Becoming a Master Psychotherapist EDITORS Dr. William O’Donohue Dr. Nicholas A. Cummings Dr. Janet L. Cummings AMSTERDAM • BOSTON • HEIDELBERG • LONDON NEW YORK • OXFORD • PARIS • SAN DIEGO SAN FRANCISCO • SINGAPORE • SYDNEY • TOKYO Academic Press is an imprint of Elsevier O’Donohue/ClinicalStrategiesforBecomingaMasterPsychotherapist O’Dononhue_prelims FinalProof page iv 16.2.2006 2:08am AcademicPressisanimprintofElsevier 30CorporateDrive,Suite400,Burlington,MA01803,USA 525BStreet,Suite1900,SanDiego,California92101-4495,USA 84Theobald’sRoad,LondonWCIX8RR,UK Thisbookisprintedonacid-freepaper. Copyright(cid:1)2006,ElsevierInc.Allrightsreserved. Nopartofthispublicationmaybereproducedortransmittedinanyformorbyany means,electronicormechanical,includingphotocopy,recording,oranyinformation storageandretrievalsystem,withoutpermissioninwritingfromthepublisher. PermissionsmaybesoughtdirectlyfromElsevier’sScience&TechnologyRights DepartmentinOxford,UK:phone:(þ44)1865843830,fax:(þ44)1865853333, E-mail:[email protected] viatheElsevierhomepage(http://elsevier.com),byselecting‘‘Support&Contact’’ then‘‘CopyrightandPermission’’andthen‘‘ObtainingPermissions.’’ LibraryofCongressCataloging-in-PublicationData O’Donohue,WilliamT.Clinicalstrategiesforbecomingamasterpsychotherapist/William O’Donohue,NicholasCummings,JanetCummings. p.cm. Includesbibliographicalreferencesandindex. ISBN0-12-088416-X(alk.paper) 1. Psychotherapy.I.Cummings,NicholasA.II.Cummings,JanetL.III.Title. RC480.0332006 616.89’14–dc22 2005023305 BritishLibraryCataloguing-in-PublicationData AcataloguerecordforthisbookisavailablefromtheBritishLibrary. ISBN13:978-0-12-088416-2 ISBN10:0-12-088416-X ForinformationonallAcademicPresspublications visitourWebsiteatwww.books.elsevier.com PrintedintheUnitedStatesofAmerica 06 07 08 09 10 9 8 7 6 5 4 3 2 1 O’Donohue/ClinicalStrategiesforBecomingaMasterPsychotherapist O’Dononhue_prelims FinalProof page v 16.2.2006 2:08am Contents List of CONTRIBUTORS xiii 1 The Art and Science of Psychotherapy WilliamO’Donohue,NicholasCummings,JanetCummings Psychotherapy isnot Entirelyan Art 2 Psychotherapy isnot Only aScience 4 Psychotherapy isboth an Art anda Science 6 AnOutlineoftheProblemsEncounteredintheArtofPsychotherapy 7 References 10 2 Enhancing Client Motivation to Change PaulaL.Wilbourne,EricR.Levensky Definition 12 EnhancingMotivation forChange 13 Assessment 18 TheoreticalUnderpinnings of Motivational Interviewing 19 The Practiceof MotivationalInterviewing 20 Summary 33 Recommended Readingand Online Resources 34 References 34 ClinicalStrategiesfor v Copyright(cid:1)2005byElsevier. BecomingaMasterPsychotherapist Allrightsreserved. O’Donohue/ClinicalStrategiesforBecomingaMasterPsychotherapist O’Dononhue_prelims FinalProof page vi 16.2.2006 2:08am vi Contents 3 The Therapeutic Alliance: Cultivating and Negotiating the Therapeutic Relationship JeremyD.Safran,J.ChristopherMuran, MichaelRothman Definition 38 Identification 39 Theory and Conceptualization 40 Case Formulation 42 ClinicalStrategies 43 KeyMistakes 48 Case Study 49 Summary 52 References 53 4 Narrative Psychotherapy as Effective Story-Making: An Introduction LoisParker Why a Narrative Approach toPsychotherapy? 55 Conceptualizing Psychotherapy as Active Story-Making 56 ASuggested Conceptual Framework 57 Suggested ClinicalPracticesfor Narrative Psychotherapy 62 AStory Unfinished 68 Story-Making’sUniverse, or Narration’s Neglect inPsychotherapy 68 AStory Retold 69 References 70 5 Recognizing and Dealing with Cultural Influences in Psychotherapy MelanieP.Duckworth,TonyIezzi Definition of Culture and OtherTerms 72 Recognizingand Dealing with Cultural Influences inthe Client 74 Dealing and Recognizing Cultural Influences inthe Therapist 76 Case Illustration 81 Summary 83 References 83 O’Donohue/ClinicalStrategiesforBecomingaMasterPsychotherapist O’Dononhue_prelims FinalProof page vii 16.2.2006 2:08am vii Contents 6 Effective Understanding and Dealing with Manipulation MichaelG.Wetter,JackWetter References 93 7 Recognizing and Dealing with Transference GeorgeStricker Definition 95 Detection and other AssessmentIssues 98 Theory and Conceptualization 99 Impact on CaseFormulation 100 Clinical Strategies 103 KeyMistakes and Miscomprehensions 107 Case Study 108 Summary 111 References 112 8 The Temporal Structure of Therapy: Key Questions Often Associated with Different Phases of Sessions and Treatments (Plus Twenty-one Helpful Hints) MichaelF.Hoyt The Temporal Structureof Therapy 115 Some Questions toConsider atDifferent Junctures inTherapy 116 AFew Other Hints 119 References 125 9 Resistance as an Ally in Psychotherapy NicholasA.Cummings ADefinition: Patients have aRightto their Resistance 129 Who isPresenting What, and Why? 130 Initial Strategies forWorking withResistance 131 O’Donohue/ClinicalStrategiesforBecomingaMasterPsychotherapist O’Dononhue_prelims FinalProof page viii 16.2.2006 2:08am viii Contents Imperative Strategies forWorking with Resistance 136 DifferentStrokes forDifferent Folks: Who isPresenting? 140 Summary 142 References 143 10 Enhancing Psychotherapy through Appropriate Entry Points NicholasA.Cummings,JanetL.Cummings Entry Point: a Definition 146 The Landscape: Onion and GarlicPsychodynamics 146 AnalyzableOnion Conditions 149 AnalyzableGarlicConditions 157 The Borderline Personality: ACategory all its own 160 Onion and Garlic Nonanalyzable (Psychotic) Patients 161 Turning up the Heat With Garlic Patients 163 Summary 164 References 164 11 Dealing with Feelings of Depression AlvinR.Mahrer Definitions 167 Theory and Conceptualization 170 Case Formulation 171 ClinicalStrategies 172 KeyMistakes and Miscomprehensions 181 Case Study 183 Summary 187 References 187 12 Designing and Assigning Effective Homework RichardKamins Definition andHistoryof Homework inPsychotherapy 189 Theory and Conceptualization: The Purpose of Homework 190 ClinicalStrategies 192 KeyMistakes and Miscomprehensions 202 O’Donohue/ClinicalStrategiesforBecomingaMasterPsychotherapist O’Dononhue_prelims FinalProof page ix 16.2.2006 2:08am ix Contents Case Studies 203 Summary 205 References 206 13 Skills Training: How the Master Clinician Understands and Teaches Competencies WilliamO’Donohue Background:Why areSkillsNecessary? 212 PotentialAdvantagesof a Skills Training Approach 214 The Major ClinicalQuestionsin Skills Training 218 Technology, Dissemination, and Skills Training 219 Summaryand Conclusions 220 References 221 14 Using Tasks in Ericksonian Psychotherapy JeffreyK.Zeig Setting Goals in Therapy 223 Setting Goals in Ericksonian Therapy 224 Gift Wrapping 225 ATaxonomy ofTasks 226 Additional Considerations 235 Summary 236 References 238 15 Using Acceptance in Integrative Behavioral Couple Therapy ChristopherR.Martell,DavidAtkins Definitions 240 Detection and other AssessmentIssues 241 Theory and Conceptualization 242 Impact on CaseFormulation 242 Clinical Strategies 243 KeyMistakes and Miscomprehensions 254 Case Example 255 Summary 258 References 258
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