Doing Child and Adolescent Therapy: Adapting Psychodynamic Treatment to Contemporary Practice PDF
Preview Doing Child and Adolescent Therapy: Adapting Psychodynamic Treatment to Contemporary Practice
Doing Child and Adolescent Psychotherapy Doing Child and Adolescent Psychotherapy Adapting Psychodynamic Treatment to Contemporary Practice Second Edition Richard Bromfield, Ph.D. John Wiley & Sons, Inc. This book is printed on acid-free paper. A Copyright © 2007 by John Wiley & Sons, Inc. All rights reserved. Published by John Wiley & Sons, Inc., Hoboken, New Jersey. Published simultaneously in Canada. Wiley Bicentennial Logo: Richard J. Pacifico No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, D anvers, MA 01923, (978) 750–8400, fax (978) 646–8600, or on the web at www.copyright.com. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) 748–6011, fax (201) 748–6008. http://www.wiley.com/go/permissions. Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied war- ranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering professional services. If legal, accounting, medical, psychological or any other expert assistance is required, the services of a competent professional person should be sought. Designations used by companies to distinguish their products are often claimed as trademarks. In all instances where John Wiley & Sons, Inc. is aware of a claim, the product names appear in initial capital or all capital letters. Readers, however, should contact the appropriate companies for more complete information regarding trademarks and registration. For general information on our other products and services please contact our Customer Care Department within the United States at (800) 762–2974, outside the United States at (317) 572–3993 or fax (317) 572–4002. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. For more information about Wiley products, visit our web site at www.wiley.com. Library of Congress Cataloging-in-Publication Data: Bromfield, Richard. Doing child and adolescent psychotherapy : adapting psychodynamic treatment to contemporary practice, second edition / Richard Bromfield. p. ; cm. Includes bibliographical references and indexes. ISBN 978 – 0– 470 –12181– 8 (cloth : alk. paper) 1. Child psychotherapy. 2. Adolescent psychotherapy. 3. Psychodynamic psychotherapy. 4. Play therapy. I. Title. [DNLM: 1. Psychotherapy—methods. 2. Adolescent. 3. Child. WS 350.2 B868d 2007] RJ504.B753 2007 618.92'8914 — dc22 2007002738 Printed in the United States of America. 10 9 8 7 6 5 4 3 2 1 For Margo, friend and mentor Contents What’s New to the Second Edition ix Preface to the First Edition xiii Acknowledgments xv To the Reader xvii Part I The Essentials 1 Easy Does It: Beginning Therapy 3 2 Can I Help You? Evaluating the Child and Offering Treatment 15 3 The Not-So-Magic of Therapy: How Therapy Works 29 4 Do Fence Me In: The Bounds and Limits 47 5 Tell Me Where It Hurts: On Talking and Querying 63 vii viii Contents Part II Techniques and Tools 6 The Lowdown on High Drama: Playing with Puppets and Action Figures 77 7 Shoot, Topple, and Roll: Using Games, Building Toys, and Guns 89 8 Drawing Out the Child: Artwork in Therapy 105 9 All Together Now: Balancing Play and Talk 125 1 0 Pushing the Envelope: On Giving, Telling, and Other Exceptions 141 Part III The Rest 11 Handle with Care: Working with Parents 161 1 2 Handle with Care, Part II: More Work with Parents 177 13 On Brotherly Love and Musical Chairs: Family Work 187 1 4 Talking Heads: Working with Schools and Other Agencies 199 1 5 Hard Times: Unwilling Patients and Therapeutic Crises 209 1 6 Getting to Know You, Getting to Know Me: Race, Religion, and Culture 227 1 7 When Therapy Is Not Enough: Medication 239 18 I Can Name That Tune in Six Sessions: Managed Care and Evidence-Based Treatment 249 1 9 All’s Well That Ends Well: Closing Therapy 261 References 277 Index 283 About the Author 293 What’s New to the Second Edition A lmost 10 years ago I wrote a guide to child therapy. I worked hard, then, to make the book relevant, timely, and thorough. But a lot has happened over the past decade. The economics of mental health, a euphemism for managed care and insurance companies, have grown from supporters of what we do to dictators of it. Even as we meet with our young patients in the privacy of our offices, we feel those bureaucratic beasts breathing down our necks. If, just as Watergate’s Deep Throat advised, we “follow the money,” we see the profound influence that these entities have had on the important work we do. Hospital beds and inpatient settings are disappearing. Every day, child therapists are asked to do more with fewer resources in less time. Paperwork, legal matters, and compliance with state and federal regulations have, like greedy little Pacmen, rushed in ahead of patients to gobble up clinicians’ time. But the shrinking dollar for child treatment has done even more than stress child therapy and its providers. Through the subtle powers of the ix
The list of books you might like
