Existential-Integrative Approaches to Treating Adolescents PDF
Preview Existential-Integrative Approaches to Treating Adolescents
Existential-Integrative Approaches to Treating Adolescents DavidShumaker Existential-Integrative Approaches to Treating Adolescents DavidShumaker MentalHealthCounselingProgram SuffolkUniversity Boston,Massachusetts,USA ISBN978-1-349-95210-6 ISBN978-1-349-95211-3(eBook) DOI10.1057/978-1-349-95211-3 LibraryofCongressControlNumber:2017940632 ©TheEditor(s)(ifapplicable)andTheAuthor(s)2017 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher,whetherthewholeorpartofthematerialisconcerned,specificallytherightsof translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval,electronicadaptation,computersoftware,orbysimilarordissimilarmethodology nowknownorhereafterdeveloped. Theuseofgeneraldescriptivenames,registerednames,trademarks,servicemarks,etc.inthis publicationdoesnotimply,evenintheabsenceofaspecificstatement,thatsuchnamesare exemptfromtherelevantprotectivelawsandregulationsandthereforefreeforgeneraluse. Thepublisher,theauthorsandtheeditorsaresafetoassumethattheadviceandinformation in this book are believed to be true and accurate at the date of publication. Neither the publishernortheauthorsortheeditorsgiveawarranty,expressorimplied,withrespectto the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutionalaffiliations. Coverillustration:Chronicle/AlamyStockPhoto Printedonacid-freepaper ThisPalgraveMacmillanimprintispublishedbySpringerNature TheregisteredcompanyisNatureAmericaInc. Theregisteredcompanyaddressis:1NewYorkPlaza,NewYork,NY10004,U.S.A. For Jonah, Mason,and Tricia Theloves of mylife P REFACE Thisbookisborneoutofmystrongbeliefinthepowerofexistentialtherapy tohelpadolescentsnavigatetheperilsofafrequentlychallengingperiodof development in human lifespans. Kirk Schneider’s (2008) Existential- IntegrativeTherapyapproachseemsparticularlywellsuitedtoprovidethera- pistsasolidgroundingfromwhichtoembarkonthewonderfulpursuitof tryingtomeettheiradolescentclientsonamuchdeeperlevel.Dr.Schneider, Dr.ShawnRubin,andmanyothermembersofAPADivision32Societyfor Humanistic Psychology have been most gracious in their support of my specific interest in working with adolescents from an EI perspective and this bookis a logical outgrowthof their guidance and encouragement. By nomeans,however,isthisbookintendedtobethefinalsayonhowclinicians canmosteffectivelyworkwithclientsfromthisframework.Thehopeisthat itservesasacatalystforcliniciansandresearcherstomoredeeplyconsiderthe potentialforEIapplicationstobeutilizedwiththisagegroup.Further,any misinterpretations, oversimplifications, or omissions in the depiction of EI and existential theory are solely mine and hopefully will not obscure the powerthattheapproachhasinhelpingadolescents. Asfootnoted inthe chapterswhere EI case examples areshared, while based on the lives of real people, the cases depicted in the book are composite representations of multiple client experiences where names, gender, and other potentially identifiable aspects of the case experience havebeenchangedtoprotectclientconfidentiality.Thedialoguethathas been citedrepresent actualconversations thatauthor has hadwithclients butaspects have alsobeen altered to protectconfidentiality. vii A CKNOWLEDGMENTS Iwouldfirstliketothankhisgraduateresearchassistant,Ms.JuliaGrimm, for her tireless assistance in editing this book. If not for her incredible effortsIwouldstillbeworkingonthisbook.Herstarwillshinebrightlyin the mentalhealthfieldin years tocome. I would also like to thank the incredibly supportive staff at Palgrave- MacMillan,includingbutsurelynotlimitedtoRachelKrause,ElaineFan, andKyraSaniewski.IfitwerenotforRachel,especially,whoencouraged meto writethisbook, I wouldstill be toilinginthe darkness. I would like to thank Suffolk University and the Psychology Departmentforsupporting myresearchefforts.Mywonderfulcolleagues andstudentshave been agreat sourceof inspiration. I would also like to thank his past, present, and future clients for the privilege of working with them and their trust. While it has been said on multipleoccasionsbyothersmuchmoredistinguished,atherapistlearnsa lot morefromhisor herclients thanwhatthey teach. Finally,Iwouldliketothankmywife,Tricia,andtwosons,Masonand Jonah, for their unconditional love, patience, and support in this book writingprocess.Youaretheheartsthatkeepmypulserunning.Thisbook isdedicated to them. ix C ONTENTS 1 AnIntroductiontoEI Therapywith Adolescents 1 2 TheIncidence, Prevalence, andRiskFactors Associated withDebilitatingExistentialAnxietyin Adolescents 27 3 ADevelopmental Modelof ExistentialAnxiety During Adolescence 59 4 CoreExistentialTreatmentApproaches withAdolescents 93 5 EI ApproachestoTreatingAnxiety inAdolescents 127 6 EI ApproachestoTreatingDepression in Adolescents 153 7 EI ApproachestoTreatingSubstance Abuse Disorders inAdolescents 185 8 EI ApproachestoTreatingDisruptive BehaviorDisorders inAdolescents 213 9 EI ApproachestoTreatingTrauma 241 Index 267 xi L F IST OF IGURES Fig.3.1 Developmentalmodelofexistentialanxietyinadolescence 72 xiii CHAPTER1 An Introduction to EI Therapy with Adolescents It should come as no surprise that existential-integrative (EI) therapy (EI) (Schneider, 2008) may be particularly suited for adolescents. EI endeavors to “set people free” (May, 1981) by creating conditions in the therapy hour that allows young clients to reoccupy aspects of themselves that may be denied. A therapeutic approach whose chief aim is to help clients achieve “experiential liberation” – an awakening that results in an enhanced ability to appreciate oneself and life at a deeper level (Bugental, 1978; Tillich, 1967) – would seem ideally suited for those progressing through a developmental stage frequently characterized by an intense search for self-identity and a love/hate relationship with the prospect of greater freedom and autonomy looming on the near horizon (Erikson, 1968; Marcia & Josselson, 2013). But, as has been noted before (Fitzgerald, 2005; Shumaker, 2012), relatively little has been written on how existential concepts and therapeutic approaches might be utilized with this age group. This lack of research attention reflects a broader trend where many graduate training programs have been slow to embrace EI and other humanistic approaches (Bassett-Short & Hammel, 2008). Whymight thisbe the case? Throughout much of the 1990s into the present day empirically sup- portedtreatments(ESTs)havebeenconsideredthegoldstandardofpractice (Chambless&Hollon,1998).Thiswell-intentionedemphasisonpromot- ing scientifically grounded therapies with demonstrated efficacy has had a ©TheAuthor(s)2017 1 D.Shumaker,Existential-IntegrativeApproachestoTreating Adolescents,DOI10.1057/978-1-349-95211-3_1
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