Integrative Psychotherapy in Healthcare: A Humanistic Approach (Basic Texts in Counselling and Psychotherapy)

202 Pages·2003·1.6 MB·English

by  Tricia Scott

Integrative Psychotherapy in
Healthcare
A Humanistic Approach
Tricia Scott
INTEGRATIVE PSYCHOTHERAPY IN HEALTHCARE
BASIC TEXTS IN COUNSELLING AND PSYCHOTHERAPY
Series Editor: Stephen Frosh
This series introduces readers to the theory and practice of counselling and psycho-
therapy across a wide range of topic areas. The books will appeal to anyone wishing to
use counselling and psychotherapeutic skills and will be particularly relevant to work-
ers in health, education, social work and related settings. The books in this series are
unusual in being rooted in psychodynamic and systemic ideas, yet being written at an
accessible, readable and introductory level. Each text offers theoretical background and
guidance for practice, with creative use of clinical examples.
Published
Jenny Altschuler
WORKING WITH CHRONIC ILLNESS
Bill Barnes, Sheila Ernst and Keith Hyde
AN INTRODUCTION TO GROUPWORK
Stephen Briggs
WORKING WITH ADOLESCENTS
Alex Coren
SHORT-TERM PSYCHOTHERAPY
Emilia Dowling and Gill Gorell Barnes
WORKING WITH CHILDREN AND PARENTS THROUGH
SEPARATION AND DIVORCE
Loretta Franklin
AN INTRODUCTION TO WORKPLACE COUNSELLING
Gill Gorell Barnes
FAMILY THERAPY IN CHANGING TIMES 2nd edition
Sally Hodges
COUNSELLING ADULTS WITH LEARNING DISABILITIES
Ravi Rana
COUNSELLING STUDENTS
Paul Terry
COUNSELLING THE ELDERLY AND THEIR CARERS
Jan Wiener and Mannie Sher
COUNSELLING AND PSYCHOTHERAPY IN PRIMARY HEALTH CARE
Shula Wilson
DISABILITY, COUNSELLING AND PSYCHOTHERAPY
Invitation to authors
The Series Editor welcomes proposals for new books within the Basic Texts in
Counselling and Psychotherapy series. These should be sent to Stephen Frosh at the
School of Psychology, Birkbeck College, Malet Street, London, WC1E 7HX (email
[email protected]).
Basic Texts in Counselling and Psychotherapy
Series Standing Order ISBN 0–333–69330–2
(outside North America only)
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tous at the address below with your name and address, the title of the series
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I
NTEGRATIVE
P
SYCHOTHERAPY IN
H
EALTHCARE
A H
UMANISTIC
A
PPROACH
TRICIA SCOTT
© Tricia Scott 2004
All rights reserved. No reproduction, copy or transmission of this
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Designs and Patents Act 1988.
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Printed and bound in Great Britain by
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Dedicated to my sons, Matthew and Daniel

C
ONTENTS
Acknowledgements xi
Introduction 1
1 Psychotherapy in Healthcare: Setting the Scene 12
Introduction 12
Psychiatric morbidity in the population 14
GPs: the first port of call 15
Distinguishing between psychiatry, psychology,
psychotherapy and counselling in healthcare 16
Who provides psychotherapy in healthcare? 19
Integrating psychotherapy into mental health services 21
Summary 24
2 Psychotherapy Integration 25
What is psychotherapy? 25
Is psychotherapy a mental health profession? 28
The ‘continuum’ and ‘stress-vulnerability’ models 31
Integrating mind and body 33
Medication 34
Integrating psychotherapy within mental
health services 36
Models of integration in psychotherapy 38
Integrative psychotherapy: a humanistic approach 41
Summary 42
3 What Might Help a Person in Distress 43
Psychotherapy and the soul 43
Psychotherapy and change 44
Distress as an opportunity for change and growth 45
vii
CONTENTS
The building blocks of experience: how do
we become who we are? 47
Role of the infant/caregiver relationship 48
The role of intersubjective relatedness in
shaping experience 49
When attachment goes wrong 51
Memory and consciousness 52
The multi-dimensional nature of consciousness 53
Multiple memory systems 54
Layers of emotional life and consciousness 55
Psychic maps for organising unconscious life 57
Life-span development 60
Integrative psychotherapy: a humanistic approach
to helping a person in distress 61
Summary 64
4 Therapeutic Relationship: Core Concept 65
Core conditions 66
Definitions of empathy 67
Empathy as emotional connectedness 68
Empathy as a basis for inquiry 69
Unconscious communication: transference,
countertransference and co-transference 71
What is transference? 72
What is countertransference? 73
Co-transferences 75
The psychic mechanisms for communicating
unconscious processes 75
Reparation, revelation and ripening 76
The mystery of reciprocity 79
Summary 81
5 Who Has Come for Help? 83
Referral to mental health services 83
Psychiatric diagnosis 84
Risk assessment 85
Duration of the therapeutic contract in healthcare 86
Assessment in integrative psychotherapy 87
Listening to the client’s story 90
Integrative framework for assessment 92
viii