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ISBN 10: 130527153X
ISBN 13: 978-1305271531
Author: Edward Teyber, Faith Teyber
Therapy that effects change must authentically involve you, the therapist. Engaging, readable, and immediately helpful with clients, INTERPERSONAL PROCESS IN THERAPY: AN INTEGRATIVE MODEL brings together various theories into a cohesive framework that centers on the therapeutic relationship. It shows you practical ways to intervene with your clients, while addressing and alleviating the concerns new therapists often have — such as worrying about making “mistakes.” It also provides clear guidelines for effective (and ineffective) ways to establish a working alliance, address resistance and resolve ruptures in the therapeutic relationship, help clients transition from surface conversation to their key concerns, respond to clients’ painful feelings, develop a focus for treatment, and more. Featuring new case examples and updated research, the seventh edition’s extensive clinical vignettes and sample therapist-client dialogues will bring you “in the room” with the therapist.
Interpersonal Process in Therapy An Integrative Model 7th Table of contents:
Part I. Introduction and Overview
Chapter 1. The Interpersonal Process Approach
Therapists-in-Training Struggle with Performance Anxieties
Therapists Are More Effective When They Have a Treatment Focus
Core Concepts
The Process Dimension
The Corrective Emotional Experience
Client Response Specificity
Teresa: Case Illustration of Core Concepts
Theoretical and Historical Context
The Interpersonal Domain
The Cognitive Domain
The Familial/Cultural Domain
Closing
Chapter Exercise
Suggested Reading
Part II. Responding to Clients
Chapter 2. Establishing a Working Alliance
Conceptual Overview
The Working Alliance
Collaboration: An Alternative to Directive and Non-Directive Styles
Collaboration Begins with the Initial Interview
Empathic Understanding: The Foundation for a Working Alliance
Ways in Which Clients Do Not Feel Understood
Communicate Understanding Overtly and Specifically
Identifying Recurrent Themes Facilitates Empathic Understanding
Performance Anxieties Make It Harder To Establish A Working Alliance
Empathic Understanding as a Precondition of Change
Closing
Chapter Exercise
Suggested Reading
Chapter 3. Honoring the Client’s Resistance
Conceptual Overview
Reluctance to Address Resistance
The Therapist’s Reluctance to Work with Resistance
The Client’s Reluctance to Work with Resistance
Identifying Resistance
Formulate Working Hypotheses to Clarify Resistance
Responding to Resistance
Part I: Addressing Resistance during the Initial Telephone Contact
Part II: Exploring Resistance at the End of the First Session
Part III: Resistance during Subsequent Sessions
Shame Fuels Resistance
Shame versus Guilt
Shame-Prone Sense of Self
Shame-Rage Cycle
Shame-Anxiety
Success in Treatment Can Be Threatening
Closing
Chapter Exercise
Suggested Readings
Chapter 4. An Internal Focus for Change
Conceptual Overview
Helping Clients Focus Inward on Their Own Experience
Therapy Intensifies When Clients Focus Inward
Reluctance to Adopt an Internal Focus
Therapists’ Reluctance
Points of Entry
Clients’ Reluctance
Developing Agency: Placing the Locus of Change with Clients
Fostering the Client’s Initiative
Enlist Clients in Solving Their Own Problems
Resolving Client’s Conflict
Tracking Clients’ Anxiety
Step 1. Identify Signs of Client’s Anxiety
Step 2. Approach Client’s Anxiety Directly
Step 3. Observe What Precipitates Clients’ Anxiety
Step 4. Focusing Clients Inward to Explore Their Anxiety
Closing
Chapter Exercises
Suggested Reading
Chapter 5. Helping Clients with Their Feelings
Conceptual Overview
Responding to Clients’ Feelings
Work with Clients about Addressing Their Ambivalence
Clients Avoid Feelings Because of Unwanted Interpersonal Consequences
Approach the Client’s Most Salient Feeling
Expand and Elaborate the Client’s Affect
Identify the Predominant Affect
An Old Wound
Multiple Stressors
A Characterological Affect
Recognize the Constellation of Feelings That Clients Frequently Present
Anger-Sadness-Shame
Sadness-Anger-Guilt
Attachment Theory Provides Helpful Guidelines for Responding to Clients’ Distress
Containment: Using Attachment Constructs to Guide Intervention
A Safe Haven Facilitates Change from the Inside
The Client’s Feelings Often Evoke Countertransference
Familial Rules and Roles Shape Counertransference Propensities
Differentiating the Therapist’s Issues from the Client’s
Closing
Chapter Exercise
Suggested Readings
Part III. Clarifying the Client’s Problem and Developing a Treatment Focus
Chapter 6. Familial and Developmental Factors
Conceptual Overview
Attachment Style and Clinical Presentation in Adult Treatment
Four Categories of Attachment
Secure Attachment Style in Adult Clients (Quadrant I: Low Avoidance/Low Anxiety)
Dismissive Attachment Style in Adult Clients (Quadrant II: High Avoidance/Low Anxiety Expression)
Preoccupied Attachment Style in Adult Clients (Quadrant III: Low Avoidance/High Anxiety)
Fearful Attachment Style in Adult Clients (Quadrant IV: High Avoidance/High Anxiety)
Concluding Thoughts on Adult Attachment Styles
Parenting Styles
1. Authoritarian Parenting
2. Permissive Parenting
3. Disengaged Parenting
4. Authoritative Parenting
Love Withdrawal and Conditions of Worth
Mystification Amplifies Problems
Guidelines for Responding to Clients with a Diversity of Parenting and Attachment Styles
Additional Clinical Guidelines
Family Interaction Patterns
Emancipation Conflicts
Closing
Chapter Exercise
Suggested Reading
Chapter 7. Inflexible Interpersonal Coping Strategies
Conceptual Overview
Interpersonal Framework for Conceptualizing Clients
Unmet Developmental Needs
Internal Working Models and Interpersonal Coping Strategies
Internal Working Models Shape Symptoms and Problems
Interpersonal Coping Strategies
Inflexible Interpersonal Coping Strategies: Moving Toward, Moving Against, and Moving Away
Rigid Interpersonal Coping Styles: a Defense Framed as a Virtue
Shoulds for the Self and Expectations of Others
Resolving the Core Conflict
Case Study of Peter: Moving-Toward Others
Developmental History and Precipitating Crisis
Precipitating Crisis, Maladaptive Relational Patterns, and Symptom Development
Course of Treatment
Two Case Summaries
Juan: Moving–Against Others
Maggie: Moving Away from Others
Closing
Chapter Exercise
Reading Suggestion
Chapter 8. Relational Themes and Reparative Experiences
Conceptual Overview
Three Ways Clients Reenact Their Problems with Others in the Therapeutic Relationship
I. Eliciting Maneuvers
II. Clients’ Testing Behavior
III. Transference Reactions
Finding Interpersonal Balance
Enmeshment
Disengagement
Effective Middle Ground of Balanced Involvement
Ambivalence: Responding to Both Sides of Clients’ Experience
Closing
Chapter Exercise
Suggested Reading
Part IV. Resolution and Change
Chapter 9. Working with the Process Dimension
Conceptual Overview
Resolving Problems through the Interpersonal Process
Responding to Clients’ Conflicts in the Therapeutic Relationship
Bringing Conflicts to the Therapeutic Relationship
Using the Process Dimension to Facilitate Change
Using Process Comments to Provide an Interpersonal Solution
Response 1: A Disconfirming Response Is Least Challenging
Response 2: Clients May Avoid the Immediacy of Their Conflicts by Discounting the Therapist’s Relevance
Response 3: Clients May Respond to the Therapist’s Question Affirmatively
Therapists’ Initial Reluctance to Work with the Process Dimension
Uncertainty about When to Intervene 1.
Closing
Chapter Exercise
Suggested Reading
Chapter 10. Working-Through and Termination
Conceptual Overview
The Course of Client Change: An Overview
Working-Through
The Working-Through Process
Family-of-Origin Work
The Dream: The Future
Termination
Client Ends Treatment Early
Client and Therapist Talk about Therapy Ending
Ending the Relationship
Closing
Chapter Exercise
Suggested Readings
Appendix A. Process Notes
Appendix B. Guidelines for Treatment Planning
References.
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