Arnold Winston – författare
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In the past, short-term -- or brief -- treatment was practiced by few clinicians, its power relatively unknown. Today, the dual pressures of managed care and patient preference make it imperative to reconsider brief treatment, which has proven to be as effective as long-term therapy for many disorders and problems.
This remarkable guide for conducting short-term psychotherapy details the tools and techniques of brief psychotherapy, addressing four main areas: Understanding, conceptualizing, and formulating the patient''s problems -- Brief psychotherapy requires a concise formulation of the patient''s problems within the first hours of treatment to ensure that the therapist understands and can focus on the patient''s core problems early in therapy. The authors describe a detailed method of patient assessment and case formulation as the first building block in learning the fundamentals of short-term treatment. Setting realistic treatment goals -- Brief psychotherapy sets explicit goals from the beginning, based on a thorough evaluation that incorporates the patient''s wishes, desires, and dissatisfactions and an agreement about what the work of therapy will encompass. Knowing what to say to patients (i.e., technique) -- Brief psychotherapy requires focused, concrete techniques within clear guidelines for each stage of treatment. With numerous clinical examples, the authors define a unified treatment that emphasizes the differential use of therapeutic interventions, such as cognitive-behavioral and interpersonal techniques, encompassing the continuum of interpretative to supportive approaches. They also offer an in-depth look into the therapeutic process: they use patient-therapist dialogues -- including both patient and therapist comments and accompanying third-voice explanations -- to chronicle the progress of four patients through the initial, middle, and termination phases of psychotherapy. Maintaining a positive therapeutic alliance -- Although the quality of the therapeutic alliance is the best predictor of outcome in both traditional and brief psychotherapy, it is absolutely vital to the success of brief psychotherapy. The authors present a framework for maintaining and enhancing this alliance, including how to heal misunderstandings.
Concluding with a collaborative model and summary of the past 20 years'' research on integrated treatment, this volume is more than a valuable clinical guide for integrated evaluation and treatment; it is also a practical blueprint for promoting and maintaining a flexible, positive patient/therapist relationship. As such, it will prove indispensable not only to practitioners, but also to educators and students.
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The domain of supportive psychotherapy has expanded in recent years, reflecting changes in how psychotherapy is conducted and the role psychotherapy plays in caring for individuals facing difficult life experiences or living with diverse mental and physical disorders. This new, thoroughly revised and up-to-date edition of Learning Supportive Psychotherapy: An Illustrated Guide (first published as Introduction to Supportive Psychotherapy) instructs beginning psychotherapists in the fundamentals of this treatment modality, which focuses on patients'' overall health and well-being and their ability to adapt constructively to their life circumstances.
The linchpin of supportive psychotherapy -- and, indeed, all psychotherapy -- is the establishment of a true therapeutic alliance. Accordingly, the authors provide readers with skills aimed at instilling trust and establishing a productive therapeutic relationship, including techniques for alliance building, enhancing ego functioning, and reducing and preventing anxiety. In addition, the authors explore the general framework of supportive psychotherapy, including indications, phases of treatment, initiation and termination of sessions, and professional boundaries; explain how to perform a thorough patient evaluation and case formulation; and describe the process of setting realistic goals with the patient.
The following features and areas of focus enhance the book''s utility: Integral to the text''s practical approach are the video case vignettes that accompany several of the chapters. These videos model effective psychotherapeutic techniques and strategies, which readers can incorporate into their skill sets. The chapter on crisis intervention has been thoroughly revised to integrate recent research findings on posttraumatic stress disorder, suicide, and critical incident stress management, and the illustrative multipart case vignette provides a therapeutic narrative that is compelling, relatable, and instructive. The material on the therapeutic alliance focuses on skill building, including how to anticipate and avoid disruption in treatment, how to discuss the therapeutic relationship with the patient, how to modify distorted perceptions using clarification and confrontation, how to deal with negative transference and therapeutic impasses, and how to reframe statements in a supportive manner. Outcome research receives its own chapter, in which the authors review the robust evidence base for the efficacy of supportive psychotherapy, including a number of outcome trials, bolstering the necessity of learning the techniques outlined in the book. The book concludes with 75 questions and answers to test the reader''s comprehension and identify areas for further study.
This new edition of Learning Supportive Psychotherapy: An Illustrated Guide builds on the well-earned reputation of previous editions. Beginning clinicians first learning the techniques of psychotherapy and veterans who must assess competence in the psychiatry residents they supervise will find the help they need in this down-to-earth, clinically rich guide.