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The image we have of ourselves is shaped during our childhood and is often influenced by various emotional wounds. Mindfulness and the Self describes four types of these wounds and shows how they can be healed and transformed through developing mindfulness and self-compassion.Grounded in the innovative Mindfulness-Informed Integrative Psychotherapy framework, this book presents a revolutionary phenomenological model of maladaptive schemas and redefines our understanding of mental disorders. It offers practical procedures to uncover hidden core beliefs and treat our most painful inner feelings—existential fear, shame, and loneliness. Beyond healing, this text will guide you in developing an Authentic and Transcendent Self while alerting you to common pitfalls on your spiritual journey. Drawing on contemporary therapeutic approaches and integrating insights from neuroscience, psychedelic research, and Buddhist psychology, the book includes 20 practical exercises and presents practices and techniques that may be used in psychotherapy and personal development.This book is an inspiring read for therapists, mindfulness practitioners, and anyone eager to integrate therapeutic insights into their journey toward a fulfilling life. It is indispensable for all seeking to overcome emotional barriers and enhance personal and transpersonal growth.

This book describes a relationship-focused approach to the conduct of cognitive behavioral therapy (CBT) called therapeutic relationship-focused CBT, offering readers a broad conceptualization of the therapeutic relationship by integrating literature that cuts across theoretical frameworks, and applies this conceptualization to illustrate how the therapeutic relationship can be used as both a facilitator of change as well as a central agent of change within the cognitive behavioral framework. In addition to acknowledging important theoretical and empirical scholarship on the therapeutic relationship that has been advanced by renowned CBT scholars, the book highlights and integrates important insights from scholars who operate outside of the cognitive behavioral framework. In addition, it provides clinical guidance for developing, maintaining, and enhancing the therapeutic relationship throughout the course of CBT, and provides case illustrations to support the notion that some of the very best CBT occurs in the context of an issue happening in real time, in session, within the therapeutic relationship. Chapters emphasize that the incorporation of a focus on the therapeutic relationship in CBT has the potential to enhance outcomes and promote treatment engagement for clients. The volume is divided into two parts. The first part on contextual foundations describes theory, discourse, empirical research, and some clinical applications of general aspects of the therapeutic relationship. Part two of the book summarizes clinical guidance for the implementation of therapeutic relationship-focused CBT, showing how the therapeutic relationship can facilitate CBT techniques like cognitive restructuring, social problem solving, exposure, and schema modification. The author discusses how to address sensitive issues that may not typically be addressed in the CBT literature, such as negative client reactions to therapists and vice versa. Guidance for repairing ruptures in the working alliance and ending therapy is also provided. Together, the volume presents a vivid description of a therapeutic relationship-focused CBT that brings together key scholarly advancements on the therapeutic relationship, translates them into clinical guidance, and establishes a foundation for future empirical research and clinical practice.

In this uniquely integrative book, Paul L. Wachtel describes powerful clinical strategies to make room for aspects of the self that were sidetracked in the course of development. Wachtel explores how early attachment experiences can lead people to turn away from certain thoughts and feelings, building a sense of self and ways of interacting on only a limited range of adaptive resources. His approach draws on psychodynamic, humanistic, systemic, and acceptance-centered cognitive-behavioral perspectives, as well as attention to the impact of race, class, and culture. Filled with rich case material, the book illuminates how a therapeutic approach anchored in the present can help heal the wounds of the past. See also Wachtel's Therapeutic Communication, Second Edition: Knowing What to Say When, as well as Mastering the Clinical Conversation: Language as Intervention, by Matthieu Villatte, Jennifer L. Villatte, and Steven C. Hayes.

Now in a fully rewritten fourth edition, this is the authoritative presentation of motivational interviewing (MI), the powerful approach to facilitating change. It has been updated and streamlined to be even more user-friendly as a practitioner guide and course text. MI originators William R. Miller and Stephen Rollnick elucidate the four tasks of MI--engaging, focusing, evoking, and planning--and vividly demonstrate what they look like in action. A wealth of vignettes and interview examples illustrate the dos and don'ts of successful implementation in diverse contexts. The book reviews the evidence base for the approach and covers ways to assess the quality of MI. The companion website provides reflection questions, annotated case material, and additional helpful resources. New to This Edition •Most of the book is entirely new. •Addresses the breadth of MI applications not only in counseling and psychotherapy, but also in health care, education, coaching, management, and other contexts. •Discusses delivering MI remotely, simple versus complex affirmations, strategic use of directional questions, ethical considerations, and other new or expanded topics. •Increased emphasis on using MI throughout a client's process of change and growth, not just in the preparatory stage. Pedagogical Features •New or updated online materials, including reflection questions and annotated cases. •Key points at the end of each chapter. •'Personal Perspective'and'For Therapists'boxes in every chapter. •Extensive glossary. •New self-assessment tool that targets the component skills of MI. See also Building Motivational Interviewing Skills, Second Edition: A Practitioner Workbook, by David B. Rosengren, and Motivational Interviewing and CBT: Combining Strategies for Maximum Effectiveness, by Sylvie Naar and Steven A. Safren. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

Years of experience, level of qualification, modality delivered, supervision, personal therapy, and continuing professional development are not predictive of client outcomes in psychotherapy. Further, the outcomes of psychotherapy have not improved in over 40 years, despite the proliferation of new therapy modalities. Evidence Based Counselling & Psychotherapy for the 21st Century Practitioner answers how counselling and psychotherapy can be operationalised in the 21st century, dispelling long-held beliefs about how psychotherapy works. Discussing evidence-based practice in its various forms, the chapters provide an analysis of research used and the debate around the effectiveness of specific therapies, commonalities across therapies and the many evidence-based relationship variables that are said to contribute to effective psychotherapy. Client factors and the use of technology, deliberate practice, supervision, and a simulated client case demonstrate the application of the methods and ideas reviewed. Whether a novice psychotherapy trainee or a seasoned practitioner or supervisor, Evidence Based Counselling & Psychotherapy for the 21st Century Practitioner illustrates what an effective 21st century practitioner needs to know, do, and reflect on to improve the effectiveness of their psychotherapeutic work and client outcomes – of interest across the allied health and social care sectors where counselling and therapy interventions are used.

Deliberate practice is a systematic approach for improving psychotherapy outcomes, one clinician at a time. This book offers guidance from leading experts in designing deliberate practice exercises specific to the individual practitioner. Written to be used in conjunction with Better Results: Using Deliberate Practice to Improve Therapeutic Effectiveness, this field guide demonstrates how to collect and use client outcome data to create an individualized professional development plan to improve the quality of service. Along with providing guidance in understanding and mapping individual data onto the taxonomy for deliberate practice (TDPA), the expert chapter authors detail a number of factors that influence therapy outcomes, including client factors, therapist factors, client-therapist relationships, and more.Field Guide to Better Results aims to assist therapists in further understanding and applying the concepts needed to gain more effective outcomes.

This foundational text offers dynamic and fresh perspectives on theories across the helping professions to help guide client case conceptualization and therapeutic transformation. A diverse group of topical experts providees contemporary insight on the following theories: relational-cultural, psychodynamic, Jungian, Adlerian, existential, person-centered, Gestalt, cognitive behavioral, third-wave cognitive behavioral, rational emotive, reality therapy/choice, family, feminist, constructivist, and emotion-focused theories, as well as creative approaches to counseling used in a variety of theoretical models. Each theory is discussed in terms of historical backtround; human nature and development; major constructs; applications, including goals, the process of change, traditional and brief interventions, and serious mental health issues, supporting research and limitations; and the case of Clarita. The use of a consistent case study across chapters reinforces the differences between theories and demonstrates how each theory influences the counseling and treatment plan. A complimentary test manual and PowerPoints for instructor use are available by request. •Requests for digital versions from ACA can be found on www.wiley.com •To purchase print copies, please visit the ACA website https://imis.counseling.org/store/ •Reproduction requests for material from books published by the ACA should be directed to publications@counseling.org

Clarify, simplify, and accelerate the treatment planning process so you can spend more time with clientsThe Addiction Treatment Planner, Sixth Edition: provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payers, and state and federal agencies. This valuable resource contains treatment plan components for 48 behaviorally based presenting problems including depression, intimate relationship conflicts, chronic pain, anxiety, substance use, borderline personality, and more. You'll save hours by speeding up the completion of time-consuming paperwork, without sacrificing your freedom to develop customized treatment plans for clients. This updated edition includes new and revised evidence-based objectives and interventions, new online resources, expanded references, an expanded list of client workbooks and self-help titles, and the latest information on assessment instruments. In addition, you'll find new chapters on some of today's most challenging issues- Opiod Use Disorder, Panic/Agoraphobia, Loneliness, and Vocational Stress. New suggested homework exercises will help you encourage your clients to bridge their therapeutic work to home. Quickly and easily develop treatment plans that satisfy third-party requirements. Access extensive references for treatment techniques, client workbooks and more. Offer effective and evidence-based homework exercises to clients with any of 48 behaviorally based presenting problems. Enjoy time-saving treatment goals, objectives and interventions- pluse space to record your own customized treatment plan. This book's easy-to-use reference format helps locate treatment plan components by presenting behavioral problem or DSM-5 diagnosis. Inside, you'll also find a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies including CARF, The Joint Commission (TJC), COA, and the NCQA. The Additction Treatment Planner, Sixth Edition: will liberate you to focus on what's really important in your clinical work.

The therapeutic relationship, more than any particular technique or intervention, is the key to therapeutic success. Positive regard is a crucial component of that relationship. This book reconsiders the role of positive regard in contemporary psychotherapies. Positive regard, along with the therapist's empathy and genuineness, is one of Carl Rogers'three'necessary and sufficient'conditions for therapeutic change. However, positive regard is the least well-researched and most misunderstood of the three conditions. It has long been conceived as a potential ingredient in the formation and development of an effective therapeutic relationship, but many therapists in recent decades have considered positive regard a dubious ingredient, too oblivious to human frailty and malevolence, and too susceptible to a therapist's potential for collusion with patients'defenses and resistance to change. Written for a variety of psychotherapists, this book offers an investigation into the efficacy of positive regard by examining its history, evolution, misperceptions, criticisms, and value. The authors argue for a broader acceptance of the role of positive regard across diverse patients and therapies.

The client is the protagonist in the psychotherapy journey with the therapist supporting them on their journey. This book argues for the importance of recognizing clients'expertise on their own lives and allowing them the space to generate their innate capacity for self‑healing. The Other Side of Psychotherapy offers fresh insights into clients'experiences and offers guidelines for how therapists can capitalize on clients'knowledge, skills, and strengths to build the therapeutic alliance and ensure transformational change. Contributors present what is known about client factors, what can be inferred about clients from the literature, and what isn't known or is missing. They also emphasize that each client must be understood as an individual that does not always conform with broad empirical conceptualizations. Authors discuss implications for practice, teaching and training, and identify fruitful areas for future research. Case examples offer vivid, practical illustrations centering psychotherapy around individual clients in real‑life clinical scenarios.

This essential text explores the intersectionality of the self in therapeutic practice, bringing together theoretical foundations and practical implications to provide clear guidance for students and practitioners.Bringing together a collection of insightful and experienced clinicians, this book examines the ways in which intersectionality influences all phases of clinical and supervisory work, from outreach, assessment, and through to termination. Integrating research with clinical practice, chapters not only examine the theoretical, intersectional location of the self for the therapist, client, or supervisee, but they also consider how this social identity effects the therapeutic process and, crucially, work with clients. The book includes first-hand accounts, case studies, and reflections to demonstrate how interactions are influenced by gender, race, and sexuality, offering practical ideas about how to work intentionally and ethically with clients. Engaging, informative, and practical, this book is essential reading for students, supervisors, family, marriage, and couple therapists, and clinical social workers who want to work confidently with a range of clients, as well as clinical professionals interested in the role of intersectionality in their work.

The revised edition of the clinicians'time-saving Psychotherapy Treatment Planner Revised and updated, the sixth edition of The Complete Adult Psychotherapy Treatment Planner offers clinicians a timesaving, evidence-based guide that helps to clarify, simplify and accelerate the treatment planning process so they can spend less time on paperwork and more time with clients. The authors provide all the elements necessary to quickly and easily develop formal, customizable treatment plans that satisfy the demands of HMOs, managed-care companies, third-party payers and state and federal agencies. This revised edition includes new client Short-Term Objectives and clinician Therapeutic Interventions that are grounded in evidence-based treatment wherever research data provides support to an intervention approach. If no research support is available a best practice standard is provided. This new edition also offers two new presenting problem chapters (Loneliness and Opioid Use Disorder) and the authors have updated the content throughout the book to improve clarity, conciseness and accuracy. This important book: Offers a completely updated resource that helps clinicians quickly develop effective, evidence-based treatment plans Includes an easy-to-use format locating treatment plan components by Presenting Problem or DSM-5 diagnosis Contains over 3,000 prewritten treatment Symptoms, Goals, Objectives and Interventions to select from Presents evidence-based treatment plan components for 45 behaviorally defined Presenting Problems Suggests homework exercises specifically created for each Presenting Problem Written for psychologists, therapists, counselors, social workers, addiction counselors, psychiatrists, and other mental health professionals, The Complete Adult Psychotherapy Treatment Planner, Sixth Edition has been updated to contain the most recent interventions that are evidence-based.

Celebrating the 50th anniversary of a best-selling and renowned reference in psychotherapy research and practice. Now celebrating its 50th anniversary and in its seventh edition, Bergin and Garfield's Handbook of Psychotherapy and Behavior Change, maintains its position as the essential reference volume for psychotherapy research. This bestselling reference remains the most important overview of research findings in psychotherapy. It is a rigorous and evidence-based text for academics, researchers, practitioners, and students. In recognition of the 50th anniversary, this edition contains a Foreword by Allen Bergin while the Handbook covers the following main themes: historical and methodological issues, measuring and evidencing change in efficacy and practice-based research, therapeutic ingredients, therapeutic approaches and formats, increasing precision and scale of delivery, and future directions in the field of psychotherapy research. Chapters have either been completely rewritten and updated or comprise new topics by contributors including: Characteristics of effective therapists Mindfulness and acceptance-based therapies Personalized treatment approaches The internet as a medium for treatment delivery Models of therapy and how to scale up treatment delivery to address unmet needs The newest edition of this renowned Handbook offers state-of-the-art updates to the key areas in psychotherapy research and practice today. Over 60 authors, experts in their fields, from over 10 countries have contributed to this anniversary edition, providing in-depth, measured and insightful summaries of the current field.

What do you do when your client flies into a rage or has a severe panic attack during a therapy session? Author Julian D. Ford explains how to harness such crises for breakthroughs. Crises that erupt in the midst of a psychotherapy session can be overwhelming not just for the client but also for the therapist. Yet every crisis also can be a therapeutic breakthrough. With this book, therapists learn how to transform such critical moments in psychotherapy into powerful and positive turning points. Drawing from trauma and attachment theory and the essential principles of psychotherapy and crisis management, Ford explains how crises can be understood as episodes of extreme emotional dysregulation. With a series of in-depth case examples, Ford shows how therapists can utilize emotion regulation as a practical framework to deescalate crises. Each case study is a transcript of a psychotherapy session, complete with dialogue and commentary, featuring real-life expert clinicians who use a crisis as an opportunity to help clients face and resolve a sense of being damaged, betrayed, or abandoned. With wisdom, compassion, and a deep understanding of human emotions, this book teaches essential skills that all therapists will need.

This book is a step-by-step guide to using deliberate practice as an individualized professional development plan for psychotherapists to improve the quality of their service using client outcome data. Deliberate practice is a systematic approach for improving psychotherapy outcomes, one clinician at a time. This step-by-step guide to deliberate practice demonstrates how to collect and use client outcome data to create an individualized professional development plan to improve the quality of your service. Your goal is to help more of your psychotherapy clients get better. For those who do realize gains, your goal is to help them experience a greater degree of improvement as a result of working with you. In this book you will learn how to conduct routine outcome measurements to gather data from your own practice. Detailed instructions and examples walk you through the process of determining your baseline performance, identifying and addressing your strengths and deficits as a practitioner, and assessing your progress. Richly-drawn case studies and stories from the business world and popular culture illustrate how research from the field of expert performance offers a different paradigm for professional development that departs from the field's traditional emphasis on learning therapy models and techniques.

First published in 2002, the landmark Psychotherapy Relationships That Work broke new ground by focusing renewed and corrective attention on the substantial research behind the crucial (but often overlooked) client-therapist relationship. This highly cited, widely adopted classic is now presented in two volumes: Evidence-based Therapist Contributions, edited by John C. Norcross and Michael J. Lambert; and Evidence-based Therapist Responsiveness, edited by John C. Norcross and Bruce E. Wampold. Each chapter in the two volumes features a specific therapist behavior that improves treatment outcome, or a transdiagnostic patient characteristic by which clinicians can effectively tailor psychotherapy. In addition to updates to existing chapters, the third edition features new chapters on the real relationship, emotional expression, immediacy, therapist self-disclosure, promoting treatment credibility, and adapting therapy to the patient's gender identity and sexual orientation. All chapters provide original meta-analyses, clinical examples, landmark studies, diversity considerations, training implications, and most importantly, research-infused therapeutic practices by distinguished contributors. Featuring expanded coverage and an enhanced practice focus, the third edition of the seminal Psychotherapy Relationships That Work offers a compelling synthesis of the best available research, clinical expertise, and patient characteristics in the tradition of evidence-based practice.

Un completo manual de psicoterapias que incluye desde el clásico psicoanálisis hasta las modalidades más modernas como la terapia de aceptación o el mindfulness. Este nuevo manual de psicoterapias expone más de treinta y cinco influyentes modelos de psicoterapia, desde los más clásicos hasta los más modernos. Todos ellos son explicados desde un mismo esquema común -historia, visión de la persona, patología y tratamiento- para facilitar su estudio y aprendizaje, con un lenguaje claro y sencillo. Conocer los diferentes modelos de tratamientos psicológicos es un aspecto fundamental para quienes se están formando en el campo de la psicología, de la psiquiatría e incluso de la medicina. Este es el primer manual en español que recoge una visión exhaustiva y actual de los enfoques más relevantes en los tratamientos psicológicos, al estilo de los manuales norteamericanos, para proporcionar a estudiantes o personas interesadas en psicología una buena introducción a las psicoterapias.

Principles of Change constitutes a new approach to evidence-based practice in psychotherapy that goes beyond the traditional and unidirectional dissemination of research, whereby clinicians are typically viewed as passive recipients of scientific findings. Based on an extensive review of literature, it first offers a list of 38 empirically based principles of change grouped in five categories: client prognostic, treatment/provider moderating, client process, therapeutic relationship, and therapist interventions. Six therapists from diverse theoretical orientations then describe, in rich and insightful detail, how they implement each of these principles. The book also offers exchanges between researchers and clinicians on several key issues, including: how similarly and differently change principles are addressed or used across a variety of treatments; and how clinicians'observations and reflections can guide future research. By presenting together these unique yet complementary experiences, Principles of Change will support synergetic advances in understanding and improving psychotherapy, laying the foundation for further collaborations and partnerships between stakeholders in mental health services.

This book presents essential background necessary for understanding the role of theory in psychotherapy practice, and shows how understanding psychotherapy theory is the first step to becoming an effective therapist. The author provides a thorough but concise overview of the history of psychotherapy, the evolution of psychotherapy theories, and research on the effectiveness of various psychotherapies in general practice and for treatment of specific common disorders.The Basics of Psychotherapy, now in its second edition, is an accessible, handy resource for students training to be psychotherapists and practitioners seeking to reevaluate theories and corresponding therapies. As the foundational book in the Theories of Psychotherapy Series, this title may be read first or in combination with other books in the series to establish a thorough understanding of psychotherapy and its variants. This updated second edition incorporates new developments in theory and research, new approaches including advances in culturally sensitive therapy, and updates in the classification of mental illness.

Depression is one of the most common forms of psychological distress and can have devastating consequences for individuals and their loved ones. Decades of research have shown that there are many possible causes of depression, and one of those causes involves problems with self-regulation. Self-regulation involves setting and pursuing important personal goals - put simply, the process of trying to be the kind of person you want to be. Self-System Therapy for Depression: Therapist Guide provides a thorough description of Self-System Therapy (SST)-a motivational approach to treating depression that helps decrease feelings of disappointment and failure and increase feelings of pride and accomplishment, by improving the process of self-regulation. Clinical studies have shown that SST is effective in reducing depression and anxiety. The treatment program is structured within a 16-session plan, and strategies and techniques for each phase of treatment are presented in detail, along with case vignettes and examples. The core strategies of SST focus on identifying appropriate and reasonable personal goals and standards (including coping with perfectionistic standards), evaluating and improving the effectiveness of goal pursuit strategies, and adjusting goals in order to improve opportunities for positive emotions. The accompanying Client Workbook explains the basics of self-regulation in simple terms and provides worksheets to help illustrate and implement these strategies.

Some therapists are more effective than others, that much is clear; why they are more effective is less clear. This book identifies which characteristics make therapists more or less effective in their work and proposes guidelines to improve their effectiveness. Editors Louis Castonguay and Clara Hill have gathered a panel of expert researchers and practitioners from diverse theoretical backgrounds to answer this complicated question. Synthesizing the rich literature on therapist effects in this comprehensive volume, they explore how various effects can help or hinder clients in therapy. They then propose practical strategies that mental health practitioners can use to improve their own effectiveness. Castonguay, Hill, and their contributors first lay the empirical foundations for understanding therapist effects and why they are important. They also acknowledge the massive variability that exists among therapists and the complexities of studying therapist effects. Drawing from this fundamental knowledge, they then carefully examine specific therapist characteristics, attitudes, and skills that are relevant in any therapeutic setting. Topics include therapists'responsiveness, presence, attachment, and technical interventions; cultural factors; negative emotions; humor; and creativity. Exciting new studies about therapist effects in the treatment of specific disorders, including depression and generalized anxiety, are also presented. The closing chapters translate the book's general themes and takeaways into broader applications for research, intervention, training, and policy, including the role of routine outcome monitoring.

Innovations in Cognitive Behavioral Therapy provides clinicians with a powerful arsenal of contemporary, creative, and innovative strategic interventions for use in cognitive behavioral therapy (CBT). This book goes well beyond standard CBT texts by highlighting new developments in the field and advancing a new definition of CBT that reflects the field's evolution. Throughout these pages, clinicians will find empirical research to back up recommended strategies and discussion of ways to translate this research into their clinical practice. Readers can also turn to the book's website for valuable handouts, worksheets, and other downloadable tools.

Featuring important theories and trends not covered in other foundational texts, this book is designed to equip the next generation of counselors with the tools they need for understanding the core dimensions of the helping relationship. Topical experts provide contemporary information and insight on the following theories: psychoanalytic, Jungian, Adlerian, existential, person-centered, Gestalt, cognitive behavior, dialectical behavior, rational emotive behavior, reality therapy/choice theory, family, feminist, transpersonal, and—new to this edition—solution-focused and narrative therapies, as well as creative approaches to counseling. Each theory is discussed from the perspective of historical background, human nature, major constructs, applications, the change process, traditional and brief intervention strategies, cross-cultural considerations, and limitations. The use of a consistent case study across chapters reinforces the differences between theories. •Requests for digital versions from ACA can be found on www.wiley.com. •To purchase print copies, please visit the ACA website •Reproduction requests for material from books published by ACA should be directed to permissions@counseling.org

This thoroughly revised update to the first edition highlights cutting edge research on the effectiveness of various humanistic psychotherapy approaches. Illustrative case examples containing vivid client–therapist dialogue demonstrate how to apply humanistic principles in practice. Humanistic psychotherapy is based on more than 70 years of psychological research, but there has been a surge of literature since the first edition of Humanistic Psychotherapies. This extensively updated volume highlights the flourishing evidence base for humanistic approaches, demonstrating that they are equal to or more effective than other therapeutic approaches. In fact, cornerstones of humanistic practice, such as therapist empathy and authentic emotional expression and experience, are essential to promoting positive client outcomes for non-humanistic practitioners as well. In addition to a general review of research, the contributors focus on specific approaches, including person-centered therapy, gestalt therapy, focusing-oriented therapy, existential therapy, emotion-focused therapy, relationship enhancement therapy, and child-centered play therapy. Also discussed are important therapist factors and client variables that contribute to effective psychotherapy. New findings are translated into practical guidelines for clinicians. Numerous case examples with vivid client–therapist dialogues illustrate how humanistic principles and approaches can be applied in actual practice—not just with individuals, but also with couples, families, and children. The final chapter synthesizes the entire volume with a proposed model for optimal humanistic psychotherapeutic practice, based on 20 simple premises drawn from the best evidence available.

How does the therapist begin psychotherapy? How, that is, does she conceptualize the needs of the patient while simultaneously enlisting him or her as an active partner in formulating an individualized working plan? And how should supervisors teach the skills needed to make the intake procedure truly the beginning of treatment? In Beginnings: The Art and Science of Planning Psychotherapy Mary Jo Peebles-Kleiger tackles these and other questions in an authoritative manner that draws on the cumulative experience of the outpatient department of the Menninger Psychiatric Clinic. Peebles-Kleiger's elegant synoptic discussions of the major categories of psychological dysfunction and the different treatment strategies appropriate to them are carefully calibrated, with actual examples, to the limits and opportunities of the first sessions. Of particular value is her unusual capacity to articulate patients'various difficulties in forming and maintaining an alliance, and then to show how such difficulties feed back into the clinician's interventions in the first few sessions. In this manner, she illustrates how potential treatment obstacles-- difficulties in affect regulation, in reality testing, in conscience formation, among others--can be assessed and subjected to trial interventions from the very start. Skilled in various psychodynamic and behavioral approaches, from psychoanalysis to hypnotherapy, Peebles-Kleiger consistently advances an integrative approach that cuts across specific modalities and combines sophisticated psychodynamic understanding with the fruits of empirical research. Both primer and sourcebook, Beginnings: The Art and Science of Planning Psychotherapy fills a niche in the literature so admirably that clinicians will find it indispensible in planning humanely responsive treatment in an increasingly complex therapeutic world.

Out of control sexual behavior ñ referred to variously as'sex addiction','sexual compulsivity', and'hypersexuality', among other terms, has been a controversial and attention-getting issue since it first captured both public and professional attention over 30 years ago. Previous discussions of this behavior have been grounded in conceptualizing it as a pathologized, medical issue on par with substance abuse addictions, or, in backlash, as simply irresponsible behavior indicating weakness in the individual.In keeping with the call from many leaders in the mental health and sexual health areas to move beyond these two polarized conceptualizations of these sexual behavior problems, the authors present a model for working with clients in both group and individual treatment settings. Based on their experience with hundreds of clients, this book provides a comprehensive and practical conceptualization of out of control sexual behavior framed as a sexual health problem within a larger model of human behavior, not a psychiatric or addictive disorder.The book includes step-by-step tools for assessment, treatment planning as well as treatment implementation. It describes a process for professionals to guide clients to define and be accountable for their own personal vision of sexual health as the foundation on which they regain sexual behavior control. The authors provide rich and varied composite case examples based on 20 years of clinical experience that demonstrate clinician sexual health treatment conversations and tools, as well as stories of hope and guidance so essential to individuals wanting to understand how sexual health can be the essential ally in changing their sexual behavior.

What happens when clients — and practitioners — get in the way of the therapy process? Therapy-interfering behavior is a common issue. It can be intentional or unintentional, strategic or automatic, calculated or absent-minded, and sometimes it may come from the practitioner, or be mutually acted out with the client. This highly approachable book presents strategies using dialectical behavior therapy (DBT), and addresses a large variety of common therapeutic challenges — including problems with attendance, homework compliance, passive or aggressive behavior, and avoidance. Backed by a strong DBT framework, and supported by empirical discussion, case studies, and examples of therapeutic interactions, Managing Therapy-Interfering Behaviors: Strategies From Dialectical Behavior Therapy also takes the bold step of addressing how therapists can address their own therapy-interfering behavior. Topics such as therapist burnout and what to do when clients appear to be pushing therapeutic limits are covered. The strategies presented apply to many types of patients, in many settings. With original research, detailed procedures, and concise syntheses of the large amount of research available, this book is a vital source for both seasoned DBT clinicians and those seeking to introduce elements of DBT in their clinical practice.

Dieses Buch zeigt Psychotherapeuten, Psychiatern und Beratern detailliert die Gestaltung einer gruppentherapeutischen Behandlung und ist angepasst an die Behandlung von Patienten, die an leichteren Formen unipolarer Depressionen leiden. Sämtliche der beschriebenen therapeutischen Strategien lassen sich zudem im einzeltherapeutischen Kontext nutzen. Die Arbeitsblätter im Buch stehen im Internet zum Download zur Verfügung. Dort finden sich auch vier Hörübungen für Patienten.Aus dem InhaltI Theorie – II Praxis und Behandlungsmanual – Teilnehmermaterialien.

This book provides readers with essential information on the foundations of psychotherapy research, and on its applications to the study of both psychotherapy process and outcome. The aim is to stimulate a reflection on these issues in a way that will benefit researchers and clinicians, as well as undergraduate and graduate students, at different levels and from different perspectives. Accordingly, the book presents a balanced mix of chapters summarizing the state of the art in the field from different viewpoints and covering innovative topics and perspectives, reflecting some of the most established traditions and, at the same time, emerging approaches in the field in several countries. The contributors, who were invited from among the experts in our national and international professional networks, also represent a healthy mix of leading figures and young researchers. The first part of the book addresses a number of fundamental issues in psychotherapy research at a historical, philosophical, and theoretical level. The second part of the book is concerned with research on psychotherapy processes; in this regard, both quantitative and qualitative approaches are given equal consideration in order to reflect the growing relevance of the latter. The book's third and last part examines research on psychotherapy outcomes, primarily focusing on quantitative approaches. Offering a balanced mix of perspectives, approaches and topics, the book represents a valuable tool for anyone interested in psychotherapy research.

The second edition of The Great Psychotherapy Debate has been updated and revised to expand the presentation of the Contextual Model, which is derived from a scientific understanding of how humans heal in a social context and explains findings from a vast array of psychotherapies studies. This model provides a compelling alternative to traditional research on psychotherapy, which tends to focus on identifying the most effective treatment for particular disorders through emphasizing the specific ingredients of treatment. The new edition also includes a history of healing practices, medicine, and psychotherapy, an examination of therapist effects, and a thorough review of the research on common factors such as the alliance, expectations, and empathy.

In this collection, international contributors come together to discuss how qualitative and quantitative methods can be used in psychotherapy research. The book considers the advantages and disadvantages of each approach, and recognises how each method can enhance our understanding of psychotherapy.Divided into two parts, the book begins with an examination of quantitative research and discusses how we can transfer observations into numbers and statistical findings. Chapters on quantitative methods cover the development of new findings and the improvement of existing findings, identifying and analysing change, and using meta-analysis.The second half of the book comprises chapters considering how qualitative and mixed methods can be used in psychotherapy research. Chapters on qualitative and mixed methods identify various ways to strengthen the trustworthiness of qualitative findings via rigorous data collection and analysis techniques. Adapted from a special issue of Psychotherapy Research, this volume will be key reading for researchers, academics, and professionals who want a greater understanding of how a particular area of research methods can be used in psychotherapy.

PRAISE FOR Clinical Interviewing, Fifth Edition'For students wanting to learn about the assessment and interviewing process, this book offers a comprehensive approach to putting skills and knowledge into action.'–Marianne Schneider Corey, MA, Licensed Marriage and Family Therapist, Consultant Gerald Corey, EdD, ABPP, Diplomate in Counseling Psychology; Professor Emeritus of Human Services and Counseling, California State University, Fullerton; coauthors of I Never Knew I Had a Choice'Clinical Interviewing, Fifth Edition is a'must-read'for all beginning therapists and supervisors and, I would add, even seasoned psychotherapists will find important new ideas for improving their work!'–Pamela A. Hays, PhD, author, Addressing Cultural Complexities in Practice: Assessment, Diagnosis, and Therapy and Connecting Across Cultures: The Helper's Toolkit'Replete with relevant clinical examples, helpful how-to hints, as well as pearls of clinical wisdom, this comprehensive yet accessible text is highly recommended.'–Victor Yalom, PhD, founder and CEO, Psychotherapy.net The classic guide to proven, practical strategies for conducting effective interviews Now in its Fifth Edition, Clinical Interviewing guides clinicians through the entire interviewing process, beginning with elementary listening and counseling skills and on to more advanced clinical assessment processes, such as intake interviewing, mental status examination, and suicide assessment. This update to the classic text features access to the Video Resource Center (VRC), which includes real-life scenarios of actual counselors and clients demonstrating techniques for effective interviews. Additionally, this Fifth Edition presents: DSM-5™ content emphasizing case formulation and treatment planning A greater emphasis on collaborative goal setting and the client as expert New discussion on multicultural counseling, orientation, and competency Research supporting evidence-based relationships Coverage of assessment and interviewing via e-mail, telephone, texting, instant messaging, and online chatting Structured protocol for conducting a face-to-face, telephone, or video conferencing/Skype mental status examination interview

Praise for Clinical Interviewing, Fifth Edition'For students wanting to learn about the assessment and interviewing process, this book offers a comprehensive approach to putting skills and knowledge into action.'—Marianne Schneider Corey, MA, Licensed Marriage and Family Therapist, Consultant Gerald Corey, EdD, ABPP, Diplomate in Counseling Psychology; Professor Emeritus of Human Services and Counseling, California State University, Fullerton; coauthors of I Never Knew I Had a Choice'Clinical Interviewing, Fifth Edition is a'must-read'for all beginning therapists and supervisors and, I would add, even seasoned psychotherapists will find important new ideas for improving their work!'—Pamela A. Hays, PhD, author, Addressing Cultural Complexities in Practice: Assessment, Diagnosis, and Therapy and Connecting Across Cultures: The Helper's Toolkit'Replete with relevant clinical examples, helpful how-to hints, as well as pearls of clinical wisdom, this comprehensive yet accessible text is highly recommended.'—Victor Yalom, PhD, founder and CEO, Psychotherapy.net The classic guide to proven, practical strategies for conducting effective interviews Now in its fifth edition, Clinical Interviewing guides clinicians through elementary listening and counseling skills onward to more advanced, complex clinical assessment processes such as intake interviewing, mental status examination, and suicide assessment. Featuring an accompanying DVD with real-life scenarios of actual counselors and clients demonstrating techniques for effective interviews, the new edition presents: DSM-5™ content emphasizing case formulation and treatment planning A greater emphasis on collaborative goal setting and the client as expert New discussion on multicultural counseling, orientation, and competency Research supporting evidence-based relationships Non-face-to-face assessment and interviewing via email, telephone, texting, instant messaging, and online chatting Structured protocol for conducting a face-to-face, telephone, or video conferencing/Skype mental status examination interview

Transforming Negative Reactions to Clients will help therapists established and novice understand and constructively use the wide range of interfering feelings they experience in their working alliance with challenging patients. Contributors to this edited volume explore therapists negative reactions across major therapeutic approaches and across various disorders, including borderline personality disorder; the concluding chapter contains practice and training recommendations. Geared toward practicing psychotherapists and supervisors of apprentice therapists, the book draws on integrative and relational psychotherapy, research on the therapeutic alliance, and social psychology research on the reattribution of motive.

'Written with great clarity and intelligence, this book will be of benefit to all mental health practitioners, students of psychology, and those seeking a better understanding of their own process of psychological and spiritual transformation.'—Tara Brach, PhD, Author of Radical Acceptance and True Refuge'In this wonderful book, Rick Johnson weaves together different theoretical perspectives in a way that welcomes religion, spirituality, and nature into the counseling and psychotherapy process. It's a delight to read Dr. Johnson's approach—an approach that teaches therapists how to empathically explore spirituality as an important dimension of human existence.'—John Sommers-Flanagan, PhD, coauthor of Counseling and Psychotherapy Theories in Context and Practice and Clinical Interviewing'Rick Johnson's book Spirituality in Counseling and Psychotherapy is a rich introduction to the varied forms in which spiritual suffering enters the consulting room, the range of theories which address or fail to address this need, and specific attitudes and practices through which therapists can provide a non-doctrinal but open encounter with the spiritual needs of their clients.'—James Hollis, PhD, Jungian analyst, and author of fourteen books, among them What Matters Most: Living a More Considered Life A practical integration of psychology and spirituality that builds upon existing psychological theories While many clients want spiritual and philosophical issues to be addressed in therapy, many mental health professionals report that they feel ill-equipped to meet clients'needs in this area. Providing a model that is approachable from a variety of theoretical orientations, Spirituality in Counseling and Psychotherapy supports therapists in becoming open to the unique ways that clients define, experience, and access life-affirming, spiritual beliefs and practices. Drawing on the author's research into spiritual issues as well as predictors of clients'psychological health, this reflective book presents an integrative approach to discussing the topic of spirituality. An essential resource for mental health professionals of all spiritual and religious persuasions, Spirituality in Counseling and Psychotherapy discusses: Client-defined spirituality Integrating spirituality with psychological theories Why clients become spiritually lost Practical steps for spiritual health and abundance in therapy Helping clients reclaim their real self How spiritually oriented therapy helps Guidance for therapists in differentiating their spirituality from their clients'to foster a more successful therapeutic relationship Filled with numerous cases and stories illustrating how spirituality can be a natural and beneficial part of the therapeutic process, Spirituality in Counseling and Psychotherapy enables mental health professionals to nonjudgmentally invite a collaborative exploration of the role of spirituality in their clients'lives.

This practical book has given tens of thousands of clinicians and students a comprehensive introduction to mindfulness and its clinical applications. The book describes the philosophical underpinnings of mindfulness and reviews the growing body of treatment studies and neuroscientific research. Leading practitioners and researchers present clear-cut procedures for implementing mindfulness techniques and teaching them to patients experiencing depression, anxiety, chronic pain, and other problems. Also addressed are ways that mindfulness practices can increase acceptance and empathy in the therapeutic relationship. User-friendly features include illustrative case examples and practice exercises. New to This Edition •Incorporates significant empirical advances--mindfulness has become one of the most-researched areas in psychotherapy. •Most chapters extensively revised or rewritten. •Chapters on practical ethics, trauma, and addictions. •Greater emphasis on the role of acceptance and compassion in mindfulness. See also Sitting Together: Essential Skills for Mindfulness-Based Psychotherapy, by Susan M. Pollak, Thomas Pedulla, and Ronald D. Siegel, a hands-on guide to incorporating mindfulness practices into psychotherapy.

Thoroughly updated to reflect the latest trends in theory and practice, this this substantially revised and extended edition is the most in-depth and wide-ranging textbook available on person-centred psychotherapy and counselling. Divided into four parts, it examines the theoretical, philosophical and historical foundations of the person-centred approach; the fundamental principles of person-centred practice and applications of person-centred practice; how person-centred conceptualisations and practices can be applied to groups of clients who bring particular issues to therapy; and, finally, professional issues for person-centred therapists, such as ethics, supervision and training.Written by a diverse range of expert contributors, unified by a more relational, ethics-based reading of person-centred theory and practice, this is a comprehensive, cutting-edge resource for students on all advanced level person-centred courses, as well as for a wide range of professional practitioners in the field.New to this Edition:- A new, introductory chapter looking at contemporary challenges and opportunities for growth for the person-centred world - Nine further new chapters, including work with children and young people, older clients, arts-based therapies, addiction and bereavement, spiritual dimensions, contact and perception, working integratively, global and political implications- Increased use of text learning features to make the chapters more accessible and engaging - A greater focus on actual practice, with more case studies and examples of therapist–client dialogues Increased reference to research - A general updating of all chapters to include all relevant references

Praise for Bergin and Garfield's Handbook of Psychotherapy and Behavior Change, Sixth Edition'Not only is this a unique resource, it is the only book that all practitioners and researchers must read to ensure that they are in touch with the extraordinary advances that the field has made over the last years. Many of us have all five previous editions; the current volume is an essential addition to this growing, wonderful series.'—Peter Fonagy, PhD, FBA, Freud Memorial Professor of Psychoanalysis and Head of the Research Department of Clinical, Educational and Health Psychology, University College London'As either researcher or clinician living in the contemporary world of accountability, this invaluable edition of the Handbook is a must for one's professional library.'—Marvin R. Goldfried, PhD, Distinguished Professor of Psychology, Stony Brook University The classic reference on psychotherapy—revised for the twenty-first century Keeping pace with the rapid changes that are taking place in the field, Bergin and Garfield's Handbook of Psychotherapy and Behavior Change, Sixth Edition endures as the most important overview of research findings in psychotherapy for professionals, academics, researchers, and students. This bestselling resource presents authoritative thinking on the pressing questions, issues, and controversies in psychotherapy research and practice today. Thorough and comprehensive, the new edition examines: New findings made possible by neuro-imaging and gene research Qualitative research designs and methods for understanding emotional problems Research in naturalistic settings that capitalizes on the curiosity of providers of services Practice-relevant findings, as well as methodological issues that will help direct future research

Utilizing a decade's worth of clinical experience gained since its original publication, Mary Jo Peebles builds and expands upon exquisitely demonstrated therapeutic approaches and strategies in this second edition of Beginnings. The essential question remains the same, however: How does a therapist begin psychotherapy? To address this delicate issue, she takes a thoughtful, step-by-step approach to the substance of those crucial first sessions, delineating both processes and potential pitfalls in such topics as establishing a therapeutic alliance, issues of trust, and history taking. Each chapter is revised and expanded to include the latest treatment research and modalities, liberally illustrated with rich case material, and espouse a commitment to the value of multiple theoretical perspectives. Frank and sophisticated, yet eminently accessible, this second edition will be an invaluable resource for educators, students, and seasoned practitioners of any therapeutic persuasion.

Revised and updated to reflect the most recent developments in the field, the second edition of the Handbook of Motivational Counseling presents comprehensive coverage of the development and identification of motivational problems and the most effective treatment techniques. Equips clinicians with specific instructions for enhancing clients'motivation for change by targeting their maladaptive motivational patterns Provides step-by-step instructions in the administration, scoring, and interpretation of the motivational assessments, along with details of how to implement the counseling procedures Updated to reflect the most current research and effective treatment techniques, along with all-new chapters on motive-based approaches, motivational counseling with the dually diagnosed, cognitive and motivational retraining, meaning-centered counseling, and motivation in sport Showcases various basic motivational techniques and their adaptations, such as bibliotherapy, individual therapy, and group counseling, while demonstrating specialized uses of the techniques, such as in work settings and rehabilitation medicine

The concept of the real or personal relationship between client and therapist has existed since the earliest days of psychotherapy. Yet the real relationship-with its twin components of genuineness (the intent to avoid deception, including self-deception) and realism (perceiving or experiencing the other in ways that befit the other) has often been misunderstood or ignored. Instead, psychotherapy research has focused largely on the concepts of the working alliance and of transference and counter-transference. In this engaging book, Charles Gelso argues the case for the relevance of the real relationship to successful therapeutic outcomes. He skillfully traces the development of the concept from its roots in early psychoanalytic thought and documents its current utility in numerous modern approaches to therapy including humanistic, relational and cognitive-behavioral. The author examines the real relationship using a wide variety of examples drawn from current research as well as his own extensive clinical experiences. Written in clear, accessible prose, this book will speak to practicing psychotherapists and therapist-trainees as well as researchers and theorists of all persuasions. Given the current interest in the role of the therapeutic relationship in successful client outcomes, this book is both thought-provoking and timely.

The intention of this book was to have investigators describe an expert opinion on their field of research and cutting-edge work in their laboratory on the neurobiology and treatment of eating disorders.

Self-Disclosure in Psychotherapy and Recovery includes a unique mosaic of theoretical and practical clinical information, rich case studies, research findings, and a wealth of evidence-based practice guidelines related to therapist and client self-disclosure in the psychotherapeutic encounter. Experienced clinicians, neophyte therapists, and counselors in training will find this book provides a wealth of insight and useful information that will significantly benefit their therapeutic work. Gary G. Forrest elucidates a diversity of self-disclosure topics that pertain to a wide range of issues impacting every facet of the process and outcome of psychotherapy relationships. Self-Disclosure in Psychotherapy and Recovery represents a seminal contribution to the counseling and psychotherapy literature specific to chemical dependency counseling, addictions-focused therapy, and the self-help based recovery model. This book will be an essential resource for individuals pursuing graduate training and advanced education or supervision in the various behavioral health professions.

Many clinicians today are unaware of the implications of psychotherapy research for their practice. Research that can readily be applied is not always easily found in original empirical papers. And while they know where to find details on methods and statistical procedures, today's clinicians may not grasp the larger picture of psychotherapy research from the past 50 years. Bringing Psychotherapy Research To Life attempts to bridge these gaps by highlighting the work of 28 distinguished psychotherapy researchers, showing how their research programs changed the way we think about and practice psychotherapy. While honoring founders and influential members of the Society for Psychotherapy Research, the book illustrates how research has extended the following questions: What types of patients benefit from therapy? How can relationship problems best be handled? Under which circumstances can emotions be deepened? How does the therapist foster insight? How does the therapist facilitate behavioral change? This book presents scientifically rich and clinically relevant messages embedded in meaningful stories. By contextualizing the work of luminaries in psychotherapy research, it will appeal to students and practitioners alike, including those who want to survey the field as well as those who are looking to its foundations as a resource for fresh research questions. For readers who are primarily associated with a cognitive-behavioral approach, the book will also provide an overview of the constructs investigated and empirical methods used by researchers in the humanistic and psychodynamic traditions.

The editors of this second edition have created a new and enriched volume that presents the most recent research on what works in therapeutic practice, a thorough analysis of this research, and practical guidance on how a therapist can truly “deliver what works in therapy.” The Heart and Soul of Change examines the common factors underlying effective psychotherapy and brings the psychotherapist and the client-therapist relationship back into focus as key determinants of psychotherapy outcome. This edition also demonstrates the power of systematic client feedback to improve effectiveness and efficiency and legitimize psychotherapy services to third party payers.

This completely revised and updated Fourth Edition of the Handbook of Counseling Psychology presents a cross-disciplinary survey of the entire field?combining a scholarly review of important areas of counseling psychology with current and insightful analyses of topics. The new edition equips you with a leading resource containing the latest information on the prevention and treatment of vocational, educational, and personal adjustment problems.

CHOICE Outstanding Academic Title for 20092008 Best Reference, Library Journal'The scope, depth, breadth, currency, arrangement, and authority of this work reflect the thorough, in-depth approach of the entire editorial and publishing team... Advancing current thought and models in the field, this work provides an unparalleled attempt to approach this important subject from many perspectives. Moreover, each volume has a list of entries, a reader′s guide, and information about the authors and the contributors. The reader′s guide incorporates substantive topics, e.g. assessment, testing and research methods, biographies, coping... this is an essential addition to graduate and research collections.'—Library JournalProfessional counseling involves helping clients, individually or in groups, or as couples and families, deal with various career, vocational, educational, and emotional problems. Whether performed by psychologists, psychiatrists, social workers, psychiatric nurses, or counselors, thousands of professionals throughout the United States, as well as the world, are providing counseling services to fellow human beings to help them address and resolve the various problems of living that exceed their coping resources and social support. The Encyclopedia of Counseling provides a comprehensive overview of the theories, models, techniques, and challenges involved in professional counseling. With approximately 600 entries, this definitive resource covers all of the major theories, approaches, and contemporary issues in counseling. The four volumes of this Encyclopedia are flexibly designed so they can be use together as a set or separately by volume, depending on the need of the user.Key Features· Reviews different types of counselors, their different professional identities, and their different models of graduate education· Examines important historical developments that have shaped the evolution of the counseling profession into its current form· Provides a comprehensive compilation of information about established and emerging topics in mental health and personal/emotional counseling· Addresses problems in personal/emotional counseling ranging from concerns about normal developmental processes and common life transitions to debilitating problems of great severity· Discusses the major social, scientific, and professional forces that have shaped the evolution of cross-cultural counseling and psychotherapy· Offers complete information on conventional and up-and-coming areas of interest in career counselingKey Themes· Assessment, Testing, and Research Methods· Biographies· Coping · Counseling—General· Economic/Work Issues· Human Development and Life Transitions· Legal and Ethical Issues· Organizations· Physical and Mental Health· Professional Development and Standards· Psychosocial Traits and Behavior· Society, Race/Ethnicity, and Culture· Subdisciplines· Theories· Therapies, Techniques, and InterventionsThis ultimate resource is designed for laypeople who are interested in learning about the science and practice of counseling. It is also a useful source for undergraduate and graduate students and professionals from other specialties to learn about counseling in all its forms and manifestations.

Foundations of Counseling and Psychotherapy provides an overview of the most prevalent theories of counseling within the context of a scientific model that is both practical and up-to-date. Authors David Sue and Diane Sue provide you with the best practice strategies for working effectively with your clients using an approach that recognizes and utilizes each client's unique strengths, values, belief systems, and environment to effect positive change. Numerous case studies, self-assessment, and critical thinking examples are included.

More Than a Treatment Strategy-A Whole New Direction in Psychotherapy More than just a new behavioral treatment approach, dialectical behavior therapy (DBT) marks a whole new theoretical orientation to the practice of clinical psychology-a rethinking of the causes, descriptions, and treatments of acute mental disorders. This volume offers a detailed explication of DBT in theory and practice. Designed to teach professionals how to use this method in a private-practice setting to treat a range of disorders, this book includes a clear and concise presentation of: DBT and its orientation within the larger context of psychotherapy Dialectic conflict and its role in sustaining mental disorders The DBT coping skill set: meaning-making, mindfulness, emotion regulation, distress tolerance, and strategic behavior skills Practical applications of DBT to a number of acute mental disorders Includes a weblink to client worksheets and five skills-training slide shows

For individuals with chronic, complex problems that include multiple Axis I disorders comorbid with personality disorders, the barriers to change are significant. This book presents a powerful therapeutic approach that integrates psychodynamic, cognitive-behavioral, client-centered, and other techniques to empower patients to overcome these barriers by fostering change in personality. Interpersonal Reconstructive Therapy (IRT) is grounded in an innovative case formulation method that systematically links symptoms to maladaptive patterns in attachment relationships. IRT offers a step-by-step framework for structuring interventions to promote learning of new, healthier patterns, while blocking problem behaviors and building a strong therapeutic alliance. A new preface in the paperback edition addresses current developments in IRT research and practice.