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Psychotherapy Abbreviation is a field-tested approach designed to train both experienced and student mental health professionals to do brief therapy that is effective and highly satisfactory to clients. This book is unique in that it is the only text that is compatible with almost all approaches to treatment, making it suitable as a primer of brief therapy usable by virtually all psychotherapists. Most other brief therapy books are affiliated with a specific theory of psychopathology, making each limited to those who share the author's theoretical orientation. Pekarik wrote this text based on his own brief therapy training manual because he could not find a text suitable for the wide range of psychotherapy approaches represented by the therapists whom he trains in his research, teaching, and consulting work. By offering a unique approach derived from the “active ingredients” common to all forms of brief therapy and the literature on client treatment preferences, Psychotherapy Abbreviation simplifies the abbreviation process and makes it accessible to all therapists. Pekarik's strategies have been field-tested; he has used them to train hundreds of therapists who have demonstrated success with clients--increased client satisfaction, improved treatment effectiveness, and lowered dropout rates. These same therapists also doubled the proportion of cases they treated with brief therapy. This “how to do it” text is extremely practical. It assumes that the reader already has a theory and set of therapy techniques, true of even most graduate students. The emphasis is then placed on the treatment abbreviation process itself. Because of this highly focused approach, the text will, like the technique it describes, be concise and brief. By avoiding association with any particular school of therapy, Pekarik's approach is usable by all schools of therapy. Therapists and future therapists now in graduate school will benefit from Psychotherapy Abbreviation as it explores these topics: rationale for the abbreviation of psychotherapy practical and ethical issues to consider in client selection a conceptual model for treatment abbreviation rapid assessment and case conceptualization establishing a brief therapy focus goal establishment and negotiation adapting standard psychotherapy techniques to the brief format practice issues in brief therapy Psychotherapy Abbreviation is two-part. Part one is an orientation to this model of brief therapy in which Pekarik emphasizes a research-based rationale for doing brief therapy; presents a general theory of why brief treatments work; and provides guidelines for the identification of appropriate clients for brief therapy. The second part of the text is devoted to technical skills training. It begins with an overview of the techniques common to most schools of brief therapy and describes a “universal model” of brief therapy. Readers are then taken step-by-step through a description of the four most important abbreviation techniques, presented in the typical order of use with clients. To encourage readers to consistently apply the recommended techniques, Pekarik includes one particular training case which he describes in detail and uses it in all of the technical skills chapters in special “Case Application” sections of these chapters. Before describing the detailed applications, Pekarik prompts readers to consider how they would apply the abbreviating technique presented in that chapter to the case. With individual exercises, he gives special attention to how readers can adapt their personal therapy styles and theoretical orientations to brief therapy. As a result, readers develop both a rationale and abbreviation strategy compatible with their values and practical needs as therapists. The exercises are found in each chapter in special “exercise
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Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.
Psychotherapy Abbreviation is a field-tested approach designed to train both experienced and student mental health professionals to do brief therapy that is effective and highly satisfactory to clients. This book is unique in that it is the only text that is compatible with almost all approaches to treatment, making it suitable as a primer of brief therapy usable by virtually all psychotherapists. Most other brief therapy books are affiliated with a specific theory of psychopathology, making each limited to those who share the author's theoretical orientation.Pekarik wrote this text based on his own brief therapy training manual because he could not find a text suitable for the wide range of psychotherapy approaches represented by the therapists whom he trains in his research, teaching, and consulting work. By offering a unique approach derived from the “active ingredients” common to all forms of brief therapy and the literature on client treatment preferences, Psychotherapy Abbreviation simplifies the abbreviation process and makes it accessible to all therapists. Pekarik's strategies have been field-tested; he has used them to train hundreds of therapists who have demonstrated success with clients--increased client satisfaction, improved treatment effectiveness, and lowered dropout rates. These same therapists also doubled the proportion of cases they treated with brief therapy.This “how to do it” text is extremely practical. It assumes that the reader already has a theory and set of therapy techniques, true of even most graduate students. The emphasis is then placed on the treatment abbreviation process itself. Because of this highly focused approach, the text will, like the technique it describes, be concise and brief. By avoiding association with any particular school of therapy, Pekarik's approach is usable by all schools of therapy. Therapists and future therapists now in graduate school will benefit from Psychotherapy Abbreviation as it explores these topics: rationale for the abbreviation of psychotherapy practical and ethical issues to consider in client selection a conceptual model for treatment abbreviation rapid assessment and case conceptualization establishing a brief therapy focus goal establishment and negotiation adapting standard psychotherapy techniques to the brief format practice issues in brief therapy Psychotherapy Abbreviation is two-part. Part one is an orientation to this model of brief therapy in which Pekarik emphasizes a research-based rationale for doing brief therapy; presents a general theory of why brief treatments work; and provides guidelines for the identification of appropriate clients for brief therapy.The second part of the text is devoted to technical skills training. It begins with an overview of the techniques common to most schools of brief therapy and describes a “universal model” of brief therapy. Readers are then taken step-by-step through a description of the four most important abbreviation techniques, presented in the typical order of use with clients. To encourage readers to consistently apply the recommended techniques, Pekarik includes one particular training case which he describes in detail and uses it in all of the technical skills chapters in special “Case Application” sections of these chapters. Before describing the detailed applications, Pekarik prompts readers to consider how they would apply the abbreviating technique presented in that chapter to the case. With individual exercises, he gives special attention to how readers can adapt their personal therapy styles and theoretical orientations to brief therapy. As a result, readers develop both a rationale and abbreviation strategy compatible with their values and practical needs as therapists. The exercises are found in each chapter in special “exercise
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
Children living in poverty are more likely to have mental health problems, and their conditions are more likely to be severe. Of the approximately 1.3 million children who were recipients of Supplemental Security Income (SSI) disability benefits in 2013, about 50% were disabled primarily due to a mental disorder. An increase in the number of children who are recipients of SSI benefits due to mental disorders has been observed through several decades of the program beginning in 1985 and continuing through 2010. Nevertheless, less than 1% of children in the United States are recipients of SSI disability benefits for a mental disorder. At the request of the Social Security Administration, Mental Disorders and Disability Among Low-Income Children compares national trends in the number of children with mental disorders with the trends in the number of children receiving benefits from the SSI program, and describes the possible factors that may contribute to any differences between the two groups. This report provides an overview of the current status of the diagnosis and treatment of mental disorders, and the levels of impairment in the U.S. population under age 18. The report focuses on 6 mental disorders, chosen due to their prevalence and the severity of disability attributed to those disorders within the SSI disability program: attention-deficit/hyperactivity disorder, oppositional defiant disorder/conduct disorder, autism spectrum disorder, intellectual disability, learning disabilities, and mood disorders. While this report is not a comprehensive discussion of these disorders, Mental Disorders and Disability Among Low-Income Children provides the best currently available information regarding demographics, diagnosis, treatment, and expectations for the disorder time course - both the natural course and under treatment.
Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.
"Mesmerizing... A portrait of something familiar gone wildly, tragically awry." —The New York Times “Sometimes, a child is born to a parent who can’t be a parent, and, like a seedling in the shade, has to grow toward a distant sun. Ariel Leve’s spare and powerful memoir will remind us that family isn’t everything—kindness and nurturing are.” —Gloria Steinem Ariel Leve grew up in Manhattan with an eccentric mother she describes as “a poet, an artist, a self-appointed troublemaker and attention seeker.” Leve learned to become her own parent, taking care of herself and her mother’s needs. There would be uncontrolled, impulsive rages followed with denial, disavowed responsibility, and then extreme outpourings of affection. How does a child learn to feel safe in this topsyturvy world of conditional love? Leve captures the chaos and lasting impact of a child’s life under siege and explores how the coping mechanisms she developed to survive later incapacitated her as an adult. There were material comforts, but no emotional safety, except for summer visits to her father’s home in South East Asia-an escape that was terminated after he attempted to gain custody. Following the death of a loving caretaker, a succession of replacements raised Leve—relationships which resulted in intense attachment and loss. It was not until decades later, when Leve moved to other side of the world, that she could begin to emancipate herself from the past. In a relationship with a man who has children, caring for them yields a clarity of what was missing. In telling her haunting story, Leve seeks to understand the effects of chronic psychological maltreatment on a child’s developing brain, and to discover how to build a life for herself that she never dreamed possible: An unabbreviated life.
Practicing Counseling and Psychotherapy: Insights From Trainees, Supervisors, and Clients offers a framework for understanding the counseling and psychotherapy process that can be used in any training program. Clinical examples and discussion questions are included throughout the book, and are based on a large-scale empirical study that qualitatively and quantitatively examines the experiences of trainees, clients, and supervisors. This volume is an excellent resource for those who want an insider's view and conceptualization from the perspectives of psychotherapy trainees, their clients, and their supervisors.