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This book examines therapeutic failures in psychotherapy. Despite the consistent positive outcome findings and psychotherapists’ best intentions in their efforts to help their clients, psychotherapy simply does not work in all cases. In fact, 5-10% of adult clients deteriorate during psychotherapy. Although not exclusively due to treatment failures per se, almost a fifth of clients terminate their therapy prematurely and findings suggest that that between 20 and 30% of clients do not return after the first session with half terminating after just two sessions. Therapeutic failures could include a range of negative therapy outcomes, such as harm, deterioration, client non-response, premature termination, or dropout, as well as process factors, such as negative therapy experiences, impasses, or alliance ruptures. Investigating therapeutic failures holds the key to improving the effectiveness of psychotherapy as well as understanding some of the fundamental conditions that need to be in place for the change mechanisms of psychotherapy to take effect. Although psychotherapy has made many strides over the last few decades to improve research rigour and to promote evidence-based practices, it is a profession that is still growing. By embracing the opportunity to learn from therapeutic failures the profession will continue to refine its practices to better serve clients and to strive toward developing ethical and effective practices. Both comprehensive and accessible, this book will be of great interest to psychotherapists in practice, therapists-in-training, as well as students and professionals in psychology and mental health in general. The chapters in this book were originally published in Counselling Psychology Quarterly.
A major contribution for all clinicians committed to understanding and using what really works in therapy, this book belongs on the desks of practitioners, students, and residents in clinical psychology, psychiatry, counseling, and social work. It will serve as a text in graduate-level courses on cognitive-behavior therapy and in clinical practica.
Adolescent girls’special needs in the teen-age years are thoroughly examined in Women, Girls & Psychotherapy, a compelling book focusing on the vitality of resistance in young girls. Drawing on studies of women’s and girls’development, clinical work with girls and women, and their personal experiences, the voices of adolescent girls are used to reframe and greater understand their resistance against debilitating conventions of feminine behavior. As adolescent girls are often overlooked in feminist books in psychotherapy, this is an important volume as it looks positively at resistance, both as a political strategy and a health-sustaining process. The chapters cover such diverse topics as reconceptualizations of women’s and girls’psychological development and the psychotherapy relationship; adolescent female sexuality; new approaches to psychological problems commonly seen in girls and women; female adolescent health; and diverse perspectives and experiences of growing up female. The voices of young women are increasingly important in the exploration of the field of psychotherapy and among the voices included are those from African-Americans, Asian-Americans, and lesbians. An enlightening look at resistance in females in the growing up years, this volume provides valuable insight on their experiences. The work of many researchers,therapists, and educators with diverse backgrounds, Women, Girls & Psychotherapy is an informative book on distinct psychological issues facing young females.
Contributors describe ten different approaches. A final chapter summarizes and compares. Annotation copyrighted by Book News, Inc., Portland, OR
From the Foreword, by Arnold Lazarus, PhD, ABPP: "I shudder when I think... when I, as a newly minted PhD in clinical psychology, was certified as competent and qualified... it is not farfetched to say I knew next to nothing..." "Newly minted" therapists aren't alone in making mistakes, of course; even seasoned professionals can benefit from discovering the 50+ most common errors therapists make, and how to avoid them. Newly revised and updated, this indispensable guide includes more case examples and adds seven ways "to fail" with child patients, too. How to Fail... details how to avoid errors such as not recognizing limitations, performing incomplete assessments, ignoring science, ruining the client relationship, setting improper boundaries, terminating improperly, therapist burnout, and more.
Cognitive therapy, with its clear-cut measurable techniques, has been a welcome innovation in recent years. However, the very specificity that lends itself so well to research and training has minimized the role of the therapeutic relationship, making it difficult for therapists to respond flexibly to different clinical situations. What is needed is an approach that focuses on the underlying mechanisms of therapeutic change, not just on interventions. In this practical and original book, two highly respected clinician-researchers integrate findings from cognitive psychology, infant developmental research, emotion theory, and relational therapy to show how change takes place in the interpersonal context of the therapeutic relationship and involves experiencing the self in new ways, not just altering behavior or cognitions. Making use of extensive clinical transcripts accompanied by moment-to-moment analyses of the change process, the authors illustrate the subtle interaction of cognitive and interpersonal factors. They show how therapy unfolds at three different levels—in fluctuations in the patient's world, in the therapeutic relationship, and in the therapist's inner experience—and provide clear guidelines for when to focus on a particular level. The result is a superb integration of cognitive and interpersonal approaches that will have a major impact on theory and practice. A Jason Aronson Book
A vital tool for clinicians to help identify and manage therapy-interfering behavior using a dialectical behavior therapy framework.
Edited by Steven C. Hayes and Stefan G. Hofmann, and based on the new training standards developed by the Inter-Organizational Task Force on Cognitive and Behavioral Psychology Doctoral Education, this groundbreaking textbook presents the core competencies of cognitive behavioral therapy (CBT) in an innovative, practically applicable way, with contributions from some of the luminaries in the field of behavioral science. CBT is one of the most proven-effective and widely used forms of psychotherapy today. But while there are plenty of books that provide an overview of CBT, this is the first to present the newest recommendations set forth by a special task force of the Association for Behavioral and Cognitive Therapies—and that focuses on the application of these interventions based on a variety of approaches for doctoral-level education and training. Starting with an exploration of the science and theoretical foundations of CBT, then moving into a thorough presentation of the clinical processes, this book constitutes an accessible, comprehensive guide to grasping and using even the most difficult competencies. Each chapter of Process-Based CBT is written by a leading authority in that field, and their combined expertise presents the best of behavior therapy and analysis, cognitive therapy, and the acceptance and mindfulness therapies. Most importantly, in addition to gaining an up-to-date understanding of the core processes, with this premiere text you’ll learn exactly how to put them into practice for maximum efficacy. For practitioners, researchers, students, instructors, and other professionals working with CBT, this breakthrough textbook—poised to set the standard in coursework and training—provides the guidance you need to fully comprehend and utilize the core competencies of CBT in a way that honors the behavioral, cognitive, and acceptance and mindfulness wings of the tradition.