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The Vulnerable Therapist will capture your interest with its broad systemic approach, contextual analysis, fascinating case studies, and anecdotal material. You'll see the need for improvement at the institutional and individual levels of the psychotherapy profession.
The word vulnerable means "susceptible to being wounded." People who relinquish their usual characterological defenses open themselves to wounds of many sorts, from peripheral encounters with shame and rejection to direct personal attacks and potentially devastating losses. Still, it is precisely in moments of vulnerability that openness to new experience is possible."--BOOK JACKET.
Sandplay Therapy in Vulnerable Communities offers a new method of therapeutic care for people in acute crisis situations such as natural disasters and war, as well as the long-term care of children and adults in areas of social adversity including slums, refugee camps and high-density urban areas. This book provides detailed case studies of work carried out in South Africa, China and Colombia and combines practical discussions of expressive sandwork projects with brief overviews of their sociohistoric background. Further topics covered include: the social aspect of psychoanalysis the importance of play pictographic writing and the psyche. Providing the reader with clear, practical instructions for carrying out their own sandwork project, this book will be essential reading not only for psychotherapists involved with sandplay therapy but also for those with an interest in cross cultural psychotherapy, as well as all professionals working with those in situations of social adversity.
A passionate, proactive stance on the present state of psychotherapy, The Vulnerable Therapist: Practicing Psychotherapy in an Age of Anxiety picks the brains of contemporary mental health professionals and finds a common symptom--fear. You’ll see why litigation, market forces, and ethical confusion have raised a dark umbrella of angst over psychotherapy practices and discover what therapists can do to restore the profession to its former good self.The Vulnerable Therapist will capture your interest with its broad systemic approach, contextual analysis, fascinating case studies, and anecdotal material. You’ll see the need for improvement at the institutional and individual levels of the psychotherapy professions. Specifically, you’ll read about: social, cultural, and contextual aspects of the crisis of meaning in psychotherapy professional responses to the crisis of meaning which create ethical dilemmas for individual practitioners the power of language to construct and control mental health beliefs psychotherapy’s core constructs and ethical “buzzwords” psychological and legal risks in practicing psychotherapy today specific problems with licensing boards and other complaint channels problems with rule-based ethics alternative models for creating ethical therapist-client relationships Today, more and more, excessive litigation and market-driven forces are imposing standard ethics decisions on psychotherapists, forcing them to see their clients through the clouded lenses of risk management and liability instead of through the lens of therapeutic need. Much like the symptomatic children whose dysfunctional family stops blaming them and starts shouldering part of the “problem,” distraught therapists need the psychotherapy profession to address its own psychopathology at the institutional level. The Vulnerable Therapist shows how you can contribute to a total revamping of the mental health professions in a way that facilitates rather than impedes ethical functioning.
The Harvard Cocaine Recovery Project, a National Institute on Drug Abuse-funded randomized clinical trial, was initiated in 1986 to compare different approaches for treating cocaine abusers. Modified Dynamic Group Therapy (MDGT), one of the models used in the study, is a short-term supportive-expressive psychodynamic group approach specifically adapted for cocaine addicts. While many previous studies of substance abuse treatment were compromised by extraordinarily high dropout rates, this approach retained nearly 70% of group members for the entire length of treatment. This book describes MDGT and provides a practical guide to implementation. Based on an understanding of the psychological vulnerabilities of addicts, the MDGT model addresses the modifications in psychodynamic technique that are necessary for addicts' needs. It focuses on four main areas of difficulty involving self-regulation; affect, self-esteem, relationship, and self-care problems. Both supportive and expressive, the approach helps group members identify, process, and modify the characterological traits that mask addict's vulnerabilities. With this approach, a well-led group can heighten self-esteem, improve self-care, combat feelings of isolation and shame, and strengthen the individual's capacity for positive change. Concomitant involvement with an individual therapist/counselor is encouraged as a means to support and facilitate the group therapy, especially early in group treatment, and to maintain a flexible individual and group treatment context for self-exploration and understanding. Bringing the model to life are detailed vignettes and transcripts of groups in different phases of recovery. These cases demonstrate techniques, illustrate technical issues, and illuminate major themes that unfold during treatment.
This book closely examines the analyst’s early experiences and character traits, demonstrating the impact they have on theory building and technique. Arguing that choice of theory and interventions are unconsciously shaped by clinicians’ early experiences, this book argues for greater self-awareness, self-acceptance, and open dialogue as a corrective. Linking the analyst’s early childhood experiences to ongoing vulnerabilities reflected in theory and practice, this book favors an approach that focuses on feedback and confrontation, as well as empathic understanding and acceptance. Essential to this task, and a thesis that runs through the book, are analysts’ motivations for doing treatment and the gratifications they naturally seek. Maroda asserts that an enduring blind spot arises from clinicians’ ongoing need to deny what they are personally seeking from the analytic process, including the need to rescue and be rescued. She equally seeks to remove the guilt and shame associated with these motivations, encouraging clinicians to embrace both their own humanity and their patients’, rather than seeking to transcend them. Providing a new perspective on how analysts work, this book explores the topics of enactment, mirror neurons, and therapeutic action through the lens of the analyst’s early experiences and resulting personality structure. Maroda confronts the analyst’s tendencies to favor harmony over conflict, passivity over active interventions, and viewing the patient as an infant rather than an adult. Exploring heretofore unexamined issues of the psychology of the analyst or therapist offers the opportunity to generate new theoretical and technical perspectives. As such, this book will be invaluable to experienced psychodynamic therapists and students and trainees alike, as well as teachers of theory and practice.
Therapy is a critical element of work with abused children, offering them the opportunity to explore past experiences in a safe environment with the emotional support of a therapist. Reaching the Vulnerable Child offers a tried-and-tested model of integrated therapy that incorporates play and expressive arts to foster verbal, non-verbal and symbolic communication. The authors describe how emotional, physical and sexual abuse impact on children's development, and discuss attachment, separation, loss, and the effects of trauma on brain functioning. They provide practical guidance on preparing for sessions and creating safe therapeutic environments, and explain the importance of involving carers in the recovery process. Drawing on a wide range of techniques including play, movement, art, drama, music and therapeutic story work, this approach proposes methods for addressing guilt and low self-esteem, establishing trust and dealing with sexualized or aggressive behaviour. This guide to working with abused children and young people will be valued by professionals and therapists from a range of backgrounds, including psychotherapists, play therapists and arts therapists, as well as those responsible for children's services. It is an ideal accompaniment to The Child's Own Story, also in the Delivering Recovery series.
How can I supercharge the therapy I currently use? This volume distils the core principles, methods, and vision of the approach. Each Functional Analytic Psychotherapy (FAP) principle is presented in terms of its intended purpose and is clearly linked to the underlying theory, thus providing clinicians with a straightforward guide for when and how to apply each technique. FAP embraces awareness, courage, and love as integral to the treatment process. Part I of this volume reviews the history of FAP and the basic behavioral principles on which it is based. Part II provides an easy to use step-by-step guide to the application of FAP techniques. FAP is an approach undergoing a renaissance, and this volume uniquely summarizes the full history, theory, and techniques of FAP, resulting in a handbook perfect for clinicians and graduate students with or without a behavioural background.
Tackling relationships, career, and family issues, John Kim, LMFT, thinks of himself as a life-styledesigner, not a therapist. His radical new approach, that he sometimes calls “self-help in a shot glass” is easy, real, and to the point. He helps people make changes to their lives so that personal growth happens organically, just by living. Let’s face it, therapy is a luxury. Few of us have the time or money to devote to going to an office every week. With anecdotes illustrating principles in action (in relatable and sometimes irreverent fashion) and stand-alone practices and exercises, Kim gives readers the tools and directions to focus on what's right with them instead of what's wrong. When John Kim was going through the end of a relationship, he began blogging as The Angry Therapist, documenting his personal journey post-divorce. Traditional therapists avoid transparency, but Kim preferred the language of "me too" as opposed to "you should." He blogged about his own shortcomings, revelations, views on relationships, and the world. He spoke a different therapeutic language —open, raw, and at times subversive — and people responded. The Angry Therapist blog, that inspired this book, has been featured in The Atlantic Monthly and on NPR.
In this collection of powerfully illuminating and often poignant essays, contributors candidly discuss the impact of central life crises and identity concerns on their work as therapists. With chapters focusing on identity concerns associated with the body-self (body size, ethnicity, sexual orientation, and age), urgent life crises, and defining life circumstances, The Therapist as a Person exemplifies the myriad ways in which the therapist's subjectivity shapes his or her interaction with patients. Included in the collection are life events rarely if ever dealt with in the literature: the death of family members, late pregnancy loss, divorce, the failure of the therapist's own therapy, infertility and childlessness, the decision to adopt a child, and the parenting of a profoundly deaf child.