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Premature termination is a significant yet often neglected problem in psychotherapy with significant consequences for clients and therapists alike. According to some estimates, as many as 20% of adult clients terminate psychotherapy prematurely. Even experienced practitioners using the best evidence-based techniques cannot successfully promote positive, long-term change in clients who do not complete the full course of treatment. This book helps therapists and clinical researchers identify the common factors that lead to premature termination, and it presents eight strategies to address these factors and reduce client dropout rates. Such evidence-based techniques will help therapists establish proper roles and behaviors, work with client preferences, educate clients on patterns of change, and plan for appropriate termination within the first few sessions. Additional strategies can be used throughout therapy to help strengthen and reinforce clients' feelings of hope, enhance their motivation to create change, develop and maintain the therapeutic alliance, and continually evaluate overall treatment progress. Case examples demonstrate how these strategies can be employed in real-life scenarios.
With a focus on the termination of psychotherapy, this guide examines the pertinent additional training that will aid mental health professionals in providing the most financially sensible and clinically deep treatment for their clients. It covers a wide spectrum of therapy approaches, patient populations and termination strategies.
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A successful termination phase is a critically important component of psychotherapy of any orientation. The authors synthesize and evaluate the clinical, theoretical, and empirical literature on termination. They then offer their own Termination Phase Model designed to help psychotherapists understand and address the full range of both patient and therapist responses that must be considered as therapy winds down and the patient prepares for life without treatment.
(Choral Score)"The Waters of Prayer" for Female Chorus, a cappellaText by Vassar MillerMusic by Kentaro Sato (1981-)Voicing: SSAADuration: 12minLyrics: English1. Heritage2. Renewal3. Prayer upon Waking4. InvitationVisit: www.wisemanproject.com for more information.
Ending therapy in an appropriate and meaningful way is especially important in work with children and adolescents, yet the topic is often overlooked in clinical training. From leading child clinicians, this much-needed book examines the termination process/m-/both for brief and longer-term encounters/m-/and offers practical guidance illustrated with vivid case material. Tools are provided for helping children and families understand termination and work through associated feelings of loss and grief. Challenges in creating positive endings to therapy with children who have experienced trauma and adversity are given particular attention. Several reproducible forms can be downloaded and printed from the companion website in a convenient 8 1/2" x 11" size. This e-book edition features nine full-color figures. (Figures will appear in black and white on black-and-white e-readers).
Psychotherapy involves a deep ethical commitment to self-knowl edge, personal change, and mutual respect by both the therapist and the patient. Unfortunately, therapists have not always lived up to that commitment in understanding and treating low income and minority patients. Too often they lack the skills to understand and adjust to the patient's community and cultural experiences. The result has been ineffective and misguided treatment. Effective Psychotherapy for Low-Income and Minority Patients is a handbook for psychotherapists interested and committed to correct ing this situation and pursuing effective treatment strategies. This book is based on the author's ongoing innovative research project at the University of Southern California School of Medicine's Adult Psy chiatric Outpatient Clinic. Located in East Los Angeles, the clinic serves this nation's largest Hispanic American community and has service commitments to residents of the central Los Angeles region. Over the years the authors have noted not only a marked need to improve mental health services, but also a need to make them more accessible to minority and low income patients. Generally these pa tients have very negative ideas about treatment of emotional prob lems. They typically react to treatment with skepticism: no one has really listened to them or understood them before-why should this therapist do so now? In describing this pessimism the authors discuss the need to listen to and respect each other.
Ruptures in the therapeutic alliance are common clinical experiences. If left unresolved, they can lead patients to drop out and to other poor outcomes.
This book guides trainee and practising counsellors through the practical issues surrounding the referral of clients, a procedure which may be necessary at any time during the counselling process. Stressing ethical issues and the need to be aware of limits of competency, Anne Leigh provides straightforward guidelines. The sensitive, ethical handling of termination is also an important part of this book, backed up by clear examples and recognition of the emotional consequences of referral or termination for both counsellor and client. She examines the situations most frequently calling for referral, and the ways in which referral may take place responsibly and satisfactorily. The volume covers whether, how, to whom and when
"Premature termination is a significant yet often neglected problem in psychotherapy with significant consequences for clients and therapists alike. According to some estimates, as many as 20% of adult clients terminate psychotherapy prematurely. Even experienced practitioners using the best evidence-based techniques cannot successfully promote positive, long-term change in clients who do not complete the full course of treatment. This book helps therapists and clinical researchers identify the common factors that lead to premature termination, and it presents eight strategies to address these factors and reduce client dropout rates. Such evidence-based techniques will help therapists establish proper roles and behaviors, work with client preferences, educate clients on patterns of change, and plan for appropriate termination within the first few sessions. Additional strategies can be used throughout therapy to help strengthen and reinforce clients' feelings of hope, enhance their motivation to create change, develop and maintain the therapeutic alliance, and continually evaluate overall treatment progress. Case examples demonstrate how these strategies can be employed in real-life scenarios"--Publicity materials. (PsycINFO Database Record (c) 2014 APA, all rights reserved).