Navigating Ruptures Repairs And Termination Within The Therapeutic Process
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Navigating Ruptures Repairs And Termination Within The Therapeutic Process
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Author : Judy Z. Koenigsberg
language : en
Publisher: Taylor & Francis
Release Date : 2024-03-21
Navigating Ruptures Repairs And Termination Within The Therapeutic Process written by Judy Z. Koenigsberg and has been published by Taylor & Francis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-03-21 with Psychology categories.
This book explores the importance of the therapeutic relationship, the tensions or disagreements that may emerge during a therapy session, and how they can be repaired. Dr. Koenigsberg introduces a two-part transtheoretical, psycholinguistic model which focuses on the connection between ruptures and the termination phase of therapy, emphasizing the verbal and nonverbal nuances of language, to understand what is happening in the therapeutic alliance. With a reliance on psycholinguistic elements, this model can guide therapists who wish to reduce the premature termination of patients from therapy. Written in an accessible format, it provides case examples, including the patient’s and therapist’s inner experiences, and defines and describes the phases of therapy so that difficult transitions in the therapeutic process can be navigated with skill and compassion. This text is essential for providing early career as well as more seasoned therapists with excellent strategies to repair their therapeutic relationships with clients.
Treating Complex Trauma And Dissociation
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Author : Lynette S. Danylchuk
language : en
Publisher: Taylor & Francis
Release Date : 2023-08-29
Treating Complex Trauma And Dissociation written by Lynette S. Danylchuk and has been published by Taylor & Francis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-08-29 with Psychology categories.
Treating Complex Trauma and Dissociation is the ideal guide for the front-line clinician whose clients come in with histories of trauma, abuse, self-injury, flashbacks, suicidal behavior, and more. The second edition includes the latest research and developments in treatment for trauma and dissociative disorders. The book is written with the knowledge that survivors may read it, and the authors have consciously maintained the dignity of the survivors throughout. Clinicians will find that the chapters help them develop their own responses and practical solutions to common questions, including "How do I handle this?" "What do I say?" and "What can I do?" Treating Complex Trauma and Dissociation is the book clinicians will want to pick up when they're stuck and is a handy reference that provides the tools needed to deal with difficult issues in therapy. It is supportive and respectful of both therapist and client, and, most of all, useful in the office.
What Are The Experiences Of Therapeutic Rupture And Repair For Clients And Therapists During Long Term Psychodynamic Therapy
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Author : Donna Brook Haskayne
language : en
Publisher:
Release Date : 2012
What Are The Experiences Of Therapeutic Rupture And Repair For Clients And Therapists During Long Term Psychodynamic Therapy written by Donna Brook Haskayne and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with categories.
Outcome research has shown that the experience of a rupture-repair process in the therapeutic relationship can have a beneficial impact upon symptomology, interpersonal problems and social functioning. There is a lack of qualitative research on therapeutic ruptures and how they are repaired. This study explored parallel accounts of therapeutic ruptures produced by clients and therapists during long-term psychodynamic therapy. Interviews were conducted with four client-therapist dyads. The data were analysed using Interpretative Phenomenological Analysis. Five overarching themes and six sub-themes are presented. These included: clients' experience of the danger of emotional experience (Emotions as dangerous); accounts of the discovery during therapy being a difficult and gradual experience (Therapeutic discovery; gradual and hard work; to and fro); the experience of problems within the therapeutic relationship (The struggle; not knowing; control and power); followed by a connection within the relationship (The positive connection; emotional sensitivity; shining a light); and the experience of the end of the therapy (Leaving and being left). The findings are discussed in relation to the literature on the emotional experience of psychodynamic therapy. The results demonstrated the importance of attunement and reciprocity within the therapeutic relationship to help maintain a positive connection in the dyads.
Formations Ruptures Rebounds And Repairs
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Author :
language : en
Publisher:
Release Date : 2001
Formations Ruptures Rebounds And Repairs written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with categories.
This study examined client-reported changes in the therapeutic relationship across 29 sessions, spanning ten cases of short-term, Process-Experiential psychotherapy. Cases and sessions were empirically identified, based on clients' end-of-session ratings on the Working Alliance Inventory (WAI). This empirical selection strategy was intentionally broad and atheoretical, to encompass a variety of change scenarios. Therapist and client behaviors and interactions during selected sessions were explored using the Structural Analysis of Social Behavior (SASB) and the Hill Counselor and Client Verbal Response Modes (VRM) Systems. Both frequency and sequential analysis of category codes were conducted, followed by a session-by-session review of the ten cases. Observed therapist and client behaviors clearly reflected the Process-Experiential therapy model as well as therapist efforts to establish and maintain empathic attunement. No significant differences were found in the frequencies of SASB or VRM codes between strongest and weakest alliance sessions or between rupture and post-rupture sessions. This raises questions about the ability of these measures to differentiate between subtle in-session processes. The case reviews underscored the clients' independent and often-overlooked contributions to the formation and repair of the therapeutic relationship.
Repairing Therapeutic Alliance Ruptures
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Author : Jennifer Dec Mc Ewan
language : en
Publisher:
Release Date : 2005
Repairing Therapeutic Alliance Ruptures written by Jennifer Dec Mc Ewan and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with categories.
Therapeutic Ruptures Therapist Interventions And Treatment Outcomes In Psychoanalysis
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Author : Katie M. Catanzarite
language : en
Publisher:
Release Date : 2023
Therapeutic Ruptures Therapist Interventions And Treatment Outcomes In Psychoanalysis written by Katie M. Catanzarite and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023 with Clinical psychology categories.
A strong therapeutic alliance throughout psychotherapy consistently predicts positive treatments outcomes (Horvath et al., 2011), but less is known about the within-session process of rupture and repair. Ruptures are not good or bad, but how they are managed or mismanaged is predictive of outcomes (Safran et al., 1990). There are mixed findings regarding type (withdrawal or confrontation) and intensity of ruptures and treatment outcomes (Boritz et al., 2018; Muran et al., 2009; Eubanks et al., 2019; Schenk et al., Rubel et al., 2018). The current study evaluated if therapist interventions predicted changes in rupture intensity and patient productivity. These variables were rated on an archival sample of 10 full-recorded analyses between 1968 and 2011. The mean age of the participants was 27 years and 50% were female. The Rupture Resolution Rating System (3RS; Eubanks et al., 2015) was used to measure rupture intensity, and the Analytic Process Scale (APS; Waldron et al., 2004) was used to measure intervention quality and patient productivity. Raters were unable to achieve acceptable interrater reliability for withdrawal ruptures. Intervention quality did not significantly predict changes in confrontation rupture intensity or changes in patient productivity. Ruptures likely vary in how quickly they are resolved, as we did not find significant moment-to-moment changes in rupture intensity and patient productivity. In this way, time may be an important aspect of repair, and should be considered in future studies.
A Portfolio On The Therapeutic Relationship Therapeutic Ruptures And Repairs And Counselling Psychology
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Author : Angelika Apostolopoulou
language : en
Publisher:
Release Date : 2016
A Portfolio On The Therapeutic Relationship Therapeutic Ruptures And Repairs And Counselling Psychology written by Angelika Apostolopoulou and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with categories.
The Relationship Between Change In Interpersonal Process During Therapeutic Alliance Ruptures And Psychotherapy Outcome
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Author : James Nagy
language : en
Publisher:
Release Date : 2001
The Relationship Between Change In Interpersonal Process During Therapeutic Alliance Ruptures And Psychotherapy Outcome written by James Nagy and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with categories.
Termination In Psychotherapy
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Author : Anthony S. Joyce
language : en
Publisher: American Psychological Association (APA)
Release Date : 2007
Termination In Psychotherapy written by Anthony S. Joyce and has been published by American Psychological Association (APA) this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Psychology categories.
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.
Terminating Psychotherapy
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Author : William T. O'Donohue
language : en
Publisher: Routledge
Release Date : 2010-10-18
Terminating Psychotherapy written by William T. O'Donohue and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-10-18 with Psychology categories.
The topic of terminating therapy is not one that clinicians normally consider. However, the session limits placed on clinicians by managed care require that the end of therapy be built into the treatment plan from the onset. With a focus on the termination of psychotherapy, A Clinician’s 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. Specifically, the book provides information on how to identify and understand when and how to discontinue psychological treatment with clients who have achieved sub-par results, as well as with clients who have ulterior motives such as friendship or support. The volume examines how to identify the client’s motivations early in therapy in order to better plan the course of treatment and to effectively prepare for "unplanned" terminations. It supplies important additional training in its discussions on ethical dilemmas, financial and personal consequences, and troubleshooting when it comes to engaging in termination. Offering a comprehensive and practice-focused guide from distinguished contributors, the book covers a wide spectrum of therapy approaches, patient populations and termination strategies. The book provides an in-depth look at termination by discussing various patient models, types, backgrounds, and problems, noting that with clear goals and a set course of action, the therapist will be better equipped to design a treatment that will best serve the patient’s interest.