Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.
This book is a comprehensive guide to Therapeutic Assessment (TA) with adults, showing how to collaboratively engage clients in psychological testing to help them achieve major and long-lasting change. This guide clearly lays out each step of TA with adults, including its rationale and detailed instructions on how to handle a range of clinical situations. Additionally, in part one, the authors fully describe the development of TA, its theoretical bases, and the most up-to-date research on the model. In the second part of the book, the authors describe the structure and techniques of TA, and illustrate each step with transcripts from a clinical case. Further clinical illustrations help the reader understand how to conduct a TA with different types of clients, including those from culturally diverse backgrounds. This book is essential for all clinicians, therapists and trainees working with adult clients; along with students in assessment courses.
This report is based on a rethinking of the concept of motivation, which is redefined here as purposeful, intentional, & positive -- directed toward the person's best interests. This report shows how substance abuse treat. staff can influence change by developing a therapeutic relationship that respects & builds on the client's autonomy & makes the treat. clinician a partner in the change process. Describes motivational interventions that can be used at all stages of the change process, from pre-contemplation & preparation to action & maintenance, & informs readers of the research, results, tools, & assessment instruments related to enhancing motivation.
In this collection, international contributors come together to discuss how qualitative and quantitative methods can be used in psychotherapy research. The book considers the advantages and disadvantages of each approach, and recognises how each method can enhance our understanding of psychotherapy. Divided into two parts, the book begins with an examination of quantitative research and discusses how we can transfer observations into numbers and statistical findings. Chapters on quantitative methods cover the development of new findings and the improvement of existing findings, identifying and analysing change, and using meta-analysis. The second half of the book comprises chapters considering how qualitative and mixed methods can be used in psychotherapy research. Chapters on qualitative and mixed methods identify various ways to strengthen the trustworthiness of qualitative findings via rigorous data collection and analysis techniques. Adapted from a special issue of Psychotherapy Research, this volume will be key reading for researchers, academics, and professionals who want a greater understanding of how a particular area of research methods can be used in psychotherapy.
The Second Edition of the cutting edge work, The Handbook of Humanistic Psychology, by Kirk J. Schneider, J. Fraser Pierson and James F. T. Bugental, represents the very latest scholarship in the field of humanistic psychology and psychotherapy. Set against trends inclined toward psychological standardization and medicalization, the handbook offers a rich tapestry of reflection by the leading person-centered scholars of our time. Their range in topics is far-reaching—from the historical, theoretical and methodological, to the spiritual, psychotherapeutic and multicultural. The new edition of this widely adopted and highly praised work has been thoroughly updated in accordance with the most current knowledge, and includes thirteen new chapters and sections, as well as contributions from twenty-three additional authors to extend the humanistic legacy to the emerging generation of students, scholars, and practitioners.
This authoritative clinical reference and text--now revised and updated with 50% new content--presents the assessment tools and strategies that every evidence-based psychotherapy practitioner needs. Unlike most assessment texts, the volume is organized around specific clinical problems. It explains how to select and use the best measures to assess clients' symptoms, generate diagnoses, plan appropriate treatments, and monitor progress. Clinician- and student-friendly features include tables comparing and contrasting relevant measures, sample forms, and case examples. Every chapter addresses considerations for primary and managed care settings. New to This Edition *Chapters on new topics: assessment of well-being and transdiagnostic assessment. *New chapters on core topics: eating disorders, personality disorders, and insomnia. *Updated throughout with DSM-5 diagnostic changes, new and updated instruments, current research, and increased attention to transdiagnostic concerns. *Expanded coverage of obsessive–compulsive and related disorders. See also Clinical Handbook of Psychological Disorders, Sixth Edition, edited by David H. Barlow, which presents evidence-based treatments step by step.
The publication of the Cultural Formulation Outline in the DSM-IV represented a significant event in the history of standard diagnostic systems. It was the first systematic attempt at placing cultural and contextual factors as an integral component of the diagnostic process. The year was 1994 and its coming was ripe since the multicultural explosion due to migration, refugees, and globalization on the ethnic composition of the U.S. population made it compelling to strive for culturally attuned psychiatric care. Understanding the limitations of a dry symptomatological approach in helping clinicians grasp the intricacies of the experience, presentation, and course of mental illness, the NIMH Group on Culture and Diagnosis proposed to appraise, in close collaboration with the patient, the cultural framework of the patient's identity, illness experience, contextual factors, and clinician-patient relationship, and to narrate this along the lines of five major domains. By articulating the patient's experience and the standard symptomatological description of a case, the clinician may be better able to arrive at a more useful understanding of the case for clinical care purposes. Furthermore, attending to the context of the illness and the person of the patient may additionally enhance understanding of the case and enrich the database from which effective treatment can be planned. This reader is a rich collection of chapters relevant to the DSM-IV Cultural Formulation that covers the Cultural Formulation's historical and conceptual background, development, and characteristics. In addition, the reader discusses the prospects of the Cultural Formulation and provides clinical case illustrations of its utility in diagnosis and treatment of mental disorders. Book jacket.
While we know that psychotherapy works, there is hearty debate about what makes it work. In the past, rival arguments have maintained that psychotherapy proves effective because of the treatment approach, patient contributions, or the therapeutic relationship. Psychotherapy Skills and Methods That Work argues that clinical skills and methods also play a crucial role and that what therapists do has major consequences for improving practice. Psychotherapy Skills and Methods That Work is the result of a multiyear, interorganizational Task Force commissioned to identify, compile, and disseminate the research evidence and clinical practices on psychotherapist skills and methods used across theoretical orientations. Edited by renowned scholars Clara E. Hill and John C. Norcross, this book provides original research reviews on the effectiveness of 27 specific psychotherapy skills and methods, including affirmation, self-disclosure, role induction, between-session homework, empathic reflections, mindfulness and acceptance, emotion regulation, and cognitive restructuring. Each chapter on a therapy skill or method features clinical examples, diversity considerations, training implications, and bulleted therapeutic practices, while the final chapter summarizes the research evidence for the effectiveness of these skills/methods and emphasizes implications for clinical training and practice. Forcefully demonstrating what therapists do to help clients change and live more effective lives, Psychotherapy Skills and Methods That Work will serve as a go-to guide for psychotherapy practitioners of all persuasions and professions, as well as graduate students and psychotherapy researchers.
Success in massage therapy begins with a solid foundation in the fundamentals! Mosby's Fundamentals of Therapeutic Massage, 7th Edition helps you build the skills you need, from assessing problems and planning treatment to mastering massage techniques and protocols. Hundreds of photographs demonstrate massage techniques step by step, and case studies bring concepts to life. 'How-to' videos on the Evolve companion website show manipulation techniques, body mechanics, positioning and draping, and more. If you want to prepare for licensing and certification exams and succeed in practice, this resource from massage therapy expert Sandy Fritz is your text of choice. - Comprehensive coverage includes all of the fundamentals of therapeutic massage, including massage techniques, equipment and supplies, wellness, working with special populations, and business considerations; it also prepares you for success on licensing and certification exams. - Step-by-step, full-color photographs demonstrate massage techniques and protocols by body area. - Three hours of video on the Evolve website demonstrate techniques and body mechanics — each clip is narrated and performed by author Sandy Fritz — as well as review activities for licensing exams. - Proficiency exercises provide opportunities to practice and apply what you are learning. - Case studies offer practice with clinical reasoning and prepare you to address conditions commonly encountered in professional practice. - Coverage of body mechanics helps you to create an ergonomically effective massage environment and to determine appropriate pressure, drag, and duration application while applying massage methods. - Coverage of multiple charting methods helps you develop record-keeping and documentation skills, including SOAP and computer charting with simulation on Evolve. - Learning features include chapter outlines, objectives, summaries, key terms, practical applications, activities and exercises, and workbook-type practice. - Review tools include matching exercises, short answer questions, fill-in-the-blank questions, drawing exercises, and critical thinking questions, all available on Evolve. - Research Literacy and Evidence-Based Practice chapter includes new research findings and explains how research is done, and how to read and understand it. - Adaptive Massage chapter explains how to address the needs of specific populations, from pregnant women and infants to hospice patients and people with physical impairments. - Massage Career Tracks and Practice Settings chapter covers massage therapy services offered at spas, and looks at the spa as a possible massage career. - In-depth coverage of HIPAA shows how to store records in a HIPAA-compliant manner and explains HIPAA requirements and training. - Foot in the Door boxes outline the professional skills expected by prospective employers. - Updated Basic Pharmacology for the Massage Therapist appendix provides up-to-date information on common medications.
In both developed nations and the developing world, there is a clear trend towards addressing alcohol, tobacco, and other drug problems through health and social services. There are several persuasive arguments for this shift beyond pure economics, which include comorbidity, cost effectiveness, coordination of care and effectiveness. This is the first volume to pull together effective methods that can be used for addressing substance abuse through health and social service systems. It also integrates interventions for a range of drugs of abuse, rather than focusing on only one (such as alcohol). The book's international perspective also makes this a unique contribution to the existing literature.
