Providing a cost-effective treatment model that is respectful of patients' needs, their strengths, and their limitations, this book presents the first dynamic and coherent approach to group treatment for the chronically mentally ill. By structuring members' variable attendance, the flexibly bound model, which utilizes group dynamic principles to maximize therapeutic opportunities, respects the actual behavior of many chronically ill persons, making this treatment format available to a broad portion of this population. Illustrated with numerous case vignettes, the book outlines the elements of supportive treatment and therapeutic goals and then describes in detail specific strategies and interventions.
This volume presents a proven psychoeducational therapy approach for persons with severe mental illness and their families. Pioneering schizophrenia treatment developer William R. McFarlane first lays out the theoretical and empirical foundations of the multifamily model. Chapters coauthored with other leading clinician-researchers then provide detailed "how-to" instructions for forming groups; implementing educational and problem-solving interventions; managing clinical, relationship, and functional issues that may arise; and integrating psychoeducation with other forms of treatment. Also addressed are applications of the model--some described here for the first time--to a variety of disorders other than schizophrenia, including bipolar disorder, depression, obsessive-compulsive disorder, borderline personality disorder, and medical illness.
The book provides new and experienced clinicians with generic models for the development of efficient and effective interactive groups able to deliver a wide variety of treatment options. It offers a comprehensive examination of the potential of group psychotherapy and an appreciation of time management in its utilization.
Introduction to Time-Limited Group Psychotherapy is a basic text designed for the clinician who already has experience in individual psychotherapy. However, the breadth of perspective and discussion of therapeutic strategies should be of value to the more experienced psychotherapist as well. The book is divided into four sections. ? Section One deals with basic concepts regarding the small group. This section should aid the therapist in accurately recognizing group phenomena. ? Section Two presents the applications of the theories concerning time-limited group psychotherapy in a clinical setting. It emphasizes the importance of careful diagnostic and interpersonal assessment, group composition considerations, and pretherapy preparation in ensuring that a sense of "groupness" will emerge promptly. ? Section Three shows how to use the emerging relationships among group members as the vehicle to manage individual issues. In both Sections Two and Three, the current literature concerning brief individual therapy is applied to the group context. ? Section Four offers guidelines for integrating group psychotherapy into service and training programs. Special consideration is given to inpatient groups and long-term support groups.
Meaning-Centered Psychotherapy (MCP) for advanced cancer patients is a highly effective intervention for advanced cancer patients, developed and tested in randomized controlled trials by Breitbart and colleagues at Memorial Sloan-Kettering Cancer Center. This treatment manual for group therapy provides clinicians in the oncology and palliative care settings a highly effective, brief, structured intervention shown to be effective in helping patients sustain meaning, hope and quality of life.
An in-depth look at a much misunderstood practice, offering a fresh viewpoint on how this science can be a universally effective route to our better selves.
Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.
A case study companion to the leading textbook on psychotherapy for advanced practice psychiatric nurses Case Study Approach to Psychotherapy for Advanced Practice Psychiatric Nurses is a case study companion to the groundbreaking and award-winning textbook Psychotherapy for the Advanced Practice Psychiatric Nurse, edited by Kathleen Wheeler. Designed for both the novice and experienced advanced practice psychiatric nurse, it provides complementary content and activities to help students and professionals master the art and science of conducting psychotherapy. The case studies address a wide range of diverse theoretical approaches and varied client problems and psychiatric diagnoses. Each chapter follows a consistent format to allow for comparison, beginning with the author's personal experience, providing the reader with the understanding of how various theoretical orientations were chosen. This is followed by background on philosophy and key concepts, as well as mental health and psychopathology, therapeutic goals, assessment perspectives, and therapeutic interventions. The chapter then presents background on the client and a selection of verbatim transcript segments from the beginning, middle, and final phase of therapy. The therapeutic process is illustrated by client–therapist dialogues, which are supplemented with process commentaries that explain the rationale for the interventions. A final commentary on the case is presented to enhance the reader's clinical reasoning skills. Key Features: Augments the groundbreaking Psychotherapy for the Advanced Practice Psychiatric Nurse Features case studies that address a range of theoretical approaches and varied client problems and psychiatric diagnoses Offers comprehensive coverage of the approach, psychopathology, therapeutic goals, assessment perspectives, therapeutic interventions, and verbatim transcripts from the beginning, middle, and final phases of therapy Includes reflection questions to help the reader apply the material to their personal lives and offer guidelines for continuing to work with the theoretical orientation
Stemming from a series of outcome and process studies, this book presents an evidence-based, integrative group therapy treatment model that includes elements from psychodynamic, interpersonal, psychoeducational, and cognitive-behavioral approaches to address the needs of people suffering from psychosis. Designed to help patients deal with delusions, hallucinations, disorganized thinking, interpersonal problems, mood changes, and the stigma of having a serious mental illness, the book chronicles the evolution of the integrative approach from research in inpatient and outpatient settings to theoretical and clinical issues that were derived from the empirical studies. Chapters also include information and vignettes to assist the reader in conducting therapy groups for patients suffering from psychosis, including schizophrenia spectrum and bipolar disorders. Shown to be a safe and supportive adjunct to medications that is useful in both inpatient and outpatient settings, readers will find value in this unique, empirically driven model for groups that are long-term, short-term, and time-limited.
Regarded as the definitive practitioner reference and text, this accessible work addresses how to set up therapy groups and make them work. A wealth of clinical material illustrates the components of effective group therapy and the mechanisms and processes of change. Practical topics discussed include patient selection and preparation, leadership issues, communication of affect in groups, dealing with "difficult" patients, time-limited groups, and facilitating successful terminations. A chapter-length case example with commentary from each author brings an entire group session to life and explores ways to handle common dilemmas. New to This Edition *Incorporates current theory (psychodynamic and interpersonal), and supporting clinical and neurobiological research. *Every chapter revised and updated. *Chapter-length case example is entirely new. *Chapter on Frequently Asked Questions includes many new issues.