This book presents for the first time, a practical manual for psychodynamic-interpersonal therapy. Drawing on forty years of research, teaching and practice, its expert authors guide you through the conversational model’s theory, skills and implications for practice. Part I sets out the model’s underlying theory and outlines the evidence for its efficacy with client groups. Part II guides you through clinical skills of the model, from foundational to advanced. Part III offers practical guidance on implementing the approach within a range of settings, and for developing effective practice through reflection and supervision.
Dynamic Interpersonal Therapy (DIT) is a brief psychodynamic psychotherapy developed for the treatment of mood disorders. It is now offered in the UK in NHS for the treatment of depression and has been applied worldwide in public health care settings as well as private settings. This book is a user-friendly, practical guide for the implementation of a brief psychodynamic intervention in routine clinical practice as well as in research protocols. It has been substantially updated since the first edition in 2011 with the addition of 5 new chapters to reflect new applications of the model in complex care, for patients with functional and somatic disorders and for internet delivered DIT and it outlines the changes in the training of DIT practitioners . It sets out clearly the theoretical framework, as well as the rationale and strategies for applying DIT with patients presenting with mood disorders (depression and anxiety). Throughout, it is illustrated with detailed examples that help the reader to implement the approach in their practice. The book will be required reading to support training initiatives in DIT, as well as providing a resource for mental health professionals specialising in psychodynamic psychotherapy and wishing to work within a limited time frame.
This book presents a comprehensive, evidence-based treatment that combines individual case formulation with group interventions informed by contemporary psychodynamic and interpersonal theories. Designed as a manual for training and teaching, this book shows how group psychodynamic-interpersonal psychotherapy (GPIP) practitioners combine knowledge of the interpersonal factors that underlie each patient's symptoms, with a sound understanding of group process theory and stages of group development, to effect real and lasting change. Chapters include a wealth of hands-on tools including practice guides, self-study quizzes, clinical vignettes, and reflective questions. The authors also provide instructions on process and progress monitoring, which allows therapists to access timely feedback about the functioning of the group and each patient, improving their outcomes by highlighting what is working and what needs to change.
In today's world of managed care -- characterized by limited mental health resources, emphasis on accountability, concerns of third-party payers, and consumer need -- the demand for mental health professionals to use briefer therapeutic approaches is on the rise. Fully 84% of all clinicians are doing some form of planned brief therapy (6-20 sessions per year per patient). Yet despite clinical advances and outcome data that demonstrate the effectiveness of short-term therapy, many therapists -- in fact, 90% of those whose theoretical orientation is psychodynamic rather than cognitive-behavioral -- are reluctant to learn briefer interventions, seeing value only in long-term, depth-oriented work. The second edition of this Concise Guide is intended to help educate both beginning and experienced clinicians in the strategies and techniques of time-attentive models and to foster more positive and optimistic attitudes toward using these important therapies. The seven therapeutic models presented here -- including an entirely new chapter on time-limited group therapy -- highlight the importance of the interpersonal perspective. The seven models, one per chapter, represent well-established short-term approaches to clinical issues that therapists commonly encounter in their clinical practices. These models also have clearly defined intervention techniques and formulation strategies and can be used within the 10- to 20-session time frame of most managed care settings. The first part of each chapter dealing with a therapeutic model lists the various presenting problems the authors deem most suitable for treatment by that particular approach. The authors discuss the overall framework of each model, selection criteria, goals, therapeutic tasks and strategies, empirical support, and relevance for managed care, with clinical cases to illustrate the application of each model. The authors include updated chapters on supportive, time-limited, and interpersonal therapies; time-limited dynamic psychotherapy; short-term dynamic therapy for patients with posttraumatic stress disorder; brief dynamic therapy for patients with substance abuse disorders; an entirely new chapter on time-limited group therapy; and a final chapter on the reciprocal relationship between pharmacotherapy and psychotherapy. Meant to complement the more detailed information found in lengthier psychiatric texts, this Concise Guide (it is designed to fit into a jacket or lab coat pocket) is a practical and convenient reference for psychiatrists, psychiatric residents, and medical students working in a variety of treatment settings, such as inpatient psychiatry units, outpatient clinics, consultation-liaison services, and private offices.
Short-term dynamic interpersonal psychotherapy is an integrated, trauma-informed, contemporary, dynamic way of working with a range of mental health difficulties. Flexible though structured, phase-oriented, focused and time-limited, it is informed by the Conversational Model, Attachment and Interpersonal Theories and Brief Psychodynamic Psychotherapies, which are briefly described. It provides clinicians with a way of working with patients whose difficulties do not warrant long term therapy, who prefer a talking therapy or who have failed cognitive/behaviour therapies. With the help of examples, it guides the process of assessment and therapy with trauma in mind: using Conversational Model techniques where empathy replaces confrontation; resistance is seen as a fear of re-traumatization; defence mechanisms are regarded as adaptive coping mechanisms which later become maladaptive; transference interventions replace interpretations, and self-reflective capacity is encouraged rather than just insight. Separation anxiety is addressed and anxiety-provoking techniques are avoided, given that anxiety is a large part of most presentations.
Deftly combining contemporary theory with clinical practice, Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning is an invaluable resource for any clinician seeking a coherent model of personality functioning and pathology, classification, assessment, and treatment. This insightful guide introduces Transference-Focused Psychotherapy -- Extended (TFP-E), a specialized but accessible approach for any clinician interested in the skillful treatment of personality disorders. Compatible with the DSM-5 Section III Alternative Model for Personality Disorders -- and elaborating on that approach, this volume offers clinicians at all levels of experience an accessible framework to guide evaluation and treatment of personality disorders in a broad variety of clinical and research settings. In this book, readers will find: A coherent model of personality functioning and disorders based in psychodynamic object relations theory A clinically near approach to the classification of personality disorders, coupled with a comprehensive approach to assessment An integrated treatment model based on general clinical principles that apply across the spectrum of personality disorders An understanding of specific modifications of technique that tailor intervention to the individual patient's personality pathology Descriptions of specific psychodynamic techniques that can be exported to shorter-term treatments and acute clinical settings Patient assessment and basic psychodynamic techniques are described in up-to-date, jargon-free terms and richly supported by numerous clinical vignettes, as well as online videos demonstrating interventions. At the end of each chapter, readers will find a summary of key clinical concepts, making this book both a quick reference tool as well as a springboard for continued learning. Clinicians looking for an innovative, trustworthy guide to understanding and treating personality pathology that combines contemporary theory with clinical practice need look no further than Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning.
This series offers the reader a brief and highly readable survey of the key theories of the psychotherapy field.ùSue Johnson, EdD, Professor, University of Ottawa amid Alliant University, San Diego, and Director, Center for Excellence in Emotionally Focused Therapy --
This book identifies the core competencies shared by expert therapists and helps clinicians—especially those providing brief dynamic/interpersonal therapy—to develop and apply them in their own work. Rather than being a cookbook of particular techniques, the book richly describes therapists' mental processes and moment-to-moment actions as they engage in effective therapeutic inquiry and improvise to help patients achieve their goals. The author integrates the psychotherapy and cognitive science literatures to provide a unique understanding of therapist expertise. Featuring many illustrative examples, the book offers fresh insights into how learning and interpersonal skills can be enhanced for both therapist and client.
Reflecting the new and exciting trends in psychotherapy as well as responsive to the current emphasis on efficient, substantial therapeutic results, this book presents a model of interpersonal, short_term psychotherapy for clinically depressed patients. Gerald L. Klerman, whose research on depression has made him world renowned, and Myrna M. Weissman, who has written, with Eugene Paykel, an important book on women and depression, have worked with their colleagues to present the empirical basis for their new treatment method. This theory builds on the heritage of Harry Stack Sullivan and John Bowlby and their focus on interpersonal issues and attachment on depression. Research shows that four categories of interpersonal difficulties predominate: grief, interpersonal disputes, role transitions. and interpersonal deficits. In this approach, the therapist focuses on the patient's primary problems and evaluates the need for medication in addition to interpersonal therapy. Acknowledging that these four areas are never mutually exclusive, the authors present a clear treatment strategy for each, augmenting their presentation with a discussion of common obstacles that arise during treatment. As an overview, the book compares interpersonal psychotherapy with other psychotherapies for depression. Summaries of research documenting the efficacy of interpersonal psychotherapy are given.The authors outline the theoretical basis for an interpersonal approach, and apply it to depression. The following sections detail how to conduct interpersonal psychotherapy, supplying case vignettes to illustrate particular problems. Finally, the authors explore combining interpersonal psychotherapy with pharmacotherapy.
A Clinical Guide to Psychodynamic Psychotherapy serves as an accessible and applied introduction to psychodynamic psychotherapy. The book is a resource for psychodynamic psychotherapy that gives helpful and practical guidelines around a range of patient presentations and clinical dilemmas. It focuses on contemporary issues facing psychodynamic psychotherapy practice, including issues around research, neuroscience, mentalising, working with diversity and difference, brief psychotherapy adaptations and the use of social media and technology. The book is underpinned by the psychodynamic competence framework that is implicit in best psychodynamic practice. The book includes a foreword by Prof. Peter Fonagy that outlines the unique features of psychodynamic psychotherapy that make it still so relevant to clinical practice today. The book will be beneficial for students, trainees and qualified clinicians in psychotherapy, psychology, counselling, psychiatry and other allied professions.
