Clinical Strategies for Becoming a Master Psychotherapist

O'Donohue, William; Cummings, Nicholas A.

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Table of contents
  • Cover
  • Contentsv
  • List of CONTRIBUTORSxiii
  • Chapter 01 The Art and Science of Psychotherapy1
  • Psychotherapy is not Entirely an Art2
  • Psychotherapy is not Only a Science4
  • Psychotherapy is both an Art and a Science6
  • An Outline of the Problems Encountered in the Art of Psychotherapy7
  • References10
  • Chapter 02 Enhancing Client Motivation to Change11
  • Definition12
  • Enhancing Motivation for Change13
  • Assessment18
  • Theoretical Underpinnings of Motivational Interviewing19
  • The Practice of Motivational Interviewing20
  • Summary33
  • Recommended Reading and Online Resources34
  • References34
  • Chapter 03 The Therapeutic Alliance: Cultivating and Negotiating the Therapeutic Relationship37
  • Definition38
  • Identification39
  • Theory and Conceptualization40
  • Case Formulation42
  • Clinical Strategies43
  • Key Mistakes48
  • Case Study49
  • Summary52
  • References53
  • Chapter 04 Narrative Psychotherapy as Effective Story-Making: An Introduction55
  • Why a Narrative Approach to Psychotherapy?55
  • Conceptualizing Psychotherapy as Active Story-Making56
  • A Suggested Conceptual Framework57
  • Suggested Clinical Practices for Narrative Psychotherapy62
  • A Story Unfinished68
  • Story-Making’s Universe, or Narration’s Neglect in Psychotherapy68
  • A Story Retold69
  • References70
  • Chapter 05 Recognizing and Dealing with Cultural Influences in Psychotherapy71
  • Definition of Culture and Other Terms72
  • Recognizing and Dealing with Cultural Influences in the Client74
  • Dealing and Recognizing Cultural Influences in the Therapist76
  • Case Illustration81
  • Summary83
  • References83
  • Chapter 06 Effective Understanding and Dealing with Manipulation87
  • References93
  • Chapter 07 Recognizing and Dealing with Transference95
  • Definition95
  • Detection and other Assessment Issues98
  • Theory and Conceptualization99
  • Impact on Case Formulation100
  • Clinical Strategies103
  • Key Mistakes and Miscomprehensions107
  • Case Study108
  • Summary111
  • References112
  • Chapter 08 The Temporal Structure of Therapy: Key Questions Often Associated with Different Phases o113
  • The Temporal Structure of Therapy115
  • Some Questions to Consider at Different Junctures in Therapy116
  • A Few Other Hints119
  • References125
  • Chapter 09 Resistance as an Ally in Psychotherapy129
  • A Definition: Patients have a Right to their Resistance129
  • Who is Presenting What, and Why?130
  • Initial Strategies for Working with Resistance131
  • Imperative Strategies for Working with Resistance136
  • Different Strokes for Different Folks: Who is Presenting?140
  • Summary142
  • References143
  • Chapter 10 Enhancing Psychotherapy through Appropriate entry points145
  • Entry Point: a Definition146
  • The Landscape: Onion and Garlic Psychodynamics146
  • Analyzable Onion Conditions149
  • Analyzable Garlic Conditions157
  • The Borderline Personality: A Category all its own160
  • Onion and Garlic Nonanalyzable (Psychotic) Patients161
  • Turning up the Heat With Garlic Patients163
  • Summary164
  • References164
  • Chapter 11 Dealing with Feelings of Depression167
  • Definitions167
  • Theory and Conceptualization170
  • Case Formulation171
  • Clinical Strategies172
  • Key Mistakes and Miscomprehensions181
  • Case Study183
  • Summary187
  • References187
  • Chapter 12 Designing and Assigning Effective Homework189
  • Definition and History of Homework in Psychotherapy189
  • Theory and Conceptualization: The Purpose of Homework190
  • Clinical Strategies192
  • Key Mistakes and Miscomprehensions202
  • Case Studies203
  • Summary205
  • References206
  • Chapter 13 Skills Training: How the Master Clinician Understands and Teaches Competencies209
  • Background: Why are Skills Necessary?212
  • Potential Advantages of a Skills Training Approach214
  • The Major Clinical Questions in Skills Training218
  • Technology, Dissemination, and Skills Training219
  • Summary and Conclusions220
  • References221
  • Chapter 14 Using Tasks in Ericksonian Psychotherapy223
  • Setting Goals in Therapy223
  • Setting Goals in Ericksonian Therapy224
  • Gift Wrapping225
  • A Taxonomy of Tasks226
  • Additional Considerations235
  • Summary236
  • References238
  • Chapter 15 Using Acceptance in Integrative Behavioral Couple Therapy239
  • Definitions240
  • Detection and other Assessment Issues241
  • Theory and Conceptualization242
  • Impact on Case Formulation242
  • Clinical Strategies243
  • Key Mistakes and Miscomprehensions254
  • Case Example255
  • Summary258
  • References258
  • Chapter 16 Short-Term Dynamic Psychotherapy Goes to Hollywood: The Treatment of Performance Anxiety261
  • Short-term Dynamic Psychotherapy262
  • Case Illustrations267
  • Clinical Issues and Summary273
  • References275
  • Chapter 17 The Importance of Novelty in Psychotherapy277
  • Defining the Issue278
  • Theory, Conceptualization, and Assessment279
  • Impact on Case Formulation280
  • Clinical Strategies282
  • Key Mistakes and Misconceptions286
  • Case Study286
  • Summary288
  • References288
  • Chapter 18 Interruption Replaces Termination in Focused, Intermittent Psychotherapy throughout the291
  • Step 1: Diminishing The Transference Through a Therapeutic Partnership294
  • Step 2: Raising the Intensity of the Treatment Experience295
  • Step 3: Clinical Strategies for Implementing the Interruption298
  • Half a Century of Experience300
  • Case Illustrations302
  • Summary307
  • References307
  • Chapter 19 Suicidal Patients: The Ultimate Challenge for Master Psychotherapists309
  • Outmoded Attitudes (or Misbeliefs)310
  • The Suicidal Process313
  • Interventions for Lethal Stage 3 Patients316
  • Managing Lethal Paranoid Patients318
  • Interventions for Nonlethal Patients320
  • Case Illustration: Destiny325
  • Summary327
  • References328
  • Author Index329
  • Index337
Book details
  • Vendor Elsevier S & T
  • SKU 9780120884162
  • ISBN-13 9780080476568
  • Author O'Donohue, William; Cummings, Nicholas A.
  • Category Psychology
  • Subject Clinical Psychology

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The best health practices are a synthesis of science and art. Surgery is a case in point. Although all competent surgeons follow scientific protocols, the best surgeons are masters of the art of surgery and produce better outcomes: e.g., smaller incisions; lower mortality rates. Psychotherapists are in exactly the same position. Psychotherapy is both a science and an art. There are excellent resources that convey information about empirically supported practices — the science of psychotherapy. However, this scientific information is incomplete in two important ways. It does not cover key matters that come up in psychotherapy (e.g., building a therapeutic relationship, resistance, termination), and it often does not fully cover the "art" of implementing these techniques, the nuances, the creative ways, the problem solving strategies when difficulties arise. This book is an attempt to have high profile, expert, "master" therapists discuss the art of handling these key issues.