Psychotherapy and counselling in practice: a narrative framework
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Cambridge
Cambridge Univ. Press
2002
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index |
| Beschreibung: | XVI, 317 S. |
| ISBN: | 0521479630 |
Internformat
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Datensatz im Suchindex
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| adam_text | Contents
Preface xiii
A note on terminology xiv
Acknowledgements xvi
Introduction 1
1 Establishing the concerns 9
Why start with the consideration of concerns? 9
What is a concern? 9
Concerns and psychotherapy 11
The three elements of a concern 11
The ternary model of psycho-analysis 14
What is a concern? 15
How does the discussion of concerns differ between medical or
psychiatric practice, and the practice of psychotherapy? 15
Assessment 16
Causes and reasons 17
Being a bit more practical about concerns 18
What do these illustrations show about reasons and
concerns? 20
Preoccupying concerns 20
Concerns about treatment 21
Concerns about the therapeutic relationship 23
The therapist s concerns 24
Identifying concerns 27
Evidence-based approach to concerns 30
Whose concern is it anyway? 33
Is the client always right? 34
Concerns as we tell them to others 36
Consensus or conflict between therapist and client? 37
Clarifying the focus 41
What is psychotherapy after all? 42
2 Values 45
My values are me 45
Helping 46
Truthfulness, honesty and effectiveness 49
Authority and pathology 50
Ethics 52
Congruence of values 53
The client s treatment values 53
3 What life means. Emotional flavour 55
Why give emotions such importance? What about
relationships? 56
Shame and disgust 56
Emotions as a guide 58
How to act when plans fail 60
Maintaining the social bond 61
Making decisions, particularly ethical decisions 64
Who am I? 67
I in the interpersonal domain 69
Emotional meaning 69
Projection and emotional meaning 71
Strong emotional meanings 74
Strong emotors and the fear of extinction 74
Emotional meaning and choice 76
Palatability 78
Identity and emotional meaning 78
Projective identification and strong emotors 79
4 Narrating the treatment: the formulation,
reformulation and therapeutic contract 81
Interviewing 83
Exercise: how are your interviewing skills? 83
Constructing a therapeutic narrative 84
The struggle of narratives 85
Narrative coherence 87
Splitting and narrative coherence 92
The therapist s responsibility for the narrative 93
Narrative types in psychotherapy 94
Formulation and reformulation 96
Formulation 96
Reformulation 98
Contracting 99
Issues in third-party contracts 101
Collecting information of relevance to the organization 101
The duration of treatment 102
Reporting on outcome to a third party 102
Issues about the treatment contract with the client 103
The relationship with the therapist 103
The type of treatment 103
Assessment and treatment carried out by different
psychotherapists 104
The duration of treatment 104
What the therapy is expected to bring about 106
Who is responsible for the treatment working, and who brings
it up if it is failing? Ill
What are the limits of treatment confidentiality? 111
Consent 114
Record keeping 115
Research 116
The ethical framework under which the treatment is being
carried out 116
Termination 116
5 Narrating the self 119
Plot 121
Character 121
Me 123
Narrating a self that is convincing to others 127
The significance for psychotherapy 131
Boundary and salience 132
Boundaries, shame and disgust 134
The effacement of the T: catastrophic reactions 136
6 Procedures for gaining relief 139
Non-specific distress-relieving factors 141
Catharsis 141
Witnessing 143
Reassurance 145
Hope 145
Normalization 145
Relaxation, breathing control and imagery 146
Distraction 146
Distancing 148
Relief of future symptoms 148
Diaries and homework 149
Common features in symptomatic treatments 155
The crucial role of meaning 162
7 Resolution: finding out what s doing this to me 165
Interpersonal, exploratory, dynamic, analytic ... 167
Existential 174
Supportive, expressive, person-centered problem solving 177
Personal constructivist, cognitive-analytic, applied
relationship theory 178
Family, systems, networks 182
Conflict resolution 185
Relationship or couple therapy 188
Time-limited therapy 189
8 Universal technique for resolving predicaments 193
Revealing what is hidden 195
Speaking, or thinking, aloud 197
The eyes of the therapist 200
The arms of other people 202
Conclusions 204
9 Relinquishment and releasement: changing
something about me 207
Craving 211
Changing values through addiction 212
Treatment 212
The emotional meaning of Lucy s anorexia 214
First steps in treating addiction: addressing the craving 216
Dealing with craving 217
The A-B-C of addiction 222
Harm reduction 223
Dissociation and deception 226
Releasement 230
10 Re-narration: finding happiness 231
Stories of happiness 231
Coherence and distress 233
The unspoken and the unspeakable 234
Why is some therapy long-term? 238
Resistance 239
Transference 240
Issues raised by transference 244
Which justifications are justified? 247
What should we make of resistance and transference? 248
An alternative account of resistance and transference 250
Interpreting the unconscious: trumping the ace 250
Changing identity 252
What is long-term therapy again? 254
Identity and value in long-term therapy 254
Shame and disgust: the other story 258
The short story about long-term therapy 263
11 Crises, and how to surmount them 267
General principles of managing crises 267
Attribute everything that happens to the effects of the therapy
unless proven otherwise 270
Re-consider the focus of the treatment 271
Review the therapeutic relationship 272
Self-monitoring 273
Recordings 274
Supervision 275
Audit 275
Manuals 276
Personal therapy 276
Abuse of power 277
Some specific crises considered 277
Being stuck 277
Falling in love with your client, and other kinds of acting out 278
Making demands on the therapist 279
Being asked for reports 281
Threats to the therapist 282
Intoxication 282
Breakdown 282
Therapy breakdown 283
Saying goodbye 284
Appendix: confidential record 287
References 297
Index 313
|
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| spelling | Tantam, Digby Verfasser aut Psychotherapy and counselling in practice a narrative framework Digby Tantam Cambridge Cambridge Univ. Press 2002 XVI, 317 S. txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index Methode (DE-588)4038971-6 gnd rswk-swf Integrative Therapie (DE-588)4200616-8 gnd rswk-swf Kurzpsychotherapie (DE-588)4131923-0 gnd rswk-swf Psychotherapie (DE-588)4047746-0 gnd rswk-swf Psychotherapie (DE-588)4047746-0 s Integrative Therapie (DE-588)4200616-8 s Methode (DE-588)4038971-6 s Kurzpsychotherapie (DE-588)4131923-0 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020017881&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Tantam, Digby Psychotherapy and counselling in practice a narrative framework Methode (DE-588)4038971-6 gnd Integrative Therapie (DE-588)4200616-8 gnd Kurzpsychotherapie (DE-588)4131923-0 gnd Psychotherapie (DE-588)4047746-0 gnd |
| subject_GND | (DE-588)4038971-6 (DE-588)4200616-8 (DE-588)4131923-0 (DE-588)4047746-0 |
| title | Psychotherapy and counselling in practice a narrative framework |
| title_auth | Psychotherapy and counselling in practice a narrative framework |
| title_exact_search | Psychotherapy and counselling in practice a narrative framework |
| title_full | Psychotherapy and counselling in practice a narrative framework Digby Tantam |
| title_fullStr | Psychotherapy and counselling in practice a narrative framework Digby Tantam |
| title_full_unstemmed | Psychotherapy and counselling in practice a narrative framework Digby Tantam |
| title_short | Psychotherapy and counselling in practice |
| title_sort | psychotherapy and counselling in practice a narrative framework |
| title_sub | a narrative framework |
| topic | Methode (DE-588)4038971-6 gnd Integrative Therapie (DE-588)4200616-8 gnd Kurzpsychotherapie (DE-588)4131923-0 gnd Psychotherapie (DE-588)4047746-0 gnd |
| topic_facet | Methode Integrative Therapie Kurzpsychotherapie Psychotherapie |
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