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Cover Art for Structuring Change : Effective Practice for Common Client Problems
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Structuring Change : Effective Practice for Common Client Problems


Author(s): Corcoran, Kevin
ISBN10:  0925065145
ISBN13:  9780925065148
Format:  Paperback
Pub. Date:  3/1/1992
Publisher(s): Lyceum Books

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Table of Contents
Tables and Figures
x
Contributors xii
Preface xiv
Part One Effective Practice
Defining the Structure of Change: An Introduction
3(12)
Kevin Corcoran
Richard M. Grinnell, Jr.
The Structure of Change
3(9)
Setting Client Goals
3(2)
Setting Client Objectives
5(3)
Selecting an Intervention
8(2)
Structuring the Intervention
10(1)
Establishing a Contract
11(1)
Monitoring and Evaluating
12(1)
Structuring Change and Client Motivation
12(1)
Summary
13(2)
A Concluding Remark
14(1)
Some Things We Know about Effective Social Work
15(13)
Kevin Corcoran
Lynn Videka-Sherman
Introduction
15(1)
Traditional Literature Reviews
16(3)
Quantitative Literature Reviews
19(6)
Meta-analysis: An Overview of Data Synthesis
19(6)
Towards Effective Practice: Structuring Your Intervention
25(2)
Guidelines for Structured Interventions
27(1)
Practice Evaluation: Setting Goals, Measuring and Assessing Change
28(23)
Kevin Corcoran
Wallace J. Gingerich
Why Evaluate Your Practice?
28(1)
Evaluation versus Research
29(1)
How to Do Practice Evaluation
30(15)
Specify the Target Behavior and Set a Goal
30(4)
Select a Measure and Use It Systematically
34(5)
Analyze Whether Change Has Occurred and the Goal Has Been Reached
39(6)
Integrating Evaluation into Practice
45(1)
Summary
45(6)
Part Two Common Client Problems
Behavior Therapies for Persons with Phobias
51(21)
Bruce A. Thyer
Introduction
51(1)
Problem Identification
52(2)
Assessment and Monitoring
54(3)
Self-Report Assessment Methods
54(1)
Behavioral Observations
55(2)
Physiological Measures
57(1)
Behavioral Therapy Intervention
57(10)
Client Preparation
58(3)
Exposure Therapy
61(3)
Case Description
64(3)
Summary
67(3)
Matching Interventions to Client Problems
67(1)
Components and Sequencing of Exposure-Based Interventions
67(3)
Concluding Remarks
70(2)
Case Management for Persons with Schizophrenia
72(23)
Vikki Vandiver
Stuart A. Kirk
Introduction
72(1)
Problem Identification
73(2)
Case Management Intervention
75(10)
What Is Case Management?
75(3)
Studies of Case Management
78(7)
The Structure of Case Management
85(2)
Direct Service Intervention
87(3)
Intervention Limitations
90(2)
Generalizing Case Management to Related Problems
92(1)
Summary
93(2)
Feminist Treatment for People with Depression
95(16)
Nan Van Den Bergh
Introduction
95(1)
Problem Identification
95(2)
Clinical Manifestations
95(1)
Predictors of Depression
96(1)
Traditional Explanatory Models of Depression
97(3)
Psychoanalytic Theory
97(1)
Ego Psychology Perspectives
97(1)
Self-Psychology Approach
98(1)
Object Relations Perspective
98(1)
``Self-in-Relation'' Explanation
98(1)
Cognitive Behavioral Perspectives
99(1)
Contemporary Explanatory Models of Depression
100(2)
Gender Differences in Experiencing and Reporting Stress
100(1)
Genetic Explanation
100(1)
Endocrine Physiology Explanation
101(1)
Psychosocial Explanations
101(1)
Feminist Intervention
102(1)
What Is Feminist Intervention?
102(1)
Principles of Feminist Treatment
103(2)
The Personal Is Political
103(1)
Traditional Sex Roles Are Pathological
103(1)
Client Empowerment
104(1)
Egalitarian Therapeutic Relationship
104(1)
Feminist Treatment with Depressed Clients
105(2)
The Analysis Stage
105(1)
The Empowerment Stage
106(1)
The Risk-Taking Support Stage
107(1)
Summary
107(1)
Monitoring Progress
108(1)
Generalizing Feminist Treatment
108(1)
Conclusion
109(2)
Intervention with Suicidal Individuals
111(27)
Andre Ivanoff
Nancy J. Smyth
Introduction
111(1)
Background Discussion
111(3)
Theories of Suicide
113(1)
Clinical Manifestations
114(4)
Demographic Risk Factors
115(1)
Social Environmental Risk Factors
115(1)
Interpersonal Risk Factors
116(1)
Individual Risk Factors
117(1)
Assessment and Monitoring Methods
118(2)
Risk Characteristics
119(1)
Functional Analysis
120(1)
Intervention
120(16)
Crisis Intervention
120(4)
Planning for a Crisis
124(1)
Legal Issues
124(1)
Treatment of Choice
125(5)
Structure of the Intervention
130(1)
Treatment Process: How to Implement the Treatment
130(6)
Treatment Limitations
136(1)
Generalization to Other Problem Areas
136(1)
Closing Note
137(1)
Competency-Based Treatment for Persons with Marital Discord
138(29)
Catheleen Jordan
Norman H. Cobb
Introduction
138(1)
Problem Identification
139(3)
Background Discussion
139(1)
Clinical Manifestations
140(2)
Assessment and Monitoring Methods
142(4)
Global Measures
143(2)
Rapid Assessment Instruments
145(1)
Competency-Based Treatment
146(19)
Treatment of Choice
146(3)
The Structure of the Intervention
149(15)
Generalizing the Intervention to Related Problems
164(1)
Summary
165(2)
Social Competence Promotion for Troubled Youths
167(15)
Craig Winston LeCroy
Introduction
167(2)
Problem Identification: Risk-Taking Behaviors of Adolescents
169(1)
Use of Drugs, Alcohol, and Cigarettes
169(1)
Sexual Activity
169(1)
Delinquency
170(1)
School Dropout Rates and Unemployment
170(1)
The Importance of Social Competence
170(1)
Promoting Social Competence
171(1)
Research Support
172(3)
Developing Program Goals and Selecting Skills
175(1)
The Process of Teaching Social Skills
176(3)
Present the Social Skill Being Taught
176(1)
Discuss the Social Skill
176(1)
Present a Problem Situation and Model the Skill
177(1)
Set the Stage for Role Playing the Skill
178(1)
Have Group Members Rehearse the Skill
178(1)
Practice Using Complex Skill Situations
178(1)
Train for Generalization and Maintenance
179(1)
Treatment Limits
179(1)
Summary
180(2)
An Eclectic Approach for Persons with Drug or Alcohol Problems
182(31)
Joel Fischer
Introduction
182(2)
Problem Identification
184(5)
Definition of Substance Abuse
184(2)
Prevalence of Substance Abuse
186(2)
Clinical Manifestations of Substance Abuse
188(1)
Assessment and Monitoring
189(8)
Basic Principles
190(1)
Areas for Collection of Information
191(2)
Methods of Data Collection
193(3)
Integrative Formulation
196(1)
Eclectic Intervention
197(10)
Research and Practice Support
197(1)
Basic Principles of Intervention
198(2)
Intervention Techniques
200(7)
Maintenance and Generalization
207(4)
A Relapse Model
207(2)
Maintenance and Generalization Strategies
209(2)
Conclusion
211(2)
Life Planning for People with Human Immune Virus (HIV) Disease
213(21)
Harvey L. Gochros
Introduction
213(3)
Problem Identification
216(2)
Clinical Manifestations
218(1)
Physical Manifestations
218(1)
Psychological Manifestations
218(1)
Interventions at Each Phase of HIV Disease
219(13)
With Persons at Risk, HIV Status Uncertain
219(2)
With Persons Who Are HIV-Antibody-Positive, but Are Asymptomatic
221(2)
With Persons Who Have Begun to Experience Symptoms of HIV Infection
223(1)
With Persons Who Have Developed Their First Opportunistic Disease
224(1)
With Persons Who Have Survived Their First Opportunistic Disease
225(4)
With Persons Who Have Developed Subsequent Opportunistic Diseases
229(2)
With Persons in the Terminal Phase of Illness
231(1)
Generalizing the Interventions to Related Problems
232(1)
Summary
232(2)
Experiential Focusing with Mexican-American Males with Bicultural Identity Problems
234(21)
Fernando J. Galan
Introduction
234(1)
Concepts of Bicultural Family Functioning
235(1)
Studies of Acculturation Stress
236(2)
Adultification and Spousification
238(3)
Adultification: The Child as Adult
239(1)
Spousification: The Child as Spouse
240(1)
Clinical Manifestations
241(3)
Self-Judgment and Guilt
241(1)
Resentment
242(1)
Problems with Separation and Individuation
242(1)
Blurred Identity and Distorted Role Modeling
243(1)
Shame and Humiliation
243(1)
Assessment and Monitoring
244(1)
Experiential Treatment
245(8)
Emotional Accessing Technique
248(1)
Experimential Techniques
249(4)
Generalizing the Intervention to Related Problems
253(1)
Conclusion
254(1)
Psychodynamic Treatment for Persons with Borderline Personality
255(17)
Kevin Corcoran
Cele Keeper
Introduction
255(1)
Problem Identification
256(6)
Theoretical Considerations
257(2)
Defense Mechanisms
259(1)
Assessment and Monitoring
260(2)
Psychodynamic Treatment of the Borderline Personality
262(7)
Research Supports
262(1)
Structure of the Treatment
263(6)
Generalizing the Intervention to Related Problems
269(1)
Summary
270(2)
Mediation Techniques for Persons Involved in Disputes
272(20)
William R. Nugent
Introduction
272(1)
Problem Identification

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