| About the Author |
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x | |
| Foreword |
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xi | |
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| Preface |
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xiii | |
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Part 1 An Overview of the Endings Process |
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1 | (56) |
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3 | (19) |
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The Importance of Closure |
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5 | (1) |
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5 | (14) |
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Unplanned Endings Initiated by the Client |
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6 | (2) |
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Case Study: The Face That Will Never Look Old |
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8 | (1) |
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Case Study: The Jazz Pianist |
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9 | (2) |
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Unplanned Endings Initiated by the Practitioner |
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11 | (2) |
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Case Study: Out with a Bang |
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13 | (1) |
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Case Study: She Wouldn't Pay Her Bill |
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14 | (2) |
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16 | (1) |
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17 | (1) |
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Case Study: The Pushy Psychologist |
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18 | (1) |
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The Roles of Administrators in Clinical Endings |
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19 | (2) |
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20 | (1) |
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21 | (1) |
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The Importance of Closure |
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22 | (16) |
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22 | (1) |
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The Power of Closure: Seven Illustrations |
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23 | (13) |
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Case Study: The Photo Collage |
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23 | (2) |
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Case Study: The Pregnant Therapist |
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25 | (2) |
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Case Study: From the Laundromat to the Park |
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27 | (1) |
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Case Study: A Spiritual Celebration |
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28 | (2) |
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Case Study: A Second Chance for Closure |
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30 | (2) |
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Case Study: The Lonely Hobo |
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32 | (2) |
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Case Study: The Grievance |
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34 | (2) |
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36 | (2) |
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38 | (19) |
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Deciding When to Actively Implement the Ending Phase |
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39 | (4) |
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41 | (2) |
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Timing the Announcement of One's Leaving |
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43 | (1) |
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Case Study: What's the Point of Continuing? |
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43 | (1) |
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Anticipating the Client's and One's Own Reaction |
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44 | (2) |
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Case Study: The Quiet Child |
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45 | (1) |
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Appropriately Spacing the Remaining Sessions |
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46 | (2) |
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Case Study: Jeremy's Last Four Visits |
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46 | (2) |
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Shifting the Intervention Focus from ``Inside'' to ``Outside'' |
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48 | (1) |
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Reviewing Intervention Gains |
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48 | (1) |
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Generalizing Intervention Gains |
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49 | (1) |
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Planning for Goal Maintenance and Relapse Prevention |
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50 | (1) |
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Addressing the Client's Remaining Needs |
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51 | (1) |
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Linking the Client with Social Supports |
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51 | (1) |
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Resolving the Clinical Relationship |
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52 | (1) |
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Formally Evaluating the Intervention (Process and Outcomes) |
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53 | (1) |
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Setting Conditions and Limits on Future Contact |
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54 | (2) |
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Case Study: The Client Who Wouldn't Go Away |
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55 | (1) |
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56 | (1) |
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Part 2 Theoretical Perspectives on Endings |
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57 | (96) |
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59 | (18) |
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The Relationship of Theory to Practice |
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59 | (2) |
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Reflective (Psychodynamic) Theories |
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61 | (1) |
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61 | (5) |
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Transference and Countertransference |
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63 | (1) |
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Common Countertransferences |
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64 | (1) |
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Endings in Ego Psychology |
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64 | (2) |
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66 | (5) |
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Endings in Object Relations Theory |
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67 | (2) |
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Case Study: The Distressed Wife |
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69 | (1) |
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Case Study: The Champagne Toast |
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70 | (1) |
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71 | (5) |
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Endings in Existential Theory |
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73 | (1) |
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Case Study: A Midlife Crisis |
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74 | (2) |
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76 | (1) |
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Cognitive-Behavior Theory |
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77 | (22) |
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78 | (11) |
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78 | (1) |
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Nature of Problems and Change |
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78 | (2) |
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80 | (1) |
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Preparing the Client for Ending |
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81 | (2) |
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83 | (4) |
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Case Study: The Mama's Girl |
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87 | (2) |
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89 | (3) |
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The Nature of Problems and Change |
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90 | (1) |
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90 | (2) |
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Endings in Behavior Theory |
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92 | (1) |
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Cognitive-Behavior Theory |
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92 | (6) |
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Case Study: The Boy with the Feeding Tube |
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94 | (2) |
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Case Study: The Aggressive Adolescent |
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96 | (2) |
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98 | (1) |
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The Solution-Focused and Narrative Theories |
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99 | (16) |
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99 | (1) |
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100 | (6) |
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Major Concepts and the Nature of Change |
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100 | (1) |
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Assessment and Intervention Principles |
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101 | (2) |
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Endings in Solution-Focused Therapy |
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103 | (1) |
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Case Study: The Journalist |
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104 | (2) |
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106 | (7) |
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Major Concepts and the Nature of Change |
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106 | (2) |
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Assessment and Intervention Principles |
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108 | (1) |
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Endings in Narrative Therapy |
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109 | (1) |
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Case Study: The Mountain Climber |
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109 | (3) |
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Case Study: Going to Disney World |
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112 | (1) |
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113 | (2) |
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115 | (21) |
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Family (Emotional) Systems Theory |
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115 | (10) |
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116 | (2) |
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118 | (1) |
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Ending Family Systems Interventions |
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119 | (3) |
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Case Study: The Zeller Siblings |
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122 | (1) |
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Case Study: Kathy's Three Parents |
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123 | (2) |
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125 | (10) |
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125 | (2) |
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127 | (1) |
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127 | (2) |
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Ending Structural Family Interventions |
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129 | (3) |
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Case Study: The Family Drawings |
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132 | (1) |
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Case Study: A Mobile Home near the Woods |
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133 | (2) |
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135 | (1) |
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136 | (17) |
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Types of Treatment Groups |
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136 | (1) |
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Group Leadership across Stages |
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137 | (1) |
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138 | (14) |
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Label the Onset of the Ending Stage |
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139 | (1) |
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139 | (1) |
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Case Study: The Runaway Shelter |
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140 | (1) |
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Address Separation---Individuation Themes |
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140 | (1) |
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Case Study: The Wilderness Group |
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141 | (2) |
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Process One Member's Departure |
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143 | (1) |
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Case Study: ``I'm Outta Here!'' |
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143 | (2) |
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Process One Practitioner's Departure |
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145 | (1) |
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Resolve Unfinished Business Prior to the Final Meeting |
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146 | (1) |
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Case Study: The Family Education and Support Group |
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146 | (2) |
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Structure the Final Session |
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148 | (1) |
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Case Study: The Art Therapy Group |
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149 | (1) |
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Celebrate the Group's Significance |
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150 | (1) |
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Case Study: The Multiple Family Weekend Retreat |
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151 | (1) |
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152 | (1) |
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Part 3 Endings across Service Settings |
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153 | (58) |
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Client Reactions to Endings |
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155 | (24) |
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155 | (3) |
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Pride in Accomplishments and Increased Sense of Competence |
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155 | (1) |
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Increased ``Real-World'' Activity |
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155 | (1) |
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A New Capacity for Other Attachments |
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156 | (1) |
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156 | (1) |
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156 | (1) |
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Case Study: No Time for Sadness |
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157 | (1) |
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158 | (7) |
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158 | (1) |
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Denial of the Topic's Significance |
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159 | (1) |
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159 | (1) |
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Case Study: The Anxious New Mother |
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159 | (1) |
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A Recurrence of Old Problems---an Introduction of New Problems |
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160 | (1) |
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A Request for Additional Help |
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160 | (1) |
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Case Study: The Practitioner as Consultant |
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161 | (1) |
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A Request for a Dual Relationship |
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161 | (1) |
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Misses Sessions or Abruptly Drops Out |
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162 | (1) |
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162 | (1) |
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162 | (1) |
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Case Study: The Relief Counselor |
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163 | (1) |
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164 | (1) |
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Factors Influencing Client Reactions |
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165 | (13) |
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Degree of Success or Satisfaction with the Intervention |
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165 | (1) |
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Case Study: Keeping the Customer Satisfied |
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165 | (1) |
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Context of Brief versus Long-Term Intervention |
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166 | (1) |
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Case Study: The Hot Chocolate Man |
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167 | (1) |
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Previous Experiences with Loss |
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167 | (1) |
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Case Study: The Business Cards |
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168 | (1) |
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169 | (1) |
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Case Study: The End of the School Year Blues |
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169 | (1) |
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170 | (1) |
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Meaning of the Clinical Relationship |
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171 | (1) |
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Case Study: The Life That Might Have Been |
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171 | (1) |
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Case Study: The Drone of Apathy |
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172 | (1) |
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173 | (1) |
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174 | (1) |
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Case Study: The Apache Tear |
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175 | (1) |
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176 | (1) |
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Case Study: Structured Worker, Avoidant Client |
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177 | (1) |
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178 | (1) |
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Practitioner Reactions to Endings |
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179 | (19) |
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179 | (3) |
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An Enhanced Sense of Competence |
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179 | (1) |
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Pride in the Client's Achievements |
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179 | (1) |
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Case Study: Ambivalence in the Relationship |
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180 | (1) |
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181 | (1) |
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182 | (4) |
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A Diminished Sense of Competence |
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182 | (1) |
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182 | (1) |
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183 | (1) |
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184 | (1) |
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Case Study: Death at the Nursing Home |
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185 | (1) |
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Offering Additional Contact Inappropriately |
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185 | (1) |
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Factors Affecting Practitioner Reactions |
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186 | (11) |
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The Practitioner's Theory Base |
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186 | (1) |
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Case Study: A Couple in Conflict |
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186 | (1) |
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Ability to Plan for the End |
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187 | (1) |
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Case Study: An Annual Dilemma |
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188 | (1) |
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The Practitioner's Attachment Needs |
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189 | (1) |
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Case Study: Fried Chicken and Warts |
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190 | (1) |
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How the Practitioner Manages Loss |
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191 | (1) |
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192 | (1) |
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The Quality of the Client's Life |
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193 | (1) |
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Case Study: The Diabetic Adolescent |
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193 | (1) |
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The Quality of the Practitioner's Personal Life |
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194 | (1) |
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The Practitioner's Job Satisfaction |
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194 | (2) |
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Confidence in Clinical Judgment |
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196 | (1) |
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Case Study: The Violent Wife |
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196 | (1) |
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197 | (1) |
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Additional Ending Activities |
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198 | (13) |
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198 | (3) |
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Formal Service Evaluations |
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198 | (1) |
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199 | (1) |
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199 | (1) |
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200 | (1) |
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Status Elevation Ceremonies |
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200 | (1) |
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201 | (1) |
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Additional Ending Activities for Individuals |
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201 | (4) |
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201 | (1) |
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202 | (1) |
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203 | (1) |
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203 | (1) |
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204 | (1) |
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Silk Cat in a Sewer: A Letter about a Premature Ending |
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204 | (1) |
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Additional Ending Activities for Families |
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205 | (2) |
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205 | (1) |
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206 | (1) |
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206 | (1) |
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Sculpting Progress and Change |
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207 | (1) |
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Letters to Families That Leave Intervention Prematurely |
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207 | (1) |
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Additional Ending Activities for Groups |
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207 | (2) |
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207 | (1) |
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208 | (1) |
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208 | (1) |
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209 | (2) |
| References |
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211 | (8) |
| Index |
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219 | |
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