Interpersonal Process in Psychotherapy A Relational Approach

by Teyber, Edward

• ISBN13: 9780534362959
• ISBN10: 0534362958
• Edition: 4th
• Format: Hardcover
• Copyright: 1999-10-13
• Publisher: Brooks Cole

Summary

In this one-of-a-kind book, experienced educator and clinician, Ed Teyber provides a unifying conceptual framework for beginning therapists and specific "how-to's" for using the therapist-client relationship to facilitate change. Clinically authentic and thoroughly revised, this new edition gets right to the heart of what students who are beginning to work in a therapeutic setting need to know. Capturing the questions and concerns of beginning therapists, Teyber helps student therapists understand the therapeutic process and how change occurs. The book includes therapeutic goals and intervention strategies for each phase of treatment, and is organized to parallel the course of treatment from initial client contact to termination. Teyber succeeds in bridging the gap between basic skills, case formulations, and intervention strategies with real clients in real settings. Always focused on the therapist-client relationship, this book integrates cognitive-behavioral, family systems, and psychodynamic theories. Multicultural coverage is thorough and richly illustrated. Highlighting how the interpersonal, cognitive, and affective domains interrelate, the book is compelling reading for beginning counselors. Teyber clarifies each of the major issues that arise in treatment and shows how theory leads to practice. He skillfully leads beginning counselors past the uncertainty of how to build a strong working alliance with divers clients, and gives guidelines for understanding the interactions that take place between therapists and clients. Long known for its clarity and immediacy, Teyber's new edition is now accompanied by a powerful teaching and learning package. With the combination of the new edition of this highly respected text, your classroom instruction, the new student workbook, and the new video that shows process in practice, your students will have all the ingredients for success.

Author Biography

Edward Teyber is a professor of psychology and director of the Psychology Clinic at California State University, San Bernardino.

Table of Contents

Part One An Interpersonal Process Approach	1	(28)
Introduction and Overview	3	(26)
The Need for a Conceptual Framework	4	(1)
The Interpersonal Process Approach	5	(22)
Theoretical and Historical Context	5	(7)
Basic Premises	12	(8)
Client Diversity and Response Specificity	20	(3)
Model of Therapy	23	(1)
Limitations and Aims	24	(3)
Suggestions for Further Reading	27	(2)
Part Two Responding to Clients	29	(120)
Establishing a Working Alliance	31	(27)
Conceptual Overview	31	(1)
Chapter Organization	32	(1)
A Collaborative Relationship	32	(7)
Balancing Directive and Nondirective Initiatives	33	(2)
Beginning the Initial Interview	35	(4)
Understanding the Client	39	(17)
Clients Do Not Feel Understood or Affirmed	40	(2)
Demonstrating Understanding	42	(4)
Identify Recurrent Themes	46	(4)
Process Comments Facilitate a Collaborative Alliance	50	(3)
Performance Anxieties	53	(1)
Care and Understanding as Preconditions of Change	54	(2)
Closing	56	(1)
Suggestions for Further Reading	56	(2)
Honoring the Client's Resistance	58	(29)
Conceptual Overview	58	(1)
Chapter Organization	59	(1)
Reluctance to Address Resistance	60	(5)
The Therapist's Reluctance	61	(1)
The Client's Reluctance	62	(3)
Conceptualizing Resistance	65	(3)
Identifying Resistance	65	(1)
Formulating Working Hypotheses	66	(2)
Responding to Resistance	68	(17)
Resistance During the Initial Telephone Contact	68	(4)
Resistance at the End of the First Session	72	(7)
Resistance during Subsequent Sessions	79	(6)
Closing	85	(1)
Suggestions for Further Reading	86	(1)
An Internal Focus for Change	87	(29)
Conceptual Overview	87	(1)
Chapter Organization	88	(1)
Shifting to an Internal Focus	88	(10)
A Prerequisite for Change	88	(5)
Focusing Clients Inward	93	(2)
Reluctance to Adopt an Internal Focus	95	(3)
Placing the Locus of Change with Clients	98	(8)
Using the Therapeutic Relationship to Foster Clients' Initiative	98	(5)
Therapeutic Interventions That Place Clients at the Fulcrum of Change	103	(3)
Enlisting Clients in Resolving Their Own Conflicts	106	(3)
Recapitulating Clients' Conflicts	106	(2)
Providing a Corrective Emotional Experience	108	(1)
Tracking Clients' Anxiety	109	(5)
Identifying Signs of Clients' Anxiety	110	(1)
Approach Clients' Anxiety Directly	110	(1)
Observe What Precipitates Clients' Anxiety	111	(1)
Focus Clients Inward to Explore Their Anxiety	112	(2)
Closing	114	(1)
Suggestions for Further Reading	115	(1)
Responding to Conflicted Emotions	116	(33)
Conceptual Overview	116	(1)
Chapter Organization	116	(1)
Responding to Clients' Conflicted Emotions	117	(7)
Approaching Clients' Affect	118	(2)
Expanding and Elaborating Clients' Affect	120	(4)
Identifying and Punctuating the Predominant Affect	124	(2)
An Old Wound	124	(1)
Multiple Stressors	125	(1)
A Characterological Affect	125	(1)
Clients' Affective Constellations	126	(5)
Anger-Sadness-Shame	127	(2)
Sadness-Anger-Guilt	129	(2)
Holding Clients' Pain	131	(10)
Clients Resist Feelings to Avoid Interpersonal Consequences	132	(2)
Providing a Holding Environment	134	(4)
Change from the Inside Out	138	(3)
Personal Factors That Prevent Therapists from Responding to Clients' Emotions	141	(6)
Therapists' Need to Be Liked	141	(1)
Therapists' Misperceptions of Their Responsibility	142	(2)
Family Rules	144	(2)
Situational Problems in Therapists' Own Lives	146	(1)
Closing	147	(1)
Suggestions for Further Reading	148	(1)
Part Three Conceptualizing Client Dynamics	149	(90)
Familial and Developmental Factors	151	(28)
Conceptual Overview	151	(1)
Chapter Organization	151	(1)
Structural Family Relations	152	(8)
The Parental Coalition	152	(2)
How the Parental Coalition Influences Child Adjustment	154	(6)
The Separateness-Relatedness Dialectic	160	(2)
Child-Rearing Practices	162	(15)
Three Styles of Parenting	162	(2)
Consequences of Child-Rearing Practices	164	(1)
Authoritarian Parenting, Love Withdrawal, and Insecure Attachment	165	(11)
Relating the Three Dimensions of Family Life	176	(1)
Closing	177	(1)
Suggestions for Further Reading	178	(1)
Inflexible Interpersonal Coping Strategies	179	(30)
Conceptual Overview	179	(1)
Chapter Organization	180	(1)
A Conceptual Model	180	(12)
Clients' Developmental Needs	181	(1)
Clients' Compromise Solutions	182	(7)
Resolving the Generic Conflict	189	(3)
Case Study of Peter: Moving Toward Others	192	(8)
Developmental History and Precipitating Crisis	192	(2)
Precipitating Crises, Maladaptive Relational Templates, and Symptom Development	194	(2)
The Course of Treatment	196	(4)
Two Case Summaries	200	(7)
Carlos: Moving Against Others	200	(4)
Maggie: Moving Away from Others	204	(3)
Closing	207	(1)
Suggestions for Further Reading	208	(1)
Current Interpersonal Factors	209	(30)
Conceptual Overview	209	(1)
Chapter Organization	209	(1)
How Clients Bring Their Conflicts into the Therapeutic Relationship	210	(17)
Eliciting Maneuvers	210	(5)
Testing Behavior	215	(6)
Transference Reactions	221	(6)
Optimum Interpersonal Balance	227	(4)
Enmeshment	227	(1)
Disengagement	228	(1)
Effective Involvement	229	(2)
The Ambivalent Nature of Conflict	231	(5)
The Two Sides of Clients' Conflicts	231	(3)
Ambivalent Feelings	234	(2)
Closing	236	(1)
Suggestions for Further Reading	237	(2)
Part Four Resolution and Change	239	(66)
An Interpersonal Solution	241	(34)
Conceptual Overview	241	(2)
Chapter Organization	243	(1)
Enacting a Resolution of Clients' Conflicts in the Interpersonal Process	243	(29)
Bringing Clients' Conflicts into the Therapeutic Relationship	243	(3)
Using the Process Dimension to Resolve Conflicts	246	(14)
Working with Clients' Conflicts in the Therapeutic Relationship	260	(1)
Intervening Within the Therapeutic Relationship	261	(3)
Therapists' Initial Reluctance to Address the Process	264	(8)
Closing	272	(1)
Suggestions for Further Reading	273	(2)
Working Through and Termination	275	(30)
Conceptual Overview	275	(1)
Chapter Organization	275	(1)
Working Through	276	(20)
The Course of Client Change: An Overview	276	(2)
The Working-Through Process	278	(9)
From Present Conflicts, Through Family-of-Origin Work, and on to Future Plans	287	(9)
Termination	296	(7)
Accepting That the Relationship Must End	297	(5)
Ending the Relationship	302	(1)
Closing	303	(1)
Suggestions for Further Reading	303	(2)
Appendix A Process Notes	305	(4)
Appendix B Case Formulation Guidelines	309	(4)
Bibliography	313	(6)
Name Index	319	(4)
Subject Index	323