Student Workbook for Interpersonal Process in Psychotherapy

by Teyber, Edward

• ISBN13: 9780534365660
• ISBN10: 0534365663
• Edition: 4th
• Format: Paperback
• Copyright: 1999-12-15
• Publisher: Brooks Cole

Summary

By Edward Teyber, Faith H. McClure, Dayle Hill, and Linda Emerson. The Student Workbook is designed to help student therapists more fully understand and integrate core concepts presented in the text. Students are also provided with an opportunity to see how to apply the interpersonal process approach to actual cases. In addition, relevant exercises are presented that will encourage students to explore their personal reactions to this material and the significant challenges of becoming a counselor.

Author Biography

Edward Teyber is a professor of psychology and director of the Psychology Clinic at California State University, San Bernardino. Dr. Teyber received his Ph.D. in clinical psychology from Michigan State University. He has published research articles on the effects of marital and family relations on child adjustment and contributes articles on parenting and postdivorce family relations to newspapers and magazines. Dr. Teyber also enjoys supervision and clinical training, and he maintains a part-time private practice.

Table of Contents

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