Interpersonal Process in Therapy : An Integrative Model

by Teyber, Edward

• ISBN13: 9780534515645
• ISBN10: 0534515649
• Edition: 5th
• Format: Hardcover
• Copyright: 2005-07-07
• Publisher: Brooks Cole

Summary

PART ONE: AN INTERPERSONAL PROCESS APPROACH. 1. Introduction and Overview. PART TWO: RESPONDING TO CLIENTS. 2. Establishing a Working Alliance. 3. Honoring the Client's Resistance. 4. An Internal Focus for Change. 5. Responding to Painful Feelings. PART THREE: CONCEPTUALIZING CLIENT DYNAMICS AND FINDING A TREATMENT FOCUS. 6. Familial and Developmental Factors. 7. Inflexible Interpersonal Coping Strategies. 8. Interpersonal Patterns and Themes. PART FOUR: RESOLUTION AND CHANGE. 9. An Interpersonal Solution. 10. Resolution and Change. APPENDICES: A. Process Notes. B. Case Formulation Guidelines. BIBLIOGRAPHY. NAME INDEX. SUBJECT INDEX.

Table of Contents

FOREWORD	xv
PREFACE	xix
ACKNOWLEDGMENTS	xxiii
ABOUT THE AUTHOR	xxv
PART 1 INTRODUCTION AND OVERVIEW	1	(40)
CHAPTER 1 The Interpersonal Process Approach	3	(38)
Therapists Need a Conceptual Framework	4	(2)
Theoretical and Historical Context	6	(12)
The Interpersonal Domain	6	(2)
The Cognitive Domain	8	(6)
The Familial/Contextual Domain	14	(4)
Core Concepts	18	(16)
The Process Dimension	18	(2)
Corrective Emotional Experience	20	(7)
Client Response Specificity	27	(4)
Teresa: Case Illustration of Core Concepts	31	(3)
Treatment Approach	34	(4)
Limitations	36	(1)
Aims	37	(1)
Closing	38	(1)
Suggestions for Further Reading	39	(2)
PART 2 RESPONDING TO CLIENTS	41	(158)
CHAPTER 2 Establishing a Working Alliance	43	(40)
Conceptual Overview	43	(1)
The Working Alliance Is a Collaborative Relationship	44	(9)
Collaboration: An Alternative to Directive and Nondirective Styles	45	(4)
Collaboration Begins with the Initial Interview	49	(4)
Empathic Understanding: The Foundation for a Working Alliance	53	(17)
Clients Do Not Feel Understood	54	(4)
Demonstrate Understanding	58	(5)
Identify Recurrent Themes	63	(7)
Immediacy: Working in the Moment	70	(8)
Using Process Comments to Build a Working Alliance	70	(6)
Using Process Comments to Repair Ruptures	76	(2)
New Therapists Struggle with Performance Anxieties	78	(2)
Care and Understanding as Preconditions of Change	80	(1)
Closing	81	(1)
Suggestions for Further Reading	82	(1)
CHAPTER 3 Honoring the Client's Resistance	83	(39)
Conceptual Overview	83	(2)
Reluctance to Address Resistance	85	(7)
The Therapist's Reluctance	86	(2)
The Client's Reluctance	88	(4)
Identifying Resistance	92	(1)
Formulating Working Hypotheses	93	(4)
Responding to Resistance	97	(18)
Addressing Resistance during the Initial Telephone Contact	97	(4)
Exploring Resistance at the End of the First Session	101	(8)
Resistance during Subsequent Sessions	109	(6)
Shame Fuels Resistance	115	(5)
Closing	120	(1)
Suggestions for Further Reading	121	(1)
CHAPTER 4 An Internal Focus for Change	122	(36)
Conceptual Overview	122	(2)
Shifting to an Internal Focus	124	(10)
A Prerequisite for Change	124	(5)
Focusing Clients Inward	129	(2)
Reluctance to Adopt an Internal Focus	131	(3)
Placing the Locus of Change with Clients	134	(12)
Fostering the Client's Initiative	135	(6)
Interventions That Place Clients at the Fulcrum of Change	141	(5)
Enlist Clients in Solving Their Own Problems	146	(4)
Reenacting, Clients' Conflicts	146	(2)
Providing a Corrective Emotional Experience	148	(2)
Tracking Clients' Anxiety	150	(6)
Observing Signs and Symptoms of Anxiety	151	(1)
Approach Anxiety Directly	151	(2)
Observing What Triggers the Anxiety	153	(1)
Focusing Clients Inward to Explore Their Anxiety	154	(2)
Closing	156	(1)
Suggestions for Further Reading	156	(2)
CHAPTER 5 Responding to Painful Feelings	158	(41)
Conceptual Overview	159	(1)
Responding to Clients' Feelings	159	(10)
Approaching Clients' Feelings	161	(2)
Expand and Elaborate the Client's Affect	163	(6)
Identifying the Predominant Affect	169	(3)
An Old Wound	169	(1)
Multiple Stressors	170	(1)
A Characterological Affect	171	(1)
Affective Constellations	172	(6)
Anger-Sadness-Shame	172	(4)
Sadness-Anger-Guilt	176	(2)
Holding the Client's Pain	178	(12)
Clients Resist Feelings to Avoid Interpersonal Consequences	179	(3)
Providing a Holding Environment	182	(5)
Change from the Inside Out	187	(3)
Countertransference Prevents Therapists from Responding to Feelings	190	(7)
The Therapist's Need to Be Liked	190	(2)
Therapists Misperceive Their Responsibility	192	(2)
Family Rules	194	(2)
Situational Problems in the Therapist's Own Life	196	(1)
Closing	197	(1)
Suggestions for Further Reading	198	(1)
PART 3 CONCEPTUALIZING CLIENTS AND DEVELOPING A TREATMENT FOCUS	199	(126)
CHAPTER 6 Familial and Developmental Factors	201	(41)
Conceptual Overview	201	(1)
Structural Family Relations	202	(10)
Shifting Loyalties and Establishing a Marital Coalition	202	(3)
The Parental Coalition Shapes Child Adjustment	205	(7)
Balancing the Continuum of Separateness-Relatedness	212	(4)
Child-Rearing Practices	216	(7)
Authoritarian Parenting	216	(3)
Permissive Parenting	219	(1)
Disengaged/Dismissive Parenting	220	(1)
Authoritative Parenting	221	(2)
Other Child-Rearing and Attachment Issues	223	(16)
Authoritarian and Disengaged Parenting, Love Withdrawal, and Insecure Attachment	223	(8)
Permissive Parenting, Overinvolvement, and Insecure Attachment	231	(1)
A Diversity of Parenting and Attachment Styles	232	(3)
Clinical Implications for Working with Disrupted Ties	235	(4)
Relating the Three Dimensions of Family Life	239	(2)
Closing	241	(1)
Suggestions for Further Reading	241	(1)
CHAPTER 7 Inflexible Interpersonal Coping Strategies	242	(36)
Conceptual Overview	242	(2)
Interpersonal Model for Conceptualizing Clients	244	(15)
Blocked Developmental Needs	244	(2)
Compromise Solutions	246	(9)
Resolving the Core Conflict	255	(4)
Case Study of Peter: Moving Toward Others	259	(9)
Developmental History and Precipitating Crisis	259	(2)
Precipitating Crisis, Maladaptive Relational Patterns and Symptom Development	261	(2)
Course of Treatment	263	(5)
Two Case Summaries	268	(8)
Carlos: Moving Against Others	268	(4)
Maggie: Moving Away from Others	272	(4)
Closing	276	(1)
Suggestions for Further Reading	276	(2)
CHAPTER 8 Interpersonal Themes and Patterns	278	(47)
Conceptual Overview	278	(1)
How Clients Reenact Their Problems with Others in the Therapeutic Relationship	279	(29)
Eliciting Maneuvers	280	(7)
Testing Behavior	287	(12)
Transference Reactions	299	(9)
Optimum Interpersonal Balance	308	(9)
Enmeshment	309	(2)
Disengagement	311	(1)
Optimum Middle Ground of Effective Involvement	312	(5)
Enduring Problems Tend to Be Paradoxical and Ambivalent	317	(5)
The Two Sides of Clients' Conflicts	317	(2)
Exploring Ambivalent Feelings	319	(3)
Closing	322	(1)
Suggestions for Further Reading	323	(2)
PART 4 RESOLUTION AND CHANGE	325	(76)
CHAPTER 9 An Interpersonal Solution	327	(41)
Conceptual Overview	327	(2)
Resolving Problems through the Interpersonal Process	329	(20)
Bringing Clients' Conflicts into the Therapeutic Relationship	329	(4)
Using the Process Dimension to Facilitate Change	333	(15)
Providing a Corrective Emotional Experience	348	(1)
Interpersonal Process Interventions	349	(5)
Therapists' Initial Reluctance to Work with the Process Dimension	354	(11)
Closing	365	(1)
Suggestions for Further Reading	366	(2)
CHAPTER 10 Working Through and Termination	368	(33)
Conceptual Overview	368	(1)
Working Through	368	(23)
The Course of Client Change: An Overview	368	(3)
The Working-Through Process	371	(10)
Going from Current Problems, through Family-of-Origin Work, and on to "the Dream"	381	(10)
Termination	391	(8)
Accepting That the Relationship Must End	393	(5)
Ending the Relationship	398	(1)
Closing	399	(1)
Suggestions for Further Reading	399	(2)
APPENDIX A PROCESS NOTES	401	(2)
APPENDIX B CASE FORMULATION GUIDELINES	403	(4)
REFERENCES	407	(9)
NAME INDEX	416	(3)
SUBJECT INDEX	419