Very Brief PsychotherapyRoutledge, 11. 1. 2013 - 228 strán (strany) As the fields of psychiatry and clinical psychology are increasingly driven by the economics of the HMO or Mental Health Center, practitioners in any setting, whether it be private practice or university clinic, are now forced to develop more concrete procedures and models in order to practice more efficiently. This book presents a set of procedures for brief therapy that are based entirely on the four common dynamics of psychiatry. By following the model set forth in this book, psychiatrists, psychologists, social workers, psychiatric nurses, and mental health workers will be able to build an entire brief therapy program based upon the initial conditions for each patient. In Very Brief Psychotherapy, Dr. James Gustafson provides the reader with the tools and techniques to make a discernable difference in a patient's life in only a few moments. The majority of people seeking help from mental health professionals are not pathological, but are most often stuck in self-imposed cyclical patterns of behavior from which they cannot escape. It is the first step in any situation that leads to the iteration of the familiar circle, and it is in this single step that the clinician can effect decisive change. Given a window of only five or ten minutes, the practitioner armed with this approach can help a patient break out of the repeating pattern, move around the impasse, and take the first step onto a new trajectory. Very Brief Psychotherapy can help the practitioner make meaningful interventions in real world time, and in less than ideal circumstances, will radically change the reader's concepts of what can be accomplished in a day, in a clinical hour, or even in a single moment. |
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... getting a bad exchange with the world. This builds up rage, which erupts and frightens the patient back into compliance. I call this “the exploding doormat problem” (Gustafson, 1995a, 1995b, 1999). In the psychoanalytic literature, it ...
... getting leads by redundancy into the moral bog. The patient who compensates herself with a moral claim of taking or forcing her due, leads by redundancy into guilt, for which the punishment is giving up the claim. The second and ...
... getting pushed farther and farther, faster and faster, it eventually crosses a line after which the tension is unbearable. Essentially, the remainder of the body pushed along in this project joins in the conversation, unconsciously. It ...
... getting himself out. That key step of going out the back door of being a doormat had a long preparation of my posing the problem to her, and her gradually getting ready to revise her daily step of saying yes to everyone else's need ...
... getting a picture of the patient at his worst and at his best, and of the conditions that bring about these extremes. When I can imagine this picture, I know what will contain the patient and what will overwhelm the containment ...
Obsah
The Compensations for Unbearable Anxiety and Depression | |
Schooling against False Claims | |
Walking Forward to Read the Exchanges in Work and Love | |
The Opposing Current to Pushing | |
The Opposing Current to Guilt | |
The Work Impasse | |
Background | |
Drawings and Letters | |
A Theoretical Note on the Scaffolding of This Book | |
References | |
Index | |