Negotiating the Therapeutic Alliance A Relational Treatment Guide

ISBN-10: 1572308699
ISBN-13: 9781572308695
Edition: 2003
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Book details

Copyright year: 2003
Publisher: Guilford Publications
Publication date: 5/22/2003
Binding: Paperback
Pages: 260
Size: 5.75" wide x 8.50" long x 0.75" tall
Weight: 0.968
Language: English

Christina E. Newhill, PhD, LCSW, is currently Associate Professor of Social Work at the University of Pittsburgh, where she has been a faculty member since 1990. She holds a bachelor's degree in sociology from the State University of New York at Binghamton, a master's in social work from Syracuse University, and a doctorate in social welfare from the University of California at Berkeley. Dr. Newhill has over 10 years of community mental health practice experience, primarily in psychiatric emergency and inpatient settings, and teaches in the direct practice mental health specialization. She is Principal Investigator on several research studies focusing on violent behavior and risk assessment, and is currently examining the relationship of Cluster B personality disorders, emotion regulation problems, substance abuse, and violent behavior. She has conducted training workshops on violence in the workplace at the local, state, and national levels for many years. Dr. Newhill is a member of the Academy of Certified Social Workers and the NASW Register of Clinical Social Workers, holds a Diplomate in Clinical Social Work, and is a licensed clinical social worker in the State of California.

Jeremy D. Safran, PhD, is Professor of Psychology at the New School for Social Research, where he was formerly Director of Clinical Psychology. He is also Senior Research Scientist at New York's Beth Israel Medical Center. He is the author ofWidening the Scope of Cognitive Therapy, coauthor ofEmotion in PsychotherapyandInterpersonal Process in Cognitive Therapy, and coeditor ofEmotion, Psychotherapy, and ChangeandThe Therapeutic Alliance in Brief Psychotherapy. He is an advisory editor forPsychotherapy Research,Journal of Clinical Psychology,Journal of Psychotherapy Integration, and several other journals, and maintains a private practice in New York City. J. Christopher Muran, PhD, is Chief Psychologist and Director of the Brief Psychotherapy Research Program at Beth Israel Medical Center, where he maintains a private practice. He is also Associate Professor of Psychiatry at Albert Einstein College of Medicine. He completed a fellowship in cognitive-behavioral therapy at the Clarke Institute of Psychiatry, University of Toronto, as well as analytic training in the New York University Postdoctoral Program. He received the Early Career Award from the Society for Psychotherapy Research, and serves as an advisory editor forPsychotherapy Research. He is the coeditor ofThe Therapeutic Alliance in Brief Psychotherapyand editor of the forthcomingSelf-Relations in the Psychotherapy Process.

The Therapeutic Alliance Reconsidered
Overview of the Book
A Brief History of the Therapeutic Alliance
A Reconceptualization of the Therapeutic Alliance
A Taxonomy of Interventions for Addressing Alliance Ruptures
Fundamental Assumptions and Principles
Agency versus Relatedness
Constructivism and Realism
Beginner's Mind: The Dangers of Reification
One-Person and Two-Person Psychologies
Interventions as Relational Acts
Motivation and Emotion
Affective Appraisal and Communication
Understanding and Experiencing/Insight and Awareness
Participant-Observation and Observing-Participation
Intersubjectivity
Mindfulness: The Therapist's Observational Stance and Inner Work
Circles, Cycles, and Matrices
Beyond Countertransference
Multiple Selves
The Paradox of Acceptance
Understanding Alliance Ruptures and Therapeutic Impasses
Hope and Despair
Resistance: Intrapsychic, Characterological, and Relational
Will and Responsibility
Impasses as Windows into Core Organizing Principles
Restructuring the Patient's Relational Schemas
Affective Miscoordination and Repair
Recovering a Split-Off Part of the Self
Transitional Experience
Optimal Disillusionment
Subjects and Objects
Need versus Neediness
Surviving and Containing
Therapeutic Metacommunication: Mindfulness in Action
Clinical Vignettes
Principles of Metacommunication
Clinical Illustration
Stage-Process Models of Alliance Rupture Resolution
A Resolution Model for Withdrawal Ruptures
A Resolution Model for Confrontation Ruptures
Brief Relational Therapy
The Dynamic Focus
Awareness and the Focus on the Present Moment
Termination and Optimal Disillusionment
Case Illustration
A Relational Approach to Training and Supervision
Explicitly Establishing an Experiential Focus
Mindfulness Training
Self-Exploration
The Relational Context of Supervision
Audio- and Videotaping
Awareness-Oriented Role Plays
Supervisors as Models
Training Illustration
Afterword
References
Index

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