Preface |
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xiii | |
A note on terminology |
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xiv | |
Acknowledgements |
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xvi | |
Introduction |
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1 | (8) |
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Establishing the concerns |
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9 | (36) |
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Why start with the consideration of concerns? |
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9 | (1) |
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9 | (2) |
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Concerns and psychotherapy |
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11 | (5) |
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The three elements of a concern |
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11 | (3) |
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The ternary model of psycho-analysis |
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14 | (1) |
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15 | (1) |
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How does the discussion of concerns differ between medical or psychiatric practice, and the practice of psychotherapy? |
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15 | (1) |
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16 | (1) |
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17 | (1) |
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Being a bit more practical about concerns |
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18 | (2) |
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What do these illustrations show about reasons and concerns? |
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20 | (1) |
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20 | (4) |
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21 | (2) |
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Concerns about the therapeutic relationship |
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23 | (1) |
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24 | (3) |
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27 | (3) |
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Evidence-based approach to concerns |
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30 | (3) |
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Whose concern is it anyway? |
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33 | (1) |
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Is the client always right? |
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34 | (2) |
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Concerns as we tell them to others |
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36 | (1) |
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Consensus or conflict between therapist and client? |
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37 | (4) |
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41 | (1) |
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What is psychotherapy after all? |
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42 | (3) |
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45 | (10) |
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45 | (1) |
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46 | (3) |
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Truthfulness, honesty and effectiveness |
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49 | (1) |
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50 | (2) |
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52 | (1) |
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53 | (2) |
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The Client's treatment values |
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53 | (2) |
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What life means Emotional flavour |
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55 | (26) |
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Why give emotions such importance? What about relationships? |
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56 | (1) |
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56 | (2) |
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58 | (11) |
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How to act when plans fail |
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60 | (1) |
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Maintaining the social bond |
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61 | (3) |
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Making decisions, particularly ethical decisions |
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64 | (3) |
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67 | (2) |
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I in the interpersonal domain |
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69 | (1) |
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69 | (5) |
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Projection and emotional meaning |
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71 | (3) |
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Strong emotional meanings |
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74 | (1) |
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Strong emotors and the fear of extinction |
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74 | (2) |
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Emotional meaning and choice |
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76 | (2) |
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78 | (1) |
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Identity and emotional meaning |
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78 | (3) |
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Projective identification and strong emotors |
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79 | (2) |
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Narrating the treatment: the formulation, reformulation and therapeutic contract |
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81 | (38) |
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83 | (1) |
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Exercise: how are your interviewing skills? |
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83 | (1) |
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Constructing a therapeutic narrative |
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84 | (1) |
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The struggle of narratives |
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85 | (2) |
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87 | (6) |
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Splitting and narrative coherence |
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92 | (1) |
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The therapist's responsibility for the narrative |
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93 | (1) |
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Narrative types in psychotherapy |
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94 | (2) |
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Formulation and reformulation |
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96 | (3) |
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96 | (2) |
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98 | (1) |
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99 | (2) |
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Issues in third-party contracts |
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101 | (2) |
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Collecting information of relevance to the organization |
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101 | (1) |
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The duration of treatment |
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102 | (1) |
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Reporting on outcome to a third party |
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102 | (1) |
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Issues about the treatment contract with the client |
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103 | (16) |
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The relationship with the therapist |
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103 | (1) |
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103 | (1) |
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Assessment and treatment carried out by different psychotherapists |
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104 | (1) |
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The duration of treatment |
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104 | (2) |
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What the therapy is expected to bring about |
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106 | (5) |
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Who is responsible for the treatment working, and who brings it up if it is failing? |
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111 | (1) |
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What are the limits of treatment confidentiality? |
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111 | (3) |
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114 | (1) |
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115 | (1) |
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116 | (1) |
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The ethical framework under which the treatment is being carried out |
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116 | (1) |
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116 | (3) |
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119 | (20) |
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121 | (1) |
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121 | (6) |
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123 | (4) |
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Narrating a self that is convincing to others |
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127 | (4) |
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The significance for psychotherapy |
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131 | (1) |
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132 | (2) |
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Boundaries, shame and disgust |
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134 | (2) |
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The effacement of the `I': catastrophic reactions |
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136 | (3) |
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Procedures for gaining relief |
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139 | (26) |
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Non-specific distress-relieving factors |
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141 | (7) |
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141 | (2) |
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143 | (2) |
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145 | (1) |
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145 | (1) |
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145 | (1) |
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Relaxation, breathing control and imagery |
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146 | (1) |
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146 | (2) |
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148 | (1) |
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Relief of future symptoms |
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148 | (14) |
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149 | (6) |
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Common features in symptomatic treatments |
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155 | (7) |
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The crucial role of meaning |
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162 | (3) |
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Resolution: finding out what's doing this to me |
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165 | (28) |
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Interpersonal, exploratory, dynamic, analytic... |
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167 | (7) |
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174 | (3) |
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Supportive, expressive, person-centered problem solving |
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177 | (1) |
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Personal constructivist, cognitive-analytic, applied relationship theory |
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178 | (4) |
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Family, systems, networks |
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182 | (3) |
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185 | (3) |
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Relationship or couple therapy |
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188 | (1) |
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189 | (4) |
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Universal technique for resolving predicaments |
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193 | (14) |
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195 | (2) |
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Speaking, or thinking, aloud |
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197 | (3) |
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The eyes of the therapist |
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200 | (2) |
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202 | (2) |
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204 | (3) |
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Relinquishment and releasement: changing something about me |
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207 | (24) |
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211 | (1) |
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Changing values through addiction |
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212 | (1) |
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212 | (2) |
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The emotional meaning of Lucy's anorexia |
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214 | (2) |
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First steps in treating addiction: addressing the craving |
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216 | (7) |
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217 | (5) |
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222 | (1) |
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223 | (3) |
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Dissociation and deception |
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226 | (4) |
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230 | (1) |
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Re-narration: finding happiness |
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231 | (36) |
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231 | (2) |
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233 | (1) |
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The unspoken and the unspeakable |
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234 | (4) |
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Why is some therapy long-term? |
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238 | (1) |
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239 | (1) |
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240 | (10) |
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Issues raised by transference |
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244 | (3) |
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Which justifications are justified? |
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247 | (1) |
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What should we make of resistance and transference? |
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248 | (2) |
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An alternative account of resistance and transference |
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250 | (1) |
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Interpreting the unconscious: trumping the ace |
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250 | (2) |
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252 | (2) |
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What is long-term therapy again? |
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254 | (1) |
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Identity and value in long-term therapy |
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254 | (4) |
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Shame and disgust: the other story |
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258 | (5) |
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The short story about long-term therapy |
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263 | (4) |
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Crises, and how to surmount them |
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267 | (20) |
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General principles of managing crises |
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267 | (10) |
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Attribute everything that happens to the effects of the therapy unless proven otherwise |
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270 | (1) |
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Re-consider the focus of the treatment |
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271 | (1) |
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Review the therapeutic relationship |
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272 | (1) |
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273 | (1) |
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274 | (1) |
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275 | (1) |
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275 | (1) |
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276 | (1) |
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276 | (1) |
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277 | (1) |
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Some specific crises considered |
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277 | (10) |
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277 | (1) |
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Falling in love with your Client, and other kinds of acting out |
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278 | (1) |
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Making demands on the therapist |
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279 | (2) |
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281 | (1) |
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282 | (1) |
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282 | (1) |
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282 | (1) |
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283 | (1) |
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284 | (3) |
Appendix: confidential record |
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287 | (10) |
References |
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297 | (16) |
Index |
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313 | |