Psychotherapy and Counselling in Practice: A Narrative Framework

by
Format: Paperback
Pub. Date: 2002-08-12
Publisher(s): Cambridge University Press
List Price: $112.35

Buy New

Usually Ships in 8 - 10 Business Days.
$107.00

Rent Textbook

Select for Price
There was a problem. Please try again later.

Rent Digital

Rent Digital Options
Online:1825 Days access
Downloadable:Lifetime Access
$126.00
$126.00

Used Textbook

We're Sorry
Sold Out

How Marketplace Works:

  • This item is offered by an independent seller and not shipped from our warehouse
  • Item details like edition and cover design may differ from our description; see seller's comments before ordering.
  • Sellers much confirm and ship within two business days; otherwise, the order will be cancelled and refunded.
  • Marketplace purchases cannot be returned to eCampus.com. Contact the seller directly for inquiries; if no response within two days, contact customer service.
  • Additional shipping costs apply to Marketplace purchases. Review shipping costs at checkout.

Summary

The many different therapeutic models in use today can lead to blind spots in clinical practice. This important and timely book gives a balanced synthesis, based on actual cases, evidence, practice and experience, to describe the process of psychotherapy and identify the fundamental elements that lead to good outcome across all its schools. In the course of developing a consistently reliable, effective, practical psychotherapy, Digby Tantam pinpoints four essential principles: addressing the person's concerns; taking into account their values and personal morality; recognizing the role of emotions; and binding it all into a narrative treatment for symptom relief, resolution of predicaments, release from addiction or sexual problems, and finding happiness through intimacy. This book is essential reading for psychiatrists or clinical psychologists looking for a straightforward framework for short-term psychotherapy and anyone working long-term with patients using a psychotherapy model.

Author Biography

Digby Tantam is Clinical Professor of Psychotherapy at the Centre for the Study of Conflict and Reconciliation at the University of Sheffield, and a partner in Dilemma Consultancy in Human Relations.

Table of Contents

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

An electronic version of this book is available through VitalSource.

This book is viewable on PC, Mac, iPhone, iPad, iPod Touch, and most smartphones.

By purchasing, you will be able to view this book online, as well as download it, for the chosen number of days.

Digital License

You are licensing a digital product for a set duration. Durations are set forth in the product description, with "Lifetime" typically meaning five (5) years of online access and permanent download to a supported device. All licenses are non-transferable.

More details can be found here.

A downloadable version of this book is available through the eCampus Reader or compatible Adobe readers.

Applications are available on iOS, Android, PC, Mac, and Windows Mobile platforms.

Please view the compatibility matrix prior to purchase.