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The process of counseling and therapy Janet Moursund, Maureen C. Kenny.

Por: Colaborador(es): Detalles de publicación: Upper Saddle River, N.J. Prentice Hall c2002.Edición: 4th edDescripción: xiv, 252 p. 23 cmISBN:
  • 0130409626 (pbk.)
Tema(s): Clasificación CDD:
  • 616.8914 M931p4 21
Clasificación LoC:
  • RC480 .M677 2002
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Taking a very practical "how to be a psychotherapist" approach, this overview of the process of counseling provides information that is fundamental to counseling, but not representative of any one theoretical orientation. Concise, yet thorough--and accessible to novice and seasoned professional alike--it explores counseling basics (e.g., skills, relationship building) as well as specific populations (e.g., groups, clients in crisis, couples and diverse populations). Foundation skills. The initial interview. The early phase. The middle phase. The final phase. The client in crisis. Groups and group therapy. Couple therapy. Dealing with diversity. Care and feeding of therapists. For new and seasoned professionals in counsel and psychotherapy.

Includes bibliographical references (p. 238-246) and index.

Tabla de contenidos provista por Syndetics

  • Preface(p. xi)
  • 1 First Things First(p. 1)
  • Therapy Then and Now(p. 3)
  • The Therapy Depot(p. 5)
  • Evaluating Outcomes(p. 6)
  • Theory, Assumptions, Values(p. 9)
  • 2 Foundation Skills(p. 13)
  • Listening(p. 15)
  • Minimal Encouragers(p. 16)
  • Paraphrasing(p. 16)
  • Perception Checks(p. 19)
  • Summaries(p. 20)
  • I-Statements(p. 21)
  • Problem Solving(p. 22)
  • Goal Setting(p. 22)
  • Using Questions(p. 25)
  • Feedback(p. 27)
  • Advice(p. 29)
  • Dealing with Feelings(p. 30)
  • Timing(p. 33)
  • Therapist Feelings(p. 34)
  • Sharing Your Feelings(p. 35)
  • 3 The Initial Interview(p. 37)
  • Preparation(p. 38)
  • Getting Started(p. 39)
  • Centering(p. 40)
  • Following the Client's Lead(p. 41)
  • Being Yourself(p. 42)
  • Gathering Information(p. 43)
  • Diagnosis and Assessment(p. 46)
  • Answers(p. 48)
  • Will You Continue?(p. 49)
  • How Will You Work Together?(p. 51)
  • How Often, How Long, How Much?(p. 53)
  • Ending the Session(p. 54)
  • 4 The Early Phase(p. 57)
  • Rapport(p. 58)
  • The Therapist As Teacher(p. 61)
  • How to Talk(p. 61)
  • A Common Vocabulary(p. 63)
  • Skill Building(p. 64)
  • How To Be a Client(p. 65)
  • Contracting for Change(p. 66)
  • What Is a Therapeutic Contract?(p. 66)
  • Phases of the Contracting Process(p. 67)
  • The SAFE Contract(p. 68)
  • Building a Contract(p. 70)
  • A Few Last Words about Contracts(p. 71)
  • Limits(p. 72)
  • Conclusions(p. 74)
  • 5 The Middle Phase(p. 75)
  • The Relationship As a Change Agent(p. 77)
  • Emotional Work(p. 79)
  • Emotion and Discomfort(p. 81)
  • Permission and Protection(p. 83)
  • To Touch or Not to Touch(p. 85)
  • Plunging into the Process(p. 86)
  • Agreement and Disagreement(p. 87)
  • Silence(p. 88)
  • Resistance(p. 90)
  • Getting Unstuck(p. 93)
  • Timing(p. 94)
  • Closing a Session(p. 96)
  • Middle-Phase Retrospective(p. 97)
  • 6 The Final Phase(p. 99)
  • Planning for Termination(p. 100)
  • When to Terminate(p. 102)
  • The Work of the Final Phase(p. 106)
  • Repeating Old Themes(p. 107)
  • Hanging On(p. 107)
  • Feeling Reactions to Termination(p. 109)
  • Sadness(p. 109)
  • Anger(p. 110)
  • Fear(p. 111)
  • Guilt(p. 112)
  • Pleasant Affect(p. 113)
  • Therapist Feelings(p. 114)
  • Unplanned Terminations(p. 116)
  • The "No-Show"(p. 116)
  • The "Abrupt Stopper"(p. 118)
  • Therapist-Initiated Terminations(p. 120)
  • And, to Terminate This Chapter ...(p. 120)
  • 7 The Client in Crisis(p. 122)
  • Basic Principles(p. 123)
  • First Steps with a Client in Crisis(p. 126)
  • Gathering Information(p. 126)
  • Resources(p. 127)
  • Confidentiality(p. 128)
  • The Crisis Contract(p. 129)
  • Moving In(p. 130)
  • Cognitive Work(p. 131)
  • Affective Work(p. 133)
  • Some Guidelines(p. 135)
  • Suicide(p. 137)
  • Recognizing the Suicidal Client(p. 138)
  • Assessment of Suicide Danger(p. 139)
  • The Meaning of Suicide(p. 141)
  • What to Do(p. 143)
  • Conclusions(p. 146)
  • 8 Groups and Group Therapy(p. 148)
  • Curative Elements of the Group(p. 148)
  • Imparting Information(p. 149)
  • Socializing Techniques(p. 150)
  • Instilling Hope(p. 150)
  • Universality(p. 151)
  • Altruism(p. 151)
  • Cohesiveness(p. 152)
  • Transference(p. 153)
  • Imitation(p. 154)
  • Catharsis(p. 154)
  • Building and Maintaining the Group(p. 155)
  • Initial Information(p. 155)
  • Setting the Stage(p. 158)
  • Therapeutic Guidelines(p. 160)
  • Noticing Process(p. 161)
  • Interventions(p. 162)
  • Confrontations(p. 163)
  • Problems(p. 165)
  • Air Time(p. 165)
  • Monopolizing(p. 166)
  • Rescuers and Victims(p. 167)
  • Disrupting and Scapegoating(p. 168)
  • A Few Last Thoughts(p. 169)
  • 9 Couple Therapy(p. 171)
  • The First Steps(p. 172)
  • Assessment and History Taking(p. 174)
  • Treatment Planning(p. 175)
  • The Art of Couple Therapy(p. 176)
  • General Guidelines(p. 176)
  • Problem Solving(p. 180)
  • Identifying the Problem(p. 180)
  • Finding Antecedents(p. 182)
  • Vulnerability(p. 183)
  • Common Patterns(p. 183)
  • Blaming and Complaining(p. 184)
  • Hurting Each Other(p. 185)
  • Double Binding(p. 185)
  • Fusion(p. 186)
  • Responsibility(p. 187)
  • Some Special Situations(p. 187)
  • Sexual Dysfunction(p. 187)
  • Gay and Lesbian Couples(p. 188)
  • The Extramarital Affair(p. 190)
  • Separation Therapy(p. 192)
  • A Final Word(p. 193)
  • 10 Dealing with Diversity(p. 194)
  • Therapist Assumptions(p. 196)
  • Client Needs(p. 197)
  • General Guidelines(p. 198)
  • Explaining Your Role(p. 201)
  • Referral(p. 202)
  • Getting Started(p. 203)
  • Specific Cultural Groups(p. 205)
  • African Americans(p. 205)
  • Hispanics(p. 206)
  • Asians(p. 207)
  • Gay and Lesbian Clients(p. 208)
  • The Elderly(p. 210)
  • Religion(p. 211)
  • In Conclusion(p. 212)
  • 11 Care and Feeding of Therapists(p. 214)
  • Professionalism(p. 215)
  • The Setting(p. 216)
  • The Exchange(p. 218)
  • The Attitude of a Professional(p. 220)
  • Legal and Ethical Issues(p. 221)
  • Responsibilities to the Client(p. 224)
  • Confidentiality(p. 226)
  • Extra-Therapeutic Relationships(p. 230)
  • Therapist Self-Care(p. 231)
  • Physical Well-Being(p. 231)
  • Emotional Well-Being(p. 232)
  • Special Concerns(p. 234)
  • Growth and Development(p. 236)
  • References(p. 238)
  • Index(p. 247)

Extracto provisto por Syndetics

Nine years later, and time for another edition. The first question a reader/student may well ask is "why?" Is it just to make all those used copies obsolete, so as to make more money selling new ones? (That's what I firmly believed when I was a student.) Or, do the authors get more glory--and better chance of promotion--by churning out new editions of their books? Well, dear readers, I'm glad to be able to tell you that neither of these answers is correct. The real reason for putting out a new edition is&3151;it's needed. A lot has happened in seven years; lots of research has been done, new aspects of therapy have been discovered or rediscovered, the social climate in which therapy and counseling take place has changed enormously. I'm also glad to be able to say that the basic premises upon which this book was originally written, back in 1985, have not changed. Indeed, it has been gratifying to go back to the first edition (and the second, and the third) and find nothing significant with which I now disagree. In the main, what I believed about therapy then is what I still believe today, and those ideas still form the core of the book you now hold in your hands. Given that basic similarity, it makes sense to share with you part of the preface of the original edition. It's about writing a book that . . . tells, as honestly as I can, how to be a psychotherapist. It also tells a lot about me, about the kinds of things that are important to me as a therapist, and the kinds of things that are difficult for me, and the kinds of things that work for me. I hope some of them will work for you too. And I also hope that some of them won't be right for you, because every therapist needs to build a unique style, taking and rejecting bits and pieces from all sorts of teachers and models. What you decide not to use from these pages will be as important for you as what you decide to keep, for in the very process of deciding you will be shaping your own personal way of doing therapy, your own way of being in the work. There are a few things that may be helpful for you to understand before we actually get started. One has to do with pronouns--the bane of every modem American writer, forced to deal with a language that has no unisex words for her or him, he or she, hers or his. My solution has been to refer to the therapists consistently as "she" or "her" and to the client as "he" or "him." I have two reasons for this choice. First, switching back and forth between masculine and feminine pronouns, in order to balance everything out, is something that I as a reader find distracting. Second, I have frequently been surprised at my own inertial sexist bias, my own unconscious tendency to assume that the "authority" in an ambiguous situation is probably male. If 1, a professional woman, well aware of the issues of sexism in our society, still fall victim to this kind of thinking, then it seems likely that many others do too; referring to the therapist (who is usually regarded as a high-status person) as "she" helps to jolt both myself and you, the reader, into a different level of awareness. Another shortcut I have taken the liberty of using is to omit the words counselor and counseling from most of the book, in favor of therapist, therapy, or psychotherapy. Using both ("Counselors and psychotherapists . . ."; "in the counseling or therapy session. . . ") is cumbersome and unwieldy; switching back and forth seems confusing. While a very good case can be made for differences between counseling and psychotherapy, the exact nature of the differences depends on who happens to be arguing about it. Moreover, it is increasingly true that many psychotherapists do a lot of counseling, and that many counselors do a lot of therapy, and that the dividing line between the two is pretty blurred. This is a book about what I would call "therapy"; it's also a book about what occupies much of the professional life of competent counselors. What I didn't write in that first preface, perhaps because I wasn't as certain about it as I am now, seventeen years later, is that this thing we call either psychotherapy or counseling or both--when it is done properly--is, first and foremost, a matter of relationship. It is the relationship between client and therapist that makes therapy work. The real process of therapy, the real excitement, happens in a kind of in-between that is forged through the therapeutic interaction. It grows out of mutual respect, out of the client's genuine desire to change and grow and out of the therapist's regard for the client's own wisdom. Certainly, the skill of the therapist is another major ingredient. But without a solid therapeutic relationship, skill can do little to help a client. So, as you read about active listening and diagnosis and contract-building and all of the other technical things that therapists do, remember that they all depend on something else, something elusive and hard to put into words: an authentic relationship between two individuals who are willing to be real with each other. Authenticity, being real, is at the heart of the kind of therapy that this book attempts to describe. Because my professional life has taken a number of twists and turns over the last few years (my academic title now has the word "Emerita" tacked onto the end of it), I decided not to tackle a new edition of The Process of Counseling and Therapy on my own. The good folks at Prentice Hall were kind enough to find another professor/author/therapist interested in working with me, and this book is the product of our joint efforts. -- Jan Moursund Although this book has been around for some time, it is this fourth edition that I lend my name to. Simply put: the book needed revisions, and Jan needed help! Over the last year, we have worked together, Jan in Oregon and I in Florida. Thank goodness for e-mail and overnight packages; they have kept this bicoastal project alive. The writing has been an incredible experience for me. It has helped me to define what it is that I do in therapy and to understand why it is so important. I found that I agreed with most of what Jan had to say, which helped make our writing together easier and also validated me as a clinician. I have used this text in my classrooms for years, so I was familiar with its strengths and its weaknesses. When I began to work on the new edition, I used both comments from reviewers and my own ideas. Many of the references in the book have been updated to include the most current work in the field of counseling, but we have not forgotten those "legends" whose words are always timeless. The most obvious addition is the inclusion of a new chapter, "Dealing with Diversity." Given the changing demographics of the United States, it seemed compelling to include such a chapter. Certainly, from my perspective in south Florida, a multicultural society is a reality and not just a scholarly notion. In this new chapter we have tried to provide a sense of how generally to work with individuals who differ from oneself, whether it be in terms of age, ethnicity, or sexual orientation. My thanks go to those who have helped me on my journey to write this book:. my colleague Adriana McEachern, who lent me many sources of information and is a great sounding board; my assistant Salima Patel, who spent endless hours working on the computer and who has suffered through editing each chapter and reference; my "legal mind" in Jim Koenig, handy with legal advice and know-how; my dearest friend Joanna Pera, whose enthusiasm is unsurpassed--she must have been a cheerleader in another life; my partner in practice Irene Marshal--thanks for your support both in practice and friendship. Of course, I owe a special thanks to my husband Charles Winick, who is both a best friend and colleague. He has heard about "the book" more than anyone and is continuously supportive. Finally, I would not be able to lend my knowledge to the book without the clients who entrust their stories to me and hope for help and change. This book is intended both for those who are just entering the fields of counseling and psychotherapy, and for those who have been here for a while. Learning is an essential and ongoing part of our professional lives. All of us, beginners and old-timers alike, need to be reminded of the fundamentals and challenged to learn new ways of thinking about our craft. In agency or private practice, inpatient or outpatient, school or church or doctor's office, we are all working toward the same goal: our client's healing and growth. If this book can be helpful in keeping you on that track, making your work more efficient and elegant, then we shall have succeeded. -- Maureen C. Kenny Excerpted from The Process of Counseling and Therapy by Janet Moursund, Maureen Kenny All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.
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