Becoming a Therapist: What Do I Say, and Why?
Publisher: The Guilford Press
ISBN 10: 9781572309432
ISBN 13: 978-1572309432
ISBN 10: 1572308044
ISBN 13: 978-1572308046
"As a practitioner and teacher of practice for a quarter-century, it is easy to forget the initial terror of beginning as a trainee. This thoughtful and thoroughly engrossing book helps novice psychotherapists understand not only what to say, but also the theoretical concepts that undergird the words. The authors comprehensively cover assessment; the beginning, middle, and end phases of therapy; and how to establish a therapeutic alliance, maintain a frame, and use transference and countertransference. All of these concepts are discussed in an experience-near voice that conveys empathy and respect for clients. The authors skillfully integrate such treatment techniques as exploration, confrontation, and interpretation. They also provide artful coverage of legal, medical, psychopharmacological, and substance abuse issues. This generous work interweaves the contributions of a beginning therapist with the wisdom of a very experienced one. Beginning practitioners and teachers of practice will find it an excellent text."--Joan Berzoff, MSW, EdD, Smith College School for Social Work
"This book is a breakthrough, a true gem. A wise, kind and pragmatic master teacher and his gifted student have collaborated to distill the fundamental lessons along the path in the education of a psychotherapist. Many years in the making, the book makes complex concepts feel alive, personal, and elegantly simple. It is a new and valuable tool not only for mental health clinicians, but for any caregiver (or patient!) who hopes to learn better how to listen, and hear."--John B. Herman, MD, Director of Clinical Services, Department of Psychiatry, Massachusetts General Hospital
"This book is the result of a unique and creative collaboration between a young and insightful therapist who has been struggling with the complexity of psychotherapy, and a seasoned, well-reputed clinician who once served as her supervisor. Provided is a richly illustrated set of guidelines for better understanding and dealing with common dilemmas in therapy. For therapists in training, the book offers helpful strategies (and warns against less effective interventions) for handling nearly every kind of issue that arises between the first contact and termination. More experienced therapists will also benefit from the authors' clinical competence and wisdom, especially with regard to patients that are rarely mentioned in textbooks but who frequently show up at our office--those who, for example, arrive late to sessions, fail to pay their bills, or do not respond immediately to interventions. This noteworthy contribution will be of great interest to a wide range of clinicians."--Louis Castonguay, PhD, Department of Psychology, The Pennsylvania State University
About the Author
Edward Messner, MD, until his death in 2006, was a Senior Psychiatrist at Massachusetts General Hospital and Associate Clinical Professor of Psychiatry at Harvard Medical School.
Excerpt. © Reprinted by permission. All rights reserved.
I. The Consultation 1. First Contact 2. The First Moments 3. Initiating an Alliance and Assessing Safety 4. Enhancing the Therapeutic Alliance and Eliciting History 5. Collecting a Psychosocial History and Screening for Common Psychological Disorders 6. Formulating a Treatment Plan II. Frame and Variations 7. The Frame 8. Setting the Fee and Billing 9. Telephone Calls: From Dependencies to Emergencies 10. No-Shows, Late Arrivals, and Late Departures 11. Confidentiality and Its Limits III. Chemistry 12. Substance Abuse 13. Integrating Psychopharmacology with Psychotherapy IV. Therapeutic Dilemmas 14. Management of Impasses 15. Empathic Lapses 16. Transference and Countertransference 17. Termination