Short-term dynamic interpersonal psychotherapy is an integrated, trauma-informed, contemporary, dynamic way of working with a range of mental health difficulties. Flexible though structured, phase-oriented, focused and time-limited, it is informed by the Conversational Model, Attachment and Interpersonal Theories and Brief Psychodynamic Psychotherapies, which are briefly described. It provides clinicians with a way of working with patients whose difficulties do not warrant long term therapy, who prefer a talking therapy or who have failed cognitive/behaviour therapies. With the help of examples, it guides the process of assessment and therapy with trauma in mind: using Conversational Model techniques where empathy replaces confrontation; resistance is seen as a fear of re-traumatization; defence mechanisms are regarded as adaptive coping mechanisms which later become maladaptive; transference interventions replace interpretations, and self-reflective capacity is encouraged rather than just insight. Separation anxiety is addressed and anxiety-provoking techniques are avoided, given that anxiety is a large part of most presentations.

In today's world of managed care -- characterized by limited mental health resources, emphasis on accountability, concerns of third-party payers, and consumer need -- the demand for mental health professionals to use briefer therapeutic approaches is on the rise. Fully 84% of all clinicians are doing some form of planned brief therapy (6-20 sessions per year per patient). Yet despite clinical advances and outcome data that demonstrate the effectiveness of short-term therapy, many therapists -- in fact, 90% of those whose theoretical orientation is psychodynamic rather than cognitive-behavioral -- are reluctant to learn briefer interventions, seeing value only in long-term, depth-oriented work. The second edition of this Concise Guide is intended to help educate both beginning and experienced clinicians in the strategies and techniques of time-attentive models and to foster more positive and optimistic attitudes toward using these important therapies. The seven therapeutic models presented here -- including an entirely new chapter on time-limited group therapy -- highlight the importance of the interpersonal perspective. The seven models, one per chapter, represent well-established short-term approaches to clinical issues that therapists commonly encounter in their clinical practices. These models also have clearly defined intervention techniques and formulation strategies and can be used within the 10- to 20-session time frame of most managed care settings. The first part of each chapter dealing with a therapeutic model lists the various presenting problems the authors deem most suitable for treatment by that particular approach. The authors discuss the overall framework of each model, selection criteria, goals, therapeutic tasks and strategies, empirical support, and relevance for managed care, with clinical cases to illustrate the application of each model. The authors include updated chapters on supportive, time-limited, and interpersonal therapies; time-limited dynamic psychotherapy; short-term dynamic therapy for patients with posttraumatic stress disorder; brief dynamic therapy for patients with substance abuse disorders; an entirely new chapter on time-limited group therapy; and a final chapter on the reciprocal relationship between pharmacotherapy and psychotherapy. Meant to complement the more detailed information found in lengthier psychiatric texts, this Concise Guide (it is designed to fit into a jacket or lab coat pocket) is a practical and convenient reference for psychiatrists, psychiatric residents, and medical students working in a variety of treatment settings, such as inpatient psychiatry units, outpatient clinics, consultation-liaison services, and private offices.

This guide presents seven brief psychodynamic therapy models, including: supportive therapy; time-limited therapy; interpersonal therapy; time-limited dynamic psychotherapy; short-term dynamic therapy for post-traumatic stress disorder; brief dynamic therapy for substance abuse disorders; and brief psychodynamic psychotherapy with children. The models are established short-term approaches to common clinical problems and can accomodate the ten- to 20-minutes session time frame found in most managed care settings. Each chapter focuses on a particular approach, and matches particular patient problems best handled by that approach. The book discusses each model in terms of its overall framework, selection criteria, goals, therapeutic tasks and strategies, empirical support, and relevance for managed care. Clinical cases are provided to illustrate how each model is applied. A separate chapter covering the use of psychopharmacology in brief psychotherapy is also included.

This work provides an analysis of significant approaches to short-term psychotherapy. In addition to examining a number of specific approaches to more traditional one-on-one planned short-term psychotherapy, the book also analyzes the literature that has focused on settings rather than theories.

Traditionally, psychoanalytic treatment has been a lengthy endeavour, requiring a long-term commitment from patient and analyst, as well as vast financial resources. More recently, short-term approaches to psychoanalytic treatment have proliferated. One of the most well-known and thoroughly studied is the groundbreaking method of Intensive Short-term Dynamic Psychotherapy, developed by Dr. Habib Davanloo. Having trained directly with Dr. Davenloo, the author has written a clear, concise outline of the method that has come to be regarded as a classic in the field. The book is organised in a systematic fashion, analogous to the process of therapy itself, from initial contact through to termination and follow-up. Detailed clinical examples are presented throughout the text to illustrate how theory is translated into techniques of unparalleled power and effectiveness.

TABLE OF CONTENTS: Part 1: Overview and General Interpersonla Formulations. 1 Interpersonal Theory for Personality and Psychotherapy. 2 Interpersonal Formulations of Psychotherapy: A Contemporary Model. 3 Interpersonal Therapy and Active Intervention. 4 Self-Fulfilling Prophecy, Maladaptive Behavior, and Psychotherapy. 5 A Social Learning Theory Analysis of Interactional Theory Concepts and a Multi-dimensional Model of Human Interaction Constellations. 6 Sequence, Pattern, and Style: Integration and Treatment Implications of Some Interpersonal Concepts. 7 The Rationale of Psychotherapeutic Discourse. Part 2: Interpersonal Assessment. 8 Functional Analysis of Interpersonal Behavior. 9 Symptoms and Interpersonal Problems: The Prototype as an Integrating Concept. 10 Use of Structural Analysis of Social Behavior to Guide Intevention in Psychotherapy. Part 3: Interpersonal Process Models for Psychotherapy. 11 Interactional Psychotherapy: Using the Relationship. 12 Relational Psychotherapy: The Clinical Facilitation of Intimacy. 13 A Brief, Strategic Interactional Approach to Psychotherapy. 14 Being Asocial in Social Places: Giving the Client a New Experience. 15 Confronting the Client-Therapist Relationship in Psychotherapy. 16 Short-Term Interpersonal Psychotherapy for Depression: Description and Efficacy. Part 5: Summary and Conclusions. 17 Interpersonal Approaches to Psychotherapy: Summary and Conclusions.

Interactive Group Therapy is a complete guide to group psychotherapy based on the author's unique integrated approach. Dr. Earley integrates from interpersonal group therapy a focus on the feeling reactions and relationships among group members, from psychodynamic approaches, an appreciation of unconscious processes and childhood origins, and from Gestalt therapy, the importance of awareness, contact, and experimentation. The book develops an action-oriented leadership style for group-centered groups and a new interpersonal understanding of the therapeutic change process in group therapy, leading to an approach that has impressive depth and creativity. It covers both short-term and long-term groups, making it a valuable book for those interested in brief therapies. The primary focus of Interactive Group Therapy is to provide practical guidelines for leading groups. It offers detailed suggestions for structuring groups, creating a therapeutic group climate, promoting interpersonal work, and helping group members develop awareness and responsibility. It discusses how to handle conflict, foster therapeutic change, work with difficult clients, adopt the best leadership attitude, understand group process, and a host of other clinical issues. In addition to rich clinical examples and case histories, this book also presents transcripts of group sessions, annotated to illustrate both theory and technique. The author's thorough presentation of his approach, its theoretical underpinnings, and its application to actual groups make this a valuable resource for graduate students in the mental health professions and psychotherapists of all levels of experience.

In Brief Dynamic Therapy, Hanna Levenson discusses the history, theory, and practice of this approach. Brief dynamic therapy is a time-efficient treatment in which the therapist maintains a focus on specific client issues and goals, all within a basic psychodynamic conceptual framework. Many different approaches fit this general definition, but each shares the brief dynamic characteristics of time management, defined focus, circumscribed goals, active therapist participation, rapid assessment, prompt intervention, an awareness of unconscious processes, and techniques that quickly foster a strong alliance with the client. Dr. Levenson discusses the approach of brief dynamic therapy in general, but focuses on one example, time-limited dynamic psychotherapy (TLDP), to give readers a richer understanding of this popular model. Time-limited dynamic psychotherapy is an integrative approach that uses recent developments in attachment theory, interpersonal neurobiology, affectiveexperiential learning, and systems orientations to help clients with long-standing, dysfunctional ways of relating to others. It provides a specialized method for delineating the client's cyclical maladaptive interpersonal pattern that can lead to symptoms like depression and anxiety. This approach privileges empathic attunement and awareness of moment-to-moment affective shifts within the client, and transactions between the client and therapist. In this book, the author presents and explores this integrative, culturally-sensitive approach, its theory, history, the therapy process, primary change mechanisms, empirical basis, and future developments. This essential primer, amply illustrated with detailed case examples, is perfect for graduate students studying theories of therapy and counseling as well as for seasoned practitioners interested in learning how to do focused, depth work.

In the past, short-term -- or brief -- treatment was practiced by few clinicians, its power relatively unknown. Today, the dual pressures of managed care and patient preference make it imperative to reconsider brief treatment, which has proven to be as effective as long-term therapy for many disorders and problems. This remarkable guide for conducting short-term psychotherapy details the tools and techniques of brief psychotherapy, addressing four main areas: Understanding, conceptualizing, and formulating the patient's problems -- Brief psychotherapy requires a concise formulation of the patient's problems within the first hours of treatment to ensure that the therapist understands and can focus on the patient's core problems early in therapy. The authors describe a detailed method of patient assessment and case formulation as the first building block in learning the fundamentals of short-term treatment. Setting realistic treatment goals -- Brief psychotherapy sets explicit goals from the beginning, based on a thorough evaluation that incorporates the patient's wishes, desires, and dissatisfactions and an agreement about what the work of therapy will encompass. Knowing what to say to patients (i.e., technique) -- Brief psychotherapy requires focused, concrete techniques within clear guidelines for each stage of treatment. With numerous clinical examples, the authors define a unified treatment that emphasizes the differential use of therapeutic interventions, such as cognitive-behavioral and interpersonal techniques, encompassing the continuum of interpretative to supportive approaches. They also offer an in-depth look into the therapeutic process: they use patient-therapist dialogues -- including both patient and therapist comments and accompanying third-voice explanations -- to chronicle the progress of four patients through the initial, middle, and termination phases of psychotherapy. Maintaining a positive therapeutic alliance -- Although the quality of the therapeutic alliance is the best predictor of outcome in both traditional and brief psychotherapy, it is absolutely vital to the success of brief psychotherapy. The authors present a framework for maintaining and enhancing this alliance, including how to heal misunderstandings. Concluding with a collaborative model and summary of the past 20 years' research on integrated treatment, this volume is more than a valuable clinical guide for integrated evaluation and treatment; it is also a practical blueprint for promoting and maintaining a flexible, positive patient/therapist relationship. As such, it will prove indispensable not only to practitioners, but also to educators and students.

This book presents for the first time, a practical manual for psychodynamic-interpersonal therapy. Drawing on forty years of research, teaching and practice, its expert authors guide you through the conversational model’s theory, skills and implications for practice. Part I sets out the model’s underlying theory and outlines the evidence for its efficacy with client groups. Part II guides you through clinical skills of the model, from foundational to advanced. Part III offers practical guidance on implementing the approach within a range of settings, and for developing effective practice through reflection and supervision.