Clinical Manual of Supportive Psychotherapy

, by Novalis, Peter N., M.D.; Rojcewicz, Stephen J., M.D.; Peele, Roger, M.D.

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ISBN: 9780880484039 | 0880484039
Cover: Paperback
Copyright: 2/1/1993

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This is comprehensive guide to the specific modality of supportive psychotherapy by three experienced clinicians. It documents the wide applicability of supportive psychotherapy, beyond its usual confines of patients in crisis or with chronic mental or physical illness. It presents in a clear and concise fashion the background and techniques of supportive psychotherapy, and illustrates this information with useful case examples. The authors also present the various modifications that must be made to meet individual needs.

List of Tables
Introduction
A Note on Usage
Principles
The Basis for Supportive Psychotherapy	p. 3
Definition and the Place of Theories and Concepts	p. 3
The Goals of Supportive Psychotherapy	p. 6
The Evidence for Effectiveness	p. 8
Historical Note on Supportive Psychotherapy	p. 10
The Supportive Relationship	p. 19
The Concept of Support	p. 19
Transference	p. 24
Countertransference	p. 29
Burnout	p. 32
Beginning the Therapy	p. 37
Selection of Patients for Supportive Psychotherapy	p. 37
Treatment Planning	p. 43
Phases of Therapy	p. 44
Principles of Supportive Technique: Explanatory Techniques	p. 57
The Spectrum of Explanatory Techniques	p. 57
Fundamental Concepts in Supportive Technique	p. 60
Reassurance and Enhancement of Self-Esteem	p. 66
Explanatory Techniques	p. 69
Principles of Supportive Technique: Directive Interventions	p. 89
The Two Senses of Suggestion	p. 90
Advice and Guidance	p. 91
Explicit Direction	p. 92
Limit Setting	p. 92
Control of Affects and Impulses	p. 96
The Educational Function of Supportive Psychotherapy	p. 97
Work Skills	p. 99
Cognitive Restructuring and Behavioral and Experiential Learning	p. 101
Modeling and Identification With the Therapist	p. 105
Homework	p. 106
Diversions, Substitutes, and Paradoxical Interventions	p. 106
Reinforcement of Desirable Behaviors	p. 108
Session Management	p. 111
Directing the Content	p. 111
Curveballs	p. 114
Excavating "Hidden Issues"	p. 116
Judging the Effectiveness of Interventions	p. 119
Management and Feedback: A Session Dialogue	p. 120
Applications
Schizophrenia	p. 129
Treatment Strategy	p. 129
Natural Course of Schizophrenia	p. 130
Supportive Psychotherapy in Schizophrenia	p. 131
Response to Special Symptoms	p. 135
Integration of Medications With Therapy	p. 146
Difficulties in Supportive Psychotherapy	p. 151
Mood Disorders	p. 157
Depressed States	p. 157
Primary Techniques and Emphases in Treatment of Depressed States	p. 165
The Depressed Patient in Remission	p. 168
Dysthymic Conditions and Dysphoric States	p. 169
Manic States	p. 170
The Manic Patient in Remission	p. 174
Anxiety Disorders	p. 179
Treatment of Anxiety Symptoms	p. 180
Specific Anxiety Disorders	p. 181
The Dual Diagnosis Patient	p. 195
Substance Abuse and Chronic Mental Illness	p. 196
Alcohol and Anxiety Disorders	p. 202
Mental Retardation and Psychiatric Illness	p. 203
Personality Disorders	p. 207
Dramatic, Emotional, and Erratic Personalities	p. 208
The Odd or Eccentric Personalities	p. 222
The Anxious Personalities	p. 226
Crisis Management	p. 235
The High-Functioning Patient in Crisis: Principles of Time-Limited Crisis Support	p. 235
The Supportive Therapy Patient in Crisis: "Acute on Chronic" Syndrome	p. 240
Suicidality	p. 243
Bereavement	p. 247
The Medically Ill Patient	p. 257
General Considerations of Support in Acute and Chronic Illness	p. 258
Supportive Therapy in Life-Threatening Illness	p. 263
Human Immunodeficiency Virus Disease	p. 267
Chronic Physical Illness	p. 274
The Elderly Patient	p. 279
The Sequelae of Aging	p. 279
Empathy, Transference, and Countertransference	p. 281
Adaptations of Technique for the Elderly	p. 285
Interactions
Medication and Compliance	p. 295
Medication-Therapy Interactions	p. 295
Compliance	p. 298
Side Effects	p. 306
The Therapist-Medicator Split	p. 307
Family Matters	p. 311
Developing a Supportive Relationship With the Family	p. 311
Stages in Treatment	p. 314
Case Management and Beyond	p. 321
Inside Interfaces	p. 321
Differences of Opinion	p. 324
Outside Interfaces	p. 329
Essential Ethical Factors in Supportive Psychotherapy	p. 333
Ethical Principles	p. 334
Five Permissive Guidelines	p. 337
Five Limiting Guidelines	p. 343
Index	p. 355
Table of Contents provided by Blackwell. All Rights Reserved.

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Clinical Manual of Supportive Psychotherapy

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