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NP0038: Who’s Afraid of Couples Therapy?

Welcome to our “Who’s Afraid of Couples Therapy?” This exciting series, back by popular demand, is based on our November/December 2011 issue on this topic and will explore the challenges of couples work. What are the most effective strategies in working with couples? How can therapists structure therapy—particularly in the early sessions—so that couples leave with a sense of hope, rather than frustration? Can working with individuals who have serious issues in their relationships actually be detrimental to them? Find out the answers to these questions and much more. In this first session with expert couples therapists Ellyn Bader and Peter Pearson, the creators of the Developmental Model of Couples Therapy, you’ll find out why clinicians often avoid working with couples and how you can better prepare yourself for couples therapy work. How can therapists most effectively work with emotion in the consulting room—particularly when it comes to couples therapy? Learn with internationally known couples therapist Hedy Schleifer how to help create a nourishing connection between partners, define a role as therapist-as-guide, and much more. Schleifer, who’s pioneered the training of Imago Relationship therapists internationally, will go into how to use this theory in practice and how to best work with emotions. What happens when partners in couples therapy have two different agendas in mind? Hear from expert William Doherty on this little spoken about topic. Learn how Discernment Counseling, an approach that helps couples clarify their feelings about the next step in their relationship, can help both clients and therapists. Is it possible to rebuild trust and intimacy in a couple’s relationship after a partner has had an affair? How can therapists help? Hear from Esther Perel, author of the international bestseller Mating in Captivity: Unlocking Erotic Intelligence, on how to help couples after an infidelity and the role that cultural perspectives have in this emotional situation. Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon. Learn more about what’s behind the feelings of anger and the behavior of withdrawing, and how clinicians can more effectively work with shame and fear of disconnection. Hear an unconventional perspective on couples therapy from David Schnarch, who believes that the best way to help couples is to challenge partners to change their individual behaviors and attitudes. Schnarch’s direct, upfront approach to helping clients will illustrate a different viewpoint on effective couples therapy. Join Marty Klein, a marriage and family therapist and certified sex therapist, us for a candid discussion about the assumptions that both clients and therapists often share that can get in the way of improving couples’ sexual relationships. Discover with Kathryn Rheem how to respond effectively when clients express strong feelings in session. Based on Emotionally Focused Therapy, you’ll explore attunement and how to use your own emotions to help clients move beyond attachment injuries. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Whole Psychiatry: Alternatives to Conventional Psychopharmacology with Robert Hedaya

Meds: Myths and Realities: NP0035 – Session 4

Is psychopharmacology is a 'go-to' in your practice? Join Robert Hedaya as he discusses how to treat the bodily systems that underlay many mental health issues while avoiding medication. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Treating the Mixed-Agenda Couple

Bill Doherty On An Approach For Unaligned Relationships

Tough Customers: Is It Them or Us?

Tough CustomersBy Rich Simon As therapists, many of us practice in two different worlds. In the first, we see polite, well-behaved, articulate clients with solid values. They engage fully in therapy, talk cogently about their problems, listen attentively to our responses, make reasonably good-faith efforts to follow our suggestions, and sooner or later get better. No wonder we genuinely like these people!

Does This Kid Need Medication? with Ron Taffel

Meds: Myths and Realities: NP0035 – Session 3

Do you feel like you could be a more effective therapist with your younger clients? Do you find it hard to determine when interventions--psychological and pharmacological--might be needed? Join Ron Taffel and learn to identify key diagnostic signs that indicate medications could be helpful when dealing with depression, anxiety, AD/HD, and affective disorders. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.
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NP0009 Handling Today's Hidden Ethical Dilemmas

This blog focuses on discussion regarding the course NP0009 Handling Today's Hidden Ethical Dilemmas.
 
 

NP0009, Ethics, Session 4, William Doherty

 

Learn from veteran therapist William Doherty as he’ll delve into complicated ethical situations by showing video clips from the HBO series, “The Sopranos” and “In Treatment” to lead discussions on useful and unbeneficial ways to bring up terminations when clients are no longer benefiting from therapy. Doherty will explain the most common scenarios when termination is—or should be broached—and will go over strategies for initiating termination topic at the right time and in the right way. 

After the session, please take a few minutes to engage in the Comment Board and let us know what you think. What did Doherty discuss that was new to you? What struck you the most? We invite you to share your thoughts, questions, and revelations, as well as including your name and hometown with your comments.

If you have any technical questions, please feel free to contact support@psychotherapynetworker.org. Thanks for your participation.


09.15.2011   Posted In: NP0009 Handling Today's Hidden Ethical Dilemmas   By Psychotherapy Networker
8
Comments
 

  • 0 avatar Norene Gonsiewski 09.20.2011 12:56
    I love Bill's wisdom, and although I also love the topic at hand, I wish Bill would give us an entire session on the ethics of couples counseling. I appreciate his candor in helping us to look at our reactions to the upset of the client. It is an important area to be able to model healthy communication, which includes validation.
    Reply
  • 0 avatar Eileen Epstein 09.20.2011 13:05
    I didn't see the play button for the In Treatment clip. Overall, a very thoughtful and informative presentation.
    Reply
    • 0 avatar Psychotherapy Networker 09.21.2011 09:15
      Hi Eileen,
      To view the "In Treatment" clip, you'll just need to scroll down on your screen and there's a separate viewing screen for it.
      To view the session again (and the clip), just log in to the website and find the course under the yellow Your Purchased Items tab on the menu bar. If you're having any issues with this, feel free to email support@psychotherapynetworker.org and they'll assist you. Thanks for your participation.
      -Psychotherapy Networker
      Reply
  • Not available avatar VeLora Lilly 09.20.2011 13:18
    VeLora ,San Francisco
    Thank you for your thoughtful insights. I would like to hear more about how to terminate with long term clients when the therapist is retiring and the in session process with clients when a intern is leaving an agency due to time limits of their assignment. It is extremely hard to find relevent material on these matters. Thank you so much
    Reply
  • 0 avatar Cynthia McKenna 09.20.2011 13:41
    I have the sense that this speaker knows tons and that this one hour format plus questions/guidance from Rich didn't allow him to pass on that knowledge. I really want to know more and I would suggest bringing him back for a 3 or 4 hour CE that is just him, and allowing his flow.
    Reply
  • 0 avatar carole webb 09.20.2011 14:03
    What about the potential for "abandoning" the clent, if we initiate the termination discussion. The client may not hear the nuances of our discussion, and still walk away feeling abandoned?
    Reply
  • 0 avatar Dale Blumen 09.20.2011 18:04
    I appreciate Bill's emphasis on early and ongoing evaluation of both the client-therapist relationship and progress toward client's goal(s). I've found the Client Directed Outcome Informed forms very helpful in this regard. At every session, I ask for client feedback re: progress using the Client Outcome Rating Scale (takes about 2 minutes for client's to rate). I graph these scores so we have a visual of the trajectory of change that helps track progress. And at the end of every session, I ask for relationship feedback using the Session Rating Form. This takes a lot of pressure off me, as the client evaluates his/her progress and their satisfaction with the relationship; their feedback opens up doors for collaboratively discussing topics like lack of progress - exploring alternative therapies and therapists - and allows for the possibility of "failing successfully." Using outcome measures also helps us stay focused and on the same page.
    Dale Blumen, Newport, RI
    Reply
  • Not available avatar Liz Schoebs 10.29.2011 15:36
    This was an excellent discussion and presentation about the ethics of termination. The insights and suggestions are very helpful.
    Reply
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