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How Therapy Enhances Psychopharmacology

Frank Anderson On Supporting The Process That Gets A Client’s Body On Board

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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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!
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NP0017 Handling Today's Hidden Ethical Dilemmas

This blog focuses on discussion regarding the course NP0017 Handling Today's Hidden Ethical Dilemmas.
 
 

NP0017, Ethics, Session 1, Mary Jo Barrett

 

Welcome to New Perspectives on Practice: Handling Today’s Hidden Ethical Dilemmas. This practical and thought-provoking series with leading experts on ethical practice will explore current ethical guidelines for therapists. The first session with Mary Jo Barrett will delve into how to reconcile boundary maintenance and will cover why peer supervision and consultation are vital to ethical therapy, plus many issues that are consistently confusing for clinicians.

After each session, there will be Comment Boards available as a way for participants to share what was most interesting or relevant from the sessions, and to ask questions of the presenters and of each other. We invite you to utilize these Comment Boards as a forum for thought and discussion after each session and after completing the course.

What was most striking about this session with Mary Jo Barrett? Do you have any similar, relevant experiences? Did this bring up any questions for you? Thanks so much for your participation, and welcome to this important and lively series! If you have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.


03.05.2012   Posted In: NP0017 Handling Today's Hidden Ethical Dilemmas   By Psychotherapy Networker
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  • 0.1 avatar Lisa Baroni 03.05.2012 15:04
    I particularly enjoyed the emphasis on collaborative conversation about boundary issues. "How shall we handle....In my experience what works best is...." etc. are questions that DO express care and respect for clients. Just bringing any of the issues around therapeutic structure into conversation is experienced by clients as tremendously empowering and respectful, and in my own practice, I have received useful feedback in this regard. Documenting that the process has occurred lets me breathe a sigh or relief, of course, but is most useful because the result seems to be that having set up a context where dicey things can and should be brought up, seems to serve as a catalyst for the work.
    I was a bit nervous to hear about MJ's use of touch, but again, can see the possibility in discussing that as part of the therapeutic frame.
    This was a very useful presentation. Thank you.
    Reply
  • 0 avatar Jeannie Bertoli 03.08.2012 18:08
    One of the things I got out of this was how MJ handles things in a way that is considered versus standards for ethics in those situations presented. While I do some things similarly and some things not, I feel it's important for us to continually have a discussion of when we are nearing or crossing a line. I am sure she could have addressed that, from her perspective, but what about when we disagree on those matters. Those of us with advanced degrees and years and decades of experience - well who is right? Where can we collaborate and agree? What do we do when we don't?
    Reply
  • 0 avatar Amanda Westmoreland 03.11.2012 16:00
    Mary Jo, where were you when I started graduate school?!!! You seriously spoke to me in a way that I could understand and relate to and I found myself wishing I had heard this conversation in 2006 when I began my journey as an aspiring LMFT. I came from a very collaborative program (Harlene Anderson came to visit my school) and I was overwhelmed and intrigued by this concept. Your idea of "collaborative acknowledgment" was a much better fit for me. I'm struggling right now as I reflect on the major errors I made as a young therapist (in practicum and in my 1st job as an in-home therapist at a non-profit agency), but I'm seeing some hope through the dialogue you and the networker are providing. THANK YOU!!!
    Reply
  • Not available avatar Harry Aponte 07.24.2012 15:16
    Mary Jo Barrett wrote an excellent piece, speaking to the real-life complexity of ethical dilemmas and the wisdom of not going it alone. I’d like to point to another dimension of the real-life complexity to dealing with boundaries, which has to do with the person who is conducting the therapy. In speaking to recognizing and respecting boundaries in ways that are also therapeutic, it behooves us to be unsparingly candid with ourselves about our human vulnerabilities when it comes to relationships, including our client-therapist relationships. We all live with those vulnerabilities, no matter how well integrated or “evolved” we may think we are. In the intimacy of the therapeutic relationship those vulnerabilities bear watching and careful shepherding so that they not only not hurt our clients, but that they be managed in ways that may even contribute to the effectiveness of our work, such as how their being triggered can serve as an alarm about what may be happening with our client in our relationship with the client. In terms of how we can help ourselves in this task, for one, as suggested by Mary Jo, it’s to our advantage to have others share with us their insights about us and our dilemmas, especially if we are prepared to share with them something of our personal contributions to our professional dilemmas. Secondly, it also really helps for us to accept the reality of our personal human woundedness, and factor in that self-awareness into our examinations of our side of the boundary dynamic in therapy. The relationship in therapy is a two-way deal, and we need to monitor continuously the human factor on both sides of that core dynamic of the therapeutic process.
    Reply
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