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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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.
Networker Excel Clubs
Clinicians Digest Mar/Apr 2008 - Page 5


A Single Treatment for PTSD?

When the Department of Defense asked the prestigious Institute of Medicine (IOM), an arm of the National Academy of Sciences, to determine the most effective treatments for post-traumatic stress disorder, the hope was that this would put treatment decisions for thousands of veterans suffering from PTSD on a solid empirical foundation. But after reviewing 90 clinical trials of different medications and therapies, the IOM report concluded that only exposure therapy was effective, a finding which has created more controversy than consensus.

According to the report, studies on every other medication and therapy frequently used to treat PTSD—including EMDR, cognitive restructuring, coping skills training, and psychodynamic and group therapy—were too compromised by methodological limitations or didn't have enough positive results to demonstrate their efficacy.

Proponents of treatments that didn't make the grade have strongly challenged IOM's conclusions. Some researchers, including John Carlson, former editor of the International Journal of Stress Management and author of an EMDR study which the IOM report found lacking, wrote the IOM committee that they'd ignored or misstated information in several studies. Critics also complained that a number of treatments IOM failed to find effective are recommended by prestigious mental health and governmental organizations around the world. For example, Britain's Cochrane Report of April 20, 2005, prepared by a group of international health care reviewers, endorses stress management and EMDR as PTSD treatments, with EMDR's efficacy matching that of exposure therapy.

Even supporters of the IOM report, like PTSD expert Richard McNally, director of clinical training at Harvard University, agree that the IOM used unusually rigorous standards, raising methodological issues often overlooked by reviewers. For example, the IOM was dissatisfied with the way many studies handled treatment dropouts. It criticized studies run by people with a "financial or intellectual interest" in the outcome, although other organizations believe that the risk of researcher bias is outweighed by the fact that familiarity with a treatment helps ensure it's conducted correctly. Some approaches that have proven to be effective with PTSD were discounted because of the restricted populations they examined. The IOM felt, for example, that what works for a rape victim with PTSD may not work for a soldier. While McNally sees in this a move by the IOM to improve research guidelines, critics like Carlson accuse the report of selectively moving the goalposts to favor exposure therapy.

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