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How Therapy Enhances Psychopharmacology

Frank Anderson On 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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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!
Clinicians Digest Mar/Apr 2008 - Page 8


Several instruments are available to help therapists regularly assess how their clients experience the alliance. Tryon recommends the Helping Alliance Questionnaire (HAQ) which seems to yield more convergent therapist–client ratings than the Working Alliance Inventory (WAI). This may be, she says, because the WAI has questions that invite each person to speculate about what the other is thinking and feeling, and such mind-reading builds in discrepancies. A short version of the WAI, the WAI-SR, eliminates the mind-reading questions. To improve their outcomes, therefore, she thinks therapists should consider using the HAQ or WAI-SR instruments. Therapists can download a free copy of the HAQ at www.med.upenn.edu/cpr/instruments.html

My Psychosis, My Self

Psychiatrist Michael Garrett, professor of clinical psychiatry at the State University of New York Downstate Medical Center, believes it's important for his psychiatric residents to understand that psychotic thinking falls along a cognitive and emotional continuum they share with their seriously disturbed patients. "If you want to have a real conversation with a psychotic person," Garrett says, "you have to believe and feel in your bones that you're genuinely respecting the person's experiences, and not just diagnostically labeling and pigeonholing them."

In a series of exercises, Garrett puts psychiatric residents in touch with their own thoughts and perceptions that offer analogies to psychotic states, and then explores and deepens them. Imagine, he tells the residents, you're on your way out the door and suddenly realize you've got to make a quick phone call. After the call, you get into your car, drive a few blocks, get caught by a red light, and while you're stopped, a friend whom you haven't seen for 10 years crosses the street right in front of your car. You realize that if you hadn't made that phone call, and if it hadn't lasted exactly as long as it did, the two of you would have missed each other.

Garrett asks the residents if they've ever had a similar experience, and several invariably have. They recall having briefly thought at the time about things like fate, feeling the subtle pull on the mind of some process—benign or, in the case of paranoia, malevolent—operating beneath the surface of things. Then they recall talking themselves out of their irrational thoughts by accepting the randomness of coincidence or mulling about the statistical probability of the encounter. "Now, what if such things happened to you weekly or even daily?" Garrett asks. "What if you couldn't talk yourself out of your irrational thoughts?"

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