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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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 Jan/Feb 2007 - Page 3

Assessing Childhood-Obesity Prevention Programs

A metanalysis of 64 childhood-obesity prevention programs has yielded some sobering news: only 13 of them were effective, and of those, only 3 showed effects that lasted more than three years. This is cause for concern in the face of an increasing problem. The Centers for Disease Control says that in the past 20 years, the percentage of obese children aged 6 to11 has risen from 7 percent to almost 19 percent, and the number of obese adolescents has more than tripled, from 5 to 19 percent.

The metanalysis finds that programs targeted to adolescents and children work better than those targeted to preadolescents, says lead author Eric Stice of the Oregon Research Institute. He speculates that because adolescence involves learning about self-regulation, perhaps obesity-prevention programs resonate with that, whereas self-regulation is beyond preadolescents' interest and ability. Parents play an important role in the effectiveness of the programs for younger children, he thinks, providing the necessary motivation and structure.

The study found that girl-only programs were much more effective than mixed-gender ones, and that boy-only programs performed the worst. This wasn't surprising, given that girls, for better or worse, are more weight-conscious than boys. "Males," notes Stice, "aren't as discriminating about the difference between muscle and fat." Surprisingly, programs that stressed physical activity, a common strategy to address obesity, also fell far short. Stice thinks that students prone to obesity may dutifully do their structured exercises and then compensate for the exertion by doing no additional physical activity or by overeating.

Participants' motivation plays a significant role in program effectiveness: in the most successful programs, students chose to participate. So teaching all young people about obesity prevention may not be as effective as targeting specific students and getting their buy-in. A recent metanalysis of depression-prevention programs for children by Jason Horowitz and Judy Garber of Vanderbilt University yielded the same result: the programs that cast the widest net were the least effective.

Most of the 13 programs found to be effective were cardiovascular-disease prevention programs that addressed obesity prevention along with topics like diet, physical activity, and smoking. Although the most effective programs were 2 that solely addressed obesity, more general health programs, concludes Stice, "give more bang for the buck," an important consideration for cash-strapped schools and communities.

 

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