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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 Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon.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!
Beyond the Consulting Room - Page 3


I think of psychologist and family therapist Jack Saul, who works on the aftermath of war, torture, and political violence in his backyard of New York City. What makes him part of the new breed of citizen-therapists is how he uses public testimony, media, and performance arts to engage community members as healers.

When it comes to bridging social divisions, I think of Boston family therapist Laura Chasin and her colleagues at the Public Conversations Project. After being disgusted by a televised shouting match on abortion, Laura decided to bring the principles of respectful dialog to the public sphere, beginning with a discussion of abortion and moving on to many of the polarizing issues of our time.

These citizen-therapists use their relational and systems skills in broader environments, but unlike previous generations, who tended to see their mission as bringing powerful professional know-how to underresourced communities, today's citizen-therapists believe deeply in the capacities of communities to change and heal themselves. Such therapists are catalysts more than direct-change agents—facilitators more than teachers. They differ from an earlier generation of preventive mental health professionals, who disdained therapy as a Band-Aid. Today's citizen-therapists practice the healing art of therapy in their offices, but they don't believe we're going to treat our way out of the social problems affecting our communities and nation; they know we must be actors on a bigger stage than that offered by our practices or clinics, and that our clinical knowledge and skills carry over to community work, even if we aren't the most important actors on that stage.

There's one other difference. The new breed of citizen-therapists operates with a 21st-century consciousness of nuance and collaboration, instead of the 1960s consciousness, which saw the world starkly in terms of oppressors and victims, with classes of people assigned to each category. In a more complicated century, the '60s perspective offers two dead-end paths to community solutions: the confessional approach, in which oppressors admit their privilege and guilt (which they aren't inclined to do outside of diversity workshops and graduate school courses), and the advocacy approach, in which professional elites lobby political elites on behalf of nonelites. But now, as we invite everyone to the work of public problem-solving without ideological litmus tests, may the '60s—a decade of activism that accomplished major social changes and started a needed cultural revolution in our field—rest in peace.

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