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Treating Self-Harm

Here's a Behavioral Contract That Clients Can Stick To

Lisa Ferentz • 10/13/2017 • No Comments

By Lisa Ferentz - I used to think that repetitive self-injury could only be seen as pathological, and through contracts and other means tried to convince my clients that this behavior would only cause more problems. Now, I know that my job isn't to browbeat clients into change, but introduce them to healthier behaviors that bring the relief cutting often provides. Here's a little bit about the behavioral contract I use.

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Coping and Learning After a Client's Suicide

A Therapist Reflects on What He Might Have Done Differently

Frank Pittman • 9/7/2017 • 2 Comments

By Frank Pittman - I've been in full-time private practice for almost 30 years. In that time, three patients in my practice killed themselves. Each suicide has left me shell-shocked and questioning my therapeutic attitudes and methods. I did not expect Adam to be one of my casualties.

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The End of Innocence

Reconsidering Our Concepts of Victimhood

Dusty Miller • 9/8/2014 • 1 Comment

As a systems therapist, incest survivor, and recovering alcoholic, I've lived through several stages of our culture's attempt to come to terms with child sexual abuse--as a victim in the silent 1950s; as a therapy client in the oblivious 1960s and 1970s; and as a psychotherapist in the 1980s and 1990s, when once-dismissed accounts of abuse filled my therapy practice (and my television screen) only to be partly discredited within the decade during another swing of the cultural pendulum.

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