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Brief dynamic interpersonal therapy : a clinician's guide / Alexandra Lemma, Mary Target, Peter Fonagy.
- Format:
- Book
- Author/Creator:
- Lemma, Alessandra, author.
- Target, Mary, author.
- Fonagy, Peter, 1952- author.
- Language:
- English
- Subjects (All):
- Brief psychotherapy.
- Psychodynamic psychotherapy.
- Physical Description:
- 1 online resource (207 p.)
- Place of Publication:
- Oxford : Oxford University Press, 2011.
- Language Note:
- English
- Summary:
- Dynamic Interpersonal Therapy (DIT) is a brief psychodynamic psychotherapy developed for the treatment of mood disorders. It is being rolled out as part of the Improving Access to Psychological Therapies (IAPT) initiative as the psychodynamic model for the treatment of depression.This book is a user-friendly, practical guide for the implementation of a brief psychodynamic intervention in routine clinical practice as well as in research protocols. It sets out clearly the theoretical framework, as well as the rationale and strategies for applying DIT with patients presenting with mood disorders
- Contents:
- Cover; Title Page; Copyright Page; Dedication; Preface-Do we need dynamic interpersonal therapy?; Acknowledgments; Contents; List of Abbreviations; 1 Dynamic Interpersonal Therapy: New Wine in an Old Bottle?; Evidence-based practice and the fate of psychodynamic psychotherapy; The demise of the randomized controlled trial; The rationale for developing DIT; Are manuals helpful?; Specifying the competences required to deliver effective psychodynamic therapy; DIT's theoretical framework; Object relations theory; Ego functioning and theories of attachment
- Interpersonal psychoanalysis: the contribution of Harry Stack SullivanConclusions; 2 Why Dynamic Interpersonal Therapy for Mood Disorders?; Psychodynamic approaches and diagnostic classification; Mood disorders: depression and anxiety; Assessing suitability for DIT; 3 Core Features and Strategies; Aims; Trajectory of the therapy; The DIT foci; Therapeutic stance; 4 The Initial Phase; Engagement; Listening out for "cautionary tales"; What do we need to know in order to formulate a dynamic focus for intervention?
- How many relationships need to be explored before sharing a formulation with the patient?Identifying aims and negotiating the therapeutic content; How much information does the patient need about DIT in order to consent to it?; Managing risk and self-harm; Managing the frame and the setting; The use of outcome monitoring and video/audiotaping of sessions; 5 The Interpersonal-affective Focus; What is a psychodynamic formulation?; The interpersonal-affective focus (IPAF): an overview; The patient's experience of the IPAF; Constructing a formulation: a step-by-step guide
- The trial interpretation: working towards sharing the IPAFUsing the patient's language and metaphors; Using the transference and countertransference to inform the formulation; How to select a focus; Sharing the IPAF with the patient; 6 The Middle Phase; Aims; Sequence of movement in middle sessions; Tracking the IPAF: eliciting interpersonal narratives (INs) to illustrate the activation of the IPAF; Staying focused; Working in the transference; Working with defenses; Supporting attempts at new behavior in relationships; 7 Techniques; Listening with an analytic ear
- Emergence versus structure in the sessionExpressive/exploratory techniques; Focusing on affect; Supportive techniques; Mentalizing interventions; Directive interventions; 8 Working in the Transference; Using the transference to explore the IPAF; Formulating a transference interpretation; Criteria for interpreting the transference in DIT The bridge to change; 9 When Things go Wrong; Managing difficulties in the therapeutic relationship; Forms of resistance; Working with resistance; 10 The Ending Phase; The patient's response to endings; Preparing for ending
- Interpreting the unconscious meaning of endings
- Notes:
- Description based upon print version of record.
- Includes bibliographical references and index.
- Description based on print version record.
- Description based on publisher supplied metadata and other sources.
- ISBN:
- 0-19-162175-7
- 0-19-162120-X
- 1-283-35267-2
- 9786613352675
- OCLC:
- 778339660
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