Interpersonal psychotherapy for adolescents : a clinician's guide / Robert McAlpine and Anthony Hillin.

Format:

Book

Author/Creator:

McAlpine, Robert (Psychologist), author.

Hillin, Anthony, author.

Language:

English

Subjects (All):

Adolescent psychotherapy.

Physical Description:

1 online resource (xiii, 351 pages) : illustrations

Edition:

1st ed.

Place of Publication:

London ; New York, New York : Routledge, [2021]

Summary:

"Interpersonal Psychotherapy for Adolescents (IPT-A) is a comprehensive guide for clinicians. It will enable the reader to add IPT-A to their clinical repertoire or to deepen their existing practice of IPT-A, using a time-limited, evidence-based intervention that is engaging for young people. The guide outlines the structure, skills and techniques of IPT-A, utilizing real-life encounters in the therapy room, which reflect the diverse nature of adolescents and young adults who present for therapy. It provides the reader with a birds-eye-view of how IPT-A works. It expands the range of IPT-A clinical tools, techniques and models to assist the reader to work effectively with a wide range of clients. The book provides a new protocol for the psychological assessment of young people, acknowledging the importance of culture and spirituality alongside the biological, psychological and social dimensions that have previously comprised assessment. The importance of the clinician forming a transitory attachment relationship with the client is emphasized throughout. The target audience for this book is mental health clinicians including psychologists, psychiatrists, social workers, mental health nurses, occupational therapists, general practitioners with a mental health focus and students from these professions"-- Provided by publisher.

Contents:

Intro

Half Title

Title Page

Copyright Page

†Contents

List of clinical tools

List of figures

Acknowledgements

Foreword

Part I: Introduction

1. Introduction and orientation to this guide

Welcome and introduction

Aims for the book

The authors

The target audience and how to use this book

Introducing the case studies

Locating IPT-A within a stepped care approach

Personalised treatment

Terminology

Overview of IPT-A

Assessment and formulation

The Initial Phase of IPT-A

The Middle Phase of IPT-A

The Consolidation Phase of IPT-A

Summary

Note

References

2. A model of holistic assessment

Introduction

The holistic model of assessment

The biological domain

The psychological domain

The social domain

The cultural domain

The spiritual domain

Distress and impairment

Readiness to change

The formulation

Step 1. Presenting problems

Step 2. Holistic assessment

Step 3. Readiness to change

Step 4. Provisional formulation

Notes

3. Attachment in young people

Attachment theory

Attachment in adolescence

The three-dimensional model of attachment

The four-dimensional model of attachment

Assessment of attachment styles

The client's descriptions of past and current relationships

The quality of the client's narrative

The nature of the therapist-client relationship

Clinical implications

4. Clinical techniques

The therapeutic relationship

Setting relationship boundaries

Monitoring communication patterns

The interpersonal laboratory

Encouragement of affect

Content and process affect

Exploration and clarification

Interpersonal incidents

Collecting information about a specific Interpersonal Incident.

Analysing the Interpersonal Incident

Changing communication

Conflict-solving styles

Role play

Empty chair technique

Interpersonal mindfulness

Part II: The Initial Phase of IPT-A

5. The Initial Phase of IPT-A

Client suitability

Psychoeducation

The Interpersonal Inventory

Developing an Interpersonal Map

Linking life events to the presenting problem

Identifying the Problem Area(s)

Complex Grief

Interpersonal Disputes

Role Transitions

Interpersonal Gaps

Linking symptoms to the Problem Area

Exploring attachment

The Interpersonal Formulation

The Treatment Agreement

The approximate number of sessions

The frequency and duration of sessions

The Problem Area to be addressed

The expectations of both therapist and young person

Treatment boundaries and telephone contact

Erin (with Erin's mother, Julie, present)

The role of the school

Orientation to the Middle Phase of treatment

Part III: The Middle Phase of IPT-A

6. The Middle Phase of IPT-A

Assessment is an ongoing process

Explaining client and therapist roles in the Middle Phase

Staying on track

Techniques for working on the Problem Area

Plan and rehearse changes

Markers of improvement

Involving parents and others in the Middle Phase

Parents

Referring parents for mental health and other interventions

School staff

7. Complex Grief

Defining and assessing the Problem Area of Complex Grief

Working on Complex Grief in the Middle Phase

Essential Processes in IPT-A for Complex Grief

Understand the connection between Complex Grief and the symptoms

Create a positive experience of communicating about the loss in therapy

Potential barriers.

Access interpersonal support outside therapy

Indicated Processes in IPT-A for Complex Grief

Involving the young person's significant others in therapy

Psychoeducation to assist understanding and acceptance of loss

Activity number 7.1: Stages of grief and loss

Activity number 7.2: Different experiences of grief

Activity number 7.3: Body oriented approaches to grief and loss

Activity number 7.4: Defining steps to healing

Creative activities to explore, process, and communicate about loss

Activity number 7.5: Drawing about loss

Activity number 7.6: Writing about loss

8. Interpersonal Disputes

Defining the Problem Area of Interpersonal Disputes

The nature of Interpersonal Disputes in young people

Normal" disputes between adolescents and parents

Damaging disputes

Seven steps

Assessing Interpersonal Disputes

Confirm Interpersonal Disputes as the major Problem Area

Explore and clarify the dispute(s)

Identifying the issues in dispute and the relationships concerned

Determining if the dispute is resulting more from the client or from the other person

Exploring expectations of others

Are disputes a recurring theme?

When the dispute can't be resolved

Interpersonal Disputes technique number 1-The Conflict Curve

Addressing Interpersonal Disputes

Identify current strategies for dealing with disputes

Identify alternative options for dealing with disputes

Choose an approach to deal with the current dispute(s)

Rehearse the social skills necessary to implement the approach

Integrate the approach in life

Interpersonal Disputes technique number 2: Conflict-solving styles

Interpersonal Disputes technique number 3: Mapping

Find a nonjudgmental description of the problem

List the major needs and concerns of all parties.

Generating solutions

Involving parents or others in working on Interpersonal Disputes

When a parent has mental health issues or other impediments

When the parent is amenable to addressing their impediments

When a parent is not amenable to addressing their impediments

Concluding the Middle Phase

9. Role Transition

Defining Role Transition

Assessing the Problem Area

Early indicators

Self-esteem and social functioning

Screening to identify life changes that may constitute a Role Transition

Examples of questions that can help identify possible Role Transitions

Examples of questions to check if a life change constitutes Role Transition

Confirming if Role Transition is the Problem Area

Working on the Problem Area in the Middle Phase of IPT-A

Step 1. Identify Role Transition as central to the symptoms

Step 2. Review positive and negative aspects of the old role

Exploring the old role

Step 3. Review positive and negative aspects of the new role

When further exploration is needed

Addressing loss

Step 4. Identify role options to reduce symptoms

Step 5. Plan, rehearse, and implement changes

Involving significant others in assessment and treatment of Role Transition

Additional issues

Role Transition in relation to sexuality or gender identity

Assessment

Psychoeducation to assist Role Transition

Cautions in identifying same-sex attraction as a Role Transition

Step 2 and 3: Develop a more balanced view of the old and new roles

Step 4. Identifying options that will lead to symptom reduction

Step 5. Plan, rehearse, and implement changes.

Integrating structural approaches to effectively address oppression within an IPT-A intervention

References.

10. Interpersonal Gaps

Confirm the Problem Area

Identify the specific gaps in social skills

Working on the Problem Area in the Middle Phase

Recognise the connection between Interpersonal Gaps and distress

Develop social skills to fill or compensate for the current gaps

The art of conversation

Using questions

Social skills training and self-esteem programs

Apps, bibliotherapy, and media enhanced therapy

Checking for intended meaning

Support materials-skill reminders and practice reports

Rehearsing skills alone outside therapy sessions

Managing emotions that adversely affect social interactions

The Anger chart

Education about life stress

Blind spots

Enhance social support by maintaining, expanding, and/or deepening social networks

Working with significant others

Part IV: Consolidation Phase of IPT-A

11. Conclusion of Acute Treatment

The four primary tasks of Conclusion of Acute Treatment

Stepping back from the role of transitory attachment figure

Facilitate independent functioning

Task 1. Elicit feelings in the young person about ending therapy

Task 2. Review remaining symptoms

Task 3. Recognise interpersonal competencies

Task 4. Markers of improvement

Recognise early warning signs of relapse

The letter

Assess the need for further treatment

12. Continuation and Maintenance Therapy

Continuation Therapy

Maintenance Therapy

Part V: Closing thoughts

13. Closing thoughts

Increasing the reach of IPT-A

Practice-based evidence: Clinical implications

Dissemination of IPT-A

Index.

Notes:

Description based on print version record.

ISBN:

1-000-28461-1

0-429-27239-1

1-4822-2718-5

9780429272394

OCLC:

1155483794