Time-managed Group Psychotherapy: Effective Clinical Applications

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American Psychiatric Pub, 31 дек. 1996 г. - Всего страниц: 453

As managed care systems become the most important healthcare delivery models in the United States, they are revolutionizing the way that clinicians provide psychotherapy. Financial considerations and the size of client pools have an increasing expectation that group psychotherapy be the modality of first choice. In this new environment, clinicians must be thoroughly conversant in group therapy techniques to be effective providers.

Written by a leading expert on group therapy, Time-Managed Group Psychotherapy: Effective Clinical Applications provides new and experienced clinicians with generic models for the development of efficient and effective interactive groups able to deliver a wide variety of treatment options. It offers a comprehensive examination of the potential of group psychotherapy and an appreciation of time management in its utilization. Based on empirical research and illustrated with numerous examples, this text discusses a variety of treatment models that employ various combinations of supportive, cognitive-behavioral, interpersonal, and psychodynamic techniques.

 

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Содержание

The Psychotherapy Landscape
7
The Psychotherapy Service Delivery System
8
The Effectiveness of Group Psychotherapy
8
Adaptation to Change in the Healthcare Delivery System
8
A Historical Perspective
8
A Generic Model of Psychotherapy
8
Generic Principles of Group Psychotherapy
15
The Nature of the Small Group
21
Focal Incidents
193
Relapse Prevention
208
Termination
211
Strategies for Managing Termination
215
Therapist Style and Technique
231
Treatment Manuals
234
Intervention Skills
242
Concurrent Group and Individual Therapy
256

Group Norms
26
Group Size
27
Stages of Group Development
29
The Designated Leader
34
Social Roles
36
Group Cohesion
39
Therapeutic Factors
40
Assessment and Pretherapy Tasks
49
Assessment of the Patient
51
DSMIV
52
A Dimensional Model of Personality
62
Structuring the Assessment Process
66
Formulation of a Focus and Interpersonal Diagnosis
66
Structuring the FocusSetting interview
67
Interpersonal Diagnosis
71
The Interpersonal Circumplex
72
Structural Analysis of Social Behavior SASB
80
Group Composition and Pretherapy Preparation
99
Pretherapy Preparation
114
Implementing the Generic Group
121
The Beginning The Engagement Stage
123
Strategies for the Early Group
131
Therapist Technique
144
The Individual Member
147
Social Roles
149
Predictable Problems
150
Completion of the Engagement Stage
158
Dealing With Conflict The Differentiation Stage
161
Development of the Group Structure
165
Therapist Technique
166
The Individual Member
170
Social Roles
172
Predictable Problems
174
Summary of Group Development Through the Differentiation Stage
178
Interpersonal work
181
Interpersonal Learning
182
Prevention of Negative Effects
257
Group Models for Clinical Service Systems
263
Planning for Clinical Group Programs
265
Professional Ethics and the Group Psychotherapist
278
Models of Group Psychotherapy
287
Interpersonal Problems Group
290
Antidepression Interpersonal Group
296
Panic Disorder Group
304
Crisis Intervention Group
312
Inpatient Ward Groups
318
Personality Problems Group
323
Community Support Clinic
331
Eating Disorders Information Group
334
Substance Abuse Group
337
SelfHelp Groups
342
Appendixes
345
Global Assessment of Functioning GAP Scale
346
Global Assessment of Relational Functioning GARF Scale
348
Multiaxial Evaluation Report Form
349
Psychological Mindedness Scale
350
Quality of Relationships Scale
351
List of Important Relationships
352
Interpersonal Work Sheet
353
Target Goals Form
354
Patient Information Handout
355
Group Report Forms
362
Model Confirmation Letter
365
Crisis Intervention Group Information Sheet
367
Patient Change Measures
368
Group Process Measures
372
Current Books
376
Source Notes
379
References
401
Index
417
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Об авторе (1996)

K. Roy MacKenzie, M.D., is immediate Past President of the American Group Psychotherapy Association and Clinical Professor of Psychiatry at the University of British Columbia. He has been a residency training director in both the United States and Canada and has authored numerous books on psychotherapy, including Introduction to Time-Limited Group Psychotherapy and Effective Use of Group in Managed Care.

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