In the past, short-term -- or brief -- treatment was practiced by few clinicians, its power relatively unknown. Today, the dual pressures of managed care and patient preference make it imperative to reconsider brief treatment, which has proven to be as effective as long-term therapy for many disorders and problems.
This remarkable guide for conducting short-term psychotherapy details the tools and techniques of brief psychotherapy, addressing four main areas: Understanding, conceptualizing, and formulating the patient's problems -- Brief psychotherapy requires a concise formulation of the patient's problems within the first hours of treatment to ensure that the therapist understands and can focus on the patient's core problems early in therapy. The authors describe a detailed method of patient assessment and case formulation as the first building block in learning the fundamentals of short-term treatment. Setting realistic treatment goals -- Brief psychotherapy sets explicit goals from the beginning, based on a thorough evaluation that incorporates the patient's wishes, desires, and dissatisfactions and an agreement about what the work of therapy will encompass. Knowing what to say to patients (i.e., technique) -- Brief psychotherapy requires focused, concrete techniques within clear guidelines for each stage of treatment. With numerous clinical examples, the authors define a unified treatment that emphasizes the differential use of therapeutic interventions, such as cognitive-behavioral and interpersonal techniques, encompassing the continuum of interpretative to supportive approaches. They also offer an in-depth look into the therapeutic process: they use patient-therapist dialogues -- including both patient and therapist comments and accompanying third-voice explanations -- to chronicle the progress of four patients through the initial, middle, and termination phases of psychotherapy. Maintaining a positive therapeutic alliance -- Although the quality of the therapeutic alliance is the best predictor of outcome in both traditional and brief psychotherapy, it is absolutely vital to the success of brief psychotherapy. The authors present a framework for maintaining and enhancing this alliance, including how to heal misunderstandings.
Concluding with a collaborative model and summary of the past 20 years' research on integrated treatment, this volume is more than a valuable clinical guide for integrated evaluation and treatment; it is also a practical blueprint for promoting and maintaining a flexible, positive patient/therapist relationship. As such, it will prove indispensable not only to practitioners, but also to educators and students.
Publisher: American Psychiatric Association Publishing
Number of pages: 312
Weight: 413 g
Dimensions: 229 x 150 x 19 mm
I strongly recommend this book. It will be both interesting and useful for experienced therapists, and especially so for trainees and students. Already, I have used it in psychotherapy supervision with a resident who stated voluntarily that it was 'very helpful.' In particular, she considered that the selection of the psychotherapeutic approach on the basis of the patient's location on the psychopathology health-sickness continuum and also the explication of the therapists' approaches, ranging from the brief supportive to the expressive, provided a logical formula for trainees. Also, this book can serve as a valuable review as well as a guide for experienced therapists.
The Winstons' emphasis on the importance of the various common brief psychotherapies along with their acknowledgement of the often needed use of combined brief psychotherapy and pharmacology is refreshing. Obviously, I am enthusiastic about the 'Handbook of Short-Term Psychotherapy.' The only problem is that it has not 'been around' for years. * John J. Schwab M.D., Journal of Clinical Psychiatry *