Beyond Evidence-Based Psychotherapy: Fostering the Eight by George W. Rosenfeld

By George W. Rosenfeld

Beyond Evidence-Based Psychotherapy teaches scholars via a typical components point-of-view, combining study, case experiences, a number of therapy orientations, and a point of view that describes the private progress of a clinician’s profession. It differs from past texts in that it offers the new learn on psychotherapy in a structure that's comprehensible, memorable, and suitable to scholar matters, while integrating study and medical adventure to pragmatically advisor scientific decisions.  This e-book offers scholars of kid and adolescent psychotherapy which are pursuing levels in psychiatry, medical psychology, social paintings, and marriage and relatives counseling with an perception into the perform of a kid psychologist with 40,000 hours of expertise operating with millions of consumers and households.

In the 1st a part of the e-book, Rosenfeld offers eight universal components of switch in operating with little ones and youngsters. the second one half brings the reader via a ''day within the life'' of the writer as he visits with a sequence of consumers in a number of phases of remedy, bringing the cloth mentioned partly one to life.

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350) identified factors common to all psychotherapies that could contribute to their success. indd 26 7/21/08 3:05:05 PM The Eight Sources of Change in Psychotherapy • 27 Seven common factors have been extensively researched. Client characteristics, the therapeutic alliance, therapist characteristics, common processes present in most techniques, extratherapeutic forces, problemrelated factors, and placebo effects can influence and determine outcome. This research is helpful in informing the therapist’s artful selection and timing of interventions.

What Are the Factors That Contribute to Change in Psychotherapy? 1. Evidenced-Based Techniques Evidenced-based techniques might be incorporated into treatment when the timing is appropriate. The research guides us to favor some interventions and to avoid others. There are evidence-based interventions that have become the standard of care for some diagnostic categories. Research has shown at least the shortterm effectiveness of cognitive-behavioral therapy (CBT) and exposure and response prevention for compulsions; applied behavior analysis and the TEACCH program for autism (Mesibov & Shea, 2006); CBT, exercise, and medication for depression; dialectical behavior therapy for borderlines; penile squeeze and stop–start techniques for premature ejaculation (Kilmann & Auerbach, 1979); Wet-Stop and similar devices for enuresis (Glazener, Evans, & Peto, 2005); behavior modification for encopresis; cognitive therapy for panic disorder and bulimia; medication, classroomand home-based behavior modification, education about the disorder, and educational advocacy for attention-deficit/hyperactivity disorder (ADHD); parent behavioral training involving contingency management, anger management, and problem-solving and assertiveness training for youths with behavior disorders; and exposure, relaxation, medication, systematic desensitization, and (for adolescents and older) CBT for fears and anxiety.

The therapeutic alliance is best developed when the therapist’s actions and interventions are appropriate to the youth’s developmental level. For instance respecting an autonomy-striving adolescent by emphasizing confidentiality and collaboration can improve his or her involvement (Church, 1994). Adolescents are particularly prone to worry that the therapist will not keep confidentiality (Kuhl, Jarkon-Horlick, & Morrissey, 1997) and that sharing personal information will be too uncomfortable (Pavuluri, Luk, & McGee, 1996).

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