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.
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