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After 30 years of declining practice among psychiatrists, psychotherapy is being increasingly recognized as a valuable tool in psychiatric care. While this renewed appreciation offers hope for the future, a serious challenge remains: There are alarmingly few psychiatrists equipped as psychotherapy supervisors to help train the next generation of psychiatrists. Encouraging psychiatrists to consider stepping into this important role is what makes Supervising Individual Psychotherapy such a timely and indispensable resource. With a multipronged approach that combines the theoretical and the practical, supported by illustrative clinical vignettes, this guide focuses on four key areas: • The process of supervisor development, including helpful tools for building supervisory skills and fostering self-growth, practical methods for establishing and maintaining a healthy supervisory relationship, and a collection of vignettes to highlight the supervisee's perspective. Also addressed are common ethical questions that arise in the supervisory process. • Specific techniques used in supervision, including how to establish and monitor goals for supervision, provide supervision via internet-mediated videoconferencing, and thoughtfully plan for the termination of supervision. • Psychotherapy supervision for specific populations and within various care settings, including supervision of supportive therapy in hospital units and emergency departments, cognitive-behavioral therapy, substance use disorder treatment, and combination treatment of psychotherapy and pharmacotherapy. Also discussed are the possible effects of the supervisee's and the supervisor's race, gender identity, and sexual preferenceorientation on the supervisory process. • Challenges that may arise in supervision, including an examination of the effects of marriage, divorce, illness, and death on the supervisory dyad; the legal aspects of supervision (e.g., confidentiality, medicolegal liability); and the risks of burnout in both the supervisor and the supervisee. With a richness of detail organized in an accessible and easy-to-reference format, this book clearly covers the skills, capabilities, and qualities needed to provide effective psychotherapy supervision—and is tailor-made for early- and mid-career supervisors who are looking to develop and refine their skills.
Overcoming fear, ambivalence, and inertia to act on behalf of self or others can be difficult even for mental health clinicians who are accustomed to helping patients overcome challenges. A Psychiatrist's Guide to Advocacy explores the diverse definitions of advocacy and helps to identify methods and opportunities for advocacy by mental health practitioners. The editors argue for a greater culture of advocacy among psychiatrists in order to effect broad and lasting systemic and structural change. A noteworthy example is the push for insurance coverage parity between mental health and other medical care. However, legislative advocacy is just one of the many types explored in the book; advocacy takes many forms, including patient-level advocacy, organizational advocacy, education and research as advocacy, and media-targeted advocacy. Also addressed are specific issues of advocacy for special populations, including children and families, older adults, LGBTQ patients, and veterans. Taken together, these chapters represent a practical toolkit for mental health advocacy in its myriad forms. In prose both compelling and accessible, the volume * Identifies five of the most pressing systemic problems in mental health care (lack of access to quality payer-covered, evidence-based mental health care; the psychiatry workforce shortage; lack of parity for mental health care compared with other forms of health care; the stigma against both consumers and providers of treatment for mental disorders, including substance use disorders; and high rates of physician burnout) and explains how advocacy at different levels can address these issues. * Describes the essential factors needed for effective advocacy, with emphasis on pathways to mentorship, providing examples of what integrating advocacy into the psychiatrist's career path looks like and identifying strategies to encourage lifelong advocacy* Delineates the advocacy needs of diverse patient populations, including children, families, and older adults; LGBTQ, non-native, and substance-using patients; veterans and military service members; and more* Includes four substantive interviews with advocacy role models who embody and embrace the advocate's mission, expressed in actions and on platforms that are diverse and illustrative* Includes learning objectives that tell readers what they can expect to master by the end of each chapter, allowing for focused reading and easy review A Psychiatrist's Guide to Advocacy is a call for action and a blueprint for change, providing clinicians with the foundation for recognizing their opportunities and embracing their roles as advocates.
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