Premature termination is a significant yet often neglected problem in psychotherapy with significant consequences for clients and therapists alike. According to some estimates, as many as 20% of adult clients terminate psychotherapy prematurely. Even experienced practitioners using the best evidence-based techniques cannot successfully promote positive, long-term change in clients who do not complete the full course of treatment. This book helps therapists and clinical researchers identify the common factors that lead to premature termination, and it presents eight strategies to address these factors and reduce client dropout rates. Such evidence-based techniques will help therapists establish proper roles and behaviors, work with client preferences, educate clients on patterns of change, and plan for appropriate termination within the first few sessions. Additional strategies can be used throughout therapy to help strengthen and reinforce clients' feelings of hope, enhance their motivation to create change, develop and maintain the therapeutic alliance, and continually evaluate overall treatment progress. Case examples demonstrate how these strategies can be employed in real-life scenarios.
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Almost one in five psychotherapy clients prematurely terminates treatment before they have made meaningful progress. This book describes eight practical, research-based strategies that practitioners can use to reduce drop-out rates and improve outcomes.
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IntroductionPart I: Understanding Premature Termination in Psychotherapy Chapter 1: What Is Premature Termination, and Why Does It Occur? Chapter 2: Predictors of Premature Termination in PsychotherapyPart II: Strategies for Reducing Premature Termination Chapter 3: Provide Role Induction Chapter 4: Incorporate Preferences Into the Treatment Decision-Making Process Chapter 5: Assist in Planning for Appropriate Termination Chapter 6: Provide Education About Patterns of Change in Psychotherapy Chapter 7: Strengthen Hope Chapter 8: Enhance Motivation for Treatment Chapter 9: Foster the Therapeutic Alliance Chapter 10: Assess and Discuss Treatment Progress With ClientsPart III. Conclusion Chapter 11: Conclusions and Future Directions References Index About the Authors
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Premature client termination is a problem for both beginning and experienced clinicians. The objective of this book is to offer an understanding of why it happens and when it happens most frequently, as well as provide strategies supported by empirical data that meaningfully reduce the incidence of premature termination. This objective is certainly attained in a clear, concise and empirically supported style that is for the most part accessible to any level of counselor.
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Produktdetaljer

ISBN
9781433818011
Publisert
2014-09-15
Utgiver
Vendor
American Psychological Association
Høyde
254 mm
Bredde
178 mm
Aldersnivå
P, 06
Språk
Product language
Engelsk
Format
Product format
Innbundet
Antall sider
216

Biographical note

Joshua K. Swift, PhD, is an associate professor in the Department of Psychology at the University of Alaska Anchorage and a core faculty member in the Joint University of Alaska Fairbanks/University of Alaska Anchorage PhD Program in clinical-community psychology, where he directs the Psychotherapy Process and Outcome Research Lab. He is also a licensed psychologist in the state of Alaska. As an early career psychologist he has authored or coauthored more than 80 professional publications and presentations. He has also been recognized with a number of awards, including the APA Division 29 (Psychotherapy) Distinguished Publication of Psychotherapy Research Award, Division 29 President's Award for Psychotherapy Research, and University of Alaska Anchorage's Chancellor's Awards for Excellence in Teaching and Research.
 
Roger P. Greenberg, PhD, is Distinguished Professor and director of the Psychology Division at State University of New York (SUNY) Upstate Medical University in Syracuse. He is also the psychology internship training director at SUNY and a long-standing clinician in private practice. He has authored or coauthored about 250 publications and presentations, including The Art and Science of Brief Psychotherapies: An Illustrated Guide (2012), From Placebo to Panacea: Putting Psychiatric Drugs to the Test (1997), and the award-winning The Scientific Credibility of Freud's Theories and Therapy (1985). He has received the National Register of Health Service Psychologists' Alfred B. Wellner Lifetime Achievement Award, the New York State Psychological Association's Joanne Lifshin Mentorship Award, the Association of Psychology Postdoctoral and Internship Centers' Excellence in Training Award, and the SUNY President's Award for Excellence in Teaching.