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

By George W. Rosenfeld

Past Evidence-Based Psychotherapy teaches scholars via a typical components point-of-view, combining study, case reviews, a number of therapy orientations, and a standpoint that describes the private development of a clinician’s occupation. It differs from prior texts in that it provides the hot examine on psychotherapy in a layout that's comprehensible, memorable, and suitable to scholar issues, while integrating examine and scientific adventure to pragmatically advisor medical decisions.  This publication offers scholars of kid and adolescent psychotherapy which are pursuing levels in psychiatry, medical psychology, social paintings, and marriage and family members counseling with an perception into the perform of a kid psychologist with 40,000 hours of expertise operating with millions of consumers and households. within the first a part of the booklet, Rosenfeld provides eight universal elements of swap in operating with childrens and teens. the second one half brings the reader via a "day within the existence" of the writer as he visits with a sequence of consumers in numerous levels of therapy, bringing the fabric mentioned partially one to existence.

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Additional resources for Beyond Evidence-Based Psychotherapy: Fostering the Eight Sources of Change in Child and Adolescent Treatment (Counseling and Psychotherapy)

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In one population of adult clients, 73% indicated that their therapist’s clinical interventions were “critical in the development of their alliance” (Bedi, Davis, & Williams, 2005, p. 320). Building and maintaining the therapeutic alliance is crucial to treatment, but if it is the central activity and discussion topic during treatment, then outcome is threatened. , 1991). As Kozart (2002) theorized from the Vanderbilt II and subsequent research, when the alliance is the “primary theme or topic of clinical contemplation, the therapeutic alliance may be undermined, [in contrast to focusing on] goals drawn from other spheres of the patient’s life and the tasks necessary to achieve those goals.

Indd 28 7/21/08 3:05:06 PM The Eight Sources of Change in Psychotherapy • 29 Ogrodniczuk, Piper, & McCallum, 2003; Lambert, 1992) and the client’s deficits and strengths, such as the capacity to provide a narrative and the client’s depth of pathology. Positive outcomes are facilitated by client pretherapy characteristics of psychological mindedness (“the ability to understand people and their problems in psychological terms”) and the quality of object relations—the client’s lifelong pattern of regulating affect, forming mature “equitable relationships characterized by love, tenderness, and concern … [with] a capacity to mourn and tolerate unobtainable relationships [as opposed to reacting] to perceived separation … loss … disapproval or rejection … with intense anxiety and affect” (Piper, Joyce, McCallum, & Azim, 1998, p.

1999). Another reason evidence-based treatments cannot be automatically relied on in clinical practice is that even though treatments have been shown to be effective in controlled experiments with screened subjects, it does not mean that these interventions are transportable to clinical practice. Clients are a different species than research subjects. Comorbidity runs rampant in clinical practice while researchers seek subjects who have only one diagnosis. , 1998). , 2002). Furthermore, as discussed above, evidence-based treatments may not be transportable to everyday clinical practice because the subjects in these studies are preselected to benefit from the intervention.

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