Dialogues for Discovery

Höfundar: Christine A. Padesky; Helen Kennerley (Útgáfa: 1)
Dialogues for Discovery

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Dialogues for Discovery: Improving Psychotherapy's Effectiveness teaches psychotherapists of all modalities how to help their clients make more frequent and higher quality discoveries in every therapy session. Detailed therapist-client dialogues in each chapter illustrate the client-centered and collaborative 4-Stage Model of Socratic Dialogue, as well as other guided discovery approaches such as behavioural experiments, imagery exercises, and role plays.

Guidelines for expert use of Socratic dialogue are highlighted to help therapists avoid common therapy traps that frequently derail therapy progress, as well as effective strategies for navigating and overcoming them. Chapters are written by international experts on each topic and each includes guiding principles to help therapy stay on track, summarized in “Keep in Mind” boxes. Reader Learning Activities at the end of each chapter suggest a variety of ways to tailor the skills taught to one's own therapy / supervision practice or classroom settings, as well as Reflective Practice Worksheets which further personalize and help consolidate therapist application and development of Dialogue for Discovery skills.

Nánar um bókina

Útgefandi
Oxford University Press Academic UK
ISBN
9780192573827
Print ISBN
9780199586981
Format
ePub
Útgáfa
1
Höfundar
Christine A. Padesky; Helen Kennerley
Tungumál
English
Útgefið
2023-08-09
Prent takmörkun á líftíma
100
Prent takmörkun
2
Afritunar takmörkun
2

Kaflar

  • Title Page
  • Copyright Page
  • Dedication
  • Contents
  • List of Contributors
  • 1. Dialogues for Discovery: What? Why? When?
  • Welcome All Therapists
  • Dialogues for Discovery vs Changing Clients’ Minds
  • Definitions
  • Discovery Methods in Psychotherapy: What Are They?
  • The Roots of Socratic Dialogue: A Brief History
  • Socrates
  • Alfred Adler: Socratic questions in psychotherapy
  • Aaron T. Beck: Socratic questioning in cognitive therapy
  • James C. Overholser: The philosophy and logic of Socratic methods in psychotherapy
  • Christine A. Padesky: Purposes and uses of Socratic Dialogue and other guided discovery methods
  • Other guided discovery methods
  • Dialogues for Discovery: Why Use Them?
  • Empirical research findings
  • Socratic Dialogue: When to Use?
  • When do we use Socratic Dialogue?
  • When do we not use Socratic Dialogue?
  • Summary
  • References
  • 2. The 4-Stage Model of Socratic Dialogue
  • From Socratic Questioning to Socratic Dialogue
  • 3 Speeds of Therapy
  • 4-Stage Model of Socratic Dialogue
  • Stage 1: Informational questions
  • Stage 2: Empathic listening
  • Stage 3: Summary of information gathered
  • Stage 4: Analytical and synthesizing questions
  • Clinical illustration—debriefing a between-session learning assignment
  • Socratic Dialogue is embedded in the 7-Column Thought Record
  • Embedding Socratic Dialogue in other guided discovery methods
  • Constructive use of Socratic Dialogue
  • When to use Socratic Dialogue
  • When Socratic Dialogue is not helpful
  • Summary
  • References
  • 3. Guided Discovery for Depression and Suicide
  • Depression Overview
  • CBT for Depression
  • Engaging Depressed Clients in Collaborative Treatment
  • Engaging the skeptical client in collaborative treatment
  • Engaging an agitated client
  • Activating depressed clients
  • When clients generate meager evidence to counter a hot thought
  • Hopelessness
  • Make a safety plan with suicidal clients
  • Client misses a session
  • Relapse Management
  • Recovery from a low mood
  • Summary
  • References
  • 4. Guided Discovery with Anxiety
  • Understanding Anxiety
  • Shared features among anxiety and related disorders
  • Common Traps Arising from Client Beliefs
  • Client intolerance of uncertainty
  • The perceived need for self-protection
  • Rigidity in response to anxiety
  • Common Traps Originating in Therapists’ Beliefs
  • Fear of being unkind
  • Fears the client’s vulnerability is real
  • Fine-tuning Socratic Dialogue
  • Avoid questions that unhelpfully amplify worry
  • When clients avoid affect
  • When clients lack confidence
  • When a client has limited experience of not being anxious
  • Summary
  • References
  • 5. Imagery: The Language of Emotion
  • What Is Mental Imagery?
  • Importance of Imagery in Psychotherapy
  • Imagery has stronger emotional impact than verbal processing
  • Intrusive negative mental imagery occurs in a wide range of disorders
  • Imagery can boost client confidence in alternative beliefs
  • Therapist Neglect of Imagery in Therapy: Common Traps
  • Use of Socratic Dialogue to identify imagery
  • Imagery and Socratic Dialogue
  • Collaborative case conceptualization
  • Exploring and testing imagery
  • Imagery, behavior change, and learning assignment adherence
  • Summary
  • References
  • 6. Inflexible Beliefs
  • Understanding Inflexible Beliefs
  • Therapy Approaches for Working with Inflexible Beliefs
  • Padesky’s prejudice metaphor
  • Common Therapy Traps: Inflexible Beliefs
  • Client beliefs are very different from therapist beliefs
  • Client mistrusts the therapist
  • Client beliefs interfere with the alliance
  • When beliefs are not formulated as words or even pictures
  • Client avoids therapy explorations because of fears of overwhelming emotion or traumatic memories
  • Be patient and also stay active
  • Use humor and a language the client can embrace
  • Develop imagery and case conceptualizations that bring ideas to life
  • All evidence contrary to existing beliefs is discounted
  • Clients are so afraid of change that little or nothing happens between sessions
  • The client’s inflexible beliefs are endorsed by social, domestic, or professional networks
  • Summary
  • Appendix: Core Belief and Schema-Focused CBT Strategies
  • References
  • 7. Impulsive and Compulsive Behaviors
  • Understanding Impulsive and Compulsive Behaviors
  • Central cognitions: What to look for
  • Hard to express meanings: Felt sense
  • Relapse Management
  • Damage limitation
  • Safer, substitute behaviors
  • When Other Methods Are More Appropriate
  • Summary
  • References
  • 8. Guided Discovery with Adversity
  • Questions to Help Unlock Clients’ Strengths
  • Common Traps in Working with Clients Facing Adversity
  • Client traps
  • Therapist traps
  • Environmental traps
  • Summary
  • Acknowledgments
  • References
  • 9. Chasing Janus: Socratic Dialogue with Children and Adolescents
  • Common Traps in Therapy with Children and Adolescents
  • Differences between Children and Adults When Scaffolding a Socratic Dialogue
  • Navigating Three Common Traps using Socratic Dialogue
  • Ask for permission to test thoughts
  • When and why adolescents want to hold onto thoughts
  • Therapist-created barriers
  • Socratic use of games
  • Foster fun in therapy
  • Experiential guided discovery
  • Match the informational processing level of the child
  • Dose Socratic Dialogue with empathy and optimal doubt
  • Summary
  • References
  • 10. Socratic Dialogue in Group Therapy
  • An Introduction to Cognitive Behavioral Group Therapy
  • Socratic Dialogue in Group Therapy
  • Advantages of using Socratic Dialogue in group therapy
  • Strategic levels of Socratic Dialogue in group therapy
  • Specific applications of Socratic Dialogue in group therapy
  • Common Clinical Traps in Group CBT
  • When is Socratic Dialogue not appropriate in group therapy?
  • Summary
  • References
  • 11. Supervision and Therapist Beliefs
  • The Many Tasks of Supervision
  • Common Traps in Supervision
  • Supervision to enhance learning—getting the balance right
  • Engage supervisees in structuring session learning
  • Employ active learning methods in supervision
  • Reflective practice
  • Seeing the bigger picture
  • The supervisory relationship
  • Additional problems in supervision
  • When Other Methods Might Be More Appropriate
  • Summary
  • References
  • 12. Dialogues for Discovery: What Next?
  • Discoveries Found
  • Research findings: Sudden gains in psychotherapy
  • 4-Stage Model of Socratic Dialogue: Recap
  • Discoveries Still to Come
  • Research
  • Individual therapists
  • Developing your “dialogues for discovery” skills
  • Reflective Practice Worksheets
  • Future of Dialogues for Discovery in Psychotherapy
  • Summary
  • References
  • Appendices
  • Reflective Practice Worksheet 1
  • Reflective Practice Worksheet 2
  • Reflective Practice Worksheet 3
  • Traps Guide
  • Index