Preface: The Therapist''s Challenge xi Acknowledgments xiii Abbreviations Used in Multiple Chapters xv Introduction: Integrating Science and Art in Therapy xvii About the Companion Website xxv Part I The Tools of the Therapist 1 Therapy Fundamentals 3 The Therapeutic Orientation Toward Clients 4 Getting Started 8 Basic Child Therapy Skills 12 Overcoming Obstacles to Client Engagement 24 Motivational Interviewing 28 Simple Therapeutic Interventions 32 Therapeutic Collaborations 35 Termination 38 Summary 39 2 Behavior Therapy 41 Learning Theory 42 Assessment and Case Formulation 48 Change Processes 52 Outcome Research 53 The Therapist''s Style 56 Exposure 56 Contingency Contracting 58 Relaxation Training 65 Social Skills Training 67 Summary 71 3 Cognitive Therapy 73 Cognitive Theory 74 Assessment and Case Formulation 80 Change Processes 84 Outcome Research 86 The Therapist''s Style 87 Self- Monitoring 88 Self- Instruction 89 Self- Reinforcement 91 Socratic Questioning 93 Cognitive Restructuring 94 Tests of Evidence 97 Personal Experiments 100 Using Spectrums to Develop Moderation 101 Summary 104 4 Mindfulness- Based Cognitive- Behavioral Therapies 107 Mindfulness and Psychotherapy 108 Assessment and Case Formulation 114 Change Processes 117 Outcome Research 121 The Therapist''s Style 123 Mindfulness Training Exercises 124 Dialectical Behavior Therapy Implementation 127 Acceptance and Commitment Therapy Implementation 135 Summary 140 5 Psychodynamic Therapy 143 Psychoanalytic Theory 144 Assessment and Case Formulation 155 Change Processes 158 Outcome Research 163 The Therapist''s Style 164 Facilitating the Expression of Material 165 Interpretation and Insight 166 Dynamic Psychoeducation 169 Corrective Emotional Experience 172 Summary 174 6 Constructivism: Solution-Focused and Narrative Therapy 177 Postmodernism and the Social Construction of Reality 178 Assessment and Case Formulation 182 Change Processes 185 Outcome Research 189 The Therapist''s Style 191 Solution- Focused Techniques 192 Narrative Therapy Techniques 200 Summary 207 7 Family Systems Therapy 211 Systems Theory 212 Assessment and Case Formulation 219 Change Processes 223 Outcome Research 225 The Therapist''s Style 227 Combining Family and Individual Modalities 227 Facilitating Communication 228 Systemic Insight 229 Reframing 231 Treating Enmeshment and Disengagement 234 Therapist Directives 235 Treating Positive Feedback Loops 236 Summary 242 8 Atheoretical and Transtheoretical Techniques 245 Miscellaneous Techniques 246 Parent Counseling 251 Balance Between Extremes 253 Psychoeducation 257 Values in Psychotherapy 264 Incorporating Experiences into New Structures of Meaning 268 Overcoming Fear of Failure 278 Summary 281 Part II The Needs of Clients 9 Cultural Factors in Therapy 285 The Role of Culture in Psychotherapy 286 Assessment 296 Treatment Planning 300 The Therapist''s Style 302 Connecting the Cultures of Therapy and Client 304 Managing Conflicts Between Client Cultures and the Predominant Culture 307 Addressing Prejudice and Discrimination 309 Bringing Spirituality into Therapy 310 Summary 313 10 Disruptive Behavior in Children 315 Diagnoses Treated in This Chapter 316 Clinical Presentation and Etiology 317 Assessment 321 Treatment Planning 322 Behavioral- Systemic Parent Training 328 Collaborative Problem- Solving 342 Individual CBT With the Child 344 Psychodynamic Therapy 346 Summary 348 11 Disruptive Behavior in Adolescents 351 Diagnoses Treated in This Chapter 352 Clinical Presentation and Etiology 352 Assessment 357 Treatment Planning 359 Behavioral- Systemic Therapy 362 Psychodynamic Therapy 380 Parent Counseling 381 Summary 382 12 Aggression and Violence 385 Diagnoses Treated in This Chapter 386 Clinical Presentation and Etiology 386 Assessment 391 Treatment Planning 392 Addressing Decisions About Fighting 395 Violent and Peaceful Foundations of Self-Esteem 397 Bullying 398 Cognitive- Behavioral Therapy 399 Psychodynamic Therapy 415 Systems- Oriented Intervention 416 Summary 416 13 Anxiety 419 Diagnoses Treated in This Chapter 420 Clinical Presentation and Etiology 421 Assessment 427 Treatment Planning 428 Cognitive- Behavioral Therapy 432 Psychodynamic Therapy 442 Parent- Child Work 447 Summary 449 14 Depression 453 Diagnoses Treated in This Chapter 454 Clinical Presentation and Etiology 455 Assessment 460 Treatment Planning 462 Special Topic: Suicide Risk 466 Cognitive- Behavioral Therapy 469 Psychodynamic Therapy 480 Systemic Intervention 483 Summary 484 15 Stress and Trauma 487 Diagnoses Treated in This Chapter 488 Clinical Presentation and Etiology 488 Assessment 493 Treatment Planning 496 Cognitive Behavioral Therapy 500 Coaching Clients in Coping 505 Psychodynamic Therapy 508 Constructivist Therapy 509 Systems- Oriented Intervention 509 Therapy for Parental Divorce 510 Therapy for Bereavement 513 Therapy for Sexual Abuse 516 Summary 521 Afterword: The Therapist''s Experience 523 References 525 Index 595.
Child and Adolescent Therapy : Science and Art