03_Brief Therapies Flashcards
Brief Therapies:
Shared Characteristics
Time-limited (6-30 sessions)
Focus on present-day concerns
Therapist has active role
Client is actively engaged in change process
Four Brief Therapy Models
Interpersonal Therapy
Solution-Focused Therapy
Transtheoretical Model
Motivational Interviewing
Interpersonal Therapy (IPT):
Origins
Klerman and Weissman (1984)
Originally developed as treatment for depression
Expanded to bipolar disorder, bulimia, substance abuse
Interpersonal Therapy:
Theoretical Influences
Adolf Meyer psychobiological approach
Sullivan interpersonal theory
Bowlby attachment theory
Interpersonal Therapy:
Eclectic approach
Combines elements of psychodynamic tx and CBT
Interpersonal Therapy:
Maladaptive Behavior Etiology
Lack of strong attachments early in life lead to problems in social roles and relationships
Interpersonal Therapy:
Main focus
Current social relationships
Interpersonal Therapy:
Primary Treatment Goals
Symptom reduction
Improved interpersonal functioning
Interpersonal Therapy:
How to Reduce Symptom Severity
Psychoeducation
Installation of hope
Pharmacotherapy, when needed
Interpersonal Therapy:
Four Primary Problem Areas Targeted In Therapy
Unresolved Grief
Interpersonal Role Disputes
Role Transitions
Interpersonal Deficits
Interpersonal Therapy:
Treatment Strategies
Encouragement of Affect
Communication Analysis
Modeling
Role-Playing (establish new ways of interacting)
Shazar’s Solution-Focused Therapy:
Main Assumption
Focuses on solutions to problems rather than the problems themselves
“You get more of what you talk about”
Solution-Focused Therapy:
View of Maladaptive Behavior
Understanding the etiology of a problem behavior is irrelevant
Focus is on solution only
Solution-Focused Therapy:
Therapeutic Relationship
Client = expert
Therapist = consultant/collaborator
Solution-Focused Therapy:
Three Questions
Miracle Question
Exception Question
Scaling Question
Solution-Focused Therapy:
Miracle question
Miracle happens overnight:
How do you know a miracle occurred?
What would be different?
Solution-Focused Therapy:
Exception question
Can you think a time in the past week when you did not have the problem? (or not as severe)
Solution-Focused Therapy:
Scaling Questions
On a scale from 1 to 10, …
…how did you feel last week?
…how motivated are you?
Prochaska’s Transtheoretical Model of Behavior Change:
Basis of Model
Identification of 10 empirically supported interventions
Derived from analysis of 18 therapy approaches
Transtheoretical Model:
10 Interventions
Consciousness raising
Self Liberation
Social Liberation
Dramatic Relief
Self Reevaluation
Counterconditioning
Environmental Reevaluation
Reinforcement Management
Stimulus Control
Helping/Supportive Relationships
Transtheoretical Model:
Original Application
Smoking cessation and other addictive behaviors
Transtheoretical Model:
Current uses
Addictive Behaviors
Weight Control
Treatment Compliance
Intimate Partner Violence
Financial Management
Transtheoretical Model:
View of Maladaptive Behavior
Model does not address etiology or characteristics of maladaptive behavior
Focus = factors that facilitate behavior change
Transtheoretical Model:
Six Stages of Change
Precontemplation
Contemplation
Preparation
Action
Maintenance
Termination
