Updated for the first time since 1993 -- and still the only comprehensive clinical guide to supportive psychotherapy -- this new edition of Clinical Manual of Supportive Psychotherapy features updated and new chapters, vignettes, tables, and resources that reflect current best practices.
Where once it was reserved for use with severely impaired patients, supportive therapy has come to be recognized as the treatment of choice for many patients, and supportive techniques underpin a great many other psychotherapies.
As a result, the academic literature, both on specific populations and on technical issues, has mushroomed. In this manual, the authors -- all of them practicing mental health clinicians -- distill the most relevant information that nonpsychiatric physicians, psychiatric residents, and experienced psychiatrists and psychotherapists need to fully understand this specific modality.
The volume introduces, in Part I, readers to the history and evolution of the use of supportive therapy, examining both its principles and its techniques. It then applies, in Part II, the approach to a range of disorders, including schizophrenia and hallucinations, mood disorders, personality disorders, and -- new to this edition -- anxiety and co-occurring disorders.
Part III covers interactions and special settings, discussing applying supportive techniques with medically ill patients and older patients, including tackling issues such as social and financial barriers to seeking treatment in the case of the latter. Also included in this part are new chapters on interactions and special settings, including practicing in detention and correctional centers and the special needs of therapists in public institutions, and updated chapters on community and family involvement and medication adherence and therapy interactions. A discussion of ethics -- augmented with guidance on cultural and religious sensitivity -- completes this most comprehensive of guides.
Table of Contents:
- List of Tables
- Introduction
- A Note on Usage
- Section I: Principles
- Chapter 1. The Basis for Supportive Psychotherapy
- Chapter 2. The Supportive Relationship
- Chapter 3. Principles of Supportive Technique: Explanatory Techniques
- Chapter 4. Principles of Supportive Technique: Directive Interventions
- Chapter 5. Managing the TherapySection II: Diagnostic Applications
- Chapter 6. Schizophrenia and Hallucinations
- Chapter 7. Mood Disorders
- Chapter 8. Anxiety Disorders
- Chapter 9. Co-occurring Disorders
- Chapter 10. Personality Disorders
- Chapter 11. Crisis Management and Suicidality Section III: Special Adaptations
- Chapter 12. The Medically Ill Patient
- Chapter 13. The Older PatientSection IV: Interactions and Special Settings
- Chapter 14. Special Challenges
- Chapter 15. Community and Family Involvement
- Chapter 16. Medication and Compliance
- Chapter 17. Ethical and Cultural Awareness Factors in Supportive Psychotherapy
- Permissive Guideline 6: Supportive Psychotherapists may Ethically be Advocates for their Patients
- Permissive Guideline 7: The Therapist many Utilize the Patient's Own Beliefs in Treatment and Recovery from Mental Illness
- Six Limiting Guidelines
- Limiting Guideline 1: The Patient's Autonomy Must Be Maximized
- Limiting Guideline 2: Some Treatment Goals Are Not Allowable
- Limiting Guideline 3: Patients Retain the Right to Refuse Treatment
- Limiting Guideline 4: The Need for Honesty in the Treatment Relationship May Override the Immediate Goals of Treatment
- Limiting Guideline 5: To Avoid Ethical Pitfalls the Therapist Must Understand Himself or Herself as Well as the Patient
- Limiting Guideline 6: Without Careful Scrutiny, the Advocacy Role can Unethically Expand into a Role that Exceeds the Therapist's Evidence-Based Standards of Treatment Limiting
- Guideline 7: Cultural Diversity Must Be Balanced by the Relevance of Universal Principals of Equal Rights and Respect for the Dignity of Human BeingsIndex
About the Author :
Peter N. Novalis, M.D., Ph.D., is a psychiatrist in private practice in Las Vegas, Nevada.
Virginia Singer, D.N.P., PMHNP-BC, CARN-AP, is a psychiatric nurse practitioner in private practice in Las Vegas, Nevada.
Roger Peele, M.D., DLFAPA, is Chief Psychiatrist for Montgomery County, Maryland.
