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  1. Faith Teyber
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Therapy that effects change must authentically involve you, the therapist. INTERPERSONAL PROCESS IN THERAPY: AN INTEGRATIVE MODEL brings together cognitive-behavioral, family systems, and psychodynamic theories into one cohesive framework, all the while showing you practical ways to alleviate your concerns about making a 'mistake.' And, this textbook enables you to be who...more
Published July 7th 2005 by Thomson Brooks/Cole
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Books Every Psychology and/or Counseling Doctoral Student Should Read
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Nov 24, 2017Brit Barkholtz rated it it was amazing · review of another edition
In all my years in academia (currently in the final year of my masters program), this is the first textbook (like, legit textbook, not just a book used for a class) that I've ever read in its entirety cover to cover. I genuinely enjoyed it and found it incredibly useful and relevant to my practice. Highly recommend to any beginning therapist!
Nov 08, 2018Jordan Brooks rated it it was amazing
I love this book. The first textbook I’ve read cover to cover. It coincided with my first one-on-one clinical work and helped a ton. Tailored for first time clinicians.
Jan 01, 2016Charlie rated it it was amazing · review of another edition
This is a really well-written text. It challenged me a bit because I don't have an undergraduate degree in psychology. This required me to familiarize myself with some of the foundational materials on my own, but one can hardly fault a text for prompting one to learn more. The principles espoused here avoid pedantry and formula while at the same time indicating universal patterns in human relationships. Much of what I read for classes indicates that there is only one way to work with clients, so...more
Dec 25, 2018Adrian rated it it was amazing · review of another edition
A must have text on the interpersonal process approach (IPA). Teyber & Teyber truly simply the concepts and prove ample examples of the approach in action. I particularly enjoyed the emphasis on case studies as I gathered a wealth of information about clients McNair therapists, and appropriate interventions. I read this for a course, but will be keeping it in my persona library for years to come and I suspect that I will turn to it often.
Jul 26, 2013AmoRead rated it really liked it
Incredibly valuable resource for a therapist in training. Loved reading it -- full of great insights and helpful information, though dense and hard to slog through at times. Wish it was broken into smaller pieces; hard to absorb an entire chapter in one sitting. I know I'll be returning to this as a reference when I start seeing clients.
May 05, 2019Christina rated it it was amazing · review of another edition
I think the seventh edition is a big improvement over prior editions. It is still a little dense, but the underlying theory and therapeutic guidance are invaluable.
Jun 17, 2019Iuri rated it it was ok · review of another edition
This book is mainly at the level of the imaginary identification between client and psychotherapist. Also, it is focused on concepts such as maladaptive, reality, optimal distance, which are all tied to the ideal of adaptation and a docile subject.
Mar 24, 2019Jennifer rated it it was amazing · review of another edition
My third time reading the entire textbook. I've read it as a student, trainee and more experienced therapist and have gotten something new out of it each time. Great book.
They need a better editor. I am no English major and I still found at least six grammatical errors. These errors over shadowed the content in the book. It is because small things such as this that the social work profession does not get the respect that it deserves. Not worth the 150 bucks they are charging for a new copy.
love this book. it describes how to get your therapeutic practice with a client into the presence, and how to better understand your clients based on their behaviors. very clear and easy to understand- great insight.
May 11, 2013Elil Yuvarajan rated it it was amazing
A seminal book for anyone interested in building relationships with clients in therapy, and getting to the heart of their problems. The book comes from the standpoint that all issues have an interpersonal core and are reenacted in the therapeutic relationship.
Mar 24, 2015Galana C BF rated it it was amazing · review of another edition
Great book for beginning counselors. Helps to explain possible challenges or ruptures, the importance of a working therapeutic alliance, how to identify transference and counter transference, and many more insights from a psychodynamic perspective. Easy read and interesting.
Feb 20, 2013Christina rated it really liked it
Had students in my Interventions class read this- a little redundant, strangely organized, and wordy, but otherwise an excellent guide to process and interpersonal skills in therapy. It's the best that I have found so far.
Apr 09, 2008Erin Garibaldi rated it did not like it
It's a good book in theory but he kept repeating himself over and over. It's something I can't use in my career now but maybe in the future.
Aug 18, 2010Rachel rated it liked it
Let's be honest, I was required to read this three different semesters and never managed to get through the whole book. Good stuff in the chapters I did read.
This book was really eye-opening for me. It gave such a good overview of the Interpersonal approach to therapy, and it was a really easy read.
Jan 04, 2013Julia rated it it was amazing
I LOVED reading this book. Highly recommended for anyone doing therapy, especially those just starting out. So many brain sparks!
Nov 26, 2014Robyn rated it really liked it
Language is quite dry and convoluted, however the concepts are extremely valuable for developing counselling skills.
Aug 10, 2011Danny Bennett rated it it was amazing
Crazy awesome book. Every counselor should read this, in fact anyone should read this just to help talking to people about their struggles and hurts.
Jan 02, 2010T Goodnight rated it really liked it
Recommended to T by: Sherry
Teyber does a fabulous job of combining theory and practice in this book. Great examples, easy to read, and informative. Good for beginners and advanced therapists alike.
Jan 05, 2013Trageckingdom rated it really liked it · review of another edition
Maija Eevasdóttir rated it really liked it
Jun 22, 2019
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Faith Teyber

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“When clients relinquish symptoms, succeed in achieving a personal goal, or make healthier choices for themselves, subsequently many will feel anxious, guilty, or depressed. That is, when clients make progress in treatment and get better, new therapists understandably are excited. But sometimes they will also be dismayed as they watch the client sabotage her success by gaining back unwanted weight or missing the next session after an important breakthrough and deep sharing with the therapist. Thus, loyalty and allegiance to symptoms—maladaptive behaviors originally developed to manage the “bad” or painfully frustrating aspects of parents—are not maladaptive to insecurely attached children. Such loyalty preserves “object ties,” or the connection to the “good” or loving aspects of the parent. Attachment fears of being left alone, helpless, or unwanted can be activated if clients disengage from the symptoms that represent these internalized “bad” objects (for example, if the client resolves an eating disorder or terminates a problematic relationship with a controlling/jealous partner). The goal of the interpersonal process approach is to help clients modify these early maladaptive schemas or internal working models by providing them with experiential or in vivo re-learning (that is, a “corrective emotional experience”). Through this real-life experience with the therapist, clients learn that, at least sometimes, some relationships can be different and do not have to follow the same familiar but problematic lines they have come to expect.” — 12 likes
“For example, in order to identify these schemas or clarify faulty relational expectations, therapists working from an object relations, attachment, or cognitive behavioral framework often ask themselves (and their clients) questions like these: 1. What does the client tend to want from me or others? (For example, clients who repeatedly were ignored, dismissed, or even rejected might wish to be responded to emotionally, reached out to when they have a problem, or to be taken seriously when they express a concern.) 2. What does the client usually expect from others? (Different clients might expect others to diminish or compete with them, to take advantage and try to exploit them, or to admire and idealize them as special.) 3. What is the client’s experience of self in relationship to others? (For example, they might think of themselves as being unimportant or unwanted, burdensome to others, or responsible for handling everything.) 4. What are the emotional reactions that keep recurring? (In relationships, the client may repeatedly find himself feeling insecure or worried, self-conscious or ashamed, or—for those who have enjoyed better developmental experiences—perhaps confident and appreciated.) 5. As a result of these core beliefs, what are the client’s interpersonal strategies for coping with his relational problems? (Common strategies include seeking approval or trying to please others, complying and going along with what others want them to do, emotionally disengaging or physically withdrawing from others, or trying to dominate others through intimidation or control others via criticism and disapproval.) 6. Finally, what kind of reactions do these interpersonal styles tend to elicit from the therapist and others? (For example, when interacting together, others often may feel boredom, disinterest, or irritation; a press to rescue or take care of them in some way; or a helpless feeling that no matter how hard we try, whatever we do to help disappoints them and fails to meet their need.)” — 9 likes
More quotes…

Interpersonal psychotherapy (IPT) is a brief, attachment-focused psychotherapy that centers on resolving interpersonal problems and symptomatic recovery. It is an empirically supported treatment (EST) that follows a highly structured and time-limited approach and is intended to be completed within 12–16 weeks. IPT is based on the principle that relationships and life events impact mood and that the reverse is also true.[1][2] It was developed by Gerald Klerman and Myrna Weissman for major depression in the 1970s and has since been adapted for other mental disorders.[3] IPT is an empirically validated intervention for depressive disorders, and is more effective when used in combination with psychiatric medications. Along with cognitive behavioral therapy (CBT), IPT is recommended in treatment guidelines as a psychosocial treatment of choice,[4][5] and IPT and CBT are the only psychosocial interventions in which psychiatry residents in the United States are mandated to be trained for professional practice.[6]

  • 3Clinical applications

History[edit]

Originally named 'high contact' therapy, IPT was first developed in 1969 at Yale University as part of a study designed by Gerald Klerman, Myrna Weissman and colleagues to test the efficacy of an antidepressant with and without psychotherapy as maintenance treatment of depression.[7][8] IPT has been studied in many research protocols since its development.[9][10] NIMH-TDCRP demonstrated the efficacy of IPT as a maintenance treatment and delineated some contributing factors.[11]

Foundations[edit]

IPT was influenced by CBT as well as psychodynamic approaches. It takes its structure from CBT in that it is time-limited, employs homework, and structured interviews and assessment tools.[12]

The content of IPT's therapy was inspired by Attachment theory and Harry Stack Sullivan's Interpersonal psychoanalysis. Social theory is also influenced in a lesser role to emphasis on qualitative impact of social support networks for recovery.[13] Unlike psychodynamic approaches, IPT does not include a personality theory or attempt to conceptualize or treat personality but focuses on humanistic applications of interpersonal sensitivity.[14][15]

  • Attachment Theory, forms the basis for understanding patients’ relationship difficulties, attachment schema[16] and optimal functioning when attachment needs are met.
  • Interpersonal Theory, describes the ways in which patients’ maladaptive metacommunication patterns (Low to high Affiliation & Inclusion and dominant to submissive Status)[17][18] lead to or evoke difficulty in their here-and-now interpersonal relationships.

The aim of IPT is to help the patient to improve interpersonal and intrapersonal communication skills within relationships and to develop social support network with realistic expectations to deal with the crises precipitated in distress and to weather 'interpersonal storms'.

Clinical applications[edit]

It has been demonstrated to be an effective treatment for depression and has been modified to treat other psychiatric disorders such as substance use disorders and eating disorders. It is incumbent upon the therapist in the treatment to quickly establish a therapeutic alliance with positive countertransference of warmth, empathy, affective attunement and positive regard for encouraging a positive transferential relationship, from which the patient is able to seek help from the therapist despite resistance. It is primarily used as a short-term therapy completed in 12–16 weeks, but it has also been used as a maintenance therapy for patients with recurrent depression.[19]

Interpersonal psychotherapy has been found to be an effective treatment for the following:[20]

  • Major depressive disorder[21][22]
  • Cyclothymia[citation needed]

Adolescents[edit]

Although originally developed as an individual therapy for adults, IPT has been modified for use with adolescents and older adults.[20]

IPT for children is based on the premise that depression occurs in the context of an individual's relationships regardless of its origins in biology or genetics. More specifically, depression affects people's relationships and these relationships further affect our mood. The IPT model identifies four general areas in which a person may be having relationship difficulties:

  1. grief after the loss of a loved one;
  2. conflict in significant relationships, including a client's relationship with his or her own self;[23]
  3. difficulties adapting to changes in relationships or life circumstances; and
  4. difficulties stemming from social isolation.[20]

The IPT therapist helps identify areas in need of skill-building to improve the client's relationships and decrease the depressive symptoms. Over time, the client learns to link changes in mood to events occurring in his/her relationships, communicate feelings and expectations for the relationships, and problem-solve solutions to difficulties in the relationships.[24]

IPT has been adapted for the treatment of depressed adolescents (IPT-A) to address developmental issues most common to teenagers such as separation from parents, development of romantic relationships, and initial experience with death of a relative or friend[24] IPT-A helps the adolescent identify and develop more adaptive methods for dealing with the interpersonal issues associated with the onset or maintenance of their depression. IPT-A is typically a 12- to 16-week treatment. Although the treatment involves primarily individual sessions with the teenager, parents are asked to participate in a few sessions to receive education about depression, to address any relationship difficulties that may be occurring between the adolescent and his/her parents, and to help support the adolescent's treatment.[25]

Elderly[edit]

IPT has been used as a psychotherapy for depressed elderly, with its emphasis on addressing interpersonally relevant problems. IPT appears especially well suited to the life changes that many people experience in their later years.[26]

References[edit]

  1. ^Markowitz, JC; Svartberg, M; Swartz, HA (1998). 'Is IPT time-limited psychodynamic psychotherapy?'. The Journal of Psychotherapy Practice and Research. 7 (3): 185–95. PMC3330506. PMID9631340.
  2. ^'Interpersonal Therapy (IPT)'. Nightingale Hospital. Retrieved 26 April 2015.
  3. ^Cuijpers, Pim; Donker, Tara; Weissman, Myrna M.; Ravitz, Paula; Cristea, Ioana A. (2016). 'Interpersonal Psychotherapy for Mental Health Problems: A Comprehensive Meta-Analysis'. American Journal of Psychiatry. 173 (7): 680–7. doi:10.1176/appi.ajp.2015.15091141. PMID27032627.
  4. ^Cuijpers, Pim; Geraedts, Anna S.; van Oppen, Patricia; Andersson, Gerhard; Markowitz, John C.; van Straten, Annemieke (2011). 'Interpersonal Psychotherapy for Depression: A Meta-Analysis'. American Journal of Psychiatry. 168 (6): 581–92. doi:10.1176/appi.ajp.2010.10101411. PMC3646065. PMID21362740.
  5. ^Tsai, Alexander C.; Barth, Jürgen; Munder, Thomas; Gerger, Heike; Nüesch, Eveline; Trelle, Sven; Znoj, Hansjörg; Jüni, Peter; Cuijpers, Pim (2013). 'Comparative Efficacy of Seven Psychotherapeutic Interventions for Patients with Depression: A Network Meta-Analysis'. PLoS Medicine. 10 (5): e1001454. doi:10.1371/journal.pmed.1001454. PMC3665892. PMID23723742.
  6. ^Hollon, Steven D.; Beck, Aaron T. (2013). 'Cognitive and Cognitive-Behavioral Therapies'. In Lambert, Michael J. (ed.). Bergin and Garfield's Handbook of Psychotherapy and Behavior Change (6th ed.). Hoboken, NJ: John Wiley & Sons. pp. 393–442. ISBN978-1-118-41868-0.
  7. ^Weissman, Myrna M. (August 2006). 'A Brief History of Interpersonal Psychotherapy'. Psychiatric Annals. 36 (8).
  8. ^Markowitz, John C.; Weissman, Myrna M. (2012). 'Interpersonal Psychotherapy: Past, Present and Future'. Clinical Psychology & Psychotherapy. 19 (2): 99–105. doi:10.1002/cpp.1774. PMC3427027. PMID22331561.
  9. ^Klerman, Gerald L.; Dimascio, Alberto; Weissman, Myrna; Prusoff, Brigitte; Paykel, Eugene S. (1974). 'Treatment of Depression by Drugs and Psychotherapy'. American Journal of Psychiatry. 131 (2): 186–91. doi:10.1176/ajp.131.2.186. PMID4587807.
  10. ^Weissman, MM; Prusoff, BA; Dimascio, A; Neu, C; Goklaney, M; Klerman, GL (1979). 'The efficacy of drugs and psychotherapy in the treatment of acute depressive episodes'. The American Journal of Psychiatry. 136 (4B): 555–8. PMID371421.
  11. ^Elkin, Irene (1989). 'National Institute of Mental Health Treatment of Depression Collaborative Research Program'. Archives of General Psychiatry. 46 (11): 971–83. doi:10.1001/archpsyc.1989.01810110013002. PMID2684085.
  12. ^Weissman, MM; Markowitz, JC; Klerman, GL (2007). Clinician's quick guide to interpersonal psychotherapy. New York: Oxford University Press.[page needed]
  13. ^https://books.google.ca/books?id=emXzjtZmULEC[full citation needed][page needed]
  14. ^Hall, Judith A.; Andrzejewski, Susan A. (2009). 'Interpersonal Sensitivity'. Encyclopedia of Human Relationships. doi:10.4135/9781412958479.n291. ISBN9781412958462.
  15. ^Prochaska (1984). Systems of Psychotherapy: A Transtheoretical Analysis.[page needed]
  16. ^Bartholomew, Kim; Horowitz, Leonard M. (1991). 'Attachment styles among young adults: A test of a four-category model'. Journal of Personality and Social Psychology. 61 (2): 226–44. doi:10.1037/0022-3514.61.2.226. PMID1920064.
  17. ^Kiesler, Donald J.; Watkins, Lucy M. (1989). 'Interpersonal complementarity and the therapeutic alliance: A study of relationship in psychotherapy'. Psychotherapy. 26 (2): 183–94. doi:10.1037/h0085418.
  18. ^Kiesler, DJ (1979). 'An interpersonal communication analysis of relationship in psychotherapy'. Psychiatry. 42 (4): 299–311. doi:10.1080/00332747.1979.11024034. PMID504511.
  19. ^Cornes, CL; Frank, E (1994). 'Interpersonal psychotherapy for depression'. The Clinical Psychologist. 47 (3): 9–10.
  20. ^ abcWeissman, Myrna M.; Markowitz, John C. (1998). 'An Overview of Interpersonal Psychotherapy'. In Markowitz, John C. (ed.). Interpersonal Psychotherapy. American Psychiatric Press. pp. 1–33. ISBN978-0-88048-836-5.
  21. ^Joiner; et al. (2006). The interpersonal, cognitive, and social nature of depression. Mahwah, NJ: Lawrence Erlbaum Associates.[page needed]
  22. ^Zhou, Xinyu; Hetrick, Sarah E.; Cuijpers, Pim; Qin, Bin; Barth, Jürgen; Whittington, Craig J.; Cohen, David; Del Giovane, Cinzia; Liu, Yiyun; Michael, Kurt D.; Zhang, Yuqing; Weisz, John R.; Xie, Peng (2015). 'Comparative efficacy and acceptability of psychotherapies for depression in children and adolescents: A systematic review and network meta-analysis'. World Psychiatry. 14 (2): 207–22. doi:10.1002/wps.20217. PMC4471978. PMID26043339.
  23. ^'The Trauma Response'. StillPoint Counseling. Retrieved 13 December 2015.[unreliable medical source?]
  24. ^ abSwartz, Holly A. (1999). 'Interpersonal Psychotherapy'. In Hersen, Michel; Bellack, Alan S. (eds.). Handbook of Comparative Interventions for Adult Disorders. Wiley. pp. 139–55. ISBN978-0-471-16342-8.
  25. ^Mufson, L. (1999). 'Efficacy of Interpersonal Psychotherapy for Depressed Adolescents'. Archives of General Psychiatry. 56 (6): 573–9. doi:10.1001/archpsyc.56.6.573. PMID10359475.
  26. ^Hinrichsen, Gregory A. (1999). 'Treating older adults with interpersonal psychotherapy for depression'. Journal of Clinical Psychology. 55 (8): 949–60. doi:10.1002/(SICI)1097-4679(199908)55:8<949::AID-JCLP4>3.0.CO;2-S.

Sources[edit]

  • Sullivan, Harry Stack (1968) [1953]. Interpersonal Theory of Psychiatry. W. W. Norton & Company. ISBN978-0-393-00138-9.
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