Process-Focused Therapy: A Guide for Creating Effective Clinical Outcomes

Cover
Half Title
Endorsement
Title Page
Copyright Page
Table of contents
Chapter 1 Exploring Process
	How vs. What
	Life and Therapy as Process
	Overview of the Book
Part I The Outer World
	Chapter 2 The Landscape of Faulty Process
		Being Adult
		Anxiety Coping Styles
			Anxiety Avoiders
			Anxiety Binders
			Anxiety Approachers
		Learning Problems vs. Problems about Learning
		Problems as Bad Solutions
		Stuckpoint #1: Unable to Tolerate Strong Emotions and Confrontation
			Personality Dynamics
			Consequences
			Assessment
		Stuckpoint #2: Difficulty Regulating Anxiety or Anger
			Personality Dynamics
			Consequences
			Assessment
		Stuckpoint #3: Unable to Tolerate Making and Accepting Mistakes
			Personality Dynamics
			Consequences
			Assessment
		Stuckpoint #4: Unable to Let Go of the Past
			Personality Dynamics
			Consequences
			Assessment
		Relationship Stuckpoint #1: Poor Communication
			Personality Dynamics
			Consequences
			Assessment
		Relationship Stuckpoint #2: Emotional Wounds
			Personality Dynamics
			Consequences
			Assessment
		Relationship Stuckpoint #3: Differing Visions
			Personality Dynamics
			Consequences
			Assessment
		References
	Chapter 3 Treatment Maps and First Session Structure
		Stuckpoint #1: Unable to Tolerate Strong Emotions and Confrontation
		Stuckpoint #2: Difficulty Regulating Anxiety or Anger
		Stuckpoint #3: Unable to Tolerate Making and Accepting Mistakes
		Stuckpoint #4: Unable to Let Go of the Past
		Relationship Stuckpoint #1: Poor Communication
		Relationship Stuckpoint #2: Emotional Wounds
		Relationship Stuckpoint #3: Differing Visions
		First Session Goals
			Create Rapport
			Define Presenting Problems and Client Expectations
			Assess Stuckpoints
			Change the Emotional Climate
			Present Your Initial Treatment Plan
			Counter Objections
			Summarize and Define the Next Steps
		First Session Logistics
			Think of the First Session in Thirds
			Watch the Clock
			Pre-Plan the Session
		References
Part II The Inner World of Clinical Process
	Chapter 4 Pace and Lead
		The Ideal Session
			Build Connection
			Not Recreate the Problem in the Room
			Stay in Lockstep throughout the Session
			Repair Breaks in the Process
			Expand the Client’s World
		Techniques for Building a Connection
			Listening
			Eye Contact
			Leadership
			Expertise
			Self-Disclosure: Facts about You
			Match Body Position, Style of Speaking and Energy Level
			Dress
		Do Not Replicate the Problem
			Be Aware of Key Issues from the Start
			Look for Transference Cues
			Think Ideal Parent
			Think Adult
			Be Aware of Parallel Process
		Stay in Lockstep
			Yes-and vs. Yes-but
			Watch Non-Verbal Responses
			Copying Your Language, Talking More and Deepening of the Conversation
			Decoding Silences
			Statements vs. Questions
		Repairing Breaks
			Stop
			Ask
			Listen to What the Client Says Next
			Address the Objection/Shift
			Don’t Move Forward until Solidly Back in Step
		Expand the Client’s World
		References
	Chapter 5 Therapy as Performance
		Voice and Gestures
		Speeches
		Ideal Voice
		Special Events
			Guided Imagery
			Sculpting
			Empty Chair Technique
			Enactments
			Role-Playing
		Merging Treatment Maps and Process Goals
		Stuckpoint #1: Unable to Tolerate Strong Emotions and Confrontation
			What Are Our Overall Treatment Goals?
			Treatment Tasks: What Does Sam Need to Stop Doing?
			Treatment Tasks: What Does Sam Need to Do?
			Process Goals: What Do We Not Want to Do Within a Session that Would Replicate the Problem?
			What Do We Want to Create Within the Process? How Do We Do This?
			Special Events?
		Stuckpoint #2: Difficulty Regulating Anxiety and Anger
			What Are Our Overall Treatment Goals?
			Treatment Tasks: What Do Tom and Sara Need to Stop Doing?
			Treatment Tasks: What Do Tom and Sara Need to Do?
			Process Goals: What Do We Not Want to Do Within a Session That Would Replicate the Problem?
			What Do We Want to Create Within the Process? How Do We Do This?
			Special Events?
		Stuckpoint #3: Unable to Tolerate Making and Accepting Mistakes
			What Are Our Overall Treatment Goals?
			Treatment Tasks: What Do Tanya and Joel Need to Stop Doing?
			Tasks: What Do Tanya and Joel Need to Do?
			Process Goals: What Do We Not Want to Do Within a Session That Would Replicate the Problem?
			What Do We Want to Create Within the Process? How Do We Do This?
			Special Events?
		Stuckpoint #4: Unable to Let Go of the Past
			What Are Our Overall Treatment Goals?
			Treatment Tasks: What Do Amy and David Need to Stop Doing?
			Tasks: What Do Amy and David Need to Do?
			Process Goals: What Do We Not Want to Do Within a Session That Would Replicate the Problem?
			What Do We Want to Create Within the Process? How Do We Do This?
			Special Events?
		Relationship Stuckpoint #1: Poor Communication
			What Are Our Overall Treatment Goals?
			Treatment Tasks: What Do They Need to Stop Doing?
			Tasks: What Do They Need to Do?
			Process Goals: What Do We Not Want to Do Within a Session That Would Replicate the Problem?
			What Do We Want to Create Within the Process? How Do We Do This?
			Special Events?
		Relationship Stuckpoint #2: Emotional Wounds
			What Are Our Overall Treatment Goals?
			Treatment Tasks: What Do They Need to Stop Doing?
			Tasks: What Do They Need to Do?
			Process Goals: What Do We Not Want to Do Within a Session That Would Replicate the Problem?
			What Do We Want to Create Within the Process? How Do We Do This?
			Special Events?
		Relationship Stuckpoint #3: Differing Visions
			What Are Our Overall Treatment Goals?
			Treatment Tasks: What Do They Need to Stop Doing?
			Tasks: What Do They Need to Do?
			Process Goals: What Do We Not Want to Do Within a Session That Would Replicate the Problem?
			What Do We Want to Create Within the Process? How Do We Do This?
			Special Events?
	Chapter 6 Bringing It All Together: Individual Session
		Jim’s First Session Redux
		Jim’s Second Session
		Jim: A Summary
	Chapter 7 Bringing It All Together: Couple Session
		Jane and Henry
	Chapter 8 Applying Process Concepts and Techniques
		Challenge #1: Assessments
			Assessment Toolkit
		Challenge #2: Effectively Managing Sessions
			Problem Replication
			Staying in Lockstep
			Changing the Climate
			Watching the Clock
		Challenge #3: First Sessions
			First Session Toolkit
		Challenge #4: Crafting Sessions
			Crafting Sessions Toolkit
		Helping Students and Supervisees (and Yourself) Learn About Process
			Help Them Work Up Treatment Maps in Advance for Specific Problems
			Map Out Assessment Questions in Advance
			Help Them Think in Thirds for the Initial Sessions
			Help Them Break Down Large Goals into Smaller Ones
			Give Them Key Concepts That Provide Clinical Ballast
			Map Out in Advance Ways Not to Replicate the Problem and Be the Ideal Partner or Parent
			Help Them Define Their Own Emotional Wounds and Countertransference Issues
			Watch and Deconstruct Movies and Videos of Clinical Sessions
			Have Them Observe You or an Experienced Clinician in a Live Session
			Have Them Practice Skills Outside of Work
			Help Them Plan Special Events for Specific Sessions
			Give Them Tools for Changing the Emotional Climate
			Help Them Develop Their Voices
			Help Them Develop Speeches
			Help Them Tolerate Anxiety by Challenging Them in Supervision
			Use Parallel Process
Index