Authors
Introduction
How this text is organised
Other features of this book
Acknowledgments
The videos
PART A FOUNDATIONS FOR PROFESSIONAL PSYCHOLOGICAL PRACTICE
Chapter 1 The scientist-practitioner model
Introduction
Professional practice
Definition and development
The scientist-practitioner model and the status of psychology
Advantages to clients
Advantages for therapists
Application of the model
Criticisms of the model
Conclusion
Chapter 2 Ethics and ethical practice
Introduction
Ethics and the requirement for ethics
The Australian Psychological Society’s Code of Ethics
General ethical principles
Ethics and the Medicare Benefits Schedule (MBS)
When there are ethical concerns
Practice implications and ethical decision-making
Conclusion
PART B FACTORS IN PSYCHOLOGICAL OUTCOME
Chapter 3 Factors in change
Introduction
Psychotherapy effectiveness
Components of psychotherapy change
Empirically supported treatments (ESTs)
Common factors
Mechanisms of change
A generic model for practice
Client outcomes
Conclusion
Chapter 4 Client variables
Introduction
Client factors and extratherapeutic aspects
Demographic and social factors
Principles of change applied to client factors
Conclusion
Chapter 5 Therapist variables
Introduction
The importance of therapist factors
Are effective therapists born or trained?
Therapist interpersonal and relationship skills, and building the alliance
Recent developments
Therapist issues that can impede client outcome
Factors preventing therapists from responding to clients’ emotions
Conclusion
Chapter 6 The psychotherapy relationship
Introduction
The transference configuration
The real relationship
The working alliance
Working alliance: empirical findings
Client perspectives on the working alliance
Client characteristics and the working alliance
Measuring the alliance
Conclusion
Chapter 7 Theoretical frameworks: providing a rationale
Introduction
Components of a good theoretical framework
Practitioners’ theories and clients’ theories
Theoretical frameworks used in Australia
Behaviour therapy
Cognitive therapy
Cognitive behavioural therapy
Interpersonal therapy
Psychodynamic therapy
Systemic (family) therapy
Person-centred therapy
Motivational interviewing
Solution-focused brief therapy
Emotion-focused therapy
Dialectical behaviour therapy
Acceptance and commitment therapy
Mindfulness
Positive psychology
Psychopharmacological treatment of mental illness
Psychotherapy and pharmacotherapy: the case of depression
Future directions in psychology
Conclusion
Chapter 8 Common factors
Introduction
Common factors models
Some important common factors
Conclusion
Chapter 9 Client outcome
Introduction
Monitoring client outcome
What constitutes outcome in psychotherapy?
How much therapy do clients need?
Client dropout and premature termination
When therapy leads to deterioration for clients
Using client feedback to improve outcome
How to become a ‘supershrink’
Conclusion
PART C PSYCHOTHERAPY PROCESS AND PRACTICE
Chapter 10 Common practice issues in therapy
Introduction
Creating a safe place
Beginning first (and subsequent) sessions
When a client cries
Session duration and frequency
Payment
Ending a session
Managing irrelevant chatting in sessions
Managing repeated missed or cancelled appointments
Conclusion
Chapter 11 Microskills
Introduction
Empathy
Listening skills
Skills encouraging further exploration
Skills conveying understanding and listening
Creating a deeper understanding
Conclusion
Chapter 12 Intake and outcome assessment
Introduction
The intake interview
Outcome assessment
Methods of outcome assessment
Conclusion
Chapter 13 Diagnosis
Introduction
A history of psychological diagnosis
Definition
The medical model and diagnosis
The medical model and psychology
Contemporary diagnostic constructs
Diagnosis and psychotherapy
Diagnosis in psychotherapy
Diagnosis and social power
The role of diagnosis in psychotherapy
Future visions
Chapter 14 Case conceptualisation
Introduction
Development of case conceptualisation
What is case conceptualisation?
Developing a case conceptualisation
Sharing case conceptualisations
Advantages of case conceptualisation
Difficulties in case conceptualisation
Research evidence for conceptualisation
Conclusion
Chapter 15 Cultural and spiritual issues in treatment
Introduction
Culture and psychology
Religious and spiritual issues in therapy
Conclusion
Chapter 16 Managing risk
Introduction
Basic principles and practices in risk assessment
Managing the suicidal client
The client who is a risk to others
The client who is at risk of harm from others
Process issues in risk assessment
Conclusion
PART D PROFESSIONAL PRACTICE IN THE AUSTRALIAN CONTEXT
Chapter 17 Professional training and development
Introduction
Key professional bodies
Medicare for psychological services
Positions available to psychologists?
Conclusion
Chapter 18 Supervision
Introduction
A collaborative relationship
Responsibilities of supervisors and supervisees
What is ‘good enough’ supervision?
The supervision contract
Potentially problematic issues in supervision
Feedback and evaluation processes
How to know whether you have a major problem in supervision
Conclusion
Chapter 19 Self-care
Introduction
Burnout
Self-care: an ethical imperative
Final thoughts
References
Index
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