
Terminating therapy: a professional guide to ending on a positive note
Davis, Denise D.
The first book of its kind to provide an in-depth and practical approach to termination of therapy, Terminating Therapy guides mental health professionals through the practical, ethical, legal, and emotional challenges of how and when to end therapy. Written for a wide range of practitioners at every level of experience, this book provides practical and straightforward advice on ending therapy on a positive note. INDICE: Chapter One. Termination Strategy: A Pragmatic Approach In Contemporary Practice. A. The Importance Of Termination. 1. How Does Theoretical Orientation Impact Termination? 2. How Is Termination Managed In Today's Practice Environment? 3. What Makes Termination Difficult To Plan Even In Brief Therapy? 4. What Circumstances Elevate The Risks Of Adverse Events At Termination? B.Strategies For Effective Termination. 1. What Are The Main Objectives Of A Pragmatic Termination Strategy? 2. How Can I Distinguish Good Termination From Bad Termination? C. Summary Points For Applied Practice Chapter Two. Professional Skills And Termination. A. Building A Base Of Collaboration. 1. What Is A Collaborative Stance Toward Termination? 2. Is It Useful To Distinguish Types Of Termination? B. Applying Reasonable Professional Standards. 1. What Are The Standards For Ethically Responsible Termination? 2. What Is Client AbandonmentAnd How Can It Be Avoided? 3. Can Termination Be Broken Down Into Specific Applied Skills? C. Summary Points For Applied Practice. Chapter Three. Positive Closure >From The Start: Groundwork For Termination. A. Optimize The Match. 1.How Does A Practice Profile Help To Manage Terminations? 2. Can A Provider Ethically Screen Referrals? B. Set Policy And Shape Expectations. 1. Should Termination Be Included In Informed Consent? 2. How Can I Estimate The Length Of Therapy At The Outset? C. Formulate A Termination Plan And Discharge Criteria. 1. What Is A Termination Plan And How Is It Linked To The Treatment Goals? 2. How Can I Assess Client Motivation And Use It In The Termination Plan? 3. How Do I Know If The Client Is Benefiting Or Likely To Benefit From Therapy? D. Summary points for applied practice Chapter Four. Talking About Termination: A Closer Look At Communications. A. Orientation To The Topic Of Termination. 1. What Makes Termination Difficult To Discuss? 2. What Is The Culture Of Expectations And How Does It Impact Termination Discussions? 3. Are there beliefs thataffect the providers approach to termination? B. Making The Decision To Terminate. 1. What Are Clinical, Practical And Ethical Reasons For Termination? 2. Are There Any Conversational Targets To Help Structure Termination? C. Creating A Record. 1. What Documentation Is Necessary? D. Summary Points For Applied Practice. Chapter Five. Achieving Closure: Assuring Professional Action. A. Directing The Termination Process. 1. Are We Ending Sessions Or Ending The Relationship? 2. How Do I Know That I've Done Enough For An Appropriate TerminationProcess? B. Managing Risks. 1. When Should I Insist On Termination? 2. What If The Client Refuses Termination Or Becomes Hostile? 3. What Should I Do AboutMy Personal Needs And Limits? C. Summary Points For Applied Practice. ChapterSix. Adapting Termination To Client Needs A Consumer Oriented Perspective. A.Sociocultural Context. 1. Does The Client's Cultural Background Or Social Environment Impact Termination? B. Clinical Needs. 1. How Do Axis II Personality Disorders Affect Termination Strategy? 2. What About Termination When The Client Has A Chronic Or Recurrent Axis I Disorder? B. Developmental And Health Related Needs. 1. Does life stage or health status affect termination needs? C. Practical Concerns. 1. How Can I Handle Practical Concerns About Time, Convenience And Money? D. Summary Points For Applied Practice. Chapter Seven. ProviderChallenges. A. Termination Dissonance. 1. I Am Not Sure That We Are Talking Enough About Termination. 2. I Am Worried That This Client Will Never Be Able Terminate Therapy. 3. I Can't Seem To Satisfy This Client. B. Sudden Or Crisis Terminations. 1. My Client Has Disappeared And Does Not Return My Call. 2. I've Just Been Fired. 3. My Client Has Suddenly Died. C. Self-Management Challenges. 1. I Can Not Seem To Let Go. 2. I Think I Mishandled Termination. 3. I Have Lost Control Of The Therapy Relationship And Don't Know How To Terminate. 4.I'm Feeling Burned Out. How Can I Get My Enthusiasm Back? D. Summary Points For Applied Practice. Chapter Eight. Termination With Couples, Families And Groups. A. Attending To Multiple Interests. 1. How Does Termination Differ When Therapy Involves More Than One Person? 2. When Should I Recommend Termination With Couples? 3. If One Member Of A Couple Or Family Terminates Therapy, Does That Mean The Other Participants Must Terminate As Well? 4. Are There Risks Of Abandonment In Couples Or Family Therapy? 5. What Should I Do If I Think Couples Therapy Should Be Terminated In Favor Pursuing Individual Therapy? 5. How Can I Respond When A Parent Abruptly Terminates The Therapy Of A Child Or Teen?6. What About Handling The Opposite Situation,..etc.
- ISBN: 978-0-470-10556-6
- Editorial: John Wiley & Sons
- Encuadernacion: Rústica
- Páginas: 304
- Fecha Publicación: 09/04/2008
- Nº Volúmenes: 1
- Idioma: Inglés