Terminating Psychotherapy

A Clinician's Guide

William T. O'Donohue, Michael Cucciare, William T. O'Donohue, Michael Cucciare

• Publisher: Routledge
• Year: 2010
• eBook ISBN: 9781135919184
• Topic: Psychology
• Subtopic: Mental Health in Psychology
• Index: Psychology

The topic of terminating therapy is not one that clinicians normally consider. However, the session limits placed on clinicians by managed care require that the end of therapy be built into the treatment plan from the onset. With a focus on the termination of psychotherapy, A Clinician's Guide examines the pertinent additional training that will aid mental health professionals in providing the most financially sensible and clinically deep treatment for their clients. Specifically, the book provides information on how to identify and understand when and how to discontinue psychological treatment with clients who have achieved sub-par results, as well as with clients who have ulterior motives such as friendship or support. The volume examines how to identify the client's motivations early in therapy in order to better plan the course of treatment and to effectively prepare for "unplanned" terminations. It supplies important additional training in its discussions on ethical dilemmas, financial and personal consequences, and troubleshooting when it comes to engaging in termination. Offering a comprehensive and practice-focused guide from distinguished contributors, the book covers a wide spectrum of therapy approaches, patient populations and termination strategies. The book provides an in-depth look at termination by discussing various patient models, types, backgrounds, and problems, noting that with clear goals and a set course of action, the therapist will be better equipped to design a treatment that will best serve the patient's interest.

INDEX

A

Abandonment as termination issue

de facto, 169

ethical issues, 166–169, 175

inpatients, 431, 438

with personality disorders, 364, 365–366, 371

with suicidal patients, 422

Abbot, R., 315

Abramowitz, J.S., 229

Abrams, D., 389

Abrams, D.B., 388

Abrams, M.J., 234

Abramson, L.Y., 368

Abstinence violation effects, 397

Abuse, elderly, 295, 297

Acceptance, mindfulness-based cognitive therapies, 305

Accessory, termination as, 57, 58

Access to treatment,

see also Barriers to treatment

adolescent client termination decisions, 276

children, and premature termination, 253

Accountability, 134–135

Accreditation organizations, 7

Action formulation, the (TAF), 375–378

Action paradigm, multiple behavior change, 158–159

Action plan, substance abuse treatment termination, 397–398

Action stage

pros and cons of changing across stages of change, 154

stages of change, 153

substance abuse, 397–398

termination data, 155

types of termination, 161

Action theory (AT), 367–378

case illustrations, 371–375

termination, action formulation, 375–378

Activating events and situations, clinical case conceptualization, 139, 140

Acuff, C., 170, 171

Acute care model, suicidal patients, 418

Adaptive functioning,

see also Functioning

of adolescents, 275

behavior therapy, 232

of children, and termination, 253

with depression/depressive disorders, 320

with personality disorders, 370, 371

positive life events and, 369

training and education, see Skills, client acquisition (coping, relational, problem solving)

Addis, M.E., 304, 458

Additional sessions

after termination, see Booster sessions

denial of, 170

elderly, 291, 296

ethical issues, 170

MBHO decision making, 6–7

Adherence with therapy,...

Table of contents

• Contents
• CONTRIBUTORS
• INTRODUCTION
• SECTION I: ISSUES, CONTROVERSIES, AND STRATEGIES
• SECTION II: TERMINATION IN THE CONTEXT OF VARIOUS TREATMENT MODELS, POPULATIONS, AND PATIENT PROBLEMS
• APPENDIX
• INDEX