Saying good goodbyes to your clients: A functional analytic psychotherapy (FAP) perspective.

Tsai, Mavis; Gustafsson, Tore; Kanter, Jonathan W.; Loudon, Mary Plummer; Kohlenberg, Robert J.

doi:10.1037/pst0000091

Cited by 9 publications

(6 citation statements)

References 32 publications

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“…Thus, in Mann's (1973) time-limited psychodynamic psychotherapy, termination is discussed during the early sessions, and the awareness of the impending separation between patient and therapist serves as a powerful facilitator of psychodynamic exploration. Such is also the case in most brief, evidence-based psychotherapeutic modalities addressing distinct syndromes (Tsai, Gustafsson, Kanter, Plummer Loudon, & Kohlenberg, 2017;Vidair, Feyijinmi, & Feindler, 2017). Importantly, however, the treatment practiced by proponents of CEP is not necessarily brief.…”

Section: Discussion Clinical Considerations and Future Directionsmentioning

confidence: 99%

Using termination as an intervention (UTAI): A view from an integrative, cognitive-existential psychodynamics perspective.

Shahar¹,

Ziv-Beiman

2020

Psychotherapy

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Treatment termination is, arguably, one of the most important events in the course of psychotherapy. In the present article, we present an approach to termination that views the latter as a key intervention. Developed from an integrated, cognitive-existential psychodynamics (CEP) perspective (Shahar & Govrin, 2017), Using Termination as an Intervention (UTAI) is a prescheduled, albeit tentative, treatment termination that may be used as an intervention for patients' remoralization (Howard, Kopta, Krause, & Orlinsky, 1986). Specifically, for some psychotherapy patients, prescheduling a treatment termination is useful in instilling a sense of responsibility and agency and in deepening a therapeutic examination of patients' interpersonal schemas and scripts (i.e., "object relations"). The integrative nature of Using Termination as an Intervention is delineated, and caveats are discussed. Clinical Impact StatementQuestion: How should treatment with highly demoralized, often treatment-resistant, patients coming to therapy be terminated? Findings: Drawing from Using Termination as an Intervention, clinicians may inquire about the smallest therapeutic achievement that would still render-according to the patient-worthwhile and set a deadline for attaining this goal, and then-tentatively-terminate. Meaning: Tentatively prescheduling a termination date that is tied to what the patient deems as the smallest, but still worthwhile, therapeutic gain may bolster remoralization, instill a sense of agency, and-paradoxically-encourage continuation. Next Steps: We aim at testing Using Termination as an Intervention in the context of a randomized clinical trial, to identify patient characteristics that render it either counter indicated or particularly pertinent for some patients.

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Section: Discussion Clinical Considerations and Future Directionsmentioning

confidence: 99%

Using termination as an intervention (UTAI): A view from an integrative, cognitive-existential psychodynamics perspective.

Shahar¹,

Ziv-Beiman

2020

Psychotherapy

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“…Even in successful therapies, there is no reason to assume that each terminated therapy process continues to move in a positive direction [ 81 , 94 , 95 ]. Stories about recovery also address periods of vulnerability and setbacks [ 96 ].…”

Section: Discussionmentioning

confidence: 99%

Conflicted Anger as a Central Dynamic in Depression in Adolescents—A Double Case Study

Henriksen

Ulberg

Tallberg

et al. 2021

IJERPH

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The incidence of depression in teenagers has increased for many years and is one of the most common diagnosis in adolescent psychiatry. Effective and accessible psychotherapy methods need sustained attention since psychopharmaceutic treatment might be less effective in younger people than in adults. The First Experimental Study of Transference–In Teenagers (FEST-IT) is a Randomized Controlled Study (RCT) with a dismantling design. The main intention in this study was to illustrate a way to address parts of a case formulation by focusing a psychodynamic feature in two different therapies with a good outcome suffering from depression. We present two representative patients from the FEST-IT with case formulations revealing conflicted anger. The patients were different in many aspects, as were the therapeutic methods. Therapies with and without transference interpretations may help to understand what is helpful in therapy in general. It may also show how a more individualized approach can guide the therapy beyond diagnosis and to make it more effective for the specific patient. Looking into individual cases with good outcomes can help us address dynamic features in therapy and give some ideas about what works for whom. The use of nested qualitative double case studies may together add more knowledge about working aspects in successful therapies.

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“…Second, receiving praise or appreciation from others is an important aspect of effective relationships, and if clients have difficulties in this area, it may become useful to attend to these as CRBs. Finally, for many clients, expressions of appreciation of strengths will function to increase engagement in the therapeutic process (Tsai, Gustafsson, Kanter, Plummer Loudon, & Kohlenberg, 2016).…”

Section: Key Principles In Setting the Stage For A Powerful Therapymentioning

confidence: 99%

Creating safe, evocative, attuned, and mutually vulnerable therapeutic beginnings: Strategies from functional analytic psychotherapy.

et al. 2019

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Functional analytic psychotherapy (FAP), with its emphasis on the creation of a safe, evocative, attuned, authentic, and mutually vulnerable therapeutic relationship, offers strategies that are especially relevant for therapeutic beginnings that yield an engaging and potent treatment. The 5 rules of FAP provide behavioral specificity in the early tasks of therapy that can build a powerful alliance with clients: creating trust and safety, moving the conversation from content to in-the-moment process, evoking and naturally reinforcing client target behaviors related to authentic expression, instilling hope, being aware of clinical impact, and promoting generalization of in-session gains to daily life. It is hoped that FAP offers a conceptually clear and inspiring transtheoretical framework that sets the stage for a deeply meaningful and unforgettable therapy. Clinical Impact StatementQuestion: How can therapists best engage their clients in the first sessions of therapy as conceptualized from a Functional Analytic Psychotherapy perspective? Findings: Strategies from Functional Analytic Psychotherapy provide behavioral specificity in the early tasks of therapy that can build a powerful alliance with clients. Meaning: Therapeutic skill in evoking and naturally reinforcing client target behaviors in session related to authentic expression will increase client engagement and retention. Next Steps: Future research can focus on specific mechanisms of change in the beginning of therapy.

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Saying good goodbyes to your clients: A functional analytic psychotherapy (FAP) perspective.

Cited by 9 publications

References 32 publications

Using termination as an intervention (UTAI): A view from an integrative, cognitive-existential psychodynamics perspective.

Using termination as an intervention (UTAI): A view from an integrative, cognitive-existential psychodynamics perspective.

Conflicted Anger as a Central Dynamic in Depression in Adolescents—A Double Case Study

Creating safe, evocative, attuned, and mutually vulnerable therapeutic beginnings: Strategies from functional analytic psychotherapy.

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