Beginning Treatment with Jonathan Shedler, PhD скачать в хорошем качестве

Beginning Treatment with Jonathan Shedler, PhD

00:00:00 - Introduction 00:02:00 - Why Free Consults May Undermine the Therapeutic Frame 00:04:00 - First Session Is Not the Start of Therapy 00:07:00 - What Therapists Must Know Before Committing to Treatment 00:10:00 - Therapist Comfort, Boundaries, and Mutual Fit 00:13:00 - Responsibilities of the Patient and Therapist in Outpatient Work 00:16:00 - Establishing the Frame 00:18:00 - Weekly Sessions vs Biweekly 00:21:00 - Exceptions to the Frame and When They Make Sense 00:24:00 - Working with Resistance and Avoidance in Early Sessions 00:27:00 -Interpreting Missed Sessions and Unspoken Fears 00:31:00 - Clarification, Confrontation, Interpretation 00:34:00 - Shame, Projection, and the Loud Door 00:37:00 - Deepening Reflective Space 00:40:00 - What to Do When Patients Want to Come Every Other Week 00:43:00 - Processing Past Therapy Failures and Fear of Rejection 00:46:00 - What Happens in the Consultation Phase 00:49:00 - Why Many Treatments Fail: Missing a Working Alliance 00:51:00 - Three Pillars of a Working Alliance 00:54:00 - The Case Formulation: More Than a Diagnosis 00:57:00 - Treatment Purpose vs Outcome 01:00:00 - Building the Alliance Around Shared Psychological Insight 01:03:00 - Reflective Space and Patient Engagement in Early Sessions 01:06:00 - What If the Patient Doesn’t Know What’s Wrong? 01:08:00 - The Narcissistically Defended Patient and Pseudo-Alliances 01:11:00 - When to Say No 01:14:00 - Otto Kernberg Example: Intervention at the Point of Readiness 01:17:00 - Helping the Patient Become Ready 01:20:00 - Experiential Understanding vs Intellectual Explanation 01:22:00 - Final Reflections: Case Formulation, Supervision, and Rebooting Treatment Dr. Jonathan Shedler is well known for his work on the efficacy of psychodynamic therapy. He has highlighted the importance of the initial phase of therapy in establishing a foundation for successful treatment. Dr. Shedler strongly believes the consultation phase is crucial to developing a working alliance between client and therapist and building a treatment frame and structure. Without this foundation, there is no mutual understanding about the goal or the purpose of treatment, and psychotherapy should not move forward. Join us in this episode as Dr. Shelder discusses how to create a firm starting foundation in clinical practice. Link to Blog: https://www.psychiatrypodcast.com/psy... By listening to this episode, you can earn 1.25 Psychiatry CME Credits: https://www.psychiatrypodcast.com/cme...