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Interpersonal Psychotherapy (PowerPoint)

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					    Interpersonal Psychotherapy
Middle Sessions



Strategies and Goals
Interpersonal Psychotherapy

Grief

Goals

1. To facilitate the mourning process


2. Help the patient re-establish interest and relationships to

  substitute for what has been lost
Interpersonal Psychotherapy
Grief

Strategies

1. Review depressive symptoms

2. Relate symptoms to the death of the significant person

3. Reconstruct the person’s relationship with the deceased

4. Describe the sequence and consequences of events just prior to,
   during, and after the death

5. Explore associated feelings (positive and negative)

6. Consider possible ways of becoming involved with others
Interpersonal Psychotherapy
Interpersonal Role Disputes

Goals

1. Identify the dispute

2. Choose plan of action

3. Modify expectations or faulty communications to bring

 about a satisfactory resolution
Interpersonal Psychotherapy
Interpersonal Role Disputes

Strategies

1. Review depressive symptoms
2. Relate symptom onset to overt or covert dispute with
   significant other with whom the patient is currently involved
3. Determine stage of the dispute
4. Understand how nonreciprocal role expectations relate to the
   dispute
5. Identify parallels in other relationships
6. Explore how the dispute is perpetuated
Interpersonal Psychotherapy
Interpersonal Role Disputes

Strategies

1. Review depressive symptoms
2. Relate symptom onset to overt or covert dispute with
   significant other with whom the patient is currently involved
3. Determine stage of the dispute
4. Understand how nonreciprocal role expectations relate to the
   dispute
5. Identify parallels in other relationships
6. Explore how the dispute is perpetuated
Interpersonal Psychotherapy
Interpersonal Role Disputes
Nonreciprocal role expectations and dispute

• what are the issues in the dispute?

• what are the differences in expectations and values?

• what are the options?

• what is the likelihood of finding alternative?

• what resources are available to bring about change in the
  relationship?
Interpersonal Psychotherapy
Interpersonal Role Dispute

Parallels with other relationships

• what are the patterns of interaction?

• what is the patient gaining?

• what unspoken assumptions lie behind the patient’s behaviour?
Interpersonal Psychotherapy
Interpersonal Role Transition

Goals

1. Mourning and acceptance of the loss of the old role

2. Help the patient regard the new role as more positive

3. Restore self esteem by developing a sense of mastery

  regarding the demands of new roles.
Interpersonal Psychotherapy
Interpersonal Role Transition
Strategies

1. Review depressive symptoms
2. Relate depressive symptoms to difficulty coping with some
   recent life change
3. Review positive and negative aspects of old and new roles
4. Explore feelings about what is lost
5. Explore feelings about the change itself
6. Explore opportunities in the new role
7. Realistically evaluate what is lost
8. Encourage appropriate release of affect
9. Encourage development of social support system and of new skills called for
   in the new role.
Interpersonal Psychotherapy
Interpersonal Deficits

Goals

1. Reduce the patient’s social isolation

2. Encourage formation of new relationships
Interpersonal Psychotherapy
Interpersonal Deficits
Strategies

1. Review depressive symptoms

2. Relate depressive symptoms to problems of social isolation
   or dissatisfaction

3. Review past significant relationships including their negative
   and positive aspects

4. Explore repetitive patterns in relationships

5. Discuss the patient’s positive and negative feelings about the
   therapist and seek parallels in other relationships

				
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posted:3/12/2012
language:English
pages:12