| FOREWORD |
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xv | |
| PREFACE |
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xix | |
| ACKNOWLEDGMENTS |
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xxiii | |
| ABOUT THE AUTHOR |
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xxv | |
| PART 1 INTRODUCTION AND OVERVIEW |
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1 | (40) |
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CHAPTER 1 The Interpersonal Process Approach |
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3 | (38) |
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Therapists Need a Conceptual Framework |
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4 | (2) |
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Theoretical and Historical Context |
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6 | (12) |
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6 | (2) |
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8 | (6) |
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The Familial/Contextual Domain |
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14 | (4) |
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18 | (16) |
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18 | (2) |
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Corrective Emotional Experience |
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20 | (7) |
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Client Response Specificity |
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27 | (4) |
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Teresa: Case Illustration of Core Concepts |
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31 | (3) |
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34 | (4) |
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36 | (1) |
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37 | (1) |
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38 | (1) |
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Suggestions for Further Reading |
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39 | (2) |
| PART 2 RESPONDING TO CLIENTS |
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41 | (158) |
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CHAPTER 2 Establishing a Working Alliance |
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43 | (40) |
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43 | (1) |
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The Working Alliance Is a Collaborative Relationship |
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44 | (9) |
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Collaboration: An Alternative to Directive and Nondirective Styles |
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45 | (4) |
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Collaboration Begins with the Initial Interview |
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49 | (4) |
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Empathic Understanding: The Foundation for a Working Alliance |
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53 | (17) |
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Clients Do Not Feel Understood |
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54 | (4) |
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Demonstrate Understanding |
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58 | (5) |
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Identify Recurrent Themes |
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63 | (7) |
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Immediacy: Working in the Moment |
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70 | (8) |
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Using Process Comments to Build a Working Alliance |
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70 | (6) |
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Using Process Comments to Repair Ruptures |
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76 | (2) |
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New Therapists Struggle with Performance Anxieties |
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78 | (2) |
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Care and Understanding as Preconditions of Change |
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80 | (1) |
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81 | (1) |
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Suggestions for Further Reading |
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82 | (1) |
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CHAPTER 3 Honoring the Client's Resistance |
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83 | (39) |
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83 | (2) |
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Reluctance to Address Resistance |
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85 | (7) |
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The Therapist's Reluctance |
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86 | (2) |
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88 | (4) |
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92 | (1) |
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Formulating Working Hypotheses |
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93 | (4) |
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97 | (18) |
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Addressing Resistance during the Initial Telephone Contact |
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97 | (4) |
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Exploring Resistance at the End of the First Session |
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101 | (8) |
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Resistance during Subsequent Sessions |
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109 | (6) |
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115 | (5) |
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120 | (1) |
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Suggestions for Further Reading |
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121 | (1) |
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CHAPTER 4 An Internal Focus for Change |
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122 | (36) |
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122 | (2) |
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Shifting to an Internal Focus |
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124 | (10) |
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A Prerequisite for Change |
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124 | (5) |
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129 | (2) |
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Reluctance to Adopt an Internal Focus |
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131 | (3) |
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Placing the Locus of Change with Clients |
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134 | (12) |
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Fostering the Client's Initiative |
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135 | (6) |
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Interventions That Place Clients at the Fulcrum of Change |
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141 | (5) |
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Enlist Clients in Solving Their Own Problems |
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146 | (4) |
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Reenacting, Clients' Conflicts |
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146 | (2) |
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Providing a Corrective Emotional Experience |
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148 | (2) |
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Tracking Clients' Anxiety |
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150 | (6) |
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Observing Signs and Symptoms of Anxiety |
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151 | (1) |
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Approach Anxiety Directly |
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151 | (2) |
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Observing What Triggers the Anxiety |
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153 | (1) |
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Focusing Clients Inward to Explore Their Anxiety |
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154 | (2) |
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156 | (1) |
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Suggestions for Further Reading |
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156 | (2) |
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CHAPTER 5 Responding to Painful Feelings |
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158 | (41) |
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159 | (1) |
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Responding to Clients' Feelings |
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159 | (10) |
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Approaching Clients' Feelings |
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161 | (2) |
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Expand and Elaborate the Client's Affect |
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163 | (6) |
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Identifying the Predominant Affect |
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169 | (3) |
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169 | (1) |
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170 | (1) |
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A Characterological Affect |
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171 | (1) |
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172 | (6) |
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172 | (4) |
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176 | (2) |
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Holding the Client's Pain |
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178 | (12) |
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Clients Resist Feelings to Avoid Interpersonal Consequences |
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179 | (3) |
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Providing a Holding Environment |
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182 | (5) |
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Change from the Inside Out |
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187 | (3) |
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Countertransference Prevents Therapists from Responding to Feelings |
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190 | (7) |
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The Therapist's Need to Be Liked |
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190 | (2) |
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Therapists Misperceive Their Responsibility |
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192 | (2) |
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194 | (2) |
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Situational Problems in the Therapist's Own Life |
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196 | (1) |
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197 | (1) |
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Suggestions for Further Reading |
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198 | (1) |
| PART 3 CONCEPTUALIZING CLIENTS AND DEVELOPING A TREATMENT FOCUS |
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199 | (126) |
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CHAPTER 6 Familial and Developmental Factors |
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201 | (41) |
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201 | (1) |
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Structural Family Relations |
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202 | (10) |
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Shifting Loyalties and Establishing a Marital Coalition |
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202 | (3) |
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The Parental Coalition Shapes Child Adjustment |
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205 | (7) |
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Balancing the Continuum of Separateness-Relatedness |
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212 | (4) |
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216 | (7) |
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216 | (3) |
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219 | (1) |
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Disengaged/Dismissive Parenting |
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220 | (1) |
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221 | (2) |
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Other Child-Rearing and Attachment Issues |
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223 | (16) |
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Authoritarian and Disengaged Parenting, Love Withdrawal, and Insecure Attachment |
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223 | (8) |
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Permissive Parenting, Overinvolvement, and Insecure Attachment |
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231 | (1) |
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A Diversity of Parenting and Attachment Styles |
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232 | (3) |
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Clinical Implications for Working with Disrupted Ties |
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235 | (4) |
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Relating the Three Dimensions of Family Life |
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239 | (2) |
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241 | (1) |
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Suggestions for Further Reading |
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241 | (1) |
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CHAPTER 7 Inflexible Interpersonal Coping Strategies |
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242 | (36) |
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242 | (2) |
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Interpersonal Model for Conceptualizing Clients |
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244 | (15) |
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Blocked Developmental Needs |
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244 | (2) |
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246 | (9) |
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Resolving the Core Conflict |
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255 | (4) |
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Case Study of Peter: Moving Toward Others |
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259 | (9) |
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Developmental History and Precipitating Crisis |
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259 | (2) |
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Precipitating Crisis, Maladaptive Relational Patterns and Symptom Development |
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261 | (2) |
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263 | (5) |
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268 | (8) |
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Carlos: Moving Against Others |
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268 | (4) |
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Maggie: Moving Away from Others |
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272 | (4) |
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276 | (1) |
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Suggestions for Further Reading |
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276 | (2) |
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CHAPTER 8 Interpersonal Themes and Patterns |
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278 | (47) |
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278 | (1) |
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How Clients Reenact Their Problems with Others in the Therapeutic Relationship |
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279 | (29) |
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280 | (7) |
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287 | (12) |
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299 | (9) |
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Optimum Interpersonal Balance |
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308 | (9) |
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309 | (2) |
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311 | (1) |
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Optimum Middle Ground of Effective Involvement |
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312 | (5) |
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Enduring Problems Tend to Be Paradoxical and Ambivalent |
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317 | (5) |
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The Two Sides of Clients' Conflicts |
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317 | (2) |
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Exploring Ambivalent Feelings |
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319 | (3) |
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322 | (1) |
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Suggestions for Further Reading |
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323 | (2) |
| PART 4 RESOLUTION AND CHANGE |
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325 | (76) |
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CHAPTER 9 An Interpersonal Solution |
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327 | (41) |
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327 | (2) |
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Resolving Problems through the Interpersonal Process |
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329 | (20) |
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Bringing Clients' Conflicts into the Therapeutic Relationship |
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329 | (4) |
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Using the Process Dimension to Facilitate Change |
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333 | (15) |
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Providing a Corrective Emotional Experience |
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348 | (1) |
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Interpersonal Process Interventions |
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349 | (5) |
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Therapists' Initial Reluctance to Work with the Process Dimension |
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354 | (11) |
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365 | (1) |
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Suggestions for Further Reading |
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366 | (2) |
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CHAPTER 10 Working Through and Termination |
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368 | (33) |
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368 | (1) |
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368 | (23) |
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The Course of Client Change: An Overview |
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368 | (3) |
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The Working-Through Process |
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371 | (10) |
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Going from Current Problems, through Family-of-Origin Work, and on to "the Dream" |
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381 | (10) |
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391 | (8) |
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Accepting That the Relationship Must End |
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393 | (5) |
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398 | (1) |
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399 | (1) |
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Suggestions for Further Reading |
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399 | (2) |
| APPENDIX A PROCESS NOTES |
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401 | (2) |
| APPENDIX B CASE FORMULATION GUIDELINES |
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403 | (4) |
| REFERENCES |
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407 | (9) |
| NAME INDEX |
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416 | (3) |
| SUBJECT INDEX |
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419 | |