Overview

This text provides a framework for handling tough clinical situations as they arise. It includes both the complexities of assessment issues that arise in special circumstances with a variety of clients as well as a number of general interventions that are relevant to all clients. The book provides a theory-free conceptual super-structure that can guide and ground readers in difficult situations regardless of theoretical beliefs. The author's underlying philosophy reflects the importance of taking a contextual approach with clients, viewing clients as collaborators in the therapeutic process, and recognizing that the client needs strategies other than the provider-client relationship that he/she can implement independently.

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9780534364717

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Reviews

This book is basically an identification of some of the real-life tough situations new therapists will encounter, as well as discussions about a) how to avoid them if possible; b) how to manage them if necessary; and c) how to care for oneself as the problems are encountered. . . . The author has identified 'state of the art' clinical challenges and addressed them in a way that should provide guidance and structure for counselors and therapists.

PART ONE: CHALLENGES ARISING DURING ASSESSMENT AND TREATMENT PLANNING. 1. The Challenge of Meeting a New Client. 2. The Challenge of Substance Use. 3. The Challenge of Medial Involvement. 4. The Challenge of Psychological Complexity. PART TWO: CHALLENGES ARISING DURING TREATMENT. 5. The Challenge of Crises: Assessment and Intervention. 6. The Challenge of Threats of Suicide: The Duty to Protect. 7. The Challenge of Threats of Violence: The Duty to Warn and Protect. 8. The Challenge of Child Abuse and Neglect: The Duty to Report. PART THREE: TRANSCENDING THE CHALLENGES. 9. The Challenge of Preventing Burnout and Assuring Growth: Self Care. REFERENCES. SUBJECT INDEX. AUTHOR INDEX.

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