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"Psychotherapy Termination."
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Managing Difficult Endings in Psychotherapy
This book is about the difficulty of endings, but it is also about learning from the endings that we know have gone wrong as well as those that have worked well. It sets out how the psychological therapist can help a person to live well while life is available, and to face the endings that confront all of us with honesty, and the acceptance of our human fragility. Therapists suffer through the fears and failures of the people they see as well as through their own endings. These difficulties can either help each one to be more understanding and helpful, or can lead to disaster. This book is about making sure that we use experience as well as theory constructively.
eBook
Endings
Ever since Analysis Terminable and Interminable, the termination of therapy has placed the clinical and metapsychological levels of psychoanalytic thought in a dialectical tension. The rereading proposed by the authors situates Freud and Ferenczi as two poles of a debate which is still ongoing: psychoanalytic literature demonstrates the convergences, divergences and hybridizations which have come about through time, the various schools and the geography of analysis. The authors explore the development of the termination process, and within this, the termination event as a final moment, each with its own characteristics. The beginning of the termination process constitutes a critical moment in the analysis, one we may investigate through the conceptual lens of liminality, a sort of threshold or border that is useful for the reading of a wide range of phenomena related to termination. Every termination is nonetheless incomplete, and it is against this backdrop that the authors' theoretical reflection and clinical experience interact, suggesting a typology of analytic termination. From this, a map of a little-explored terrain emerges, where we see a mixing of the boundaries between interior and exterior reality, individual and couple goals, and theoretical aims and concrete aspirations - all requiring a meticulous task of reconnaissance.
eBook
How Much is Enough?
How Much is Enough? addresses this important question, looking at the reasons why therapy can go on for too long or can come to a destructively premature ending, and offering advice on how to avoid either, with a timely conclusion. Using vivid examples and practical guidelines, Lesley Murdin examines the theoretical, technical and ethical aspects of endings. She emphasises that it is not only the patient who needs to change if one is to achieve a satisfactory outcome. The therapist must discover the changes in him/herself which are needed to enable an ending in psychotherapy. How Much is Enough? is a unique contribution to therapeutic literature, and will prove invaluable to students and professionals alike.
eBook
Patient and Therapist Perspectives during the Psychotherapy Termination Process: The Role of Participation and Exploration
Objective: This study was the first to examine psychotherapy termination from both therapists' and patients' perspectives by using standardized psychotherapy process measures. Our aim was to examine whether patient participation and therapist exploration during the termination phase of treatment are related to how good and productive the session was. Method: The sample consisted of 30 outpatient adults who had completed the Vanderbilt Psychotherapy Process Scale-Short form (VPPS-S; Smith, Hilsenroth, Baity, & Knowles, 2003) and the Session Evaluation Questionnaire (SEQ; Stiles, 1980) during a termination-phase session. These ratings were examined from mutually agreed upon terminations with largely successful outcomes. Results: Higher ratings of patient participation, as rated by both the therapist and patient, were significantly related to patient ratings of how good and productive the session was. Mixed findings were shown for therapist exploration. Conclusions: We provide clinical examples and suggestions for future research to illuminate process elements of psychotherapy termination.
Journal Article
Termination challenges in child psychotherapy
Ending therapy in an appropriate and meaningful way is especially important in work with children and adolescents, yet the topic is often overlooked in clinical training. From leading child clinicians, this much-needed book examines the termination process/m-/both for brief and longer-term encounters/m-/and offers practical guidance illustrated with vivid case material. Tools are provided for helping children and families understand termination and work through associated feelings of loss and grief. Challenges in creating positive endings to therapy with children who have experienced trauma and adversity are given particular attention. Several reproducible forms can be downloaded and printed from the companion website in a convenient 8 1/2\" x 11\" size. This e-book edition features nine full-color figures. (Figures will appear in black and white on black-and-white e-readers).
eBook
