Child and Adolescent Therapy

Science and Art

Jeremy P. Shapiro (Case Western Reserve University), Robert D. Friedberg, Karen K. Bardenstein

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English

John Wiley & Sons Inc
14 August 2015

Paediatric medicine; Psychotherapy

Comprehensive introduction to the theory and practice of therapy Child and Adolescent Therapy: Science and Art, Second Edition relies on both psychotherapy research and clinical expertise to create a comprehensive guide to evidence-based practice for providers of child and adolescent therapy. It includes explanations of all major theoretical orientations and the techniques associated with each, with application to the major diagnostic categories. This updated Second Edition includes a new chapter on Mindfulness-Based Cognitive-Behavioral Therapies (Dialectical Behavior Therapy and Acceptance and Commitment Therapy), incorporation of recent neuroscience research, instruction in Motivational Interviewing, and guidance in using therapeutic diagrams with young clients.

The book models the thought process of expert therapists by describing how the science and art of therapy can be combined to provide a strong basis for treatment planning and clinical decision-making. Theoretical concepts, empirically supported treatments, and best practices are translated into concrete, detailed form, with numerous examples of therapist verbalizations and conversations between counselor and client. Child and Adolescent Therapy: Science and Art, Second Edition:

Explains the work of therapists from the ground up, beginning with fundamentals and moving on to advanced theory and technique Covers the major theoretical approaches: behavioral, cognitive, mindfulness-based, psychodynamic, constructivist, and family systems Guides therapists in planning effective treatment strategies with balanced consideration of outcome research, cultural factors, and individual client characteristics Connects treatment planning with the diagnostic characteristics of the major child and adolescent disorders

For both students and skilled clinicians looking for new ideas and techniques, Child and Adolescent Therapy: Science and Art, Second Edition offers a thorough, holistic examination of how best to serve young therapy clients.

By: Jeremy P. Shapiro (Case Western Reserve University), Robert D. Friedberg, Karen K. Bardenstein
Imprint: John Wiley & Sons Inc
Country of Publication: United States
Edition: 2nd edition
Dimensions: Height: 257mm, Width: 188mm, Spine: 51mm
Weight: 1.157kg
ISBN: 9781118722114
ISBN 10: 1118722116
Pages: 656
Publication Date: 14 August 2015
Audience: Professional and scholarly , Undergraduate
Replaced By: 9781394230716
Format: Hardback
Publisher's Status: Active

Preface: The Therapist’s Challenge xi Acknowledgments xiii Part I The Tools Of The Therapist 1 Therapy Fundamentals 3 The Therapeutic Orientation Toward Clients 4 Getting Started 8 Basic Child Therapy Skills 13 Overcoming Obstacles to Client Engagement 25 Simple Therapeutic Interventions 33 Therapeutic Collaborations 37 Termination 39 Summary 41 2 Behavior Therapy 43 Learning Theory 44 Assessment and Case Formulation 50 Change Processes 54 Outcome Research 55 The Therapist’s Style 58 Exposure 59 Contingency Contracting 60 Relaxation Training 67 Social Skills Training 69 Summary 73 3 Cognitive Therapy 75 Cognitive Theory 76 Assessment and Case Formulation 82 Change Processes 86 Outcome Research 87 The Therapist’s Style 89 Self-Monitoring 91 Self-Instruction 93 Self-Reinforcement 94 Socratic Questioning 96 Cognitive Restructuring 98 Tests of Evidence 100 Personal Experiments 103 Using Spectra to Develop Moderation 104 Summary 108 4 Mindfulness-Based Cognitive-Behavioral Therapies 110 Mindfulness and Psychotherapy 111 What Causes Mental Health Problems? 115 Assessment and Case Formulation 117 Change Processes 121 Outcome Research 124 The Therapist’s Style 127 Mindfulness Training Exercises 128 Implementation of Dialectical Behavior Therapy 132 Implementation of Acceptance and Commitment Therapy 141 Summary 147 5 Psychodynamic Therapy 149 Psychoanalytic Theory 150 Assessment and Case Formulation 161 Change Processes 163 Outcome Research 168 The Therapist’s Style 170 Facilitating Expression of Material 171 Interpretation and Insight 172 Dynamic Psychoeducation 176 Corrective Emotional Experience 179 Summary 181 6 Constructivism: Solution-Focused and Narrative Therapy 184 Postmodernism and the Social Construction of Reality 185 Assessment and Case Formulation 189 Change Processes 192 Outcome Research 196 The Therapist’s Style 198 Solution-Focused Techniques 199 Narrative Therapy Techniques 208 Summary 215 7 Family Systems Therapy 218 Systems Theory 219 Assessment and Case Formulation 227 Change Processes 230 Outcome Research 233 The Therapist’s Style 234 Combining Family and Individual Modalities 235 Facilitating Communication 235 Systemic Insight 237 Reframing 238 Treating Enmeshment and Disengagement 242 Therapist Directives 243 Treating Positive Feedback Loops 245 Summary 250 8 Atheoretical and Transtheoretical Techniques 253 Miscellaneous Techniques 254 Parent Counseling 259 Balance Between Extremes 261 Psychoeducation 265 Values in Psychotherapy 272 Incorporating Experiences Into New Structures of Meaning 277 Overcoming Fear of Failure 288 Summary 293 Part II The Needs Of Clients 9 Cultural Factors in Therapy 297 The Role of Culture in Psychotherapy 298 Assessment and Case Formulation 307 The Therapist’s Style 314 Connecting the Cultures of Therapy and Client 315 Conflicts Between Client Cultures and the Predominant Culture 318 Addressing Prejudice and Discrimination 319 Culturally Specific Adaptations of Therapeutic Approaches 320 Bringing Spirituality Into Therapy 321 Summary 324 10 Disruptive Behavior in Children 326 Diagnoses Treated in This Chapter 327 Clinical Presentation and Etiology 327 Assessment 332 Treatment Planning 333 Behavioral-Systemic Parent Training 339 Collaborative Problem Solving 352 Individual CBT With the Child 355 Psychodynamic Therapy 358 Summary 359 11 Disruptive Behavior in Adolescents 362 Diagnoses Treated in This Chapter 363 Clinical Presentation and Etiology 363 Assessment 369 Treatment Planning 370 Behavioral-Systemic Therapy 374 Psychodynamic Therapy 391 Parent Counseling 393 Summary 394 12 Aggression and Violence 396 Diagnoses Treated in This Chapter 397 Clinical Presentation and Etiology 397 Assessment 402 Treatment Planning 403 Addressing Decisions About Fighting 406 Cognitive-Behavioral Therapy 410 Psychodynamic Therapy 426 Systems-Oriented Intervention 427 Summary 428 13 Anxiety 430 Diagnoses Treated in This Chapter 431 Clinical Presentation and Etiology 432 Assessment 438 Treatment Planning 440 Cognitive-Behavioral Therapy 443 Psychodynamic Therapy 453 Parent-Child Work 458 Summary 461 14 Depression 463 Diagnoses Treated in This Chapter 464 Clinical Presentation and Etiology 465 Assessment 471 Treatment Planning 472 Special Topic: Suicide Risk 476 Cognitive-Behavioral Therapy 479 Psychodynamic Therapy 489 Systemic Intervention 493 Summary 494 15 Stress and Trauma 497 Diagnoses Treated in This Chapter 498 Clinical Presentation and Etiology 498 Assessment 504 Treatment Planning 506 Cognitive-Behavioral Therapy 509 Coaching Clients in Coping 515 Psychodynamic Therapy 518 Constructivist Therapy 518 Systems-Oriented Intervention 519 Therapy for Parental Divorce 520 Therapy for Bereavement 522 Therapy for Sexual Abuse 525 Summary 530 Afterword: The Therapist’s Experience 533 References 537 Author Index 613 Subject Index 635

JEREMY P. SHAPIRO, PHD, is a Clinical Child Psychologist and an Adjunct Faculty Member of the Psychology Department and Mandel School of Applied Social Sciences at Case Western Reserve University.

Reviews for Child and Adolescent Therapy: Science and Art

This book is by far the most comprehensive and useful child therapy text. Amazingly well-written, it is both supremely helpful for new clinical graduate students and an outstanding, sophisticated review for clinicians and researchers. The second edition of this book is even more useful than the original text! The first edition filled a key gap by providing a broad array of useful and evidence based information to new child clinicians learning to conduct therapy with kids and teens. Because of its currency and clinical sophistication, it is also suited to busy practitioners who are looking for practical ways to integrate new, clinically relevant evidence and ideas. The writing engages the reader with a crisp style and clear real-world examples showing a deep understanding of evidenced based work with youth. The revised edition adds new material on mindfulness-based cognitive-behavioral therapies and motivational interviewing, and it weaves recent neuroscience research into discussions of clinical topics. To a unique degree, this book articulates the thought process of an experienced therapist as he or she integrates outcome research and clinical considerations to plan treatment strategy and decide what to do and say in work with clients. We use this textbook in our didactic practicum with new clinical graduate students at the University of North Carolina, and each fall, the students and I enjoy reading the combination of a broad perspective, specific techniques and logistical implementation ideas, as well as up to date references. Child and Adolescent Therapy: Science and Art is a helpful and detailed yet fun read for new and seasoned clinicians! Jen Kogos Youngstrom, PhD, Professor of Clinical Psychology, Director of Child and Family Services and Assessment Clinic The University of North Carolina at Chapel Hill This book combines clear, insightful explanations of the major theoretical orientations, rigorous summaries of outcome research, and the clinical wisdom of an experienced therapist in a unique synthesis that shows readers how to plan treatment and decide what to say when with clients. My graduate students loved the first edition of this book there's nothing like it. The broad array of theoretical approaches that are covered helps to develop a comprehensive understanding of intervention approaches and provides a very solid foundation in child and adolescent therapy. This new edition has added an excellent chapter on mindfulness-based therapies and has infused a sophisticated neuroscience framework throughout the book. I highly recommend this text to mental health professionals working with young people and to graduate students beginning their work in child and adolescent therapy. Sandra W. Russ, Distinguished University Professor Case Western Reserve University As a researcher, clinician, and instructor in a school psychology graduate program, I appreciate books that offer breadth of content but also sufficient depth in evidence-based practices in order to best prepare future youth mental health professionals. After switching from other texts that were either overly broad and historical or too narrow, I adopted the first edition of this book as the required text for my introductory course in counseling and psychotherapeutic interventions. My graduate students and I have given this book the highest praise. We appreciate the clear, insightful explanations of theory and research and the detailed, vivid instructions for implementation that make the process of therapy come alive. Unlike edited books with chapters by different authors, this text presents psychotherapy as an integrated whole. The chapters cross-reference each other frequently to identify connections and contrasts among the major theories and to show how elements of different approaches can be woven together in customized therapy for each client. My students are particularly thankful for the numerous vignettes and example scripts that illustrate best practices and provide detailed demonstrations of effective therapy. Shannon Suldo, Professor, University of South Florida This book is essential for courses covering child and family therapy. It is comprehensive, well-written, engaging, well-organized, and informative. When I used the first edition, my students told me they looked forward to reading each week's assignment and that this is the book they return to again and again throughout their career as a resource for the most up-to-date information on interventions for various disorders. The author not only provides background information about the theory and evidence base behind interventions but also practical illustrations for how to implement interventions effectively and stylistic suggestions that demonstrate the art of conducting therapy. This book is a wonderful addition to any therapist's library, whether a therapist in training or an experienced therapist who wants to stay current. Amy Przeworski, Ph.D. Assistant Professor Case Western Reserve University