Showing papers in "Psychotherapy in private practice in 1990"
TL;DR: According to as mentioned in this paper, approximately 2-6% of psychotherapists can be considered burned out, a condition most often attributed by therapists themselves to the nonreciprocated attentiveness, giving, and responsibility demanded by the therapeutic relationship.
Abstract: Approximately 2-6% of psychotherapists can be considered burned out, a condition most often attributed by therapists themselves to the nonreciprocated attentiveness, giving, and responsibility demanded by the therapeutic relationship. Institutionally based and inexperienced therapists seem most at risk for burnout. What prevents most therapists from experiencing burnout is the satisfaction of being in a position of helpful intimacy. Three types of therapist burnout can be delineated: those who in response to frustration work increasingly harder; those who in response to frustration give up entirely; and those who perform their work perfunctorily, having lost interest in work they now find unchallenging.
115 citations
79 citations
TL;DR: In this article, the present status of ethical and legal awareness characterizing psychotherapy supervision is evaluated and recommended actions which may help protect the supervisee are offered. But they do not address the issue of supervising honestly and maintaining integrity.
Abstract: This paper synthesizes and evaluates the present status of ethical and legal awareness characterizing psychotherapy supervision. Supervisory vulnerabilities are examined and recommended actions which may help protect the supervisor are offered. Specific issues include: practicing within the bounds of supervisory competence, selecting a model of supervision, avoiding dual relationships, evaluating supervisee competence, supervisory availability, forming a supervision contract, financial considerations, securing professional liability coverage, and supervising honestly and maintaining integrity.
21 citations
TL;DR: Research reveals that over one-half of clinicians seek personal treatment following their formal training, do so largely for personal reasons, and that over 90% report considerable benefit from the experience.
Abstract: Personal therapy is advanced as one solution to the hazards of psychotherapeutic practice. Review of extant research reveals that over one-half of clinicians seek personal treatment following their formal training, do so largely for personal reasons, and that over 90% report considerable benefit from the experience. Obtained findings on the professed outcomes and "lasting lessons" of personal therapy closely parallel the theoretical rationale of how it can improve clinical work. The importance of caretakers acknowledging and attending to their own emotional needs is emphasized throughout.
13 citations
TL;DR: The Minnesota Supervisory Inventory (MSI) as discussed by the authors was developed by the University of Minnesota to assess supervisees' competence and professional characteristics for post-doctoral training in psychology.
Abstract: Supervision is an essential facet of quality control within the profession of Psychology. Ethical and legal issues inherent in supervision need to be addressed further, especially in light of the current climate favoring litigation for professional liability. The authors address the need for supervisors to clarify their roles and provide better summative assessment of supervisees' competence and professional characteristics. The Minnesota Supervisory Inventory (MSI) is currently under development for internship training.The MSI is amenable to adaptation for postdoctoral practice in many contexts including within private practice settings.
12 citations
TL;DR: The Supervisory Record Form (SRF) is reviewed as one model for documentation and six additional guidelines to promote the uniform recording of supervisory activities are provided.
Abstract: The process of psychotherapy supervision is a complex web of personal, professional, and legal considerations. Written documentation by the supervisor is one method of recording the events that occur in supervision. This paper reviews the Supervisory Record Form (SRF) as one model for such documentation and provides six additional guidelines to promote the uniform recording of supervisory activities.
10 citations
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TL;DR: The decade between 45-55 is the decade in which we see "midlife crises" in our women patients and in women therapists as discussed by the authors, the internal sense of being overwhelmed, of as King "Where do I go from here," is paramount.
Abstract: The decade between 45-55 is the decade in which we see "midlife crises" in our women patients and in women therapists. This is the Dominant Generation, the generation that leads and does the caretaking of the young and the old. It is related to menopause only symbolically. It is connected to a decline in physical and sexual vitality, to aging. Two cases are reviewed of women psychologists in this age group presenting symptomatology characteristic of this age. The internal sense of being overwhelmed, of as King "Where do I go from here," is paramount. For men the answer has frequently been to redirect their energies to nurturance or generativity. For women, who have spent their years in nurturing, the answer lies elsewhere, in more self absorbing changes.
3 citations
TL;DR: In this article, the authors present a number of theories regarding morality based on the psychoanalytic, cognitive and individual suicide model, with their theories having made particular contributions, but there are other theoretical models that might be considered in addition to these.
Abstract: One of the most important tasks in those facing to alter the attitude and behaviour of young people is to develop the motivation within such persons to seek such changes. Moral behaviour as with subsequent actions are extremely resistant to change partly due to early learning experiences and the fact that certain biological roots or genetic factors make certain individuals difficult to alter their almost naturally endowed demeanour. Reasons why such difficulties exist both from the biological as well as psychological point of view are presented. There are a number of researches carried out by modem experimenters. Particular theories regarding morality are based on the psychoanalytic, cognitive and the individual suicide model. Both Piaget and Kohlberg, with their theories have made particular contributions, but there are other theoretical models that might be considered in addition to these.
2 citations
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TL;DR: In this paper, defensive psychology, a subspecialty of clinical psychology, adds a dimension to the area of victimization which has heretofore been ignored: the physical aspects (bodily insult) and predisposing personality factors (proneness to victimization), thus addressing prevention as well as treatment.
Abstract: Although statistics vary regarding the number of reported cases of abuse and crime, the figures reflect only a small percentage of the overall picture. Cases of domestic violence, child abuse, rape, sexual assault, and street crime are on the increase. The psychological effects of victimization are profound and long lasting. Defensive Psychology, a subspecialty of clinical psychology, adds a dimension to the area of victimization which has heretofore been ignored: the physical aspects (bodily insult) and predisposing personality factors (proneness to victimization), thus addressing prevention as well as treatment.
TL;DR: The following article addresses the often overlooked opportunities available to private practitioners in small towns by outlining important guidelines for acceptance and strategies for success for private practitioners for success in rural America.
Abstract: The following article addresses the often overlooked opportunities available to private practitioners in small towns Many practitioners who are desirous leaving behind both the monotony of working for a salary and the cramped environment of the big city are finding rewarding, interesting work as private practitioners in small town America Rural America is very desirable to professionals interested in private practice because it has remained relatively free from the interference of managed care systems Successful integration into the culture of the small town, however, requires paying close attention to the current realities found in rural settings This article outlines important guidelines for acceptance and strategies for success for private practitioners in small towns
TL;DR: The self psychological theories of Heinz Kohut expand the concept of narcissism and narcissistic impairments to include both healthy and pathological forms of disorders of the self as discussed by the authors, and the major theoretical constructs of self psychology derive directly from the therapeutic encounter.
Abstract: The self psychological theories of Heinz Kohut expand the concept of narcissism and narcissistic impairments to include both healthy and pathological forms of disorders of the self. The major theoretical constructs of self psychology derive directly from the therapeutic encounter. The major theoretical focus is on an individual's subjective experience of the self. Methods of diagnosis, assessment, and treatment from a self psychological perspective will be highlighted in this paper. Since many of the patients that are seen in the private sector by practicing psychotherapists are narcissistically impaired, this paper should shed some light on the newer conceptualizations of narcissism and narcissistic impairments.
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TL;DR: In spite of the nay-sayers who claim that private practice is drying-up, the author contends that she is not a dinosaur as she continues to maintain a sole-practitioner model of practice.
Abstract: In spite of the nay-sayers who claim that private practice is drying-up, the author contends that she is not a dinosaur as she continues to maintain a sole-practitioner model of practice. Changes in the climate for practice are acknowledged. Suggestions are made to develop and maintain a thriving practice in the ever changing environment. Practitioners are encouraged to participate in the legislative and regulatory processes, to advocate for mental health services and to encourage research into the efficacy of the kind of psychotherapy they do.
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