Every new therapist faces a first session, often with trepidation. How do they prepare for that first session? How do they know what tools to apply on that first day, and over those first few weeks? Beginnings in Psychotherapy will help readers to begin to answer those questions and start psychotherapy with increased confidence. In addition it will provide readers with an understanding of the foundational tools and background, as well as providing a comfort level with the new territory of becoming a therapist. In a conversational, accessible tone, the author shares his years of experience, without being dogmatic or dense. Instead, he engages readers warmly, immediately helps them expand their understanding and often helps them look at the pros and cons of certain decisions, without insisting that the readers follow a particular rule or policy.

What sets off the termination of analysis and psychodynamic therapy from the variety of endings that enter into all human relationships? So asks Herbert J. Schlesinger in Endings and Beginnings: On Terminating Psychotherapy and Psychoanalysis, a work of remarkable clarity, conceptual rigor, and ingratiating readability. Schlesinger situates termination - which he understands, variously, as a phase of treatment, a treatment process, and a state of mind - within the family of "beginnings and endings" that permeate one another throughout the course of therapy. For Schlesinger, therapeutic endings cannot be aligned with the final phase of treatment; ending-phase phenomena are ongoing accompaniments of therapeutic work. They occur whenever patients achieve some portion of their treatment goals and supervene when therapy stagnates. Small wonder that an assessment of the patient's relationship to time and capacity to end therapy are key aspects of diagnostic evaluation. By linking beginning and ending phases not to the chronology of treatment but to the patient’s experience of it, Schlesinger brings revivifying insight to a host of psychodynamic concepts. Nor does he shy away from a trenchant critique of the instrumental “medical model” of psychiatric and psychotherapeutic training, which militates against the therapeutic exploration of treatment endings. Schlesinger's exemplification of how to begin treatment from the point of view of ending; his sensitive delineation of the mid-treatment "ending" crises characteristic of "vulnerable patients"; his richly woven case vignettes illustrating various "ending" contingencies and permutations - these inquiries are gems of pragmatic clinical wisdom. Endings and Beginnings distills lessons learned over the course of a half century of practicing, teaching, and supervising psychotherapy and psychoanalysis and is a gift to the profession.

Designed especially for students and mental health professionals in the early stages of their careers, this primer is a practical guide to psychotherapy --

Utilizing a decade's worth of clinical experience gained since its original publication, Mary Jo Peebles builds and expands upon exquisitely demonstrated therapeutic approaches and strategies in this second edition of Beginnings. The essential question remains the same, however: How does a therapist begin psychotherapy? To address this delicate issue, she takes a thoughtful, step-by-step approach to the substance of those crucial first sessions, delineating both processes and potential pitfalls in such topics as establishing a therapeutic alliance, issues of trust, and history taking. Each chapter is revised and expanded to include the latest treatment research and modalities, liberally illustrated with rich case material, and espouse a commitment to the value of multiple theoretical perspectives. Frank and sophisticated, yet eminently accessible, this second edition will be an invaluable resource for educators, students, and seasoned practitioners of any therapeutic persuasion.

How does the therapist begin psychotherapy? How, that is, does she conceptualize the needs of the patient while simultaneously enlisting him or her as an active partner in formulating an individualized working plan? And how should supervisors teach the skills needed to make the intake procedure truly the beginning of treatment? In Beginnings: The Art and Science of Planning Psychotherapy Mary Jo Peebles-Kleiger tackles these and other questions in an authoritative manner that draws on the cumulative experience of the outpatient department of the Menninger Psychiatric Clinic. Peebles-Kleiger's elegant synoptic discussions of the major categories of psychological dysfunction and the different treatment strategies appropriate to them are carefully calibrated, with actual examples, to the limits and opportunities of the first sessions. Of particular value is her unusual capacity to articulate patients' various difficulties in forming and maintaining an alliance, and then to show how such difficulties feed back into the clinician's interventions in the first few sessions. In this manner, she illustrates how potential treatment obstacles-- difficulties in affect regulation, in reality testing, in conscience formation, among others--can be assessed and subjected to trial interventions from the very start. Skilled in various psychodynamic and behavioral approaches, from psychoanalysis to hypnotherapy, Peebles-Kleiger consistently advances an integrative approach that cuts across specific modalities and combines sophisticated psychodynamic understanding with the fruits of empirical research. Both primer and sourcebook, Beginnings: The Art and Science of Planning Psychotherapy fills a niche in the literature so admirably that clinicians will find it indispensible in planning humanely responsive treatment in an increasingly complex therapeutic world.

TABLE OF CONTENTS: Initial Expectations--Professional responsibilites. -- Preparations. -- The initial interview. -- Consultations. -- Giving a staffing report. -- Beginning therapy: feedback and contracting. -- Conducting the session. -- Some more sophisticated therapy skills. -- The client in crisis. -- Termination. -- Record keeping. -- Cotherapy. -- Children and families.

How does a therapist go about starting a psychotherapy group? In this practical guide the reader finds the elements, both attitudinal and procedural, needed for starting a therapy group. The processes of obtaining referrals, selecting clients, orienting and educating clients, and preparing clients for psychotherapy are covered in clear step-by-step procedures. Tables and charts are provided for the necessary record keeping. The initial chapters detail the important stages leading up to the first therapy session. Eminent group therapists present special chapters on various therapeutic approaches. The topics of terminating groups and the role of the therapist close this pragmatic guide to therapy groups. A Guide to Starting Psychotherapy Groups assists psychologists, social workers, psychiatrists, nurse clinicians, pastoral counselors, school and college counselors and other trained therapists in the process of forming and maintaining groups. Steps for getting groups started, beginning with first mention of group therapy to clients Clarification of differing theoretical approaches to doing groups Helpful guides for tracking referrals and billing Analysis of group psychotherapy's effectiveness Attention to special groups and co-therapy leadership Authoritative articles by international leaders in group psychotherapy