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Title:

Interpersonal Psychotherapy

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Facilitate mourning process ... Dissolution (assist mourning) Interpersonal Role Disputes ... Mourning and acceptance of loss of old role ... – PowerPoint PPT presentation

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Title: Interpersonal Psychotherapy


1
Interpersonal Psychotherapy
  • Major Depression

2
Dealing with the Depression
  • Review Depressive symptoms
  • Give the syndrome a name
  • Explain depression as medical illness, give it a
    name
  • Give patient the sick role
  • Evaluate need for medication

3
Relate Depression to Interpersonal Context
  • Review past and current relationshipsas they
    relate to current depressive symptoms
  • Nature of interactions with significant others
  • Expectations of and from sig others were they
    fulfilled?
  • Satisfying , unsatisfying aspects of the
    relationships
  • Changes person wants in relationships

4
Identification of major problem areas
  • Determine problem area related to depression and
    set goals
  • Determine which relationship or aspect of
    relationship is related to depression and what
    might change it

5
Explain IPT and Contract
  • Outline your understanding of problem
  • Agree on treatment goals
  • Describe procedures here and now focus, need to
    discuss important issues, review current
    relationships, discuss practical aspects of
    treatment

6
Intermediate Sessions the problem areas
  • Grief
  • Goals
  • Facilitate mourning process
  • Help patient reestablish interest and
    relationships to substitute for what has been
    lost
  • Strategies
  • review symptoms
  • Relate symptoms to death of sig other
  • Reconstruct relationship with deceased
  • Sequence of events prior, during , after death
  • Explore feelings
  • Consider ways to get involved with others

7
Interpersonal Role Disputes
  • Goals
  • Identify dispute
  • Choose plan of action
  • Modify expectations or faulty communication to
    bring about a satisfactory resolution
  • Strategies
  • review symptoms
  • relate symptoms to overt or covert dispute with
    sig other that person is currently involved with

8
Interpersonal Role Disputes
  • Determine stage of dispute
  • Renegotiation (calm down participants to resolve
    dispute)
  • Impasse (increase disharmony in order to reopen
    negotiation)
  • Dissolution (assist mourning)

9
Interpersonal Role Disputes
  • Understand nonreciprocal role expectations
  • What are the issues?
  • Differences in expectations and values?
  • Options?
  • Likelihood of finding alternatives?
  • Resources?

10
Interpersonal Role Disputes
  • Are there parallels in other relationships?
  • What is the person gaining?
  • What unspoken assumptions lie behind the persons
    behavior?
  • How is the dispute perpetuated?

11
Role Transitions
  • Goals
  • Mourning and acceptance of loss of old role
  • Help patient to regard new role in more positive
    frame
  • Restore self esteem sense of mastery regarding
    demands of new role

12
Role Transitions
  • Strategies
  • Review symptoms
  • Relate symptoms to difficulty in handling life
    change
  • Review and aspects of new and old role
  • Explore feelings what is lost
  • Feelings about change
  • Opportunities in new role
  • Realistically evaluate what is lost

13
Role Transitions
  • Strategies
  • Encourage appropriate release of affect
  • Encourage development of social support system
    and new skills called for in new role

14
Interpersonal Deficits
  • Goals
  • Reduce patients social isolation
  • Encourage formation of new relationships
  • Strategies
  • Review symptoms
  • Relate symptoms to problems of social isolation
    or unfulfillment
  • Review past significant relationships ( and -)

15
Interpersonal Deficits
  • Strategies
  • Explore repetitive patterns in relationships
  • Discuss patients and feelings about
    therapist and seek parallels in other
    relationships

16
Termination
  • Explicit discussion of termination
  • Acknowledge termination as time for grieving
  • Move toward patient recognition of independent
    competence
  • Dealing with nonresponse
  • Continuation/maintenance treatment

17
Therapist Role
  • Patient advocate, not neutral
  • Active, not passive
  • Relationship not interpreted as transference
  • Therapeutic relationship is not a friendship
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