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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Techniques of the initial phase of Interpersonal Psychotherapy

Techniques of the initial phase of Interpersonal Psychotherapy
Technique Strategy Comment
Diagnose major depression Conduct psychiatric interview, including current and past psychiatric symptoms, prior treatment history, medical history, and family psychiatric history. Diagnosis is essential to prescribing appropriate treatment. This information is also used to select the IPT problem area.
Give the sick role Assign the patient a temporary social role that relieves him of his usual social obligations because of his medical condition (depression), while requiring him to focus on obligations associated with treatment. The concept of the sick role follows from the medical model in which depression is likened to other medical illness such as diabetes and asthma.
Take an interpersonal inventory Evaluate important interpersonal relationships and recent significant changes that have occurred in these relationships and in psychosocial functioning. The clinician focuses on the quality of current interpersonal relationships and recent changes in the patient's life.
Establish a depression timeline Establish the time of onset of current depressive episode (or exacerbation of depressive symptoms) and temporal relationship between changes in mood and changes in interpersonal functioning. Identifying the temporal relationship between current mood symptoms and onset of interpersonal problem will enable clinician to select a relevant treatment focus.
Select an interpersonal problem area and formulate the case Propose a treatment focus (interpersonal problem area) that links current mood symptoms to affectively meaningful change in life circumstances. Patient must agree to treatment focus; if there is disagreement, clinician revises the treatment formulation.
Provide hope Maintain optimism. Providing hope is a nonspecific therapeutic factor that is common across different psychotherapies.
Discuss the treatment contract Negotiate treatment logistics including number of sessions, meeting times, fees, and procedures for managing issues that occur between sessions. The time-limited nature of acute IPT requires that treatment duration be specified from the outset.
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