Academic journal article American Journal of Psychotherapy

Beginnings: The Art and Science of Planning Psychotherapy

Academic journal article American Journal of Psychotherapy

Beginnings: The Art and Science of Planning Psychotherapy

Article excerpt

MARY JO PEEBLES-KLEIGER: Beginnings: The Art and Science of Planning Psychotherapy. The Analytic Press, Inc., Hillsdale, NJ, 2002, 334 pp., $49.95, ISBN 0-88163-313-5.

Dr. Mary Jo Peebles-Kleiger has written an interesting volume on planning and beginning psychotherapy. She discusses at length how one arrives at the initial diagnosis and especially how one arrives at the initial case formulation. From the start, she emphasizes the importance of collaboration with the patient as a full partner in the process and in forming an alliance, namely, a therapeutic relationship, which must be based on respect for the patient as a full collaborator, not as a passive participant in awe of the powerful therapist. She stresses a need for focusing on the important issues as agreed to by both partners (therapist and patient). The author very skillfully illustrates the various points by numerous vignettes. These clinical examples help her show how she achieves her desired goals. She also discusses at length how an experienced supervisor can teach such skills to younger clinicians.

Peebles-Kleiger is especially skilled in discussing how difficulties in reality testing, reasoning, emotional regulation, and conscience can affect therapy, and how to deal effectively with them. She does not emphasize one type of psychotherapy but stresses that it should be kept in mind that some patients will respond better than others to certain therapists and therapeutic modalities. …

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