A case of grief and loss illustrates both the strategies and techniques of IPT and offers a good way to compare them with those used in other psychotherapies. It also illustrates the use of IPT at the levels of chronology, problem areas, techniques, and therapist stance. This detailed presentation includes a description of strategies and sequence of events; a comparison of the IPT approach with that of other approaches in psychotherapy; a discussion of the levels of intervention; and a review of the techniques used.
Ruth, a sixty-two-year-old woman, came for treatment of a depression that had lasted a year and that she "became aware of" after her husband's death from a progressively debilitating illness caused by diabetes associated with vascular disease.
She had no previous history of depression. Her symptoms included unshakable sadness, with little change in mood regardless of events around her; preoccupation with memories of her husband's death and guilt about her feelings of inadequacy at being unable to get her affairs in order since he died; a tendency to oversleep; retardation and severe difficulty concentrat-