Problem Solving Psychotherapy
A Training Manual
by
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GOAL OF PROBLEM SOLVING PSYCHOTHERAPY (PSP):
*Help the patient develop problem solving skills
Model based on 5 Problem Solving Components.
1. Understanding
2. Decision making
3. Skills training
4. Action
5. Outcome analysis
• Exploration
• Eliciting Emotion
• Education
Problem Solving Psychotherapy
Exploration Technique (Expl):
Involves the therapist eliciting the patient’s narrative of past and current interactional episodes and patterns. Th e therapist then works with the patient to analyze these interactional patterns through the use of the 3 formulation questions.
Formulation Question 1 -What are the patient’s maladaptive schemas and schema processes?
Formulation Question 2 - How do the relative dysfunctions in the patient’s family-of-origin and their temperamental predispositions and other relevant biological factors contribute to their schemas?
Formulation Question 3 -How do the patient’s maladaptive schemas and relevant biological factors lead to their problems and symptoms in reaction to the developmental challenges and stresses they face?
Maladaptive schemas (MS)
Maladaptive schemas are recurring patterns of thoughts and feelings and confl icting motivations based on a faulty theory of causality that lead to recurring patterns of self-defeating behaviour that interfere with the capabilities required to function adaptively as an adult.
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About the Book
Problem-Solving Psychotherapy . Integrates a number of existing psychotherapeutic and psychological models into a unique problem-solving format. . Provides the therapist with pattern recognition and analytical skills through its clear, practical formulation method. . Guides the therapist in the moment-to-moment technical aspects of the psychotherapy session through the use of its problem- solving components. .Teaches the patient problem-solving skills including insight, emotional resolution, decision-making and conflict resolution. .Incorporates symptomatic treatment, including psychopharmacological, into the psychotherapeutic context. Manual includes - . Numerous illustrative case examples for each problem-solving component. . Extended case example of a course of treatment. . Annotated transcript of a psychotherapy session. . Social history questionnaire. . Worksheets for assessment, preparing and contracting for therapy, treatment planning and session process notes. . Extensive bibliography.
About the Author
Dr. Mark Leith is a practicing psychiatrist and a psychotherapy supervisor in the Psychotherapy Programme of the Department of the Psychiatry of the University of Toronto at Sunnybrook Health Science Center. He has appeared on radio and television and published in a number of periodicals including the Canadian Psychiatric Association Journal, the Canadian Medical Association Journal, the Globe and Mail, the Toronto Star, the Canadian Jewish News and Peace Magazine. Dr. Leith attended medical school at the University of Western Ontario in London, Ontario, Canada and completed a residency in psychiatry at McMaster University in Hamilton, Ontario, Canada and a psychiatric fellowship in Behavioral Medicine at Dartmouth Medical School in Hanover, New Hampshire, U.S.A. He has been the Medical Director of the Biobehavioral Unit in the Department of Psychiatry and the Director of the Behavioral Medicine Clinic in the Department of Family Practice at Sunnybrook Health Science Center, Toronto, where he taught psychotherapeutic skills to residents in Psychiatry and Family Practice. Dr. Leith is a past national board member of Canadian Physicians for Global Survival and a member of the Toronto chapter of the Canadian Department Of Peace Initiative. He is married and has two children and lives in Toronto, Ontario, Canada.