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The Function of Assessment Within Psychological Therapies : A Psychodynamic View - Luigi Caparrotta

The Function of Assessment Within Psychological Therapies

A Psychodynamic View


Published: 12th May 2004
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There are various different psychological therapies but their shared aim is to help the sufferers of mental disorders. The role of assessment and the decisions following that are crucial in the treatment process. The first encounter between the patient and the assessor defines the problem and shapes the possible treatment model. However, formal training in assessment is non-existent. This volume attempts to offer guidelines for assessment and it also offers general information on assessment in a concise form, with the help of clinical vignettes and case examples. The purpose has been to keep the book as simple as possible so that it may be easily accessible to beginners as well as to provide an initial structure and overview for more experienced practitioners. We therefore hope that this work may serve as a useful guide for referrers, trainees and therapists practicing in a variety of psychotherapeutic settings, including those in the National Health Service and in private practice, and begin to foster further debate in this field.

'A well-illustrated introduction which will help organize the thinking of psychodynamic psychotherapists to formulate their patients' problems and reach conclusions concerning their suitability. A useful adjunct to any psychotherapy training programme.'- Professor Peter Fonagy

Acknowledgementsp. ix
Prefacep. xi
Forewordp. xiii
Introductionp. 1
National Health Service model and expectations
Mental Health and the role of psychological therapies
The role of assessment within psychological therapies
Definitionsp. 7
Definition of assessment
Definition and function of the assessor
The referral processp. 13
Pre-referral stage
Referral source and reasons for referral
Referral letter
Referral route
Assessment attendance rate and waiting time
Pre-specialist opinionp. 21
Is psychological intervention the treatment of choice?
Is psychological therapy an alternative to pharmacological therapy?
Is psychotherapy a suitable adjunct to other therapeutic modalities?
Is the patient's poor compliance with medication amenable to a psychological therapy intervention?
Is the clinical picture confounded by disturbance of the personality hampering therapeutic engagement?
Can an assessment help to unravel a therapeutic stalemate?
Specialist assessmentp. 27
What are the patient's key problems and difficulties?
Listening and history taking
Diagnostic assessment
Risk assessment
Suitability for psychological therapyp. 39
Is psychological intervention a suitable form of treatment for this particular patient?
Motivation for change
Capacity to form a working relationship
Psychodynamic assessmentp. 45
Is the patient suitable for psychodynamic psychotherapy?
Capacity to think psychologically (psychological mindedness)
Ego strength
Relationship to reality
Quality of object relationships
Affective capacity
Frustration tolerance and impulse control
Capacity to form a therapeutic relationship
Case formulationp. 61
If the patient is deemed suitable for psychodynamic psychotherapy what is then the psychodynamic formulation?
Post-assessment routesp. 69
What treatment modality, where and by whom can the patient best be helped?
Post-assessment options
Availability of resources
Concluding remarksp. 73
Appendicesp. 75
Referencesp. 83
Indexp. 95
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9781855759541
ISBN-10: 1855759543
Audience: Tertiary; University or College
Format: Paperback
Language: English
Number Of Pages: 120
Published: 12th May 2004
Publisher: Taylor & Francis Ltd
Country of Publication: GB
Dimensions (cm): 22.23 x 13.97  x 0.64
Weight (kg): 0.18