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Training in Unified Psychotherapy

The psychotherapy seminar at New Mexico State’s AHWC is designed to encourage interns and practicum counselors to practice integrative psychotherapy guided by a unified framework.  Here is an outline for the seminar:

 

  1. INTEGRATIVE PSYCHOTHERAPY

 

  1. Five Routes to Integration as Stages of Development
  2. A Three-Tiered Model of Human Functioning:

 

IMMEDIATE PSYCHOLOGICAL EXPERIENCE

1.      Thoughts & the Cognitive System

2.      Emotions & the Experiential-Affective System

3.      Actions & the Behavioral System

 

EXTERNAL INFLUENCES

4.      Development across Life Experiences

5.      Interpersonal Patterns

6.      Families & Other Microsystems

7.      Sociocultural Macrosystems

 

INTERNAL INFLUENCES

8.      Unconscious Processes, Conflicts, & Defenses

9.      Biology, Physical Health, & Maturation

 

 

  1. A Unified Framework for Individual Psychotherapy (see Figure below)

 

  1. KEY STRATEGIES TRAINING

 

  1. Review of Basic Microskills
  2. Working Interactively with Thoughts, Emotions, and Actions
  3. Introduction to Clinical Hypotheses: Maladaptive Thoughts, Emotions, & Actions
  4. Exploration and Transformation: Eight General Processes

 

  1. Exploring Thoughts

COG-1: Identifying Specific Thoughts

COG-2: Understanding the Context and Impact of Thoughts

COG-3: Analyzing the Functionality of Cognitions

COG-4: Discovering Core Beliefs

 

  1. Modifying Thoughts

COG-5: Experimenting with Thoughts and Testing Their Validity

COG-6: Modifying Beliefs and Identifying More Functional Thoughts

COG-7: Reinforcing Functional Thinking

COG-8: Assessing Cognitive Change and Multidimensional Impact

 

Flowchart of Individual Psychotherapy

 

 

 

  1. Exploring Emotions

EXP-1: Identifying Specific Emotions

EXP-2: Understanding the Context and Impact of Feelings

EXP-3: Analyzing the Adaptive Value of Emotions

EXP-4: Discovering Unexplored Emotional Experiences

 

  1. Transforming Emotions

EXP-5: Experimenting with Feelings and Overcoming Emotional Blocks

EXP-6: Embracing Adaptive Emotions

EXP-7: Supporting Adaptive Emotional Expression

EXP-8: Assessing Emotional Change and Multidimensional Impact

 

  1. Exploring Actions

BHV-1: Identifying Specific Actions

BHV-2: Exploring the Context and Impact of Actions

BHV-3: Analyzing the Effectiveness of Behaviors

BHV-4: Discovering Patterns of Reinforcement

 

  1. Changing Actions

BHV-5: Experimenting with Actions and Observing Consequences

BHV-6: Improving Skills through Training and Practice

BHV-7: Practicing Effective Actions in New Environments

BHV-8: Assessing Behavioral Change and Multidimensional Impact

 

  1. Multidimensional Survey / Firing Order / Focal Dimension

 

  • ADVANCED INTERVENTIONS FOCUSING ON COGNITION, EXPERIENCE, AND BEHAVIOR

 

  1. Balancing Change with Acceptance: Lessons from ACT and Harm Reduction

 

  1. More Advanced Cognitive Interventions

Cognitive Defusion

Mindful Acceptance

 

  1. More Advanced Experiential Interventions

Emotional Regulation

Experiential Focusing

Empty Chair Experiment

Two Chair Dialogue

Psychodrama Action Methods

 

  1. More Advanced Behavioral Interventions

Exposure as a Common Factor

Committed Actions based on Values

Focusing on Solutions

  1. EXTERNAL INFLUENCES

 

  1. Development across Life Experiences

Normal Life Transitions (school -> work ->unemployment ->new job ->retirement)               (single ->partnered ->kids ->empty nest ->widowed)

Developmental Disruptions (loss/grief, crisis, trauma, war, poverty, etc.)

Developmental Tasks (Erickson)

 

  1. Interpersonal Patterns

Psychotherapy as an Interpersonal Laboratory (Teyber)

Transference: Core Conflictual Relationship Theme (Luborsky)

Countertransference & Interpersonal Impact Messages (Kiesler)

 

  1. Families and Other Microsystems

Family Rules -> Thoughts

Family Roles -> Actions

Satir -> Feelings

 

  1. Sociocultural Macrosystems

Cultural Values ->      Thoughts, Emotions, Actions

 

  1. INTERNAL INFLUENCES

 

  1. Unconscious Processes, Conflicts, & Defenses

Unconscious Thoughts and Emotions that Influence Actions

Unconscious Conflicts

Defense Mechanisms

 

  1. Biology, Physical Health, & Maturation
Bio -> Thoughts

Bio -> Feelings

Bio -> Actions

Thoughts -> Bio

Feelings -> Bio

Actions -> Bio