email page print pageAll Topic Reviews
Maximizing Effectiveness in Dynamic Psychotherapy Self-Compassion in Psychotherapy101 Healing StoriesA Clinician's Guide to Legal Issues in PsychotherapyA Map of the MindA Primer for Beginning PsychotherapyACT With LoveActive Treatment of DepressionAffect Regulation, Mentalization, and the Development of SelfAlready FreeBad TherapyBecoming an Effective PsychotherapistBecoming MyselfBefore ForgivingBeing a Brain-Wise TherapistBetrayed as BoysBeyond Evidence-Based PsychotherapyBeyond MadnessBeyond PostmodernismBinge No MoreBiofeedback for the BrainBipolar DisorderBody PsychotherapyBoundaries and Boundary Violations in PsychoanalysisBrain Change TherapyBrain Science and Psychological DisordersBrain-Based Therapy with AdultsBrain-Based Therapy with Children and AdolescentsBrief Adolescent Therapy Homework PlannerBrief Child Therapy Homework PlannerBrief Therapy Homework PlannerBuffy the Vampire Slayer and PhilosophyBuilding on BionCare of the PsycheCase Studies in DepressionCaught in the NetChild and Adolescent Treatment for Social Work PracticeChoosing an Online TherapistChronic DepressionClinical Dilemmas in PsychotherapyClinical Handbook of Psychological DisordersClinical Intuition in PsychotherapyClinical Pearls of WisdomCo-Creating ChangeCognitive Therapy for Challenging ProblemsCompassionConfessions of a Former ChildConfidential RelationshipsConfidentiality and Mental HealthConfidingContemplative Psychotherapy EssentialsControlConversations About Psychology and Sexual OrientationCoping with BPDCouch FictionCounseling in GenderlandCounseling with Choice TheoryCouple SkillsCrazy for YouCreating a Life of Meaning and CompassionCreating HysteriaCritical Issues in PsychotherapyCrucial Choices, Crucial ChangesDeafness In MindDecoding the Ethics CodeDeconstructing PsychotherapyDeep Brain StimulationDemystifying TherapyDepression 101Depression in ContextDialogues on DifferenceDissociative ChildrenDo-It-Yourself Eye Movement Techniques for Emotional HealingDoing CBTE-TherapyEarly WarningEncountering the Sacred in PsychotherapyEnergy Psychology InteractiveErrant SelvesEssays on Philosophical CounselingEssentials of Wais-III AssessmentEthically Challenged ProfessionsEthics and Values in PsychotherapyEthics in Plain EnglishEthics in Psychotherapy and CounselingExistential PsychotherapyExpectationExploring the Self through PhotographyExpressing EmotionFacing Human SufferingFairbairn's Object Relations Theory in the Clinical SettingFamily TherapyFavorite Counseling and Therapy Homework AssignmentsFear of IntimacyFlourishingFolie a DeuxForms of Intersubjectivity in Infant Reasearch and Adult TreatmentFoundations of Ethical Practice, Research, and Teaching in PsychologyFreud and the Question of PseudoscienceFrom Morality to Mental HealthFundamentals of Psychoanalytic TechniqueGenes on the CouchGod & TherapyHalf Empty, Half FullHandbook of Clinical Psychopharmacology for TherapistsHandbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual ClientsHandbook of Evidence-Based Therapies for Children and AdolescentsHealing the Heart and Mind with MindfulnessHeinz KohutHelping Children Cope With Disasters and TerrorismHigh RiskHistory of PsychotherapyHow and Why Are Some Therapists Better Than Others?How Clients Make Therapy WorkHow People ChangeHow Psychotherapists DevelopHow to Fail As a TherapistHow to Go to TherapyHypnosis for Inner Conflict ResolutionHypnosis for Smoking CessationI Never Promised You a Rose GardenIf Only I Had KnownIn Others' EyesIn SessionIn Therapy We TrustIn Treatment: Season 1Incorporating Spirituality in Counseling and PsychotherapyInside the SessionInside TherapyIs Long-Term Therapy Unethical?Issues in Philosophical CounselingIt's Not as Bad as It SeemsItís Your HourLearning ACTLearning from Our MistakesLearning Supportive PsychotherapyLetters to a Young TherapistLife CoachingLogotherapy and Existential AnalysisLove's ExecutionerMadness and DemocracyMaking the Big LeapMan's Search for MeaningMetaphoria: Metaphor and Guided Metaphor for Psychotherapy and HealingMind GamesMindfulnessMindfulness and AcceptanceMindfulness-Based Cognitive Therapy for DepressionMindworks: An Introduction to NLPMockingbird YearsMoments of EngagementMomma and the Meaning of LifeMotivational Interviewing: Preparing People For ChangeMulticulturalism and the Therapeutic ProcessMultifamily Groups in the Treatment of Severe Psychiatric DisordersNarrative PracticeOn the CouchOne Nation Under TherapyOur Inner WorldOur Last Great IllusionOutsider ArtOutsider Art and Art TherapyOvercoming Destructive Beliefs, Feelings, and BehaviorsOverexposedPathways to SpiritualityPersonality and PsychotherapyPhilosophical CounselingPhilosophical Counselling and the UnconsciousPhilosophical Issues in Counseling and PsychotherapyPhilosophical PracticePhilosophy and PsychotherapyPhilosophy for Counselling and PsychotherapyPhilosophy PracticePhilosophy's Role in Counseling and PsychotherapyPillar of SaltPlan BPlato, Not Prozac!Polarities of ExperiencesPower GamesPractical Psychoanalysis for Therapists and PatientsPrinciples and Practice of Sex TherapyProcess-Based CBTPsychologists Defying the CrowdPsychology, Psychotherapy, Psychoanalysis, and the Politics of Human RelationshipsPsychosis in the FamilyPsychotherapyPsychotherapyPsychotherapy and ConfidentialityPsychotherapy As PraxisPsychotherapy East and WestPsychotherapy for Children and AdolescentsPsychotherapy for Personality DisordersPsychotherapy Is Worth ItPsychotherapy Isn't What You ThinkPsychotherapy with Adolescent Girls and Young WomenPsychotherapy with Children and AdolescentsPsychotherapy without the SelfPsychotherapy, American Culture, and Social PolicyRapid Cognitive TherapyRational Emotive Behavior TherapyRational Emotive Behavior TherapyRationality and the Pursuit of HappinessRebuilding Shattered LivesReclaiming Our ChildrenRecovery OptionsRelationalityRent Two Films and Let's Talk in the MorningSaving the Modern SoulScience and Pseudoscience in Clinical PsychologySecond-order Change in PsychotherapySelf-Compassion in PsychotherapySelf-Determination Theory in the ClinicSelf-Disclosure in Psychotherapy and RecoverySerious ShoppingSex, Therapy, and KidsSexual Orientation and Psychodynamic PsychotherapySigns of SafetySoul Murder RevisitedStaring at the SunStraight to JesusStrangers to OurselvesSubjective Experience and the Logic of the OtherTaking America Off DrugsTales of PsychotherapyTales of UnknowingTalk is Not EnoughTalking Cures and Placebo EffectsTelling SecretsThe Behavioral Medicine Treatment PlannerThe Body in PsychotherapyThe Brief Couples Therapy Homework Planner with DiskThe Case Formulation Approach to Cognitive-Behavior TherapyThe Challenge for Psychoanalysis and PsychotherapyThe Child and Adolescent Psychotherapy Treatment PlannerThe Clinical Child Documentation SourcebookThe Clinical Documentation SourcebookThe Complete Adult Psychotherapy Treatment PlannerThe Couch and the TreeThe Couples Psychotherapy Treatment PlannerThe Crucible of ExperienceThe Cure of SoulsThe Death of PsychotherapyThe Education of Mrs. BemisThe Ethical Treatment of DepressionThe Ethics of PsychoanalysisThe Gay and Lesbian Psychotherapy Treatment PlannerThe Gift of TherapyThe Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work The Healing JourneyThe Heart & Soul of ChangeThe Heroic ClientThe Husbands and Wives ClubThe Love CureThe Making of a TherapistThe Mindful TherapistThe Mirror Crack'dThe Mummy at the Dining Room TableThe Neuroscience of PsychotherapyThe Neuroscience of Psychotherapy: Healing the Social BrainThe New Rational TherapyThe Older Adult Psychotherapy Treatment PlannerThe Other Side of DesireThe Pastoral Counseling Treatment PlannerThe Philosopher's Autobiography The Pornographer's GriefThe Portable CoachThe Portable Ethicist for Mental Health Professionals The Present Moment in Psychotherapy and Everyday LifeThe Problem of EvilThe Problem with Cognitive Behavioural TherapyThe Psychodynamics of Gender and Gender RoleThe Psychotherapy Documentation PrimerThe Psychotherapy Documentation PrimerThe Psychotherapy of HopeThe Real World Guide to Psychotherapy PracticeThe Schopenhauer CureThe Sex Lives of TeenagersThe Talking CureThe Therapeutic "Aha!"The Therapist's Guide to PsychopharmacologyThe Therapist's Guide to Psychopharmacology, Revised EditionThe Therapist's Ultimate Solution BookThe Trauma of Everyday LifeThe Trouble with IllnessThe UnsayableThe Way of the JournalTheory and Practice of Brief TherapyTherapy with ChildrenTherapy's DelusionsTheraScribe 3.0 for WindowsTheraScribe 4.0Thinking about ThinkingThinking for CliniciansThinking for CliniciansThoughts Without a ThinkerThriveToward a Psychology of AwakeningTracking Mental Health OutcomesTrauma, Truth and ReconciliationTreating Attachment DisordersTreatment for Chronic DepressionTreatment Plans and Interventions for Depression and Anxiety DisordersUnderstanding Child MolestersUnspeakable Truths and Happy EndingsWhat the Buddha FeltWhat Works for Whom?What Works for Whom? Second EditionWhen the Body SpeaksWhispers from the EastWise TherapyWittgenstein and PsychotherapyWorking MindsWoulda, Coulda, ShouldaWriting About PatientsYoga Skills for Therapists:Yoga Therapy
Dr. Aiello offers the beginning social work clinician a practice primer of pragmatic and theoretical value. She weaves situational practice technique tightly to the theory social workers draw upon to inform intervention with great skill and clarity. Complex understanding of the social work approach to treatment of children and adolescents are simplified without oversimplification, creating a clear dialog without loss of subtlety or the delicate interpersonal dynamics implicit in the process. Every case vignette is perfectly chosen to elucidate the heart of a specific intervention and the theory informing it.
Aiellos theory base is relational, "informed by. . . a great many social and psychodynamic concepts." These are successfully applied to clinical work with children and adolescents. Including many helpful tips, she speaks to the unique gifts of the individual therapists as they influence the growth in self-understanding and self-regulation of children. Her book thus supports and encourages the beginner. She deliberately chooses difficult, even extreme, cases, testing and demonstrating the efficacy of contextual and relational theory bases in the most challenging situations.
This book is divided into five sections, three of which address phases of treatment, beginning, middle and termination. A separate section discusses specific therapy issues and another presents modalities and special therapeutic programs. Section one, addressing the beginning phase of therapy, lays out relational theory in its diverse forms: ego psychology, self-psychology, object relations, systems theory and developmental theory. Thus, she summarizes a vast literature in a very short space. Discussing assessment within these theory bases, she provides practical techniques for the initial session, play therapy, psychopathology (emphasizing trauma and post traumatic stress syndrome) and learning disabilities.
Section two probes the deepening relationship evolving between therapist and client, with an excellent presentation of transference and counter transference dynamics. Typical presenting problems and clinical difficulties in response are dealt with next, exemplified by recounting poignant case histories. Section five, a bit of a let down, devotes a scant five pages to the termination phase of therapy. It must be noted that the case study presented to demonstrate termination is atypical for social work practice, recapitulating a long-term (perhaps five year) therapy, with a termination phase of one year. The beginning as well as the advanced clinician will need more assistance with the dynamics of termination than this chapter can offer, particularly since social work practice in general rarely affords therapist and client such a lengthy time, luxurious time frame for either therapy or therapeutic working through its ending. Even here, Aiello has useful comments and tips, including a valuable framing of the ritual of gifting the therapeutic ending.
Chapters three and four deal with typical themes in clinical social work, compressing volumes of wisdom into succinct discussions and correlated case stories. I would have liked more discussion on teen depression, medication, and suicide; however, the themes she did cover were handled masterfully: Illness, death, emergent sexuality, foster care and adoption, and multicultural issues were thoroughly explored. Modalities and programs were also well addressed; along with family therapy, adolescent group therapy, and specific treatment settings and placements.
This is the work of a skilled, compassionate and experienced clinician, supervisor and teacher who speaks directly to the concerns of a beginning clinician in clear, straight-forward language, retaining appreciation of the complex and intricate balance between theory and practice, therapist and client. Aiello answers well the question she poses in the introductory chapter, "How can we translate these theories into plain, practical speech that is useful to our clients?" The question itself illumines her approach; a client centered one that makes skillful eclectic use of theory to facilitate client healing, growth and empowerment. Indeed, the children and adolescents she introduces to her reader come alive in her pages.
She addresses therapeutic intervention as "a deeply human and relational art" with a social work perspective, the pragmatic attention to disadvantaged contexts interwoven with universal psychological concerns and conditions. She gives a clear explanation of the social work orientation and how it has influenced psychoanalysis and the social work contribution to psychotherapy.
Deliberately chosen severe problems point subtly to our need as a society to devote resources to our childrens health, demonstrated by subtle correlation between successful outcomes for children and resources invested in adequate therapeutic remediation. These mild references to our national refusal to generate adequate resources for troubled children were perhaps too subtly stated to create much impact on her readers. However, since her intended audience is comprised of beginning social work practitioners, perhaps more emphasis on the unmet needs of children would have amounted to preaching to the choir.
Yet, it is important to notice Aiellos correlation between sustained improvement in child and adolescent functioning and resources for thorough treatment, a factor as vital as the skill and devotion of the clinician. Since this commitment of resources by society is the first premise held by social workers, the raison dêtre for the existence of the profession, no emphasis on the social work perspective is complete without a strong argument in this area. In this book, the social work perspective is elucidated more successfully in discussions of diverse and culturally disadvantaged populations. It literally shines when discussing female adolescent sexuality, physically disabled children and children placed in residential and day treatment programs.
I predict a place on the social work clinicians bookshelf for this excellent practice primer long beyond the days of internship, as a continuing reference and support for work with challenged and challenging clients and populations.
Patricia Reed is a student at Iliff School of Theology in the dual program at the University of Denver's School of Social Work. She will gradaute in May 2000 with an M.Div. (master of divinity) and in May 2001 with an M.S.W. She is currently completing my internship in inpatient addiction recovery programs and has experience in teaching educational and preventive programs in the substance abuse field. In addition, she has a concentration in pastoral counseling and an undergraduate degree in psychology and religion.
To discuss this book or the review you have just read, join the Metapsychology Discussion E-Mail Group by going to this URL: http://www.onelist.com/subscribe/metapsy-discussion