Outpatient Psychiatry: A Beginner's Guide
Thomas E. Steele, M.D.
Praise for Outpatient Psychiatry
"[T]his brief primer provides knowledge that will reduce therapists’ initial anxiety and heighten their competence in working with outpatients."
—Karnac Review
“Outpatient Psychiatry: A Beginner’s Guide is an invaluable book that should be required reading for all psychiatry residency programs. Since the 1951 publication of Kenneth Mark Colby’s A Primer for Psychotherapists, no other single book has captured the essence of what a psychotherapist-in-training needs to know, until the arrival of Tom Steele’s magnificent guide. With his highly personal (and sometimes irreverent) style, Steele, a master clinician and educator, brings the trainee into the consulting room with wisdom, experience, and practical advice that is unparalleled in today’s fast-paced clinical world."
—John M. Oldham, M.D., Baylor College of Medicine
“This engaging text is a down-to-earth distillation of the author’s decades of experience as a master clinician-educator. He has provided beginning residents with a broadbased, comprehensive resource for conducting the major models of psychotherapy, their commonalities, and the latest supporting psychotherapy research. He is particularly adept in identifying the challenges with which all novice psychotherapists struggle. His ample use of vignettes will undoubtedly appeal to beginning psychiatry residents as will his thoughtful explanation as to why some approaches to the patient are successful while others are counterproductive. Outpatient Psychiatry is the best and most reader-friendly text I know for introducing students to psychodynamic, cognitive-behavioral, brief, and supportive psychotherapies."
—Jerald Kay, M.D., Wright State University School of Medicine
Overview—Contents
Psychiatric residents who are starting their work with outpatients are often anxious—for many, it is the first time that they are truly alone with a patient. They need a single text that provides practical advice as well as a theoretical understanding of essential psychotherapeutic issues. This book reviews issues common to the various psychotherapies, and provides instruction in the five required competencies: psychodynamic, cognitive-behavioral, brief, and supportive therapies, plus psychotherapy in combination with psychotropic medication.
Here in one concise volume are the techniques of the required psychotherapies, pertinentissues fro the expanding field of psychotherapy research, and issues—supervision, maintenance of boundaries, and termination—that are common to all therapies. The book will be useful for not only to early-career psychiatrists but also to therapist trainees in psychology and social work.
Contents
Acknowledgments
Preface
Introduction
Chapter 1: Psychotherapy: An Overview
A brief theoretical detour: what is psychotherapy?
Common elements in psychotherapies
Therapeutic technique and therapeutic context
The nonparallel nature of the five competencies
A few procedural suggestions
Assessment issues
Issues of diagnosis
Chapter 2 : Psychodynamic Psychotherapy
Dynamics and the unconscious
Transference
Countertransference
Patient selection and preparation
Resistance
Treatment interruptions
Use of evidence
Analayzing: confrontation, clarification, interpretation, working through
The "lessons" of psychotherapy
Suggestions for further reading
Chapter 3 : Cognitive-Behavioral Therapy (with Darlene Shaw, Ph.D.)
Introduction
Thoughts vs. Feelings
Identifying Automatic Thoughts
Distorted Thoughts
Challenging Automatic Thoughts
Other CBT Techniques
Implementing CBT
Outline of a Typical CBT Session
Some last words about homework
Chapter 4 : Brief Psychotherapy
Overview
Brief therapy: by design or default
Solution-oriented therapy
Chapter 5: Supportive Psychotherapy
What is being supported?
Specific techniques and the role of advice
Problems of the long-term patient in a residents' clinic
Chapter 6: Psychotherapy with Psychotropic Medication
Background
Models of interaction
Treatment choice: often neither quick nor easy
When are drugs needed?
Psychopharmacology and character
One Therapist or Two?
Suggestions for Further Reading
Chapter 7 : Psychotherapy Research
General issues
A statistical aside
Why is there a differnce between groups?
Enlarging the sample
Chapter 8: Issues Common to the Various Therapies
Supervision
Maintenance of boundaries
Termination
Envoi
References
About the Author
Thomas E. Stele, M.D., is Professor of Psychiatry and Behavioral Sciences at the Medical University of South Carolina. For more than 25 years, he has been the director of the department’s primary site for residents learning to work with outpatients. He has published numerous articles in the areas of medical education, psychotropic medication, and psychological aspects of chronic renal disease.
ISBN 10: 0-393-70543-9
ISBN 13: 978-0-393-70543-0
2007 /176 pages / paper
