This book presents, for the first time, a practical manual for psychodynamic-interpersonal therapy. This evidence-based conversational model places strong emphasis on the relational aspects of therapy, and provides a comprehensive approach to a wide variety of presenting issues. Drawing together forty years of research, teaching and practice, the expert authors take you through the model’s theory, skills and implications for practice. Part I sets out the underlying theory, placing the model in context, and setting out the evidence base for its efficacy and effectiveness with client groups and presenting issues. Part II guides you through the clinical skills of the model, from foundational to advanced, and demonstrates the application of competencies throughout the therapeutic process. Part III offers practical guidance on learning and implementing the approach within a range of settings, and developing effective practice through reflection and supervision. This book is a must-read for those training in counselling and psychotherapy, and experienced practitioners looking to broaden and develop their practice.

Advanced Psychodynamic-Interpersonal Skills

Advanced Psychodynamic-Interpersonal Skills


This chapter describes the remaining five key competencies of PI therapy: explanatory hypotheses, PI therapy rationale, sequencing of intervention, relating interpersonal change to therapy and patterns in relationships. These help the therapist to explore the client’s problem in depth and facilitate the development of a coherent and shared description of the problem. At the end of this chapter we also discuss problematic behaviours that the therapist should avoid. These are rarely discussed in therapy manuals, but we believe a fundamental aspect of any therapeutic endeavour is not to do harm and we include some guidance on what to avoid.

Stage 3 competencies

3.1 Explanatory hypotheses

These statements are more complex than understanding or linking hypotheses (see Chapters 4 and 5) and are ...

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