Self-System Therapy for Depression: Therapist Guide
Kari M. Eddington et al.
Published:
2017
Online ISBN:
9780190602536
Print ISBN:
9780190602512
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Self-System Therapy for Depression: Therapist Guide
Kari M. Eddington et al.
Chapter
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Kari M. Eddington,
Timothy J. Strauman,
Angela Z. Vieth,
Gregory G. Kolden
Pages
48–67
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Published:
November 2017
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Eddington, Kari M., and others, 'Orientation Phase (Sessions 1–4)', Self-System Therapy for Depression: Therapist Guide, Treatments That Work (
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Abstract
Chapter 5 provides a session-by-session guide to the orientation phase of self-system therapy (SST). The main goals of orientation are to familiarize the client with the structure and focus of SST and to establish a strong, collaborative working alliance that supports the client’s efforts in identifying and addressing underlying sources of problems in self-regulation. The orientation phase involves educating the client about self-regulation, reinstating goal-directed activities, conducting a self-in-context assessment, and developing a problem formulation. The therapist completes an evaluation of the client’s presenting problems, introduces the idea of self-regulation, and searches for the possible origins of self-guides and standards to develop a formulation of the problems with self-regulation that are most directly associated with the depression. SST emphasizes the breakdown in motivation that characterizes episodes of depression and uses the orientation phase to begin to increase the client’s level of goal-directed activity (especially promotion-oriented activity) and identify targets for change.
Keywords: depression, goals, behavioral activation, self-system therapy, interpersonal psychotherapy, self-in-context assessment, case formulation
Subject
Psychosocial Interventions and Psychotherapy Clinical Psychology
Series
Treatments That Work
Collection: Oxford Clinical Psychology
© Oxford University Press
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