The Function of Assessment within Psychological Therapies: A Psychodynamic View

118 Pages·2004·0.425 MB·English

by  Kamran Ghaffari, Luigi Caparrotta

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THE FUNCTION OF
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8 ASSESSMENT WITHIN
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PSYCHOLOGICAL
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1 THERAPIES
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THE FUNCTION OF
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THERAPIES
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A PSYCHODYNAMIC VIEW
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1 Kamran Ghaffari
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Luigi Caparrotta
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7 First published in 2004 by
8 H. Karnac (Books) Ltd.
9 6 Pembroke Buildings, London NW10 6RE
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Copyright © 2004 Kamran Ghaffari and Luigi Caparrotta
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The rights of Kamran Ghaffari and Luigi Caparrotta to be identified as the
711 authors of this work have been asserted in accordance with §§ 77 and 78 of
8 the Copyright Design and Patents Act 1988.
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20 All rights reserved. No part of this publication may be reproduced, stored
1 in a retrieval system, or transmitted, in any form or by any means,
2 electronic, mechanical, photocopying, recording, or otherwise, without the
prior written permission of the publisher.
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British Library Cataloguing in Publication Data
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A C.I.P. for this book is available from the British Library
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ISBN 1 85575 954 3
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311 Edited, designed and produced by The Studio Publishing Services Ltd,
1 Exeter EX4 8JN
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3 Printed in Great Britain
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www.karnacbooks.com
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111 CONTENTS
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211 ACKNOWLEDGEMENTS ix
1 PREFACE xi
2 FOREWORD BY PHILRICHARDSON xiii
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4 Introduction 1
5 National Health Service model and expectations
6 Mental Health and the role of psychological therapies
7 The role of assessment within psychological therapies
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CHAPTER ONE
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Definitions 7
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Definition of assessment
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Definition and function of the assessor
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CHAPTER TWO
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The referral process 13
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Pre-referral stage
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Referral source and reasons for referral
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Referral letter
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vi CONTENTS
111 Referral route
2 Questionnaires
3 Assessment attendance rate and waiting time
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5 CHAPTER THREE
6 Pre-specialist opinion 21
7 Is psychological intervention the treatment
8 of choice?
9 Is psychological therapy an alternative to
10 pharmacological therapy?
1 Is psychotherapy a suitable adjunct to other
2 therapeutic modalities?
3 Is the patient’s poor compliance with medication
4 amenable to a psychological therapy intervention?
5 Is the clinical picture confounded by disturbance
6 of the personality hampering therapeutic
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8 Can an assessment help to unravel a therapeutic
9 stalemate?
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1 CHAPTER FOUR
2 Specialist assessment 27
3 What are the patient's key problems and
4 difficulties?
511 Listening and history taking
6 Diagnostic assessment
7 Risk assessment
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9 CHAPTER FIVE
311 Suitability for psychological therapy 39
1 Is psychological intervention a suitable form
2 of treatment for this particular patient?
3 Motivation for change
4 Capacity to form a working relationship
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7 Psychodynamic assessment
8 Is the patient suitable for psychodynamic
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111 Capacity to think psychologically (psychological
2 mindedness)
3 Ego strength
4 Relationship to reality
5 Quality of object relationships
6 Affective capacity
711 Frustration tolerance and impulse control
8 Capacity to form a therapeutic relationship
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1 Case formulation 61
2 If the patient is deemed suitable for
3 psychodynamic psychotherapy what is then
4 the psychodynamic formulation?
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6 CHAPTER EIGHT
7 Post-assessment routes 69
8 What treatment modality, where and by whom
9 can the patient best be helped?
211 Post-assessment options
1 Availability of resources
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3 CHAPTER NINE
4 Concluding remarks 73
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6 APPENDICES 75
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REFERENCES 83
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9 INDEX 95
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111 ACKNOWLEDGEMENTS
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211 This book is the result of many years of training and clinical expe-
1 rience and we are indebted to our analysts, supervisors, teachers,
2 colleagues, friends and, most of all, our patients. Although we have
3 endeavoured to be as objective as possible, we cannot deny the
4 impact of our personal and cultural background.
5 We are particularly grateful to Professor Phil Richardson for his
6 warm encouragement and suggestions, to Amaryllis Holland for
7 her diplomatic and brilliant editing skills, to Dr Sheilagh Davies for
8 taking the time to read our first draft, and for their valuable com-
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30 Most of all we would like to thank our wives, Farnaz and Sara,
1 who tolerated our moods and sporadic absences while supporting
2 our endeavour.
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