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PSY343H5 (7)
Chapter 7

Chapter 7

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University of Toronto Mississauga
Janet Polivy

Chapter 7Interpersonal Therapies Interpersonal psychotherapy IPT newer and more influential system developed in early 1970s as part of a collaborative research program on depression enthusiastic about combining medication with psychotherapy in combined treatmentTransactional analysis TA older and declining systems Interpersonal school of psychoanalysis Sullivanwas an influential American psychiatrist who found abnormal behavior to be rooted in impaired personal interpersonal relationships and believed it could be ameliorated by an interpersonal variant of psychodynamic therapy Participantobserver therapistemploying a mixture of reflectiveness and engagement in the therapy hour Meyer known for founding the interpersonal school and for his psychobiological approachemphasized the patients current psychosocial environment and posited that many forms of psychopathology represented misguided attempts to adjust to the environment particularly under stressful circumstances or in a stressful environmentIPT was grounded and tested in randomized clinical trials RCTs culmination of research was their 1984 classic book Interpersonal Psychotherapy of Depressionpositive results of their clinical trials led to the NIMH Collaboartive Treatment Study of Depression which tested medicationIPT and cognitive therapy for acute depression IPT substitutes stable interpersonal patterns for stable personality patterns psychotherapy systems are beginning to lose their personalities depression and other disorders occur within an interpersonal contextinterpersonal life affects mood and mood affects how the individual handles his or her interpersonal roles four major interpersonal problems produce depression and other forms of psychopathology interpersonal loses disputes transitions and deficits 1 loss and grief when a loved one dies normal to react with grief sad mood and social withdrawlbut does not generally require treatmentgrief begins to decrease in a matter of months and grieving individual comes to terms with the loss abnormal grief reactions may complicate this and lead to depression and other pathologies those who do not complete a normal grieving process may exhibit a profound grief reaction when faced with a less significant loss or with a reminder of the original loss 2 role disputesoccur when the patient and significant other hold incompatible expectations in their relationship patients may feel they have no control of their relationship and may be afraid of losin the other role disputes fall into one of three stages 1renegotiation both parties are aware of all the dispute and are trying to bring about a solution the patient need to utilize more adaptive communication patterns in the relationship
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