Single-Session ‘One-at-a-Time’ Therapy: A Rational Emotive Behaviour Therapy Approach

Description

Single-Session ‘One-at-a-Time’ Therapy: A Rational Emotive Behaviour Therapy Approach details a specific approach to Single-Session Therapy (SST) known as ‘One-At-A-Time’ (OAAT) Therapy and shows how this can be implemented from a Rational Emotive Behaviour Therapy (REBT) perspective. Windy Dryden argues that OAAT Therapy is a time-efficient, cost-effective means of providing help according to need. Single-Session ‘One-at-a-Time’ Therapy outlines an innovative and experimental approach to improving mental health and will appeal to psychotherapists and counsellors looking for an accessible and authoritative guide to brief therapeutic work. Cover Endorsements Half Title Series Information Title Page Copyright Page Table of contents Preface 1 Two pathways to help Two pathways to help Pathway 1: Help at the point of availability Pathway 2: Help at the point of need This book One-at-a-Time (OAAT) Therapy in a nutshell Rational Emotive Behaviour Therapy (REBT) in a nutshell 2 Rational Emotive Behaviour Therapy: An introduction Terminology Rational From beliefs to attitudes From ‘rational’ to ‘flexible and non-extreme’ and ‘irrational’ to ‘rigid and extreme’ Types of attitudes Rigid and extreme attitudes Flexible and non-extreme attitudes REBT’s situational ABC model Origin and maintenance of disturbance The origin of psychological disturbance The maintenance of psychological disturbance Theory of change Skills and strategies Notes 3 Single-Session Therapy and One-at-a-Time Therapy: An introduction Terminology Single-Session Therapy (SST) One-at-a-Time (OAAT) Therapy The single-session mindset in action Celebrate the power of ‘now’ and create an expectation for SST/OAAT therapy Develop an end-of-session focus Agree on a focus in the session Keep on track Utilise client strengths Negotiate a solution Provide and/or utilise resources Clarify next steps My own applications of SST Note 4 Good practice in SST/OAAT therapy Agree why we are here and what can we do The REBT position Engage the client quickly through the work The REBT position Be prudently active The REBT position Be focused and help the client stay focused The REBT position Elicit the problem from the client’s perspective The REBT position Assess the problem1 The REBT position Elicit the client’s goal/preferred future and keep focused on this The REBT position Ensure that the future focus is underpinned by a value, if possible The REBT position Explain interventions whenever practicable The REBT position Encourage the client to be as specific as possible but be mindful of opportunities for generalisation The REBT position Identify and encourage utilisation of client strengths The REBT position Identify and encourage utilisation of external resources The REBT position Identify previous attempts to solve the problem The REBT position Make liberal use of questions The REBT position Ensure client understanding and agreement The REBT position Identify and respond to the client’s doubts, reservations and objections (DROs) The REBT position Make an emotional impact The REBT position Encourage the client to take one meaningful point from the single session The REBT position Encourage the client to practise the solution in the session The REBT position Strive to end the session on an encouraging note The REBT position Note 5 Contributions from REBT to OAAT therapy Adopt an adversity focus Help the client set goals in response to the adversity Use the ABC framework Identify the ‘A’ Help the client to set a meaningful and realistic adversity-based goal Emphasise choice of attitude Engage the client in meaningful questioning of both attitudes Encourage attitude-based practice of the solution in the session Help the client understand the change process Help the client to develop and implement a cognitive-behavioural plan 6 The role of context in OAAT therapy OAAT therapy by walk-in Service considerations OAAT therapy by appointment Change in advertised focus Flexibility in OAAT The structure of an OAAT therapy session at AUB OAAT in private practice Note 7 REBT-based OAAT therapy ‘Swiping right’ Suggest pre-session preparation Clarify parameters of OAAT therapy Initiate goal orientation Identify strengths, resiliency factors and values Identify external resources Create a focus Carry out an adversity-based assessment Using the Situational AC part of the ABC framework Set an adversity-based goal Focus on basic attitudes and choice Identify ‘B’ Underscore attitudinal choice Initiating attitude change Encourage in-session practice of the solution Help the client to develop a plan Encourage the client to summarise Explain and encourage the implementation of the ‘reflect-digest-act-let time pass’ process The ‘reflect-digest-act-let time pass’ process The use and misuse of OAAT therapy Deal with last-minute issues and end well Notes 8 REBT-based OAAT therapy in action ‘Swiping right’ Suggest pre-session preparation Clarify parameters of OAAT therapy Initiate goal orientation Identify strengths, resiliency factors and values Identify external resources Create a focus Carry out an ABC assessment of the problem and possible solution Focus on basic attitudes and choice Encourage in-session practice of the solution Help the client to develop a plan Encourage the client to summarise Explain and encourage the implementation of the ‘reflect-digest-act-let time pass’ process Deal with last-minute issues and end well Follow-up Note References Index