Preface |
|
xvii | |
|
Making the Most of this Book |
|
|
xviii | |
|
|
xviii | |
|
|
xix | |
|
|
xix | |
Acknowledgments |
|
xx | |
|
Acknowledgments from Brian N. Baird |
|
|
xx | |
|
Acknowledgments from Debra Mollen |
|
|
xxi | |
Chapter 1 Preparation |
|
1 | (10) |
|
|
1 | (1) |
|
First the Paperwork-then the Adventure |
|
|
2 | (1) |
|
A Very Brief Word About Terminology |
|
|
2 | (1) |
|
Meeting with Your Instructor |
|
|
3 | (1) |
|
Finding and Selecting a Placement |
|
|
3 | (3) |
|
|
4 | (1) |
|
|
5 | (1) |
|
Individual Internship Agreements |
|
|
5 | (1) |
|
|
6 | (2) |
|
|
8 | (3) |
Chapter 2 The Adventure Begins |
|
11 | (23) |
|
|
11 | (1) |
|
|
12 | (1) |
|
Enthusiasm Meets Experience |
|
|
13 | (1) |
|
|
14 | (1) |
|
The Role of the Professional |
|
|
15 | (1) |
|
Making the Most of Your Internship |
|
|
16 | (2) |
|
Academia Meets the "Real World" |
|
|
16 | (1) |
|
Take Responsibility for Learning |
|
|
16 | (1) |
|
Remember That You Do Know Some Things |
|
|
17 | (1) |
|
Get Help When You Need It |
|
|
17 | (1) |
|
|
18 | (1) |
|
Age and Experience Issues with Clients and Supervisors |
|
|
19 | (3) |
|
Diversity Issues with Clients and Supervisors |
|
|
21 | (1) |
|
|
22 | (1) |
|
|
23 | (1) |
|
Clinical and Ethical Issues Pertaining to Fees |
|
|
24 | (1) |
|
|
25 | (3) |
|
Evidence-Based Practice, Empirically Supported Treatments, and Practice Guidelines |
|
|
26 | (2) |
|
Inoculation: What Not to Learn on an Internship |
|
|
28 | (2) |
|
|
30 | (4) |
Chapter 3 Internship Classes and Peer Groups |
|
34 | (7) |
|
Giving and Receiving Feedback as Peers |
|
|
34 | (2) |
|
The Importance of Empathy |
|
|
35 | (1) |
|
|
36 | (1) |
|
Acknowledging Imperfection |
|
|
36 | |
|
Structured Class or Group Activities |
|
|
31 | (8) |
|
Video or Audio Recordings of Sessions |
|
|
39 | (1) |
|
|
40 | (2) |
|
Introduction to Journal Work |
|
|
42 | (3) |
|
A Record of Experiences, Reactions, and Thoughts |
|
|
42 | (1) |
|
Reflection and Exploration |
|
|
43 | (1) |
|
Noting Questions, Ideas, and Discoveries |
|
|
44 | (1) |
|
|
44 | (1) |
|
|
44 | (1) |
|
|
45 | |
Chapter 4 Ethical and Legal Issues |
|
41 | (67) |
|
Ethical Standards of the Helping Professions |
|
|
41 | (12) |
|
Specific Ethical Practice and Treatment Guidelines |
|
|
49 | (1) |
|
Enforcement of Ethical Standards |
|
|
50 | (1) |
|
Ethics, Laws, and Regulations |
|
|
50 | (1) |
|
The Health Insurance Portability and Accountability Act (HIPAA) |
|
|
51 | (1) |
|
Ethical Agreement Forms for Interns |
|
|
52 | (1) |
|
Ethical Decision-Making and Ongoing Ethics Study and Training |
|
|
52 | (1) |
|
|
53 | (3) |
|
|
56 | (3) |
|
|
59 | (6) |
|
|
60 | (1) |
|
Safeguarding Records and the HIPAA Security Standards |
|
|
61 | (1) |
|
Sharing Information with Colleagues |
|
|
62 | (1) |
|
Electronic Health Records |
|
|
63 | (1) |
|
Inadvertent Confidentiality Violations |
|
|
64 | (1) |
|
Effects of Confidentiality Violations |
|
|
65 | (1) |
|
Exceptions to Confidentiality |
|
|
65 | (7) |
|
|
66 | (1) |
|
|
67 | (1) |
|
Suicide and Dangerousness to Self |
|
|
68 | (2) |
|
Intent to Harm Others and the Duty to Protect |
|
|
70 | (1) |
|
Legal Proceedings and Court Orders |
|
|
71 | (1) |
|
Insurance Company Inquiries, Managed Care, and Ethical Practice |
|
|
72 | (1) |
|
Confidentiality with Minors |
|
|
73 | (2) |
|
Dual Relationships and Boundary Issues |
|
|
75 | (8) |
|
Sexual Relationships with Clients |
|
|
76 | (1) |
|
Maintaining Professional Boundaries and Dealing with Feelings of Attraction |
|
|
77 | (2) |
|
Nonsexual Dual Relationships |
|
|
79 | (1) |
|
Post-Therapy Relationships |
|
|
80 | (1) |
|
Relationships Between Educators, Supervisors, and Trainees |
|
|
81 | (2) |
|
Ethics in Classes and Groups |
|
|
83 | (1) |
|
|
84 | |
|
|
84 | (1) |
|
|
85 | |
|
|
81 | (9) |
|
|
90 | (4) |
|
Ethical and Professional Concerns About Colleagues |
|
|
90 | (2) |
|
Establishing a Personal, Core Ethical Identity and a Central Commitment to Ethical Conduct |
|
|
92 | (2) |
|
|
94 | (1) |
|
|
94 | (14) |
Chapter 5 Supervision |
|
108 | (32) |
|
|
108 | (1) |
|
Hopes and Fears of Interns |
|
|
108 | (1) |
|
Hopes and Fears of Supervisors |
|
|
109 | (2) |
|
Supervisor Liability Risks |
|
|
110 | (1) |
|
|
110 | (1) |
|
|
111 | (1) |
|
Frequency and Timing of Supervision |
|
|
112 | (1) |
|
What Happens in Supervision |
|
|
113 | (1) |
|
|
113 | (1) |
|
Case Notes and Discussions |
|
|
114 | (1) |
|
Empathy and Experiential Considerations in Case Discussions and Mistakes to Avoid |
|
|
115 | (1) |
|
Video and Audio Recordings and Role-Plays |
|
|
115 | (1) |
|
|
116 | (3) |
|
Observing the Supervisor in Therapy |
|
|
118 | (1) |
|
Remote Supervision: Internet, Telephone, and Other Technologies |
|
|
119 | (1) |
|
|
120 | (1) |
|
|
121 | (1) |
|
Supervision and Therapy: Differences and Similarities |
|
|
122 | (5) |
|
Differences Between Therapy and Supervision |
|
|
123 | (1) |
|
Exploring the Needs and Personal Qualities of Interns |
|
|
124 | (1) |
|
Resistance to Self-Awareness and Change |
|
|
124 | (3) |
|
Transference and Countertransference |
|
|
127 | (1) |
|
Suggested Guidelines for Therapy and Supervision |
|
|
127 | (1) |
|
Problems Arising in Supervision |
|
|
128 | (3) |
|
Ineffective, Inadequate, and Harmful Supervision |
|
|
128 | (1) |
|
Guidelines for Dealing with Conflict |
|
|
129 | (2) |
|
Competency-Based Training and Evaluation |
|
|
131 | (3) |
|
Evaluation of Supervisors |
|
|
134 | (1) |
|
Planning for Future Supervision |
|
|
134 | (1) |
|
|
135 | (5) |
Chapter 6 Diversity Considerations in Practice |
|
140 | (20) |
|
|
140 | (1) |
|
Reasons for Diversity Training |
|
|
141 | (1) |
|
Resistance to Diversity Training |
|
|
142 | (1) |
|
Critical Concepts in Multiculturalism: An Evolution |
|
|
143 | (10) |
|
Self-Awareness: Knowing the Diversity Within Us |
|
|
144 | (3) |
|
Confronting Our Biases and Acknowledging What We Don't (Yet) Know |
|
|
147 | (2) |
|
The Historical Context Must Be Acknowledged |
|
|
149 | (1) |
|
|
150 | (1) |
|
Recognizing and Honoring Strengths |
|
|
151 | (1) |
|
|
152 | (1) |
|
Developing Culturally Sensitive and Relevant Skills |
|
|
153 | (2) |
|
|
155 | (1) |
|
|
155 | (5) |
Chapter 7 Clinical Writing, Treatment Records, and Case Notes |
|
160 | (35) |
|
|
160 | (1) |
|
|
161 | (2) |
|
Improving Writing for Students for Whom English Is a Second Language and Other Culturally Diverse Students |
|
|
161 | (2) |
|
Focused Reading to Learn Writing |
|
|
163 | (1) |
|
|
164 | (1) |
|
|
165 | (3) |
|
|
166 | (2) |
|
Caution: Tastes, Supervisors, and Instructors Vary |
|
|
168 | (1) |
|
|
168 | (7) |
|
Simplify Your Writing But Not Your Clients |
|
|
168 | (2) |
|
|
170 | (1) |
|
|
171 | (2) |
|
|
173 | (1) |
|
|
174 | (1) |
|
The Function and Maintenance of Records |
|
|
175 | (1) |
|
|
176 | (4) |
|
|
178 | (1) |
|
|
179 | (1) |
|
What Stays Out of Records |
|
|
180 | (1) |
|
|
180 | (1) |
|
|
180 | (1) |
|
Progress Notes and Psychotherapy Notes |
|
|
181 | (1) |
|
|
182 | (1) |
|
|
182 | (2) |
|
|
183 | (1) |
|
|
183 | (1) |
|
|
184 | (3) |
|
|
184 | (1) |
|
|
185 | (1) |
|
|
185 | (1) |
|
|
186 | (1) |
|
|
186 | (1) |
|
Psychotherapy and Time-Sequenced Notes |
|
|
187 | (1) |
|
|
188 | (1) |
|
|
188 | (1) |
|
|
189 | (1) |
|
Progress Notes and Supervision |
|
|
189 | (1) |
|
|
190 | (1) |
|
|
190 | (1) |
|
|
191 | (4) |
Chapter 8 Stress and Self-Care |
|
195 | (46) |
|
Client After Client, Day After Day |
|
|
196 | (1) |
|
How Common Is Stress Among Interns? |
|
|
197 | (1) |
|
Trainees with Competence Problems |
|
|
197 | (1) |
|
|
198 | (4) |
|
The Effects on Close Relationships and Families |
|
|
198 | (2) |
|
|
200 | (1) |
|
Effects on Social Relationships |
|
|
200 | (2) |
|
|
202 | (5) |
|
|
204 | (1) |
|
Natural Disasters, Terrorism, Shootings, and War |
|
|
205 | (2) |
|
|
207 | (5) |
|
|
207 | (1) |
|
Stages and Subtypes of Burnout |
|
|
208 | (1) |
|
|
209 | (1) |
|
|
209 | (1) |
|
|
210 | (1) |
|
|
210 | (1) |
|
Recognizing and Understanding Your Own Situation and Burnout |
|
|
210 | (1) |
|
Burnout as a Coping Mechanism |
|
|
211 | (1) |
|
|
212 | (5) |
|
|
213 | (2) |
|
|
215 | (1) |
|
|
215 | (1) |
|
|
216 | (1) |
|
|
217 | (4) |
|
|
218 | (1) |
|
|
219 | (1) |
|
Cognitions About the World |
|
|
219 | (2) |
|
|
221 | (4) |
|
|
221 | (1) |
|
|
222 | (1) |
|
Monitoring Stresses in the Body |
|
|
223 | (1) |
|
Healthy Eating and Habits |
|
|
223 | (2) |
|
|
225 | (2) |
|
|
225 | (1) |
|
|
225 | (1) |
|
|
226 | (1) |
|
Organizational Measures and Peer Support |
|
|
227 | (1) |
|
Organizational Factors and Structured Stress Management |
|
|
227 | (1) |
|
|
228 | (1) |
|
|
228 | (1) |
|
|
229 | (2) |
|
Positive Effects on Therapists |
|
|
231 | (1) |
|
|
232 | (1) |
|
|
233 | (8) |
Chapter 9 Assault and Other Risks |
|
241 | (20) |
|
Risks of Assault or Other Forms of Aggression |
|
|
242 | (2) |
|
|
243 | (1) |
|
|
244 | (1) |
|
Strange Behavior and Strange People Are Not Necessarily Dangerous |
|
|
244 | (1) |
|
Understand Developmental Differences |
|
|
244 | (1) |
|
Understand and Recognize Motivational Factors |
|
|
245 | (1) |
|
Situational Factors and Violence |
|
|
246 | (3) |
|
|
247 | (1) |
|
|
247 | (1) |
|
Controlled Substances and Medications |
|
|
247 | (1) |
|
|
248 | (1) |
|
|
249 | (1) |
|
Recognize Potentially Dangerous Individuals |
|
|
249 | (3) |
|
Assessing Ourselves in Relation to Violence Assessment |
|
|
251 | (1) |
|
Early Prevention of Violence |
|
|
252 | (1) |
|
Institutional Responses to Threats of Violence |
|
|
253 | (1) |
|
Prevention of Imminent Client Violence |
|
|
254 | (1) |
|
|
255 | (2) |
|
|
255 | (1) |
|
|
255 | (1) |
|
|
256 | (1) |
|
Dangerous and Defensive Implements |
|
|
257 | (1) |
|
Assault-Response Training |
|
|
257 | (1) |
|
|
258 | (1) |
|
|
259 | (3) |
|
Social Networking, Personal Privacy, and Safety |
|
|
261 | (1) |
|
|
262 | (1) |
|
|
263 | (1) |
|
|
263 | |
Chapter 10 Closing Cases |
|
261 | (23) |
|
Ethical Considerations and Closing Cases |
|
|
261 | (6) |
|
Understanding Client Reactions |
|
|
267 | (2) |
|
Understanding Intern Reactions and Contributions to Termination |
|
|
269 | (1) |
|
Common Problems in Termination |
|
|
270 | |
|
Toward Successful Termination or Transfer |
|
|
211 | (64) |
|
|
272 | (1) |
|
Working with Supervisors to Prepare for Termination and Transferring Clients |
|
|
272 | (2) |
|
When and How to Notify Clients |
|
|
274 | (1) |
|
Issues to Address in Termination |
|
|
275 | |
|
Techniques for Termination |
|
|
211 | (67) |
|
Transferring Clients to Other Therapists |
|
|
278 | (4) |
|
|
279 | (1) |
|
Preparing Treatment or Discharge Summaries |
|
|
280 | (2) |
|
|
282 | (2) |
Chapter 11 Finishing the Internship |
|
284 | (11) |
|
Concluding the Supervisory Relationship |
|
|
284 | (3) |
|
Reviewing the Intern's Progress and Areas for Further Growth |
|
|
285 | (1) |
|
|
286 | (1) |
|
Ending the Supervisory Relationship |
|
|
286 | (1) |
|
Letters of Recommendation |
|
|
287 | (1) |
|
|
287 | (1) |
|
Guidelines for Soliciting Letters |
|
|
288 | (1) |
|
Procedures for Those Seeking Letters of Recommendation |
|
|
288 | (1) |
|
Concluding Relationships with Staff |
|
|
289 | (1) |
|
|
290 | (1) |
|
|
291 | (1) |
|
Professional, Community, and Political Involvement |
|
|
292 | (1) |
|
|
293 | (2) |
Chapter 12 Frustrations, Lessons, Discoveries, and Joy |
|
295 | (8) |
|
Learning from Whatever Happens |
|
|
295 | (1) |
|
Lessons We Wish Were Not True |
|
|
296 | (3) |
|
The Systems in Which We Work |
|
|
296 | (1) |
|
The Clients with Whom We Work |
|
|
296 | (1) |
|
The Nature of the Problems |
|
|
297 | (1) |
|
The Limits to Our Knowledge and Tools |
|
|
298 | (1) |
|
The People in the Profession |
|
|
298 | (1) |
|
|
299 | (1) |
|
Lessons About the Lessons |
|
|
299 | (1) |
|
|
299 | (3) |
|
|
299 | (1) |
|
The Systems in Which We Work |
|
|
300 | (1) |
|
The Clients with Whom We Work |
|
|
300 | (1) |
|
The Nature of the Problems |
|
|
300 | (1) |
|
The Limits to Our Knowledge and Tools |
|
|
301 | (1) |
|
|
301 | (1) |
|
|
302 | (1) |
Appendix: Selecting or Establishing an Internship Site |
|
303 | (11) |
|
Finding or Selecting an Internship Site |
|
|
303 | (1) |
|
|
304 | (1) |
|
|
305 | (1) |
|
|
305 | (7) |
|
|
306 | (1) |
|
|
307 | (1) |
|
|
307 | (1) |
|
|
308 | (1) |
|
|
308 | (1) |
|
|
308 | (1) |
|
|
308 | (1) |
|
Practical Issues: Location and Times |
|
|
309 | (1) |
|
|
309 | (1) |
|
Preparing Your Internship Application |
|
|
310 | (1) |
|
Letters of Application and Recommendation |
|
|
310 | (1) |
|
|
311 | (1) |
|
|
312 | (1) |
|
|
312 | (2) |
Index |
|
314 | |