Case Studies in Emotion-Focused Treatment of Depression: A Comparison of Good and Poor Outcome
For individuals in the U.S. & U.S. territories
In Case Studies in Emotion-Focused Treatment of Depression: A Comparison of Good and Poor Outcome, authors Jeanne C. Watson, Rhonda N. Goldman, and Leslie S. Greenberg offer a behind-closed-doors look at brief emotion-focused therapy (EFT) in the treatment of depression, capturing the state of the art of this important and widely used therapy.
Six in-depth case studies—three of which result in a good outcome and three in a poor outcome—exemplify the principles of EFT and show how treatment progresses. The six clients depicted vary widely in their background, personalities, and beliefs about the roots of their depression, vividly demonstrating the utility of EFT across a range of circumstances. Meticulous session-by-session descriptions of the therapy process include extensive dialogue and postsession evaluations using a variety of objective process measures. These measures illuminate clients' moment-to-moment cognitive-affective processing and their perspectives on self and others.
The focus on therapists' strategic choices deepens readers' understanding of the interaction between client and therapist as therapy unfolds. Client characteristics that influence outcome are compared and discussed to help therapists identify who may or may not benefit from brief EFT. Finally, the authors help readers more quickly identify when clients may be having difficulty in brief EFT and present a set of therapeutic strategies for working with these clients.
Written by leading authorities on EFT, this book can serve as a companion to Greenberg and Watson's treatment manual Emotion-Focused Therapy for Depression, also published by the American Psychological Association. Alone or together, these volumes are an invaluable resource for practicing clinicians, researchers, and students interested in the effective treatment of depression.
Preface
I. Introduction
- Introduction: Overview of the Treatment Protocol
II. Cases With Good Outcome
- Evoking and Exploring Emotion
- Generating New Emotional Responses
- Validating an Emerging Sense of Self
III. Cases With Poor Outcome
- Bonding Inhibited
- Fear of Emotion
- Disparate Therapeutic Goals
IV. Implications for Practice
- Comparing and Contrasting: Identifying Factors That Contribute to Positive and Negative Outcomes
- Therapeutic Strategies: Generating Alternatives
References
Index
About the Authors
Jeanne C. Watson, PhD, is an associate professor in the Department of Adult Education and Counselling Psychology at the University of Toronto, Ontario, Canada. She did her graduate training in client-centered therapy and studied psychotherapy processes and outcomes with Laura Rice at Toronto's York University. Her experience with Dr. Rice impressed on her the power of being attuned to clients' moment-to-moment experiencing and the need to understand each client's unique perspective. Subsequently, she worked with Leslie S. Greenberg to integrate gestalt approaches and began to develop more fully as an emotion-focused therapist in her work with both individuals and couples. Dr. Watson continues to do research on the processes and outcomes in emotion-focused therapy and has written extensively on empathy, the working alliance, emotional expression, depression, and the theory and practice of emotion-focused therapy.
Rhonda N. Goldman, PhD, is an associate professor at the Illinois School of Professional Psychology at Argosy University in Chicago and a staff therapist at the Family Institute at Northwestern University in Evanston, Illinois. She became interested in process-experiential therapy in graduate school, where she worked with her mentor, Leslie S. Greenberg. Process-experiential therapy combined her various interests in existential philosophy, client-centered therapy, Zen Buddhism, and gestalt therapy. Currently, she practices, conducts research, and writes about emotion-focused therapy, including empathy, vulnerability, depression, and case formulation. She is interested in the applicability of the process-experiential approach for work with a variety of populations.
Leslie S. Greenberg, PhD, is a professor of psychology at York University in Toronto, Ontario, Canada. After completing a master's degree in engineering in 1970, he changed paths and trained in client-centered therapy with Laura Rice. He trained for 3 years at the Gestalt Institute of Toronto. He graduated in 1975 and then began a 15-year odyssey to integrate gestalt and client-centered therapy and to embed them in emotion theory. After training in more directive systemic approaches, he integrated these approaches into the development of an emotionally focused approach to couples. The style of integrating, leading, and following that is at the heart of process-experiential therapy grew from these influences. Dr. Greenberg has written extensively on the theory and practice of emotion-focused therapy with couples and individuals.
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