Vacation-separations: Therapeutic implications and clinical management

Webb, Nancy Boyd

doi:10.1007/bf00756039

Cited by 10 publications

(5 citation statements)

References 2 publications

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“…Although there is a dearth of empirical research on therapist-initiated separations, considerable anecdotal evidence documents that clients' reactions to breaks in treatment are similar to, though perhaps less intense than, the reactions of children to separations. For example, in a small survey conducted by Webb (1983) clinicians reported that clients reacted most commonly with anger and anxiety, feelings often associated with fears of abandonment, and some reported that clients looked forward to resuming sessions (i.e., reunion). In residential settings, patients may respond to separations with violence (Adshead, 1998) or their symptoms may destabilize (Persaud & Meux, 1994).…”

Section: Phase 3: Clear-cut Attachmentmentioning

confidence: 99%

The development of the client-therapist bond through the lens of attachment theory.

Obegi¹

2008

Psychotherapy: Theory, Research, Practice, Training

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The bond between client and therapist, a component of the global alliance, is widely believed to play a crucial role in supporting the work of therapy. However, we know little about how the client-therapist bond becomes established and have few theoretical tools to conceptualize its development. Attachment theory, with its focus on the development and dynamics of intimate relationships, is a lens through which we can expand our understanding of the client-therapist bond. I argue that the therapeutic bond may be usefully viewed as an in-progress attachment to therapists. Using Bowlby (1969/1982) and Ainsworth's (Ainsworth et al., 1978) ideas about normative attachment development, I present a phase model of attachment to the therapist and include behavioral, cognitive, emotional, and physiological markers of each phase. I draw empirical support from the psychotherapy process and alliance literatures and discuss research considerations and clinical implications of the model. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

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Section: Phase 3: Clear-cut Attachmentmentioning

confidence: 99%

The development of the client-therapist bond through the lens of attachment theory.

Obegi¹

2008

Psychotherapy: Theory, Research, Practice, Training

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“…Natural breaks in the client-intern relationship, such as vacations, can be used as opportunities to discuss and preview terminations (Sanville, 1982;Webb, 1983), as was done in one of the cases presented. These ''petit partings,'' (Sanville, 1982, p. 124), provide a preview of the client's reaction to termination, helping the intern better plan for this phase.…”

Section: Previewing Terminationmentioning

confidence: 97%

Challenging Endings: First Year MSW Interns’ Experiences with Forced Termination and Discussion Points for Supervisory Guidance

Gelman

Fernandez

Hausman³

et al. 2007

Clin Soc Work J

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Every year, students prematurely end their work with some clients due to the completion of their internship, rather than the client's achievement of goals and thus a more natural endpoint of treatment. It is important to understand students' experiences with forced termination to provide them with the necessary knowledge, skills, and support to optimally manage this complex phenomenon. This paper reviews the social work literature on forced termination arising from the ending of students' internships and presents, in their own words, the experiences of four first-year MSW interns with forced termination. Finally, based on the literature and as borne out by these students' experiences, some areas for discussion and reflection between interns and their supervisors in handling forced termination are offered.

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“…For example, a month or two without therapy might serve to support patients' strengths and abilities, while not abandoning them to an untenable extended therapy hiatus. It has been found that during a limited absence of therapy, some patients will make gains in self confidence, competence, ability to problem solve, and will develop a greater appreciation of their own strengths (Webb 1983).…”

Section: Treatment Planning For Maternity Leave: Clinical and Adminismentioning

confidence: 99%

Therapist pregnancy and maternity leave: Maintaining and furthering therapeutic gains in the interim

Chiaramonte¹

1986

Clin Soc Work J

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A therapist's pregnancy and maternity leave is a time of multiple transitions for both patient and therapist. This article reviews the literature on therapist pregnancy and its therapeutic implications. It discusses the treatment planning choices of: trial termination, therapeutic hiatus, and temporary transfer. The article further addresses the clinical and administrative issues of planning the maternity leave as well as the issues of time-limited treatment with the interim therapist. It includes illustrative case examples based on the author's experience as an interim therapist during a six month maternity leave.

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Vacation-separations: Therapeutic implications and clinical management

Cited by 10 publications

References 2 publications

The development of the client-therapist bond through the lens of attachment theory.

The development of the client-therapist bond through the lens of attachment theory.

Challenging Endings: First Year MSW Interns’ Experiences with Forced Termination and Discussion Points for Supervisory Guidance

Therapist pregnancy and maternity leave: Maintaining and furthering therapeutic gains in the interim

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