Interpersonal Reconstructive Therapy: Promoting Change in Nonresponders - Hardcover

"Essential reading for anyone interested in psychotherapy with 'difficult' cases. Benjamin's clearly articulated model of psychopathology and psychotherapeutic change processes integrates insights from interpersonal, psychodynamic, cognitive-behavioral, and attachment theory. Detailed clinical case material is provided throughout the book to illuminate key points. I have found this book extremely helpful in my clinical work as well as in my teaching. Students, clinical teachers, and experienced psychotherapists will be raving about this book for many years to come."--George Silberschatz, PhD, Department of Psychiatry, UCSF School of Medicine

"Interpersonal Reconstructive Therapy is a complex, but rewarding book which describes effective treatment strategies and techniques for working with ‘nonresponders' or patients with psychiatric conditions that were previously untreatable. Dr. Benjamin combines psychodynamic and cognitive behavioral theory to address dysfunctional patterns of behavior, while providing therapists with flow charts to make sound clinical interventions and facilitate effective outcomes."--Muriel Prince Warren, DSW, ACSW, Behavioral Science Book Service Advisory Board Member

"An astute and compassionate clinician, Dr. Benjamin fulfills our highest expectations as an insightful and sophisticated teacher of therapeutic science. Interpersonal Reconstructive Therapy is a work of impeccable scholarship in which therapeutic complexities are assessed clearly and incisively, employing a set of concise principles. Benjamin brilliantly conceptualizes her groundbreaking model and illustrates this authoritative guide with fascinating clinical examples. With her well-articulated method of social structural analysis, she demonstrates a tool--a lens, as she terms it--that codifies and links biographic history and a patient's presenting problem. Elucidating her approach impressively and persuasively, Benjamin has written an illuminating text for thinkers, therapists, psychiatric residents, and clinical graduate students."--Theodore Millon, PhD, DSc, Institute for Advanced Studies in Personology and Psychopathology

"A practicing psychiatrist and educator, I have used earlier drafts of this book in training growing numbers of experienced clinicians. Like myself, my trainees have found IRT well worth learning. It provides strategies for conducting therapy in a focused, original way that is highly likely to result in constructive, stable change for many patients who were previously unresponsive to treatment. This book encapsulates Dr. Benjamin's decades of work to objectively define psychopathology and the components of effective psychotherapy. It offers an inherently wise, user-friendly articulation of central psychological concepts, with specific intervention guidelines and rich clinical examples. This is inspiring reading for experienced clinicians and a vital resource for teaching and training."--Kathleen Sigrist Levenick, MD, Clinical Assistant Professor of Psychiatry, University of Wisconsin-Madison

"Clinicians have long been plagued with the dilemma of how to work with complicated and difficult-to-treat clients. Clinical experience and research tells us that even with our most effective interventions, symptom reduction is more difficult to bring about when dealing with nonresponders. In this clearly written, practice-oriented book, Benjamin provides us with a unique blend of clinical experience, clear thinking and balanced wisdom. Demonstrating a sophisticated integration of psychodynamic and cognitive-behavioral therapy, Benjamin maintains that both self-discovery and self-management are required to bring about change. How this can be accomplished is clearly spelled out in this most important contribution to the field."--Marvin R. Goldfried, PhD, Department of Psychology, State University of New York at Stony Brook

"Lorna Smith Benjamin is a master clinician and teacher. She has written what now becomes the best available guide to the art and science of psychotherapy. Her interpersonal method is presented in such a clear and compelling manner that the book is an excellent introduction for the novice, but also a gold mine for the more experienced."--Allen J. Frances, MD, Department of Psychiatry, Duke University

"Lucidly written and clinically compelling, Interpersonal Reconstructive Therapy helps graduate student therapists understand and intervene more effectively with their clients. In the best of the scientist-practitioner tradition, Benjamin flexibly integrates different theoretical approaches, and utilizes an attachment-informed perspective, to create this comprehensive, evidence-based approach. Completing an exit survey as they approached graduation, a number of my students reported that this was the most helpful text they had read in their graduate training. Wise and compassionate, this text is a gift to our field."--Edward Teyber, PhD, California State University, San Bernardino

For individuals with chronic, complex problems that include multiple Axis I disorders comorbid with personality disorders, the barriers to change are significant. This book presents a powerful therapeutic approach that integrates psychodynamic, cognitive-behavioral, client-centered, and other techniques to empower patients to overcome these barriers by fostering change in personality. Interpersonal Reconstructive Therapy (IRT) is grounded in an innovative case formulation method that systematically links symptoms to maladaptive patterns in attachment relationships. IRT offers a step-by-step framework for structuring interventions to promote learning of new, healthier patterns, while blocking problem behaviors and building a strong therapeutic alliance. A new preface in the paperback edition addresses current developments in IRT research and practice.