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Utilizing a decade's worth of clinical experience gained since its original publication, Mary Jo Peebles builds and expands upon exquisitely demonstrated therapeutic approaches and strategies in this second edition of Beginnings. The essential question remains the same, however: How does a therapist begin psychotherapy? To address this delicate issue, she takes a thoughtful, step-by-step approach to the substance of those crucial first sessions, delineating both processes and potential pitfalls in such topics as establishing a therapeutic alliance, issues of trust, and history taking. Each chapter is revised and expanded to include the latest treatment research and modalities, liberally illustrated with rich case material, and espouse a commitment to the value of multiple theoretical perspectives. Frank and sophisticated, yet eminently accessible, this second edition will be an invaluable resource for educators, students, and seasoned practitioners of any therapeutic persuasion.
- Sales Rank: #580812 in eBooks
- Published on: 2012-08-21
- Released on: 2012-08-21
- Format: Kindle eBook
Review
"With clear prose that reveals her clinical wisdom; (Peebles) emphasizes the importance of developing a working alliance...A large portion of the book is devoted to a categorization of concerns that is nothing short of brilliant... She goes out of her way to welcome readers of other theoretical orientations by largely avoiding psychoanalytic jargon and by explaining herself in plain English...This book is aimed at beginners, but the clinical wisdom is so pervasive that anyone can enjoy it... Peebles is the best kind of consultant; she reminds you of who you are when you are at your best (a leitmotif of the book is doing this for patients). As a practitioner for almost 40 years, I was delighted to find what felt like an old friend and colleague, someone who sees the world as I do, but with more clarity." --Michael Karson, PhD, JD., ABPP, University of Denver--Graduate School of Professional Psychology, Psychotherapy Bulletin
"The second edition of this wonderful guide for psychotherapists is a gift to all of us who struggle with tailoring the therapeutic approach to the specific, idiosyncratic qualities of each patient. Mary Jo Peebles combines rigorous scholarship and her own subjective observations about how to begin psychotherapy in a way that assures the treatment course will follow the optimal path that both patient and therapist seek. She illuminates many of the dark uncertainties that haunt therapists as they approach their new patients, and she provides invaluable advice for even the most experienced therapists. I heartily recommend this volume to both new students and senior clinicians." - Glen O. Gabbard, M.D., author, Long-Term Psychodynamic Psychotherapy
"Beginnings is an outstanding introduction to the craft and science of psychotherapy for trainees from a broad range of professional backgrounds and theoretical orientations. Peebles seamlessly weaves together theory, research, and clinical wisdom with the unique voice and sensibility of a master clinician and teacher. Replete with vivid clinical examples and hard-earned insights, this book stands in a class of its own. Readers will find themselves carried along on a panoramic tour of the psychotherapy landscape that is both practical and inspiring." - Jeremy D. Safran, Ph.D., Professor of Psychology, New School for Social Research, and Faculty, NYU Postdoctoral Program in Psychotherapy and Psychoanalysis
"This gracefully written book elaborates the well-founded belief that a good beginning holds the key to effective psychotherapy. Peebles marshalls in convincing fashion the ample evidence that good beginnings have two essential components: a positive working alliance characterized by trust, respect, and positive expectations and a clear treatment focus consisting of patient-therapist agreement on the goals of the treatment and the procedures that will be followed in pursuing these goals. In doing so, she combines extensive coverage of relevant theoretical formulations and research findings with detailed guidelines for implementing good beginnings and numerous illustrative case excerpts. This is one of those rare books that will be appreciated by psychotherapy researchers and practitioners alike and valued by psychotherapists at all levels of experience." - Irving B. Weiner, Ph.D., Clinical Professor of Psychiatry and Neurosciences, University of South Florida
"My interest is to train therapists in evidence-based treatments that have the validated treatment methods but typically lack a framework to incorporate the therapist's emotional and personal experiences toward optimizing the therapeutic relationship. The field needs Dr. Peebles' book to help us navigate the ambiguities of psychotherapy, guide us to listen before choosing the evidence-based intervention, and listen more to evaluate our choices. I like best the way she discusses the often abstract concept of boundaries; she gets right to the point of how to set healthy boundaries, be empathic, and stay connected and on course in the midst of often intense emotional struggles." - Edmund C. Neuhaus, Ph.D., ABPP, Assistant Clinical Professor of Psychology, Harvard Medical School
"When I read the first edition of Beginnings, I told my students and colleagues it was the best therapy book I had read in a decade, and it has been required reading for my students ever since. I know of no other book that offers so clear a window into the thought processes of a master clinician. With this new edition, Peebles transcends mere wisdom and achieves poetry." - Jonathan Shedler, Ph.D., Associate Professor of Psychiatry, University of Colorado School of Medicine
"Acquired over decades, Dr. Peebles' mastery of the craft is abundantly evident throughout her book; she offers readers a plethora of plans, guides, and tools, generously illustrated with clinical examples and vignettes...Therapists at all levels of experience have much to learn from the work of this master, but I wish especially that beginning therapists, who are liable to be assaulted with the injunction to practice narrowly focused, evidence-based treatments, would read this book for a glimpse of the broad vista and to appreciate the staggering array of options for interventions open to the therapist at every turn of the journey." - Jon G. Allen, Ph.D., Bulletin of the Menninger Clinic
About the Author
A psychoanalyst and writer, Mary Jo Peebles, Ph.D., studied, practiced, and taught at the Menninger Clinic for nearly two decades, was a member of the medical staff at Chestnut Lodge Hospital, and completed independent fellowships in child/adolescent and adult psychology. She is board certified in clinical psychology and clinical hypnosis, is a psychoanalyst and member of the American Psychoanalytic Association, and trained in family systems theory, biofeedback, and EMDR. Dr. Peebles has given workshops and presentations internationally on therapy planning, trauma, and psychological testing, and currently works with children, adolescents, and adults in private practice in Bethesda, MD, where she has resided for the past 12 years.
Most helpful customer reviews
6 of 6 people found the following review helpful.
Developing "New Eyes"
By Sheryle Gallant
"The voyage of discovery lies not in finding new landscapes, but in having new eyes"--Marcel Proust
"Beginnings, the Art and Science of Planning Psychotherapy" by Mary Jo Peebles-Kleiger, is a tremendous resource not only for working with clients in therapy, but equally in my opinion, for conceptualizing clients based on test findings. Those of us who teach assessment have long needed a text like this. In beautifully clear and compelling prose, Dr. Peebles-Kleiger combines meticulous scholarship with deeply thoughtful and provocative analyses to create a truly integrative framework for understanding those we wish to help.
I am a faculty member in the Clinical Psychology program at the University of Kansas. My specialty is personality assessment. I teach two required courses to our clinical graduate students, one on the "mechanics" of administering, scoring, and interpreting several widely used instruments (e.g., MMPI-2; Rorschach), and a second course on the integration of test findings. In 10 years of teaching assessment and report writing, I have consistently found that gaining expertise in instruments such as the Rorschach and the MMPI-2 is quite challenging for students. However, the greatest difficulty students encounter (and in my experience this is true of even the brightest students) is in developing the ability to integrate and contextualize test findings in a way that creates an accurate, rich and meaningful understanding of "a person."
This process is as fundamental in assessment as in therapy. However, unlike the therapy context in which this often occurs over a series of sessions in which information about a client is accumulated and digested, in the assessment context an examiner must integrate a great deal of information in the form of test findings that comes all at once. To do this sucessfully requires having a broad as well as deep and also flexible understanding of psychological disturbance, and this is just what Dr. Peebles-Kleiger provides in this remarkable book.
I began this review with a quote from Proust because I believe it speaks to the essence of Dr. Peebles-Kleiger new book. This is a text that can give us and our students new eyes.
3 of 3 people found the following review helpful.
A New Classic
By James H. Hutchinson
The First Issue of "Beginnings" by Mary Jo Peebles, was a fine book. The second edition, is destined a classic. Ten years of clinical experience and reflection have given the book a new grace and depth. It assembles an impressive list of qualities not usually found in the same book.
It is an excellent basic text for psychotherapists from any professional background attempting to orient him- or herself to the complexities of the field. Experienced pscyhotherapists will find new, important and interesting perspectives at every turn. The book is carefully researched and documented with 50 pages of foot notes. It is clear and readable. It is rare to find writers who can do justice to the scientific and artistic roots of treating psychiatric patients. Dr. Peebles seems to find science and art equally essential and I think, equally beautiful. It is rare to find a practitioners open and responsive to schools of thought in which they are not trained. Dr. Peebles has immersed herself in a diverse range of training and is obviously open to considering information from any source that is helpful. Where other contend she seeks an open exchange of ideas.
The book considers several essential areas. A topic she introduces early and elaborates throughout the book is creating and maintaining a trusting partnership with the patient. There is an excellent section on the different ways of obtaining and organizing the critical information needed for treatment. She stresses the necessity of accurate assessment (diagnosis) of any disease processes and distinguishes disease from the equally important detailed empathic awareness of the impact of the disease on the patient's feelings, thinking, physical capacities and social functioning (illness). An essential aspect of her assessment is a detailed assessment of the patient's strengths and vulnerabilities. Her formulation are sophisticated Treatment planning involves establishing mutually goals clear to both parties, selecting methods which utilize the patient's strengths and address their vulnerabilities. She sees the therapuetic process as a dialectic with the patient in which diagnostic precision, the alliance, the goals, and the means of working together are all being refined.
While her clinical vignettes are manufactured, she has so much clinical experience that they illustrate ring true. She is the first person I have ever read who has made clinical vignettes where the therapist makes comments based on different schools of therapy, so the reader can appreciate the different focus of attention and different objectives of these different schools. She does the work in 375 pages
I have the privilege of teaching beginning psychotherapy to a superb group of psychiatric residents. We have a new basic text.
3 of 3 people found the following review helpful.
Comprehensive, clear, well-written, and humane
By Marian K. Shapiro
It's been at least 20 years - probably longer - since I've read a basic book on psychotherapy as fine as this one. To give you a context (which Peebles stresses as a fundamental way of reaching the patient), I am a psychologist with over 30 years experience, specializing in the treatment of trauma; in addition, I have been an English/writing teacher, and practice as a poet. Most basic books are either ponderously written, full of over-generalizations, full of omissions, or cook-book instructive according to the author's bias. Beginnings, however, is beautifully written, with metaphors that grab the reader; relevant examples illustrate Peebles' points, and the tenor is one of humanistic and open-minded opportunity. Her reference list is long and relevant.
Beginnings is an expensive book: I wouldn't recommend it if it weren't worth every penny, both for the novice as well as the experienced therapist, with all levels in between. Go thou and buy it! Mark it up! And pass it on.
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