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Other Titles in: Brief Therapy | Counselling Psychology
© 1996 | 192 pages | SAGE Publications Ltd
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`Excellent... [the book] explores the "provision of effective counselling with limited resources and under strict time pressures"... with some excellent writing on the nature of time and attitudes to time in counselling and psychotherapy... the evidence in favour [of short-term counselling] is put strongly. Colin Feltham favours it as an approach of choice for certain clients, which should co-exist with (rather than adversarially seek to oust and replace) longer-term therapy... he draws from a wide range of literature, while identifying those key ingredients, skills and strategies that he has found especially significant. He also discusses some of the different contexts in which this work operates... Many of the questions and issues he poses... will be picked up most productively in training and supervision sessions' -

Time-limited counselling - that is, the provision of effective counselling with limited resources and under strict time pressures - is becoming increasingly important as the demand for counselling increases, and the management of waiting lists and costs becomes a crucial concern.

In this clearly written book, which incorporates useful, illustrative examples, Colin Feltham outlines the specific practical and technical skills, strategies and knowledge counsellors must have in order to undertake time-limited counselling. Following an examination of the client's induction into counselling, he describes the most appropriate models for different clients and problems. Further chapters assess the management of time-limited counselling in different settings - including private practice - and look at research, training and supervision issues.

Squarely addressing the objections to the use of, and real problems in, the practice of this short-term therapeutic paradigm, the author argues that time-limited counselling can be justified not only on economic grounds but also ethically, philosophically, clinically and with reference to consumer preferences. He also identifies the common factors in successful short-term work that span different theoretical orientations.

Introduction
Attitudes to Time in Counselling and Psychotherapy
Kinds and Models of Short-Term and Time-Limited Counselling and Psychotherapy
The Appropriateness of Time-Limited Counselling for Different Clients
Key Ingredients, Skills and Strategies
Case Examples
Problems and Troubleshooting
Management of Time-Limited Counselling in Context
Training, Supervision, Evaluation and Research Issues

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Background

In 1876 Americans held a Centennial Exhibition in Philadelphia to celebrate the nation's birth 100 years earlier. It was the first world's fair to be held in the United States, and it announced for all to see that the nation had come of age as an industrial power. Over 8 million Americans attended, many traveling the railways that now spanned the continent. Of all the exhibition buildings, Machinery Hall drew the most admiration and wonder. Its displays were powered by the world's largest steam engine. Inside, inventions by two of America's greatest inventors were on display. Alexander Graham Bell exhibited the first telephone, and Thomas Alva Edison presented the automatic telegraph, one of more than 1,000 inventions he would patent in his lifetime. Together their inventions changed American life in ways that still affect us today.

Alexander Graham Bell (1847-1922) was born in Scotland and moved to Boston in 1872 to open a school for teachers of the deaf. He became a U.S. citizen in 1882. His early experiments included ways to improve and use telegraphy. The telegraph conveyed messages through a system of electrical sounds that, when decoded, could be translated into words. It was dependent on skilled technicians and never became a home appliance. Rather, it required you to go to a telegraph office to send or receive a message, or perhaps a messenger did this for you. Bell sought something revolutionary: to transmit not only the sound of the human voice, but audible words. With the telephone, Bell wrote in 1878, "It is possible to connect every man's house, office or factory with a central station, so as to give him direct communication with his neighbors."

Thomas Edison (1847-1931) was born in Ohio and grew up in Michigan. His formal education lasted at most four years, in part because his teachers complained that he asked too many questions. By age 12 he was a newsboy and candy seller on the railways. Working as a telegraph operator gave him some of his early lessons in the uses of electricity. Among Edison's many patents were ones for totally new inventions as well as those that dramatically improved the inventions of others. These included patents for the electric motor, motion picture projector, storage battery, Dictaphone, duplicating machine, typewriter, and phonograph ( his most original). But his most far-reaching achievement was his patent for improving the incandescent lightbulb.

Before the invention of the electric lightbulb, homes were lit by candle, kerosene-oil lamp, or gaslight. All flickered, were fire hazards, and emitted smoke and heat. Other inventors of the day were experimenting with a glass globe that, if emptied of air, could contain a light that would not burn out. But no one could find a suitable filament, or wire. The filament creates light when an electric current passes through it, but it must neither burn out quickly nor melt. Edison solved this problem by using carbonized cotton.

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