Very brief psychotherapy has emerged as a unique treatment modality in recent years. The limited time frame dictates flexibility in the choice of therapeutic technique, but there exists a need for an assessment model to link specific technique with the clinical problem. An early psychotherapeutic formulation containing three parts is the central component of the assessment model: theoretical description of the problem, immediate goal, and intervention technique. Various theories of psychopathology and therapeutic techniques can be simultaneously applied to the clinical problem. Three cases illustrate the use of this model in a consultation/liaison setting.
BennettM. J.WisneskiM. J., Continuous Psychotherapy within an HMO, American Journal of Psychiatry, 136:283–1287, 1979.
2.
WolbergL. R., Handbook of Short Term Psychotherapy, Thieme-Statton, New York, 1980.
3.
MannJ.GoldmanR., A Casebook in Time-Limited Psychotherapy, reprint, American Psychiatric Press, Washington, DC, 1987.
4.
AppelbaumS. A., Parkinson's Law in Psychotherapy, International Journal of Psychoanalytic Psychotherapy, 4:426–436, 1975.
5.
GabbardG. O., The Exit Line: Heightened Transference—Countertransference Manifestations at the End of the Hour, Journal of the American Psychoanalytic Association, 30:579–598, 1982.
6.
RockwellW. J. K.PinkertonR. S., Single-Session Psychotherapy, Current Psychiatric Therapies, 22:13–22, 1983.
7.
BreuerJ.FreudS., Studies in Hysteria: Nervous and Mental Disease Monograph Series; No. 61, Nervous and Mental Disease Publishing Co., New York and Washington, D.C., 1936.
DorosinD.GibbsJ.KaplanL., Very Brief Intervention—A Pilot Evaluation, Journal of the American College of Health, 24:191–194, 1976.
10.
KarasuT. B., The Psychotherapies: Benefits and Limitations, American Journal of Psychotherapy, 40:324–322, 1986.
11.
BeitmanB.D.GoldfriedM. R.NorcrossJ. C., The Movement toward Integrating the Psychotherapies: An Overview, American Journal of Psychiatry, 146:138–147, 1989.
12.
MacKenzieK. R., Recent Developments in Brief Psychotherapy, Hospital and Community Psychiatry, 39:742–752, 1988.
13.
BudmanS. M.StoneJ. S., Advances in Brief Psychotherapy: A Review of Recent Literature, Hospital and Community Psychiatry, 34:939–946, 1983.
14.
ButcherJ. N.KossM. P., Research on Brief and Crisis-Oriented Therapies, in Handbook of Psychotherapy and Behavior Change, (2nd Edition), GarfieldS. L.BerginA. E. (eds.), John Wiley & Sons, New York, 1978.
15.
RabinP. L.HussainG., Crisis Intervention in an Emergency Setting, Annals of Emergency Medicine, 12:300–302, 1983.
16.
BloomB. L., Focused Single-Session Therapy: Initial Development and Evaluation, in Forms of Brief Therapy, BudmanS. (ed.), Guilford Press, New York, 1981.
17.
HaleyJ., Problem- Solving Therapy, Josey-Bass, San Francisco, 1987.
18.
WatzalawickP.WeaklandJ. H.FischR., Change: Principles of Problem Formation and Problem Resolution, W. W. Norton, New York, 1974.
19.
CarnwathT.MillerD., Behavioral Psychotherapy in Primary Care: A Practice Manual, Academic Press, New York, 1986.
20.
ProchaskaJ. O., Systems of Psychotherapy: A Transtheoretical Analysis, The Dorsey Press, Chicago, 1984.
21.
FranklV. E., Man's Search for Meaning: An Introduction to Logotherapy, Washington Square Press, New York, 1966.
22.
StruppH. H.BinderJ. L., Psychotherapy in a New Key. A Guide to Time-Limited Dynamic Psychotherapy, Basic Books Inc., New York, 1984.
23.
GustafsonJ. B., An Integration of Brief Dynamic Psychotherapy, American Journal of Psychiatry, 141:935–944, 1984.
24.
UrsanoR. J.HalesR. E., A Review of Brief Individual Psychotherapies, American Journal of Psychiatry, 143:1507–1517, 1986.
25.
BlacherR. S., The Briefest Encounter: Psychotherapy for Medical and Surgical Patients, General Hospital Psychiatry, 6:226–232, 1984.
26.
BerginA. E.SuinnR. M., Individual Psychotherapy and Behavioral Therapy, Annual Review of Psychology, 26:509–555, 1975.
27.
GoldbergR. L.GreenS. A., A Learning-Theory Perspective of Brief Psychodynamic Psychotherapy, American Journal of Psychotherapy, 40:70–82, 1986.
28.
EngelG. L., The Need for a New Medical Model: A Challenge for Biomedicine, Science, 196:129–136, 1977.
29.
FinkP. J., Response to the Presidential Address: Is “Biopsychosocial” the Psychiatric Shibboleth, American Journal of Psychiatry, 145:1061–1067, 1988.
