Chapter

The Middle Phase

Alessandra Lemma, Mary Target and Peter Fonagy

in Brief Dynamic Interpersonal Therapy

Published in print June 2011 | ISBN: 9780199602452
Published online September 2011 | e-ISBN: 9780191729232 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199602452.003.0031
The Middle Phase

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The overarching aim of the therapist's interventions at the middle phase of DIT is to stimulate the patient's capacity to think about and understand his thoughts and feelings, and how these underpin the identified pattern of relating (and its varied behavioral manifestations) that may seem strange or self-defeating The middle phase of DIT requires both the patient's and the therapist's concentrated effort to stay focused on the agreed interpersonal-affective focus (IPAF). The therapist works with the patient to identify and understand this dominant, recurring pattern as it plays itself out in current relationships, including the relationship with the therapist, and she highlights its impact on the patient's current functioning and symptoms. This chapter reviews in more detail the core aims and strategies that guide the middle phase (sessions 5–12).

Keywords: DIT; therapy; therapist; patient; interpersonal functioning; thoughts; feelings; interpersonal-affective focus

Chapter.  4841 words.  Illustrated.

Subjects: Clinical Psychology

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