Integrating Interpersonal Psychotherapy into Treatment with Marginalized Clients: Research, Case Assessment and Clinical Implications
摘要
Interpersonal Psychotherapy (IPT) works to improve clients’ communication and interpersonal relationships based on the notion that interpersonal deficits can contribute to mental distress. Clinicians applying this intervention focus on the here and now, emphasizing their clients’ interpersonal relationships in order to alter past and current unhealthy patterns that are rooted in insecurity, anxiety and avoidance. This paper examines interpersonal theory and how it serves as the foundation for IPT. The case of a 26-year-old Black woman of low-socioeconomic means who suffers from Major Depressive Disorder is used to illustrate how her significant interpersonal relationships, past and current, influence behaviors and relationship patterns. The article also details how clinicians can help clients improve their significant relationships in order to reduce symptoms and improve clients’ daily functioning, while addressing systemic factors. Additionally, suggestions to assist clinicians in integrating IPT in their practice with under-resourced clients, while also addressing the larger systemic issues will be discussed.