Clinical practice with severely retarded and psychotic clients requires a change in theory and technique. Based on original research and practice, Prouty describes the changes needed to reach low-functioning clients not generally accessible to psychotherapy. Evolving from Carl Rogers' assertion that Psychological Contact is the first condition of a therapeutic relationship, Pre-Therapy is a technique that can be applied to regressed psychotics and dual-diagnosed mentally-retarded patients, as well as to other poorly integrated populations. Drawing from his own practice with extreme clients, he shows how Pre-Therapy can be used to facilitate these pre-conditions of therapy. He further shows that treatment of hallucinations reveals them to be expressions of deep trauma and profound rendings of the self-structure.
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GARRY PROUTY is Professor of Psychology and Mental Health at Prairie State College. He is also a Faculty Associate of the Nisonger Center at Ohio State University and a member of the Clinical Advisory Committee for the Chicago Counseling and Psychotherapy Center. He serves as an editorial consultant to the Person-Centered Journal and is the author of a chapter in the forthcoming Handbook of Treatment of Mental Illness and Behavior Disorders in Children and Adults with Mental Retardation.
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