Dan is joined by Dr. Stephanie Budge, Professor and the Director of Clinical Training in the Department of Counseling Psychology at the University of Wisconsin-Madison.

Part two of Dan's conversation with Dr. Budge delves into the complexities of minority stress, particularly for transgender individuals, and the therapeutic approaches that can help mitigate its effects. The conversation moves to the importance of psychoeducation, the role of internalized stigma, and the innovative frameworks like radical healing that aim to empower marginalized communities and the evolving nature of referral letters in the context of informed consent.

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Dan is joined by Dr. Stephanie Budge, Professor and the Director of Clinical Training in Counseling Psychology at the University of Wisconsin-Madison.

In this conversation, Dr. Budge discusses her journey into the field of psychology, focusing on bisexuality and the need for better mental health support for trans individuals. She shares her experiences in academia, the challenges faced in researching LGBTQ+ topics, and the importance of trans affirmative therapy. Dan and Dr. Budge discuss essential terminology, the ethical considerations in therapy, and practical advice for therapists working with trans clients, emphasizing the need for understanding, practice, and balance in therapeutic relationships.

Special Guest: Dr. Stephanie Budge

Practice with Pronouns

World Professional Association for Transgender Health Standards of Care

GALUP: The Gender Affirming Letter Access Project

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Dr. Bill Stiles returns to the show to continue the discussion on understanding responsiveness in psychotherapy.

Dr. Stiles discusses the Fever Model in therapy, emphasizing the relationship between client disclosures and therapeutic outcomes. He explores how depression can impede the natural process of disclosure, which is often an adaptive response to psychological distress. Then, Dan and Dr. Stiles delve into the complexities of responsiveness in therapy, the challenges faced by novice therapists, and the importance of theory building through case studies.

Special Guest: Dr. William Stiles

Additional Resources:

Stiles, W. B. (2021). Responsiveness in psychotherapy research: Problems and ways forward. In J. C. Watson & H. Wiseman (Eds), The responsive psychotherapist: Attuning to clients in the moment (pp. 15-35). Washington, DC: APA Books. https://doi.org/10.1037/0000240-002

Stiles, W. B. (2009). Logical operations in theory-building case studies. Pragmatic Case Studies in Psychotherapy, 5(3), 9-22. https://doi.org/10.14713/pcsp.v5i3.973. Available: http://jrul.libraries.rutgers.edu/index.php/pcsp/article/view/973

Stiles, W. B. (2017). Theory-building case studies. In D. Murphy (Ed.), Counselling psychology: A textbook for study and practice (pp. 439-452). Chichester, UK: Wiley.

Stiles, W. B. (2011). Coming to terms. Psychotherapy Research, 21, 367-384. https://doi.org/10.1080/10503307.2011.582186

Stiles, W. B. (1992). Describing talk: A taxonomy of verbal response modes. Newbury Park, CA: Sage.

Stiles, W. B., Shapiro, D. A., & Elliott, R. (1986). "Are all psychotherapies equivalent?" American Psychologist, 41, 165-180.

Stiles, W. B., Barkham, M., Mellor-Clark, J., & Connell, J. (2008). Effectiveness of cognitive-behavioural, person-centred, and psychodynamic therapies in UK primary care routine practice: Replication in a larger sample. Psychological Medicine, 38, 677–688. Published online 10 September 2007, https://doi.org/10.1017/S0033291707001511.

Stiles, W. B. (1987). "I have to talk to somebody." A fever model of disclosure. In V. J. Derlega & J. H. Berg (Eds.), Self-disclosure: Theory, research, and therapy (pp. 257-282). New York: Plenum Press.

Stiles, W. B., Honos-Webb, L., & Surko, M. (1998). Responsiveness in psychotherapy. Clinical Psychology: Science and Practice, 5, 439-458.

Stiles, W. B., (in preparation). How talking helps: The assimilation model.

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In this conversation, Dr. William Stiles discusses the significance of reflection in therapeutic practice and the challenges of measuring therapeutic techniques through process research. Dr. Stiles introduces the concept of responsiveness in therapy, highlighting the importance of understanding what the client needs at any given moment. He elaborates on the assimilation model, which focuses on transforming problematic experiences into resources, and the role of meaning bridges in facilitating this process. The conversation also touches on the integral role of emotion in therapy and the idea that while therapies may reduce distress, they do not necessarily lead to uniform outcomes among clients.

Special Guest: Dr. William Stiles

Additional Resources:

Stiles, W. B. (2021). Responsiveness in psychotherapy research: Problems and ways forward. In J. C. Watson & H. Wiseman (Eds), The responsive psychotherapist: Attuning to clients in the moment (pp. 15-35). Washington, DC: APA Books. https://doi.org/10.1037/0000240-002

Stiles, W. B. (2009). Logical operations in theory-building case studies. Pragmatic Case Studies in Psychotherapy, 5(3), 9-22. https://doi.org/10.14713/pcsp.v5i3.973. Available: http://jrul.libraries.rutgers.edu/index.php/pcsp/article/view/973

Stiles, W. B. (2017). Theory-building case studies. In D. Murphy (Ed.), Counselling psychology: A textbook for study and practice (pp. 439-452). Chichester, UK: Wiley.

Stiles, W. B. (2011). Coming to terms. Psychotherapy Research, 21, 367-384. https://doi.org/10.1080/10503307.2011.582186

Stiles, W. B. (1992). Describing talk: A taxonomy of verbal response modes. Newbury Park, CA: Sage.

Stiles, W. B., Shapiro, D. A., & Elliott, R. (1986). "Are all psychotherapies equivalent?" American Psychologist, 41, 165-180.

Stiles, W. B., Barkham, M., Mellor-Clark, J., & Connell, J. (2008). Effectiveness of cognitive-behavioural, person-centred, and psychodynamic therapies in UK primary care routine practice: Replication in a larger sample. Psychological Medicine, 38, 677–688. Published online 10 September 2007, https://doi.org/10.1017/S0033291707001511.

Stiles, W. B. (1987). "I have to talk to somebody." A fever model of disclosure. In V. J. Derlega & J. H. Berg (Eds.), Self-disclosure: Theory, research, and therapy (pp. 257-282). New York: Plenum Press.

Stiles, W. B., Honos-Webb, L., & Surko, M. (1998). Responsiveness in psychotherapy. Clinical Psychology: Science and Practice, 5, 439-458.

Stiles, W. B., (in preparation). How talking helps: The assimilation model.

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Dr. Catherine Eubanks returns to continue the conversation with Dan on alliance ruptures in psychotherapy.

Dan and Dr. Eubanks continue to dive deep into the complexities of ruptures and repairs in therapy. They discuss the challenges therapists face in exploring ruptures, the importance of recognizing therapist-initiated ruptures, and the role of anxiety in therapeutic relationships. Dr. Eubanks emphasizes the need for therapists to trust the process and be aware of their own anxieties, while also advocating for a broader understanding of ruptures in various contexts beyond therapy.

Special Guest: Dr. Catherine Eubanks

Center for Alliance-Focused Training

Therapist Performance Under Pressure: Negotiating Emotion, Difference, and Rupture

Book: Rupture and Repair in Psychotherapy: A Critical Process for Change

Training Video: Rupture and Repair in Psychotherapy

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Dan is joined by Dr. Catherine Eubanks to break down alliance ruptures in psychotherapy. Dr. Eubanks is a Professor of Psychology at Adelphi University.

Dan and Dr. Eubanks discusses the concept of ruptures in therapy, their relationship to the therapeutic alliance, and the importance of understanding and repairing these ruptures. Then, Dr. Eubanks shares her journey into this field, the significance of training therapists in alliance-focused techniques, and how identity and cultural factors can influence ruptures. Their discussion emphasizes the complexity of therapeutic relationships and the need for therapists to be aware of subtle signs of rupture and repair.

Special Guest: Dr. Catherine Eubanks

Center for Alliance-Focused Training

Therapist Performance Under Pressure: Negotiating Emotion, Difference, and Rupture

Book: Rupture and Repair in Psychotherapy: A Critical Process for Change

Training Video: Rupture and Repair in Psychotherapy

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🎞️ Video version of the show@PsychotherapyAppliedPsychology on YouTube
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Join in and welcome back Dr. Carl Castro as he and Dan continue their conversation on military and veteran mental health.

Dr. Castro discusses the various aspects of veteran support, comparing the U.S. system to those of other countries, the unique status of veterans in society, and the impact of historical events like the Vietnam War on current veteran treatment. Dive into the complexities of the combat veteran experience, including the combat veteran paradox and the PTSD paradox, emphasizing the importance of normalizing feelings and experiences for veterans.

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Welcome back! In the first episode of 2025, Dan is joined by Dr. Carl Castro, professor and director of the Military and Veteran Programs at the University of Southern California.

Join in on the conversation as Dan and Dr. Castro dive into military culture and the transition from military to academia. Dr. Castro emphasizes the importance of military identity in the transition process and introduces his military transition theory, highlighting the challenges veterans face as well as advice for service members on maintaining their hustle and adapting to civilian life.

Special Guest: Dr. Carl Castro

USC Military & Veteran Programs

Cohen Veterans Network

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🎞️ Video version of the show@PsychotherapyAppliedPsychology on YouTube
🛜 Check out the website: Listen to every episode on your podcast player of choice

Connect with Dan
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