Chapter 11.The Termination Phase
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Through an affectively charged relationship with the therapist, and through understanding gained in the interpretive work of the middle phase, patients gradually become 1) less vulnerable to loss, disappointment, and criticism; 2) capable of greater modulation of their feelings; 3) less guilty and self-punishing; and 4) capable of more realistic assessments of their own behaviors and motivations and those of others (Table 11–1). When patient and therapist feel that these improvements have become consistently incorporated into the individual’s repertoire for dealing with stressful situations, thereby reducing vulnerability to recurrent depression, they may decide to end the treatment (Gaskill 1980; Tyson 1996; Weinshel 1992). An exception to this approach may be found in some brief structured psychodynamic treatments, which set a termination date after a limited number of sessions (Busch and Milrod 2015; Vinnars et al. 2013).
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