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In Psychotherapy Is Worth It: A Comprehensive Review of Its Cost-Effectiveness, edited by Susan G. Lazar, M.D., and co-authored with members of the Committee on Psychotherapy of the Group for the Advancement of Psychiatry, surveys the medical, psychiatric and psychological literature from 1984 to 2007 that is relevant to the cost-effectiveness of all kinds of psychotherapy. The volume explores the cost of providing psychotherapy in relation to its impact both on health and on the costs to society of psychiatric illness and related conditions. Written for psychotherapists, psychiatric benefit providers, policy makers, and others interested in the cost-effectiveness of providing psychotherapeutic treatments, this book analyzes the burden of mental illness, particularly in the United States, and the enormous associated costs to society that constitute a chronic, insufficiently recognized crisis in the health of our nation. The authors point out that in the United States nearly 30% of the population over the age of 18 has a diagnosable psychiatric disorder and yet only about 33% of those treated receive minimally adequate care. In fact, most people with mental disorders in the United States remain untreated or poorly treated, leading to loss in productivity, higher rates of absenteeism, increased costs, morbidity and mortality from medical illnesses, and loss of life through suicide. This book provides a systematic and comprehensive review of 25 years of medical literature on the cost-effectiveness of psychotherapy and discusses the: Epidemiology of mental illness, including prevalence and treatment rates Misconceptions and stigmas associated with psychiatric illness and the provision of psychotherapy and how they affect those most in need of care Cost-effectiveness of psychotherapy for the major psychiatric disorders as well as savings that psychotherapy can yield in increased health, work productivity, lives saved, and medical and hospital related costs For instance, in a review of 18 studies conducted from 1984 to 1994, psychotherapy was found to be cost-effective in treating patients with severe disorders, including schizophrenia, bipolar disorder, and borderline personality disorder, and led to improved work functioning and decreased hospitalization. Likewise, studies point to the enhancement of outcomes when psychotherapy is used in conjunction with medical therapies in the treatment of cancer, heart disease, and other prevalent, chronic diseases. Psychotherapy Is Worth It: A Comprehensive Review of Its Cost-Effectiveness concludes that studies confirm psychotherapy works for many conditions, is cost-effective, and is not over-used by those persons not truly in need. A treatment that is cost-effective is not "cheap"; rather, it can provide effective medical help at a cost acceptable to society, in comparison both to other effective treatments for the same condition and to medical treatments for other classes of mental disorder.
In previous books, Leslie S. Greenberg has demonstrated the importance of integrating emotional work into therapy and has laid out a compelling model of therapeutic change. Building on these foundations, WORKING WITH EMOTIONS IN PSYCHOTHERAPY sheds new light on the process and technique of intervention with specific emotions. Filled with illustrative case examples, the book shows clinicians how to identify a given emotion, discern its role in a client's self-understanding, and understand how its expression is furthering or inhibiting the client's progress. Of vital importance, the authors help readers think more differentially about emotions; to distinguish, for example, between avoided emotional pain and chronic dysfunctional bad feelings, between adaptive sadness and maladaptive depression, and between overcontrolled anger and underregulated rage. A conceptual overview and framework for intervention are delineated, and special attention is given throughout to the integration of emotion and cognition in therapeutic work.
"This book provides a thoughtful overview of where psychotherapy fits into the overall schema of psychiatric training and practice, and it offers the tools for establishing therapeutic relationships with the great variety of distressed patients who seek competent and professional psychiatric care." --p. xi.
The definitive account of existential psychotherapy. First published in 1980, Existential Psychotherapy is widely considered to be the foundational text in its field— the first to offer a methodology for helping patients to develop more adaptive responses to life’s core existential dilemmas. In this seminal work, American psychiatrist Irvin Yalom finds the essence of existential psychotherapy and gives it a coherent structure, synthesizing its historical background, core tenets, and usefulness to the practice. Organized around what Yalom identifies as the four "ultimate concerns of life"—death, freedom, isolation, and meaninglessness—the book takes up the meaning of each existential concern and the type of conflict that springs from our confrontation with each. He shows how these concerns are manifest in personality and psychopathology, and how treatment can be helped by our knowledge of them. Drawing from clinical experience, empirical research, philosophy, and great literature, Yalom provides an intellectual home base for those psychotherapists who have sensed the incompatibility of orthodox theories with their own clinical experience, and opens new doors for empirical research. The fundamental concerns of therapy and the central issues of human existence are woven together here as never before, with intellectual and clinical results that have surprised and enlightened generations of readers.
This Third Edition of the bestselling Psychotherapy with Older Adults continues to offer students and professionals a thorough overview of psychotherapy with older adults. Using the contextual, cohort-based, maturity, specific challenge (CCMSC) model, it draws upon findings from scientific gerontology and life-span developmental psychology to describe how psychotherapy needs to be adapted for work with older adults, as well as when it is similar to therapeutic work with younger adults. Sensitively linking both research and experience, author Bob G. Knight provides a practical account of the knowledge, technique, and skills necessary to work with older adults in a therapeutic relationship. This volume considers the essentials of gerontology as well as the nature of therapy in depth, focusing on special content areas and common themes. Psychotherapy with Older Adults includes a comprehensive discussion of assessment and options for intervention. Numerous case examples illustrate the dynamics of the therapeutic task and issues covered in therapy and stress the human element in working with older adults. A concluding chapter considers ethical questions and the future of psychotherapy with older adults. The author has updated the Third Edition to reflect new research findings and has written two entirely new chapters covering psychotherapy with persons with dementia and psychotherapy with caregivers of frail older adults. Since its initial publication in 1986, the book has been used as a course text and a professional reference around the world, including translations into French, Dutch, Chinese, and Japanese. It is a vital resource for practicing therapists and counselors who work with older adults and is also ideally suited as a text for advanced students in psychology, social work, gerontology, and nursing. Praise for Previous Editions: "Bob G. Knight′s largest contribution is his excellent discussion of therapy. The book is clearly written, with a good use of summaries and case examples to clarify the major points. By linking research findings to practice experience, Knight has provided a pragmatic introduction which should be helpful to psychiatrists, psychologists, social workers, and psychiatric nurses working with older adults." —JOURNAL OF APPLIED GERONTOLOGY "I recommend this book to anyone interested in working with the elderly, partly because of the content and partly because the author presents the case for doing psychotherapy with the elderly with realism and enthusiasm." —BEHAVIOR RESEARCH & THERAPY
“All of us who have long done this work can look back at those happy times when the patient’s gain has also been, in part, our own. Thereby an extraordinary joy enters the work, for both parties, through this making of lives. Can there be better work to do in the world?”—from the Epilogue by Leston HavensManaged care has radically reshaped health care in the United States, and private long-term psychotherapy is increasingly a thing of the past. The corporatization of mental health care often puts therapists in professional quandaries. How can they do the therapeutic work they were trained to do with clients whom they may barely know, whose care is intruded upon by managed care administrators? With unrelenting pressure to substitute medications for therapy and standardized behavior protocols for individualized approaches, what becomes of the therapist–client relationship?Unflinchingly honest, The Real World Guide to Psychotherapy Practice offers both compelling stories and practical advice on maintaining one’s therapeutic integrity in the managed care era. Resisting a one-size-fits-all approach, the authors focus on the principles of forming relationships with patients, and especially patients likely to be under-served (e.g., the uninsured poor) or difficult to treat.The Real World Guide to Psychotherapy Practice gives voice to therapists’ frustrations with the administrative constraints under which they work. But it accepts the reality and offers guidance and inspiration to committed therapists everywhere.
In the past the practice of body psychotherapy has been taken less seriously in professional circles than more traditional psychotherapeutic approaches. Body Psychotherapy redresses the balance, offering insights into a spectrum of approaches within body-oriented psychotherapy. A range of experienced contributors introduce new areas of development and emerging theory and clinical material, covering: * the history of body psychotherapy * theoretical perspectives on body psychotherapy, including post-Reichian and development of integrative methodologies * body psychotherapy in practice, including applications for trauma and regression * the future for body psychotherapy. This book shows how body psychotherapy can be healing, reparative and rewarding. It will make essential reading for postgraduates and professionals, whether they are already involved in this field, or wish to learn more about incorporating it into their own practice.
In the best therapeutic tradition, Louis Breger describes contemporary theories and research in the field of analytic psychotherapy. Through the framework of his personal experiences as a scholar, researcher, and therapist, he focuses on his relationships with patients over the span of his fifty-year career. He records their reactions, in their own words, to their experience with psychotherapy many years after its conclusion. The author surveyed over thirty former patients to see if their progress, begun in therapy, had continued, expanded, or regressed. They were asked to highlight what they remembered as being most helpful, therapeutic, or curative in their treatment. The book is a unique long-term follow-up demonstrating the effectiveness of modern analytic psychotherapy. Breger primarily deals with the connections between therapist and patient. This is a professional memoir of the life of the psychotherapist dealing with trials as a young practitioner, lessons learned, and personal reflections on the choices, including mistakes, made along the way. Young therapists, and those who are in or considering psychotherapy, will find it helpful to have access to this self-reflective approach. Extracts from the patients are extensive and informative, giving the reader the opportunity to see therapy from their perspectives. The book also centers on the development of the therapist over his career span. Breger acknowledges that his understanding of patient care has improved over time in the eyes of his patients. In a larger sense, the book contains lessons for all psychotherapists. This is an important, unique, and innovative work. *Click here for an interview with the author. *Click here for an interview with the author on KQED's Forum with Michael Krasny
This book provides a practical introduction to Integral Psychotherapy, which positions itself as the most comprehensive approach to psychotherapy yet offered. Grounded in the work of theoretical psychologist and philosopher Ken Wilber, it organizes the key insights and interventions of pharmacological, psychodynamic, behavioral, cognitive, humanistic, existential, feminist, multicultural, somatic, and transpersonal approaches to psychotherapy. Integral Psychotherapy does not attempt to unify these diverse models, but rather takes a metatheoretical perspective, giving general guidelines for which is most appropriate in a wide range of clinical situations. It also strongly emphasizes the therapist's own personal development, under the premise that the depth and complexity of the human psyche must be understood first within the self if it is to be understood fully in others. This essential text is for therapists and others drawn to holistic approaches to psychotherapy, and serves as a theoretical ground and precise guide for those interested in applying the Integral model in therapeutic practice.