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Offers remedies to correct the ongoing decline of the field. Addresses the anti-business bias that has contributed to training programs that ignore the economic realities of running a business. Argues for viewing psychotherapy as a health profession.
After a period of economic success and high regard in society, clinical psychology has fallen onto hard times, assert authors Nicholas Cummings and William O’Donohue. In the 1960s, clinical psychologists with doctorates were well paid in relation to comparable professions; today, starting salaries are lower than many jobs that require only a bachelor’s degree. Clinical psychology in the 1960s was preferred and valued over other fields as a profession; today it is not even on the list of top 20 fields for graduates to enter. Psychologists’ opinions on social issues are disregarded by the public. What was and continues to be the reason for the decline and continuing descent of clinical psychology? The authors posit that the profession blundered and has not adapted to the profound changes that have taken place in American society over the past 40 years. Psychotherapy practice is based on a 50-minute hour, yet mental health treatment must operate at a much briefer, more efficient pace. Clinicians ignore the findings of scientific research for effective treatments and favor the overblown pronouncements of gurus who preach without substance. Clinicians failed to adapt their practice to the needs of the healthcare industry and do not recognize that psychotherapy is health profession. An anti-business bias has contributed to training programs that ignore the economic realities of running a practice. The failure to secure prescription privileges, the invention of diagnoses, and political correctness are among the other blunders that pull the profession away from its primary mission -- mental health treatment -- and contribute to the low esteem in which psychologists are held. The authors enumerate and discuss the Eleven Blunders That Cripple Psychotherapy in America and offer remedies to correct the ongoing decline of the field.
Pattern-Focused Therapy incorporates brief cognitive behavioral therapy (CBT) interventions for symptom reduction and a step-by-step therapeutic strategy for effectively changing clients’ maladaptive patterns and increasing their well-being. Integrating research, clinical expertise, and client needs and values, Pattern Focused Therapy is a highly effective third-wave CBT approach that can be applied to a wide range of clients. This text guides therapists through the pattern focused approach, facilitating learning through session-by-session transcriptions and commentaries from the first to the final session. Interventions for optimizing treatment and indicators of successful therapy are included along with a chapter on Pattern Focused Therapy in integrated care settings. Seasoned and beginner therapists alike will benefit from this invaluable method for learning and mastering this evidence-based approach.
A hard-hitting critique of how managed care and the selective use of science to privilege quick-fix therapies have undermined in-depth psychotherapy—to the detriment of patients and practitioners In recent decades there has been a decline in the quality and availability of psychotherapy in America that has gone largely unnoticed—even though rates of anxiety, depression, and suicide are on the rise. In Saving Talk Therapy, master therapist Dr. Enrico Gnaulati presents powerful case studies from his practice to remind patients and therapists alike how and why traditional talk therapy works and, using cutting-edge research findings, unpacks the problematic incentives in our health-care system and in academic psychology that explain its decline. Beginning with a discussion of the historical development of talk therapy, Dr. Gnaulati goes on to dissect the factors that have undermined it. Psychotropic drugs, if no longer thought of as a magical cure, are still over-prescribed and shunt health-care dollars to drug corporations. Managed-care companies and mental health “carve outs” send health-care dollars to administrators, drive many practitioners away, and over-burden those who remain. And drawing back the curtains on CBT (cognitive behavior therapy), Dr. Gnaulati shows that while it might be effective in the research lab, its findings are of limited use for the people’s complex, real-world emotional problems. Saving Talk Therapy is a passionate and deeply researched case for in-depth, personally transformative psychotherapy that incorporates the benefits of an evidence-based approach and psychotropic drugs without over-relying on them.
Brief Therapy and Beyond is a collection of new and selected papers by prominent psychologist Michael Hoyt. Numerous clinical vignettes and informative discussions describe time-sensitive treatments to relieve psychological distress and/or promote growth. Drawing from an encyclopedic knowledge of the professional literature as well as humor, poetry, sports, and candid revelation, Hoyt illustrates the importance of stories, language, love, hope, and time in shaping worldviews that inspire and empower clients and clinicians to make effective and efficient changes.
Which of the following statements about counseling and psychotherapy have been proven to be true? a) Intake interviews, routinely done during the first meeting with a new client, provide a reliable foundation on which to base a diagnosis and treatment plan. b) The most effective "dosage" of therapy has been found to be around 45-50 minutes, which is why the "50-minute hour" is the usual length of time for a single session. c) Evidence-Based Practices are the standard techniques used by clinicians. d) Therapists become more effective over time, and the best therapists are the ones with the most experience and most training. e) None of the above. Which of the following statements about counseling and psychotherapy are false? a) Thanks to careful and methodical research, we know precisely the qualities that make a good therapist. b) Knowledge gained from Randomized Controlled Trials and other rigorous studies informs training program design, teaching methods, and clinical practice. c) When a client achieves a successful outcome from therapy, the results can be traced through the therapeutic process, and the results are long-lasting. d) Our training programs are routinely reconfigured to ensure they are in line with the most up-to-date information. e) All of the above. You might be surprised that the answer to both questions is "e." Although there are countless studies on the effectiveness of counseling, there is also compelling evidence that researchers have difficulty replicating results of studies. There are many common elements of counseling practice that lack an evidentiary basis, and yet some of these components remain unquestioned, unchallenged, and accepted as the way things are. Book jacket.
Single-Session Therapy by Walk-in or Appointment is based on the idea that one session is often all a client will need and choose to attend. The option of a single-session responds to the growing need for greater accessibility and responsiveness of mental-health services. With considerable data supporting both the demand for and the effectiveness of walk-in and by-appointment single sessions, the field is expanding rapidly. This book includes many clinical examples and cultural nuances, as well as discussions of recent research, training and supervision, and implementation and administrative arrangements. This is an essential title for clinicians, program developers, and policy makers interested in providing the effective, client-responsive, economic option of one-at-a-time single-session therapy on a walk-in or by-appointment basis.
In 1958 in their book Existence, Rollo May, Henri Ellenberger and Ernst Angel introduced existential therapy to the English-speaking psychotherapy world. Since then the field of existential therapy has moved along rapidly and this book considers how it has developed over the past fifty years, and the implications that this has for the future. In their 50th anniversary of this classic book, Laura Barnett and Greg Madison bring together many of today's foremost existential therapists from both sides of the Atlantic, together with some newer voices, to highlight issues surrounding existential therapy today, and look constructively to the future whilst acknowledging the debt to the past. Dialogue is at the heart of the book, the dialogue between existential thought and therapeutic practice, and between the past and the future. Existential Therapy: Legacy, Vibrancy and Dialogue, focuses on dialogue between key figures in the field to cover topics including: historical and conceptual foundations of existential therapy perspectives on contemporary Daseinanalysis the search for meaning in existential therapy existential therapy in contemporary society. Existential Therapy: Legacy, Vibrancy and Dialogue explores how existential therapy has changed in the last five decades, and compares and contrasts different schools of existential therapy, making it essential reading for experienced therapists as well as for anyone training in psychotherapy, counselling, psychology or psychiatry who wants to incorporate existential therapy into their practice.
Ultra-Brief Cognitive Behavioral Interventions showcases a new practice model to address both physical and psychological health issues in mental health and integrated care settings, utilizing focused interventions in brief treatment formats. This unique text offers a toolkit of effective interventions and methods – including cognitive behavioral therapy (CBT) methods that can be used in a very brief time frame of 10–20 minutes – that can be quickly and efficiently applied to ameliorate specific symptoms. The 20 most common interventions in short-term therapy practiced in mental health and integrated care settings are illustrated in session transcriptions of the full course of focused therapy, with common presentations such as depression, anxiety and acute distress, pain, sleep problems, and weight problems. This book prepares emerging and experienced counselors and therapists to provide short-term therapy for their clients and equips them with the necessary skills to meet the challenges facing mental health care today and in the future.
Concern about psychology’s fragmentation is not new, but there has for the past decade been increasing calls for psychologists to acknowledge to the costs associated with fragmentation and to search for ways to unify the discipline. A New Unified Theory of Psychology introduces a new system that addresses psychology’s current theoretical and philosophical difficulties. The new theory consists of four interlocking pieces that together provide—for the first time—a macro-level view that clarifies the nature of psychology’s problems and offers a clear way to unify the various elements of the field. The unified theory provides the field of psychology with a well-defined subject matter, allowing both academic and professional psychologists will be able to develop a shared language and conceptual foundation.