The Trouble with Psychotherapy PDF Download

Author: Campbell Purton
Publisher: Bloomsbury Publishing
ISBN: 1350305669
Category : Psychology
Languages : en
Pages : 355

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Book Description
Current therapeutic practice is grounded in traditional theories of psychotherapy, such as the theories that underlie cognitive-behavioural, psychodynamic and person-centred practice. But none of these approaches has been proven to be more effective than any other, leaving the therapist with an ethical and professional dilemma: how do you advocate and practise one theory with your clients, when a completely different theoretical approach is being successfully practised down the road? In this book Campbell Purton argues that psychotherapy and counselling theories fail to provide adequate justification for their practice. Part 1 highlights the weaknesses and dangers that underlie traditional counselling theories and their derivatives, including psychodynamic, cognitive behavioural, existential and neuroscience approaches. Having unpicked these theories, Part 2 goes on to develop an exciting new way of thinking about therapy that does not rely on theory - one that can be likened to a 'common sense' approach to therapeutic practice. This book poses important questions and offers unique insight for anyone studying or practising in the field of counselling and psychotherapy.

Author: Louis J. Cozolino
Publisher: W. W. Norton & Company
ISBN: 0393704246
Category : Psychology
Languages : en
Pages : 238

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Book Description
Lessons from the personal experience and reflections of a therapist. The difficulty and cost of training psychotherapists properly is well known. It is far easier to provide a series of classes while ignoring the more challenging personal components of training. Despite the fact that the therapist's self-insight, emotional maturity, and calm centeredness are critical for successful psychotherapy, rote knowledge and technical skills are the focus of most training programs. As a result, the therapist's personal growth is either marginalized or ignored. The Making of a Therapist counters this trend by offering graduate students and beginning therapists a personal account of this important inner journey. Cozolino provides a unique look inside the mind and heart of an experienced therapist. Readers will find an exciting and privileged window into the experience of the therapist who, like themselves, is just starting out. In addition, The Making of a Therapist contains the practical advice, common-sense wisdom, and self-disclosure that practicing professionals have found to be the most helpful during their own training.The first part of the book, 'Getting Through Your First Sessions,' takes readers through the often-perilous days and weeks of conducting initial sessions with real clients. Cozolino addresses such basic concerns as: Do I need to be completely healthy myself before I can help others? What do I do if someone comes to me with an issue or problem I can't handle? What should I do if I have trouble listening to my clients? What if a client scares me?The second section of the book, 'Getting to Know Your Clients,' delves into the routine of therapy and the subsequent stages in which you continue to work with clients and help them. In this context, Cozolino presents the notion of the 'good enough' therapist, one who can surrender to his or her own imperfections while still guiding the therapeutic relationship to a positive outcome. The final section, 'Getting to Know Yourself,' goes to the core of the therapist's relation to him- or herself, addressing such issues as: How to turn your weaknesses into strengths, and how to deal with the complicated issues of pathological caretaking, countertransference, and self-care.Both an excellent introduction to the field as well as a valuable refresher for the experienced clinician, The Making of a Therapist offers readers the tools and insight that make the journey of becoming a therapist a rich and rewarding experience.

Author: Hilde Bruch
Publisher: Harvard University Press
ISBN: 9780674520264
Category : Psychotherapy
Languages : en
Pages : 172

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Book Description
Bruch sets out to accomplish what has, until now, been all but impossible--the teaching of psychotherapy using the written word. Bruch's unique success at a task that has been tried and tried again, only to result in stereotyped do's and don'ts, stems from her own experiences with two great teachers: Harry Stack Sullivan and Frieda Fromm-Reichmann.

Author: Lesley Murdin
Publisher: Routledge
ISBN: 0429916019
Category : Psychology
Languages : en
Pages : 116

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Book Description
This book is about the difficulty of endings, but it is also about learning from the endings that we know have gone wrong as well as those that have worked well. It sets out how the psychological therapist can help a person to live well while life is available, and to face the endings that confront all of us with honesty, and the acceptance of our human fragility. Therapists suffer through the fears and failures of the people they see as well as through their own endings. These difficulties can either help each one to be more understanding and helpful, or can lead to disaster. This book is about making sure that we use experience as well as theory constructively.

Author: Morrall, Peter
Publisher: McGraw-Hill Education (UK)
ISBN: 033521875X
Category : Medical
Languages : en
Pages : 267

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Book Description
This sociology of psychotherapy describes it as a lottery and replete with conflict and rivalries. Moreover, therapy is accused of being arrogant, selfish, abusive, infectious, mad, sexualised, and of promoting the myth happiness.

Author: Barry Alan Farber
Publisher: Guilford Press
ISBN: 1593853238
Category : Psychology
Languages : en
Pages : 257

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Book Description
Concise, clear, and featuring numerous clinical examples, this is the first book to include empirical studies of supervisor/supervisee disclosure, plus extensive research on patient/therapist disclosure. Other unique topics include disclosure issues in child therapy.

Author: Jeffrey Moussaieff Masson
Publisher: Untreed Reads
ISBN: 1611873762
Category : Psychology
Languages : en
Pages : 212

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Book Description
In this ground-breaking and highly controversial book, Jeffrey Moussaieff Masson attacks the very foundations of modern psychotherapy from Freud to Jung, from Fritz Perls to Carl Rodgers. With passion and clarity, Against Therapy addresses the profession's core weaknesses, contending that, since therapy's aim is to change people, and this is achieved according to therapist's own notions and prejudices, the psychological process is necessarily corrupt. With a foreword by the eminent British psychologist Dorothy Rowe, this cogent and convincing book has shattering implications.

Author: Nicholas A. Cummings
Publisher: Elsevier
ISBN: 0121987604
Category : Medical
Languages : en
Pages : 274

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Book Description
"This wonderful volume, The Essence of Psychotherapy is... a thoughtful, engaging and incisive book about intermittent psychotherapy over the life cycle... a collection of interesting cases of time-sensitive therapy... I would recommend this book to anyone with an interest in psychotherapy, from the newest graduate student to the most experienced clinician." --SIMON H BUDMAN, Ph.D., President, Innovative Training Systems, Inc.; Faculty, Harvard Medical School "For those psychotherapists who cannot see a positive future for their art in the age of managed care and evidence-based practice, I would prescribe a simple tonic: read this book." --STEVEN C. HAYES, Ph.D., Foundation Professor and Chair, Department of Psychology, University of Nevada, Reno The Essence of Psychotherapy traces the common thread in all approaches to psychotherapy--behavioral, cognitive, psychodynamic, strategic, and humanistic--and defines their "essence" as a set of fundamental principles and ultimate objectives that must be preserved in the face of increased standardization in the field. While protocols and manuals guide today's therapist, psychotherapy, in practice, remains an art. Nicholas and Janet Cummings have gathered case studies of master therapists to illustrate the essential process of successful therapy and to show that, as an art, it is both teachable and verifiable.

Author: Tim LeBon
Publisher: SAGE
ISBN: 144624038X
Category : Psychology
Languages : en
Pages : 211

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Book Description
Independent on Sunday October 2nd One of the country′s leading philosophical counsellers, and chairman of the Society for Philosophy in Practice (SPP), Tim LeBon, said it typically took around six 50 minute sessions for a client to move from confusion to resolution. Mr LeBon, who has ′published a book on the subject, Wise Therapy, said philosophy was perfectly suited to this type of therapy, dealing as it does with timeless human issues such as love, purpose, happiness and emotional challenges. `Wise Therapy, is part of a series aimed at promoting an integrative attitude as its ethos. Among all the many perspectives of psychotherapists and counselors, philosophy needs to take its place and needs to find its voice. Tim LeBon has provided an effective means by which counselors can bring philosophy into their work with clients′ - APPA journal `Tim Le Bon′s Wise Therapy is a comprehensible and well argued book dealing with the practical therapeutic applications of philosophical research that may well be of interest to philosophers but -- as the author himself intends -- will be of most obvious benefit to therapists and counselors, both by informing their dialogue with clients in new ways and by helping them become more informed about ways to resolve the ethical dilemmas arising within the context of their own work′ - Metapsychology `A fascinating workshop for therapists and clients, backed up a thorough degree if philosophical acuity′ - Journal of the Society for Existential Analysis `I strongly recommend the book for philosophers as well as practitioners, teachers, students and supervisors in counselling and psychotherapy′ - Self and Society `Provides some additional and valuable arrows for the therapist′s quiver′ - Irvin Yalom, author of Love′s Executioner `Like Aristotle, Tim LeBon examines what is said and extracts what is best from it.... There are many fascinating exercises designed to bring out and enlighten the client′s values, conception of the good life, well-being, happiness, pleasure, and the proper place of reason in life.... Wise Therapy is well written and engaging. The case histories are illuminating examples of therapeutic techniques at work, the thought experiments are well designed, and the philosophical position adapted from the internal debates of the philosophers is level headed.... I recommend it highly to philosophers with an interest in counselling, and psychological counsellors with an interest in philosophy′ - Jeff Mason, The Philosophers′ Magazine `Tim LeBon has... authored a text which should become a staple on the philosophical counsellor′s bookshelf.... Wise Therapy is a concise, well-written book.... His ability to relate philosophical concepts to counselling concerns is admirable and attests to the skill and knowledge he possesses as a working counsellor. But, by far the most important part of Tim LeBon′s book to PC is the last chapter, "The Counsellor′s Philosophical Toolbox"′ - Craig Munns in The Examined Life ` Tim LeBon has done a good job of offering practical approaches to some of the most important and vexing issues that arise in counselling.... Tim LeBon′s book contains helpful suggestions, practical information, and useful examples, and would make a good addition to the library of any counsellors willing to allow philosophy to turn mere client sessions into wise therapy′ - Peter Raabe, Practical Philosophy Wise Therapy is an original and practical guide to how philosophy can benefit counselling and psychotherapy. Tim LeBon argues that therapy, informed by philosophy, can help clients make better decision and achieve emotional wisdom. He uses philosophical approaches to explore issues of right and wrong, the emotions and reasons, well-being and the meaning of life, and develops a ′counsellor′s toolbox′ of techniques that can help practitioners apply the wisdom of philosophy to good therapeutic practice. For counsellors who may find philosophical approaches to therapy useful, this work addresses key philosophical topics - the emotions, free will, the meaning of life and ethics. It is jargon-free where possible and assumes no previous philosophical training. From The Independent, 16th November 2004 Plato is my agony aunt It was the end of a love affair that broke her heart. Could the wisdom of the great philosophers show her how to be happy again? Claire Smith tries a novel form of therapy "The unexamined life is not worth living," Socrates said. Nor is the life you′re left with after your boyfriend has left you for another woman - at least, that′s how it felt in October last year when mine broke rank and went off with an art student from Cleveland, Ohio. We were over there for the opening of his new art exhibition. He′d flown over four days before me and had met her at a party. Supposedly, they "connected". The five months that followed were a roller-coaster of confusion, vitriol and despair. I knew there′d been problems in our relationship. We saw the world very differently; he delighted in the charm of the ordinary, I wanted maximum divinity. He walked; I galloped. He drank tea; I loathed the stuff. But, along the banks of the Thames, we′d made a promise to always stick together. Our love was something unique: "transcendental", I called it. And besides, we recycled. Surely a commitment to save the world would save our relationship? Alas, no. So there I was, a woman scorned. Hell truly hath no greater fury. And what made it worse was that I still believed in our transcendental love. If I wanted to change the way I was feeling, I needed to alter the way I was thinking. But how? A few bottles of wine and a sharp blow to the head might have done the trick. Fortunately, there′s an older, more trusted way of turning your head on its head that counsellors are starting to use: philosophy. The idea of employing Plato as an agony aunt was begun in 1981 by the German philosopher Gerd Achenbach. Although philosophy spends a lot of its time asking real-life questions that affect real-life people - What is happiness? And is it always wrong to lie? - most of the debate goes on in ivory towers. What Achenbach and subsequent philosophers including Tim LeBon, the chairman of the UK′s Society for Philosophy in Practice, wanted to do was "give practical application" to this gigantic library of great thoughts. So how does it work? Like most types of therapy, you sign up for a set of sessions. "Two would give you a new perspective on one issue; six would help you to make a major life-decision, like a career change; with 12 you can start to rethink your entire life philosophy," explains LeBon. Each session lasts 50 minutes and costs £50 - and, no, you don′t have to have any previous knowledge of philosophy. "If you think of Friends, it would suit Ross and Chandler more than Joey," LeBon says. "It′s for anyone who wants to make their emotions more intelligent. Or for those who have tried other kinds of therapy, and want something more cerebral." The first session begins with the patient venting off about whatever′s troubling them. The rant over, the counsellor then picks out some key concepts that are crucial to the problem - in the case of heartbreak, it is love and happiness that come hurtling to the fore - and then gets the patient to define what they mean. So, what is love? What is happiness? To kick-start the patient′s thinking, LeBon describes what a great philosopher had to say about it. In my case, he tells me what Plato wrote about love in his Symposium: that to stop man fighting the gods, Zeus decided to cut each human in two, so they would lose their strength. "This, then, is the source of our desire to love each other," Plato said. "Each of us is a ′matching half′ of a human whole, because each was sliced like a flatfish, two out of one, and each of us is always seeking the half that matches him." This method of probing what we might think are "obvious" ideas, such as love and happiness, was devised by Socrates in the squares of Athens. "The only I thing I know is that I know nothing at all," he boasted. What Socrates showed was that although many of the thinkers of his time thought they knew what justice, happiness and goodness meant, their understanding was tied in to their personal agenda and world view, and, what′s more, when pushed, their ideas often contradicted themselves. A bit like me on love. Whereas part of my understanding of love was something that gave life meaning, made it worth living and bound us together, I also believed that true love was "transcendental": that it was out of this world, and it didn′t matter if the two people who loved each other couldn′t get along in the day-to-day. Love was bigger than the mundane. But when it came to the next stage of the therapy, critical thinking - "to check out whether your assumptions stand up to examination" - I walked head first into a contradiction. If I think love′s purpose is to make life worth living, but then say it′s irrelevant to daily life, surely my two ideas of love are not compatible? As the cogs in my brain start to creak into motion, I feel myself taking a step back from my predicament: thinking about how I′ve been thinking. This idea I had of transcendental love might have started off as a romantic dream. But when the relationship stopped working, and I found myself feeling trapped and frustrated, I used it to justify the mechanics of a relationship that just didn′t work in the daily grind. I used it to lie to myself. In the final stage, LeBon gets me to start thinking about how to go forward. "You can′t change what has happened," he says. "You can′t change that he′s left you, or how you behaved in the relationship. So, as the Stoics did, let′s work on controlling the controllables: the things that you can change." To work out what can be changed, he gets me to try out a thought experiment, a method often used in philosophy to imagine other worlds where people can have different codes of behaviour. Thought experiments shatter your preconceived ideas of how the world should be and let your imagination run wild to how the world could be. "I find Viktor Frankl very useful here, the Austrian psychiatrist and concentration-camp survivor who actually believed that everything in life happens for a purpose," LeBon says. "Suppose this break-up did happen for a reason that will work to your benefit," he suggests. "What might that be? The answer might be that you can now focus on something important that was denied in the relationship. Or - the Hollywood version - so you′ll meet someone who is really right for you." Temporarily freed of any sense of responsibility for the relationship that was, and its sorry demise, the list came fast. I could now travel more; he didn′t like me travelling on my own, but too often he didn′t want to go anywhere, preferring to stay in his studio and make art. I′d love to meet someone with a similar sense of adventure to mine. For the first time in two years, I was being honest with myself about what I really wanted - listening to those voices that we all have inside our heads, and too often try to muzzle. So did philosophy save me? Well, I′m now dating a travel writer I have to run to keep up with. I still haven′t got over the fact that my replacement came from Cleveland, Ohio. But I guess I never will. Tim LeBon can be reached by e-mail at [email protected] A FEW WORDS FROM THE WISE Compiled by Ed Caesar · "At the touch of love, everyone becomes a poet" - Plato · "There is always some madness in love. But there is also always some reason in madness" - Friedrich Nietzsche · "That man shall live as his own master and in happiness who can say each day ′I have lived′" - Horace · "The good of man is the active exercise of his soul′s faculties in conformity with excellence or virtue... Moreover this activity must occupy a complete lifetime; for one swallow does not make spring, nor does one fine day; and similarly one day or a brief period of happiness does not make a man supremely blessed and happy" - Aristotle · "There is nothing on this earth more to be prized than friendship" - Thomas Aquinas · "Whatever you do... love those who love you" - Voltaire · "Happiness is not an ideal of reason but of imagination" - Immanuel Kant · "Happiness is a state of which you are unconscious. The moment you are aware that you are happy, you cease to be happy" - Jiddu Krishnamurti · "Love is an ideal thing. Marriage is a real thing" - Johann Wolfgang von Goethe I shrink, therefore I am Therapy has many answers, but some questions require the help of a philosopher, says Clint Witchalls Sunday November 21, 2004 The Observer Danny had worked in the City of London for 10 years. As a research analyst, stockbroker and fund manager, he′d made a lot of valuable contacts, earnt a lot of cash, and learnt some important business skills. However, as he approached his mid-thirties, he no longer felt good about himself or what he did for a living, and he found his colleagues cold and unfriendly. A chronic illness made him realise his mortality, and he began to reassess his priorities. Danny had been struggling with his career conundrum for nearly five years when he met David Arnaud, a philosophical counsellor. After a few soul-searching sessions, Danny arrived at a decision. Today, he teaches economics to sixth-formers, and he loves it. ′It′s a much better lifestyle,′ he says. Many people are turning to philosophical counsellors to get answers to questions such as: ′How do I make sense of myself?′ ′What is important to me?′ ′Where am I going?′ These are perhaps not the sort of questions that require psychiatric intervention, but Arnaud, who recently completed the first empirical study of philosophical counselling in the UK, has found that within just five sessions the majority of clients, with important decisions to make, tend to move from a state of concern and confusion to a resolution. Modern philosophical counselling can be traced back to 1981, when the philosopher Gerd Achenbach opened the first practice near Cologne. Achenbach referred to the new discipline as ′therapy for the sane.′ Today, there are hundreds of philosophical counsellors around the world, with the movement particularly strong in the US, Britain and the Netherlands. ′The dilemmas people face aren′t always primarily psychological,′ says Alex Howard, a philosophical counsellor from Newcastle. ′If people face problems that are social or economic, it doesn′t make sense to define their problems in purely psychological terms.′ Tim LeBon, a founder member of the Society for Philosophy in Practice (SPP) and author of Wise Therapy, adds: ′We are faced with far more life choices than our grandparents, yet have far fewer resources to deal with them. Our grandparents may have gone to a priest or to other family members for advice; most people don′t trust these solutions any more and so want to make their own well-informed, well thought-out choices. Philosophical counselling can help these people - people in mid-life crises who are wondering how to make the most of the rest of their life. People who want to take stock of their values.′ Where stressed executives might once have been prescribed a course of tranquillisers or antidepressants, they can now get a dose of Bertrand Russell instead: ′Success is too dearly purchased if all the other ingredients have been sacrificed to obtain it.′ While some philosophical counsellors do recommend books for their clients to read, most sessions are about helping the client identify faulty thoughts. For example, a briefing in Aristotelian logic might show a client why their beliefs are erroneous. The person might infer that they′re a screw-up because they′ve screwed up. The counsellor could point out that they′re making an error called ′fallacy of composition′ - that is, what′s true of the part isn′t necessarily true of the whole. In philosophical counselling, problems aren′t pathologised as they are by the psychiatric profession, and the dialogue between client and counsellor is more like a meeting of equals, compared to many therapies where the client is treated like a patient and seen as someone who is, in some way, inadequate. ′Anybody can benefit from philosophical counselling,′ says Howard. ′But it does require someone who is willing to take stock.′ Lou Marinoff, author of international bestseller Plato Not Prozac! has done much to promote philosophical counselling. ′Some people who have stabilised their neurochemistry and validated their emotions now wish to examine or re-examine the criteria of their beliefs, the principles of their conduct, or the meaning of their lives,′ he says. ′With whom shall they do this? Psychologists and psychiatrists can shed light on such issues - as can rabbis, priests, imams and gurus. Philosophers are now rejoining the ranks of helpers.′ LeBon believes certain therapies (such as cognitive behavioural therapy) don′t go far enough in helping their clients. ′For instance, if you are anxious about your relationship, a cognitive therapist would try to dispute your catastrophising and jump to conclusions to make you feel less anxious,′ says LeBon. ′A philosophical counsellor would do this, but would also look for existential meaning in your anxiety - perhaps you really don′t want to be in the relationship and that is what your anxiety is telling you.′ LeBon also gives short shrift to psychoanalysts. ′There′s very little evidence for the Freudian unconscious, and it′s time to move on to more intellectually satisfying and helpful therapies,′ he says. However, Alain de Botton, the man who popularised philosophy as self-help, isn′t ready to bury psychologists and their ilk just yet. ′The truth is that psychoanalysis grew out of philosophy - it′s not some completely new idea, and in fact, done properly, psychoanalysis is philosophical anyway. It may even be dangerous to the mental health of some people to suggest a philosopher rather than a properly trained analyst. The knowledge of analysts when it comes to many emotional problems is now much greater than that of most philosophers.′ Guardian Unlimited © Guardian Newspapers Limited 2004

Author: Benjamin E. Caldwell
Publisher:
ISBN: 9780988875968
Category :
Languages : en
Pages :

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It is a troubling time to be a therapist. Despite decades of powerful evidence that psychotherapy works, and tremendous advances in both policy and technology making therapy available to more of those who need it, the number of people actually going to therapy is flat or even declining. While training to be a therapist continues to get more expensive, therapists' salaries aren't even keeping up with inflation.Saving Psychotherapy addresses some of the troubling realities behind these truths. There is strong data to suggest:- The field avoids claiming meaningful values, leaving clients uncertain about the kind of guidance and support - if any - they will receive- The modern training process for therapists rewards wealth much more than merit- Many therapists express an open hostility to science and knowledge, even when it supports our work- There is little accountability for therapists to ever prove that they know what they're doing- Therapists are generally uninvolved in public debate, freely giving up their roles as society's experts on mental health and positive changePsychotherapy deserves a brighter future than the one we're on track for. And the first step toward getting that brighter future is for individual therapists at all career levels to take personal responsibility for it. In this data-driven, unflinching, and relentlessly optimistic look at the state of psychotherapy today, you will learn simple steps any therapist can take to make your practice more reputable and successful -- while improving the health and reputation of the entire field.