Review of Self-Relations in the Psychotherapy Process.

Reviews the book, Self-Relations in the Psychotherapy Process by J. Christopher Muran (see record 2000-16556-000). The self is alive and well and living in psychology, at least if the contributors to J. Christopher Muran's stimulating volume, Self-Relations in the Psychotherapy Process, are to be taken seriously. The self is a central construct in psychoanalytic, humanistic, and cognitive-behavioral theories, but nowadays even some radical behaviorists find the self to be an important concept. Thus, the present is a propitious time for a book that presents the major theoretical approaches to the self in psychotherapy and, fortunately for us, Muran, by gathering the views of leading psychodynamic, humanistic, cognitive-behavioral, and radical behavioral thinkers, has assembled a volume of almost uniformly high quality. Inspired by postmodernism, especially by the growing popularity of dialogic and perspectival epistemologies, Muran has a constructed this book as a set of six dialogues among contributors of varying theoretical persuasions, and although I doubt that dialogic and perspectival epistemologies are necessarily postmodern, I nevertheless find that this volume's dialogic structure makes for interesting reading and adds to its intellectual contributions. Because Muran's contention, with which I agree, is that the self is not an isolated entity but rather part of a relational matrix, it is perhaps necessary for this book to be structured dialogically. Whether postmodern or not, this book is an important one, one that conveys a great deal about what it means to be human as we enter the 21st century. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Forms of feeling: The heart of psychotherapy.

Reviews the book, Forms of feeling: The heart of psychotherapy by Robert F. Hobson. Robert Hobson calls this book his autobiography as a therapist. As such it provides interesting glimpses into some of his more meaningful sessions with clients, illuminating his approach to therapy and enabling the reader to see a master therapist at work. Hobson also presents a new method of therapy, which he calls the conversational model. On this level, his book is considerably less satisfying. Hobson succinctly outlines the general principles of the conversational model and basic skills required of the therapist, but in so doing offers essentially little new information, however valid the points may be. According to Hobson, the conversational model is designed for clients whose problems arise from disturbances in their significant relationships, and those problems are best solved not by talking about them but by being in a relationship such as therapy that provides "a special kind of friendship." Hobson puts great stress on the use of metaphorical language in therapy and learning how to use the language of art as well as of science. He relies heavily on literary quotations, prefacing each section with one or two, and liberally interspersing many more within the pages of text. The net result is not so much illuminating as it is wearisome, and the general tone is slightly pretentious and, when Hobson addresses his "dear Reader" directly, somewhat condescending. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Insight: A Bridging of the Theoretical and Research Literatures.

Arm-chair theorizing and polemicizing has traditionally characterized discussions involving the concept of "insight" in psycho-therapy. This article attempts to examine some of the more controversial issues about "insight" in terms of relevant research studies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Therapeutic experiencing: The process of change.

Reviews the book, Therapeutic experiencing: The process of change by Alvin R. Mahrer (1986). In one sense, Mahrer makes the reviewer's task easy by summarizing in his introduction such key points as the purpose of his book, its scope, and its intended readership. Mahrer has two stated purposes: one is "to show how to do experiential therapy" and the other is "to build upon the various members of the experiential family and to propose a single theory of experiential psychotherapy complete with its own methods of bringing about therapeutic change." There are three conditions, however, which must be met in order to enable the reader to do experiential therapy. The first is that the reader is familiar with and sympathetic to existential-humanistic thinking. It is to all such therapists, as well as to their patients, that this book is addressed. The other two conditions that must be fulfilled in order to undertake experiential therapy are that the reader understands how to start each experiential therapy session and knows how to listen experientially. These latter two conditions are the subject of an earlier book by Mahrer, Experiential Psychotherapy: Basic Practices, which is thus basic reading for anyone intending to apply the method described in the current volume, as these two conditions together comprise the essential first of five steps that constitute each experiential psychotherapy session. The current volume picks up the method only at step two, "carrying forward of potentials for experiencing," and covers the remaining steps as well: "experiencing the relationship with deeper potentials, experiential being of the deeper potentials, and being/ behavioral change." In Therapeutic Experiencing , Mahrer stipulates that the patient should have a minimum of three hundred sessions, distributed over a 3-year period, and return for therapeutic work every two years or so for about 10 to 15 sessions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Psychotherapist's Own Psychotherapy: Educating and Developing Psychologists.

In this article, the author synthesizes 25 years of his research on the personal therapy of mental health professionals. The author summarizes the high prevalence of personal treatment, its use by seasoned practitioners, its personal and professional goals, its typically positive outcomes, and its lasting lessons concerning the practice of psychotherapy. Particular attention is devoted to the therapist's selection of a personal therapist and the conduct of treatment with patients who are themselves psychotherapists in comparison with patients who are laypersons. The cumulative results indicate that personal therapy is an emotionally vital, interpersonally dense, and professionally formative experience that should be central to the development of health care psychologists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Commentary on "The 'Ins and Outs' of Enactment: A Relational Bridge for Psychotherapy Integration" by Frank.

This commentary reviews and critiques Kenneth A. Frank's (2002) article, in which he discusses the concept and nature of enactment and its power as a tool for integrating action -oriented, cognitive-behavioral treatments and insight-oriented psychodynamic treatments. Frank convincingly shows how enactments-both in and out of therapy-are pervasive, play a central part in personality difficulties, and can be used to effect change. Additionally, the concept of enactment is a valuable tool for psychotherapy integration. Suggestions are given for further, increasing the power of the concept through incorporation of the family systems perspective. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy and ethnocentrism.

"The effects of psychotherapeutic experience upon ethnocentric or prejudicial attitudes as measured by the California E scale were evaluated. Of three hypotheses formulated, two were supported; namely, that such treatment would result in reductions of such attitudes and that group psychotherapy would be more effective than individual treatment in doing so. However, the hypothesis that reductions of ethnocentrism would be accompanied by appropriate changes of those personality dispositions measured by the F scale was not supported." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Process of Recommending Homework in Psychotherapy: A Review of Therapist Delivery Methods, Client Acceptability, and Factors That Affect Compliance.

Although the link between homework use and positive psychotherapy outcomes has been established, relatively little is known about the therapeutic processes, or factors, that promote homework compliance. Homework compliance may be viewed as an indicator of client commitment and involvement in psychotherapy. This article presents the results of a systematic review of research, including 16 empirical studies, related to the homework recommendation process. Findings relate to the frequency and type of homework that therapists deliver, factors that promote client acceptability of homework recommendations, and factors that affect compliance. On the basis of these findings, the authors propose a theoretically and empirically based, 6-phase conceptual model of the homework recommendation process. They also propose specific strategies for recommending homework to clients and directions for future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sequential dependencies in psychotherapy.

"As one studies psychotherapy interviews, one is struck by the lawfulness and interconnectedness of the events in them. It seems obvious that a patient once launced on a theme is likely to continue on that theme; it seems that various forms of resistance are equivalent, so that one kind can replace another; and it seems that interventions by the therapist occur at predictable times and have predictable effects." Such a conception formed the basis for the present research, was restated in the form of hypotheses which could be, and were, tested and found valid. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Making contact: Uses of language in psychotherapy.

Reviews the book, Making contact: Uses of language in psychotherapy by Leston Havens (see record 1986-97288-000). Drawing on ideas from psychoanalytic, existential, and interpersonal theories, the author has provided a thought-provoking and practical book about how to reach, affect, and influence the distant or absent patient through language. This book is not only thought-provoking and practical but also a pleasure to read; Havens possesses a graceful literary style that is vivid, witty, and filled with fresh metaphors. Havens avoids traditional terminology for describing the more disturbed patient in favor of a personal and less objectifying way of speaking. Havens has provided a framework for conceptualizing how language can be used in a disciplined and powerful way to locate the lost selves of our patients. By calling attention to how we speak, he reminds us that language, used empathically and authentically, is the most powerful tool we have to bridge the often wide chasm between us and our patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Cultural Context and the Psychotherapeutic Process: Toward a Culturally Sensitive Psychotherapy.

Cross-cultural psychotherapy has striven to refine its intervention strategies during the last 2 decades. However, many authors have noted that these advances seem disconnected from each other and from traditional psychotherapeutic approaches. This article offers a conceptual framework that groups very diverse psychotherapeutic approaches into 3 broad categories according to some of their basic assumptions. Some cross-cultural psychotherapeutic models are also located within these 3 categories as a means to link different and apparently fragmented cross-cultural models to traditional psychotherapeutic models. It is argued that the proposed conceptual framework allows clinicians to intervene in a more effective manner than if these different psychotherapeutic models remained fragmented and disconnected. The proposed conceptual framework allows clinicians to benefit in a coherent manner from the advantages of different psychotherapeutic recommendations. Finally, the psychotherapeutic usefulness of this model is illustrated through a case presentation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The compleat therapist.

Reviews the book, The compleat therapist by Jeffrey A. Kottler (see record 1990-98953-000) . The Compleat Therapist begins with an assessment of the state of the art of psychotherapy, concluding with the observation first articulated by Goldfried in his landmark 1982 book, Converging Themes in Psychotherapy: The number of therapies has expanded exponentially over recent years, and paradigm strain mandates attempt to find commonalities and integrations. The book then proceeds to summarize research findings and the writer's personal observations regarding variables common to most therapies and to most effective therapists. The Compleat Therapist homogonizes therapy, and in so-doing points out the risks of the integrative psychotherapy movement. By putting all therapies into one blender and whirling them into one concoction, the unique techniques and insights of each tend to get lost. The result can be, and in this case is, a loss of data. The significant contributions of each type of therapy are submerged in the hunt for common elements. This book's conclusion seems to be that anything works, and why is a mystery. As a professional discipline we need to set our sights higher than that. An approach to integration that looks only at common factors is like looking at antibiotics, aspirin, and cortisone, all of which make people feel better, to find their commonality. Yes, they are all medicines, but that data does not facilitate treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sources of gain in psychotherapy.

Insight is not a cause of change but a possible result of change. "It is not a source of therapeutic gain but one among a number of possible consequences of gain." 5 "major sources of gain, five kinds of experiences that are the well-springs of personality reorganization" are specified. Psychotherapy is a unique life situation designed to maximize these sources of gain: (a) a sustaining experience of intimacy with another human without getting hurt; (b) divesting verbal and other symbols of their anxiety producing potential; (c) the transference relationship; (d) client opportunities to practice decision making, to learn to be responsible for himself, to develop an improved self-concept; and (e) insight which facilitates repression and symptom elimination, and involves cognitive structure modifications. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Critical interventions in psychotherapy, from impasse to turning point.

Reviews the book, Critical interventions in psychotherapy, from impasse to turning point by Haim Omer (see record 1994-98362-000). In his opening sentence the author postulates that, "Prolonged impasse is probably the toughest and most ubiquitous ordeal of psychotherapy." This relatively short volume is directed at the development of a technique, which the author calls "Critical Intervention(s)" for the resolution of such impasses. It also, very directly, makes a case for the psychotheapeutic pluralism rampant on the contemporary psychotherapeutic scene. The first seven of the eight chapters are devoted to the philosophy and then the actual technique of the critical intervention. There are case histories to make each point, and the histories consist of dialogues between patient(s) and therapist as well as dialogue between therapist, the consultant, and a group of colleagues who are part of the consultation statement developed out of this consultation. The therapist, then, is to present this statement to the patient(s). While the apparent focus of this book is the critical intervention, it is also clearly a platform for the author's views and feelings about both the pluralistic approach to psychotherapy and the "older" single frame of reference psychotherapies. While this book will have some interest for the solo practicing clinician, the utilization of the technique would be, at best, quite difficult given the necessity of calling together a consultant and group. For those with a single theory orientation to treatment the book will be of no value (other than as an interesting idea) since the technique depends upon pluralism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Comprehensive handbook of psychotherapy integration.

Reviews the book, Comprehensive handbook of psychotherapy integration by George Stricker and Jerold R. Gold (see record 1993-97695-000). In the Preface to this text, the editors express their expectation that "this volume will serve as an up-to-date and exhaustive overview of the status of ongoing scholarly and clinical work in the integration of the major schools of psychotherapy" (p. ix). Such introductory comments are commonly found in the "handbook" genre, yet such expectations are seldom met to the satisfaction of many reviewers. Nevertheless, with an open mind I plunged into this 560-page, doubled-columned, 37-chapter volume. I will admit that I was somewhat devilishly compelled to find some topic mat I could consider less than exhaustively reviewed. Well, did I find the volume exhaustive? The answer is yes! This is a marvelous volume. It should be mandatory reading for students in advanced counseling and psychotherapy courses. Initially, one would think its value is as a reference text, and indeed, all practicing psychotherapists should have a copy of this volume on their shelves. But, this volume provides such a useful series of pragmatic chapters, I believe that advanced students would prosper as well. True integration occurs on both the theoretical and practical levels. This is the first book that I have seen that provides the reader with exhaustive perspectives on both. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Handbook of psychotherapy for anorexia nervosa and bulimia.

Reviews the book, Handbook of psychotherapy for anorexia nervosa and bulimia edited by David M. Garner and Paul E. Garfinkel (1985). In the Introduction, the editors indicate that the text, intended for an audience of practising and academically oriented clinicians, has two major purposes: (1) to delineate the various types of therapy advocated for the treatment of anorexia and bulimia, and (2) to identify the factors that predispose or precipitate these eating disorders. The book is immensely successful in fulfilling the first intent. However, the ability of the various chapter authors to isolate the risk factors for anorexia and bulimia is less satisfying. In fairness, however, this does not represent a shortcoming on the part of the authors but rather provides an accurate reflection of the degree of our current understanding of these eating disorders. Several features of the book make it an invaluable reference text on anorexia and bulimia--a large range of treatment options is presented ranging from feminist psychoanalytic approaches to behavioural management techniques; the authors attempt to articulate the theoretical bases that underlie or justify the particular treatment they advocate; and the inclusion of case studies, sample therapist-patient dialogue, and the overall detailed manner with which the therapies are described provide the reader with a clear flavour of the treatment modality. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dance as a Metaphor: Complexities and Extensions in Psychotherapy.

In this article, the author discusses the complexities involved in using dance as a therapeutic metaphor for persons' relatedness and describes extensions of the metaphor for enhancing therapeutic effectiveness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Cognitive therapy for depressed adolescents.

Reviews the book, Cognitive therapy for depressed adolescents by T.C. R. Wilkes, Gayle Belsher, A. John Rush, and Ellen Frank (see record 1994-98433-000). This book offers chapters on adaption of cognitive therapy for depressed adolescents, ten key principles of adolescent cognitive therapy, diagnosis and assessment, developmental considerations, the therapeutic relationship, family involvement, the initial phase, the middle phase, the final phase, three comorbidity chapters (substance abuse, sexual victimization, suicidal adolescents), hospitalized adolescents, psychopharmacological treatment, and treatment failures. The sequence of chapters makes perfect sense, and despite four senior authors and five co-authors, it is as if one master hand prevails. The writing never wavers—crisp, flowing, and superbly readable. Whenever possible, adolescent and adult therapy of depression are contrasted, and at times, techniques effective or ineffective for early and late adolescents are cited. One might say the current work is a downward extension of the 1979 Beck book, with developmental considerations and family therapy included. This manual motivates me to reread Beck, Burns, Piaget, Bowlby, and the Socratic method series of papers in this Journal (Overholser). Manuals such as this should result in improved supervision. Finally, Drs. Wilkes, Belsher, Rush, Frank, and their associates (Drs. David A. Brent, Graham J. Emslie, Miriam S. Lerner, Anthony Nowels, Warren A. Weinberg) provide this reviewer with one more humility and awe inducing experience. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Cognitive therapy for depressed adolescents.

Reviews the book, Cognitive therapy for depressed adolescents by T. C. R. Wilkes, Gayle Belsher, A. John Rush, and Ellen Frank (see record 1994-98433-000). This book offers chapters on adaption of cognitive therapy for depressed adolescents, ten key principles of adolescent cognitive therapy, diagnosis and assessment, developmental considerations, the therapeutic relationship, family involvement, the initial phase, the middle phase, the final phase, three comorbidity chapters (substance abuse, sexual victimization, suicidal adolescents), hospitalized adolescents, psychopharmacological treatment, and treatment failures. The sequence of chapters makes perfect sense, and despite four senior authors and five co-authors, it is as if one master hand prevails. The writing never wavers—crisp, flowing, and superbly readable. Whenever possible, adolescent and adult therapy of depression are contrasted, and at times, techniques effective or ineffective for early and late adolescents are cited. One might say the current work is a downward extension of the 1979 Beck book, with developmental considerations and family therapy included. This manual motivates me to reread Beck, Burns, Piaget, Bowlby, and the Socratic method series of papers in this Journal (Overholser). Manuals such as this should result in improved supervision. Finally, Drs. Wilkes, Belsher, Rush, Frank, and their associates (Drs. David A. Brent, Graham J. Emslie, Miriam S. Lerner, Anthony Nowels, Warren A. Weinberg) provide this reviewer with one more humility and awe inducing experience. (PsycINFO Database Record (c) 2010 APA, all rights reserved)