| Abstract: | Reviews the book, A perilous calling: The hazards of psychotherapy practice by Michael B. Sussman (1994). In this book, the author presents chapters by therapists from various disciplines (e.g., psychology, social work, psychiatry) that examine the "hazards" that lay hidden in the practice of psychotherapy. The author contends that doing psychotherapy "poses significant dangers to clinicians" (p. 1). He believes that there are forces both internal and external to the therapist that may take their toll on the therapist's well-being. Sussman makes the point that while other overtly dangerous professions (e.g., firefighter) warn prospective candidates of the perils of their field, novice psychotherapists are not prepared for what awaits them. Psychotherapists, then, enter the profession unprepared for, if not blind to, possibilities that not only make them less effective in their work, but might actually harm themselves and their families. Sussman sees a real human cost to not preparing clinicians to be aware of, and deal with, these hazards. The book is divided into six parts that range from the therapist's personal development to renewal. Along the way the reader encounters professional, ethical and legal issues, clinical dilemmas, the emotional impact of the work, and the ailments of the therapist. Within each particular area are rather personal, and at times idiosyncratic, chapters from a variety of psychotherapists. There are chapters that deal with AIDS, the Holocaust, body shame, and being a female therapist. Most of the chapters have a distinctly clinical orientation, while a few come across as philosophical discourses. There is one chapter by an expert witness in the Margaret Bean-Bayog case who warns of the dangers of the press on one's career. The wide scope of the chapter topics, at times, gives the book a disjointed feel and the sense that it is trying to tackle too many issues at once. Overall, this book provides a new slant on what is involved in the practice of psychotherapy. It raises some important questions about the field and how we prepare for its impact on our lives, for the practice of psychotherapy surely does affect the practitioner. Sussman and some of the chapter authors make a good case for increasing communication about potential hazards and developing strategies and training methods that will minimize their effects. (PsycINFO Database Record (c) 2010 APA, all rights reserved) |
