Doing Psychotherapy Effectively


Book Description

Psychotherapy is a $2.5 billion business in the United States, but no one can answer the basic question of how therapy works. No watchdog groups rank therapists for potential consumers; no one school of thought has proven to be superior to another. And no method has emerged for determining what makes therapy successful for some but not for others. Doing Psychotherapy Effectively proposes much-needed answers to the puzzling questions of what therapists actually do when they are effective. Mona Sue Weissmark and Daniel A. Giacomo offer a unique mode of evaluation that focuses not on a particular school of therapy but on the relationship between therapist and patient. Their approach, the "Harvard Psychotherapy Coding Method," begins with the assumption that good therapeutic relationships are far from intuitive. Successful relationships follow a pattern of behaviors that can be identified and quantified, as the authors demonstrate through clinical research and videotaped sessions of expert therapists. Likewise, positive changes in the patient, observed through client feedback and case studies, can be described operationally; they involve the process of overcoming feelings of detachment, helplessness, and rigidity and becoming more involved, effective, and adaptable. Weissmark and Giacomo explain and ground these principles in the practice of psychotherapy, making Doing Psychotherapy Effectively an accessible and pragmatic work which will give readers a tool for measuring therapeutic effectiveness and further understanding human transformation. For the first time, successful therapy is described in a way that can be practiced and communicated.




Effective Psychotherapists


Book Description

What is it that makes some therapists so much more effective than others, even when they are delivering the same evidence-based treatment? This instructive book identifies specific interpersonal skills and attitudes--often overlooked in clinical training--that facilitate better client outcomes across a broad range of treatment methods and contexts. Reviewing 70 years of psychotherapy research, the preeminent authors show that empathy, acceptance, warmth, focus, and other characteristics of effective therapists are both measurable and teachable. Richly illustrated with annotated sample dialogues, the book gives practitioners and students a blueprint for learning, practicing, and self-monitoring these crucial clinical skills.




What Is Psychotherapy?


Book Description

An in-depth look at a much misunderstood practice, offering a fresh viewpoint on how this science can be a universally effective route to our better selves.




Maximizing Effectiveness in Dynamic Psychotherapy


Book Description

The best therapists embody the changes they attempt to facilitate in their patients. In other words, they practice what they preach and are an authentic and engaged, as well as highly skilled, presence. Maximizing Effectiveness in Dynamic Psychotherapy demonstrates how and why therapists can and must develop the specific skills and personal qualities required to produce consistently effective results. The six factors now associated with brain change and positive outcome in psychotherapy are front and center in this volume. Each factor is elucidated and illustrated with detailed, verbatim case transcripts. In addition, intensive short-term dynamic psychotherapy, a method of treatment that incorporates all these key factors, is introduced to the reader. Therapists of every stripe will learn to develop and integrate the clinical skills presented in this book to improve their interventions, enhance effectiveness and, ultimately, help more patients in a deeper and more lasting fashion.




Psychotherapy Is Worth It


Book Description

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.




Toward Effective Counseling and Psychotherapy


Book Description

The field of counseling and psychotherapy has for years presented the puzzling spectacle of unabating enthusiasm for forms of treatment whose effectiveness cannot be objectively demonstrated. With few exceptions, statistical studies have consistently failed to show that any form of psychotherapy is followed by significantly more improvement than would be caused by the mere passage of an equivalent period of time. Despite this, practitioners of various psychotherapeutic schools have remained firmly convinced that their methods are effective. Many recipients of these forms of treatment also believe that they are being helped. The series of investigations reported in this impressive book resolve this paradoxical state of affairs. The investigators have overcome two major obstacles to progress in the past--lack of agreement on measures of improvement and difficulty of measuring active ingredients of the psychotherapy relationship. The inability of therapists of different theoretical persuasions to agree on criteria of improvement has made comparison of the results of different forms of treatment nearly impossible. The authors have solved this intractable problem by using a wide range of improvement measures and showing that, regardless of measures used in different studies, a significantly higher proportion of results favor their hypothesis than disregard it. Overall, this book represented a major advance at the time of its original publication and is of continuing importance. The research findings resolve some of the most stubborn research problems in psychotherapy, and the training program based on them points the way toward overcoming the shortage of psychotherapists.




The Great Psychotherapy Debate


Book Description

The second edition of The Great Psychotherapy Debate has been updated and revised to expand the presentation of the Contextual Model, which is derived from a scientific understanding of how humans heal in a social context and explains findings from a vast array of psychotherapies studies. This model provides a compelling alternative to traditional research on psychotherapy, which tends to focus on identifying the most effective treatment for particular disorders through emphasizing the specific ingredients of treatment. The new edition also includes a history of healing practices, medicine, and psychotherapy, an examination of therapist effects, and a thorough review of the research on common factors such as the alliance, expectations, and empathy.




Deliberate Practice for Psychotherapists


Book Description

This book explores how psychotherapists can use deliberate practice to improve their clinical effectiveness. By sourcing through decades of research on how experts in diverse fields achieve skill mastery, this book shows it is possible for any therapist to dramatically improve their clinical skills. To improve, therapists must focus on clinical challenges and reconsider century-old methods of clinical training from the ground up. This second edition traces recent developments in research and presents a step-by-step program to engage readers in deliberate practice to improve clinical effectiveness across the therapists’ entire career span, from beginning training for graduate students, to continuing education for licensed and advanced clinicians. Enriched with insightful clinical experiences and anecdotes, Deliberate Practice for Psychotherapists is an important read for graduate students, trainees, and practicing psychotherapists.




Becoming an Effective Psychotherapist


Book Description

This book helps therapists-in-training evaluate the different theories of psychotherapy and shows that there is no "right" theory -- rather, there are different therapeutic approaches that fit for each therapist and client. Through a thorough overview and reflection of the main theories of psychotherapy, this useful book will help graduate students in psychology find a theory that is compatible with their worldview and will encourage them to become more effective therapists by matching therapeutic approaches to themselves and their clients. By reading this book, students will be able to align their own values in their beginning practice to the major theories on which psychotherapy is based; they will be able to easily choose a model for practice maximizing their satisfaction, confidence, and effectiveness as a therapist. Author Derek Truscott skillfully presents the nine leading systems of psychotherapy, the underlying rationale and approach to treatment for each, and their seminal theorists. Each chapter showcases a specific theory's therapeutic goals, its assumptions about the therapist-client relationship, client tasks, and the related change processes. Chapters end with thought-provoking journal exercises, learning tasks, and case examples for the psychology student to use as an evaluation, as well as discussions of how each approach has evolved and is practiced today.




Unifying Effective Psychotherapies


Book Description

Philosophically rich and highly practical, this book offers therapists a transtheoretical, transdiagnostic perspective that identifies the process of change that underlies all effective psychotherapy models.