By Irving B. Weiner
Generations of clinicians have valued ideas of Psychotherapy for its breadth of insurance and accessibility and the author's skill to collect many components right into a unified presentation. The 3rd variation provides the conceptual and empirical foundations of evidence-based perform views of psychodynamic thought. It additionally bargains case examples illustrating what a therapist may possibly say and do in quite a few situations. furthermore, it comprises dialogue of broader psychodynamic views on momentary treatment. psychological future health pros will enjoy the revised version s inclusion of empirically established directions for undertaking potent psychotherapy.
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Extra resources for Principles of Psychotherapy: Promoting Evidence-Based Psychodynamic Practice
Example text
First, these studies equate ‘‘experience’’ with the passage of time and consequently designate therapists as more or less experienced without adequate attention to the kinds of experience or training they have had during that time. Second, these studies measure outcome mainly in situations involving brief treatment conducted according to the specific The Therapist 33 guidelines of a treatment manual and provided to relatively well-functioning patients who have comparatively few problems. 8 The weight of evidence does indicate that therapists with relatively little professional preparation may provide as much benefit to patients as better trained and more experienced therapists in simple cases in which they follow a treatment manual and provide brief therapy after a more fully qualified clinician has evaluated the patient and determined that such treatment would be appropriate.
Research with the Rorschach Inkblot Method has provided some valuable confirmation of both of these prognostic patient characteristics. Numerous studies have indicated that a high score on the Rorschach Prognostic Rating Scale, which is essentially a measure of ego strength, is a powerful predictor of benefiting from psychotherapy (Handler & Clemence, 2005; Meyer & Handler, 1997). As for acute distress, patients whose Rorschach protocols show low levels of manifest psychological distress have been found to be more difficult to treat and more likely to terminate prematurely than patients who initially give more numerous test indicators of current psychological upset (Colson, Eyman, & Coyne, 1994; Hilsenroth, Handler, Toman, & Padawer, 1995).
Self-anointed experts in human behavior abound, and there is no shortage of people who consider themselves prepared by their own experiences to understand and treat the problems of others. Moreover, psychotherapy can seem deceptively simple after hearing or reading about it: Therapists just listen and give their impressions of what is being said, and patients magically get better. All too frequently, well-intended individuals who are interested in helping others fancy themselves able to do so, and charlatans intent on exploiting others hold themselves out as capable therapists.
