Friday, March 21, 2014

The Heart and Soul of Change, Second Edition: Delivering What Works in Therapy


The Heart and Soul of Change, Second Edition: Delivering What Works in Therapy [Kindle Edition]

Author: Barry L. Duncan - ISBN: B004T9YTEG - Language: English - Format: PDF, EPUB

DESCRIPTION

Updating the classic first edition of The Heart and Soul of Change, editors Duncan, Miller, Wampold, and Hubble, have created a new and enriched volume that presents the most recent research on what works in therapeutic practice, a thorough analysis of this research, and practical guidance on how a therapist can truly "deliver what works in therapy." This volume examines the common factors underlying effective psychotherapy and brings the psychotherapist and the client–therapist relationship back into focus as key determinants of psychotherapy outcome.

The second edition of The Heart and Soul of Change also demonstrates the power of systematic client feedback to improve effectiveness and efficiency and legitimize psychotherapy services to third party payers. In this way, psychotherapy is implemented one person at a time, based on that unique individual's perceptions of the progress and fit of the therapy and therapist.

Readers familiar with the first edition will encounter the same pragmatic focus but with a larger breadth of coverage—this edition adds chapters on both youth psychotherapy and substance abuse treatment. Through reading The Heart and Soul of Change, Second Edition: Delivering What Works in Therapy clinicians of varied levels of experience will improve their understanding of what is truly therapeutic in the diverse forms of psychotherapy practiced today.


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DETAILS
  • File Size: 2153 KB
  • Print Length: 455 pages
  • Publisher: American Psychological Association; 2 edition (December 15, 2009)
  • Sold by: Amazon Digital Services, Inc.
  • Language: English
  • ASIN: B004T9YTEG
  • Text-to-Speech: Enabled
  • X-Ray:
    Not Enabled
  • Lending: Not Enabled
  • Amazon Best Sellers Rank: #147,780 Paid in Kindle Store (See Top 100 Paid in Kindle Store)

REVIEWS

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If you, as a psychotherapist, read only one book this year, I'd recommend "The Heart and Soul of Change".

This is a gem of a book, challenging many of our dearest assumptions about psychotherapy. As Bruce Wampold sets forth in Chapter 2, for over 100 years psychotherapy has based itself on the medical model, which he boils down to the five components: 1. a disorder, complaint or problem. 2. an explanation of that disorder, complaint, problem. 3. a mechanism of change, how to fix it, that fits the general explanation. 4. based on that mechanism of change, several specific actions emerge which ought to help. 5. "Fifth, and most important, the therapeutic action [#4] is responsible for the benefits of the psychotherapy and not other factors, such as the alliance with the therapist (i.e., the decrease in symptoms was caused by [for example] prolonged exposure and not other therapeutic actions or conditions). This last component, which is referred to as "specificity", is in many ways the hallmark of medicine." (p. 51.) As Wampold shows in his "meta-analyses" (analyzing groups of psychotherapeutic research studies), specificity - the superiority of a given specific approach for specific disorders -- doesn't explain why psychotherapy works, at least for the most common psychological disorders.

(I note that, in working with Complex PTSD for over 20 years, I rather think that here and, say, in working with those with Asperger's/High Functioning Autism, that we may need to adjust "specifically" to the disorder. Not all treatments work. Believe me, I know. Disorder-specific ways of relating appear most important, along with a delicate balance of client-driven, family-driven and problem-driven approaches appear, at least in my experience, most effective.

PREVIEW

The Heart and Soul of Change, Second Edition: Delivering What Works in Therapy DOWNLOAD

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