This book examines therapeutic failures in psychotherapy. Despite the consistent positive outcome findings and psychotherapists’ best intentions in their efforts to help their clients, psychotherapy simply does not work in all cases. In fact, 5-10% of adult clients deteriorate during psychotherapy. Although not exclusively due to treatment failures per se, almost a fifth of clients terminate their therapy prematurely and findings suggest that that between 20 and 30% of clients do not return after the first session with half terminating after just two sessions. Therapeutic failures could include a range of negative therapy outcomes, such as harm, deterioration, client non-response, premature termination, or dropout, as well as process factors, such as negative therapy experiences, impasses, or alliance ruptures. Investigating therapeutic failures holds the key to improving the effectiveness of psychotherapy as well as understanding some of the fundamental conditions that need to be in place for the change mechanisms of psychotherapy to take effect. Although psychotherapy has made many strides over the last few decades to improve research rigour and to promote evidence-based practices, it is a profession that is still growing. By embracing the opportunity to learn from therapeutic failures the profession will continue to refine its practices to better serve clients and to strive toward developing ethical and effective practices. Both comprehensive and accessible, this book will be of great interest to psychotherapists in practice, therapists-in-training, as well as students and professionals in psychology and mental health in general. The chapters in this book were originally published in Counselling Psychology Quarterly.

At a time when evidence is everything, the comprehensive Handbook of Evidence-Based Psychotherapies handbook provides a unique, up-to-date overview of the current evidence-base for psychological therapies and major psychological disorders. The editors take a pluralistic approach, covering cognitive and behavioural therapies as well as counselling and humanistic approaches. Internationally-renowned expert contributors guide readers through the latest research, taking a critical overview of each practice’s strengths and weaknesses. A final chapter provides an overview for the future.

Extensive studies have shown cognitive-behavioral therapy to be highly effective in treating anxiety disorders, improving patients’ social functioning, job performance, and quality of life. Yet every CBT clinician faces some amount of client resistance, whether in the form of “This won’t work”, “I’m too depressed”, or even “You can’t make me!” Avoiding Treatment Failures in the Anxiety Disorders analyzes the challenges presented by non-compliance, and provides disorder- and population-specific guidance in addressing the impasses and removing the obstacles that derail therapy. Making use of extensive clinical expertise and current empirical findings, expert contributors offer cutting-edge understanding of the causes of treatment complications—and innovative strategies for their resolution—in key areas, including: The therapeutic alliance The full range of anxiety disorders (i.e., panic, PTSD, GAD) Comorbidity issues (i.e., depression, personality disorders, eating disorders, substance abuse, and chronic medical illness) Combined CBT/pharmacological treatment Ethnic, cultural, and religious factors Issues specific to children and adolescents. Both comprehensive, and accessible, Avoiding Treatment Failures in the Anxiety Disorders will be welcomed by new and seasoned clinicians alike. The window it opens onto this class of disorders, plus the insights into how and why this treatment works, will also be of interest to those involved in clinical research.

Seminars in the Psychotherapies presents an overview of the major established psychotherapies for psychiatrists who are developing their therapeutic skills. Clinical examples are used throughout to highlight how theory can be applied to practice and to illustrate how different theoretical concepts are linked.

It can happen that a law incurs the wrath of the very people it set out to protect. This is what happened in France at the end of 2003 with the Accoyer Amendment, a Bill that intended to regulate the exercise of psychotherapies even at the cost of the disappearance of psychoanalysis itself. The public that this law was supposed to protect thus ran the risk of finding themselves stripped of certain freedoms that democracy usually guarantees. How had it become possible to reach such a point? This is what this book sets out to examine. Evaluation and cognitive-behavioural scientism, which have been progressively infiltrating different forms of knowledge with destructive effect, undoubtedly played a major role. And then, the International Psychoanalytical Association, despite having been founded by Freud to protect his invention, started to endorse the forced cognitivisation of psychoanalysis. Meanwhile, psychiatry slid back into its nineteenth century hygienic obscurantism and its new recruit, epidemiology, began playing host to racialist discourses.

Psychotherapy and psychoanalysis don't always work. Inevitably, a therapy or analysis may fail to alleviate the suffering of the patient. The reasons why this occurs are as manifold as the patients and analysts themselves, and oftentimes are a source of frustration and vexation to clinicians, who aren't always eager to discuss them. Taking the challenge head-on, Arnold Goldberg proposes to demystify failure in an effort to determine its essential meaning before determining its causes. Utilizing multiple vignettes of failed cases, he offers a deconstruction and a subsequent taxonomy of failure, delineating cases that go bad after six months from cases that never get off the ground, mismatches from impasses, failures of empathy from failures of inattention. Commonalities in the experience of failure – conceived as less a misapplication of technique than consequences of a co-constructed yet fraught therapeutic relationship – begin to emerge for scrutiny.

The Oxford Handbook of Cognitive and Behavioral Therapies provides a contemporary and comprehensive illustration of the wide range of evidence-based psychotherapy tools available to both clinicians and researchers. Chapters are written by the most prominent names in cognitive and behavioral theory, assessment, and treatment, and they provide valuable insights concerning the theory, development, and future directions of cognitive and behavioral interventions. Unlike other handbooks that provide a collection of intervention chapters but do not successfully tie these interventions together, the editors have designed a volume that not only takes the reader through underlying theory and philosophies inherent to a cognitive and behavioral approach, but also includes chapters regarding case formulation, requisite professional cognitive and behavioral competencies, and integration of multiculturalism into clinical practice. The Oxford Handbook of Cognitive and Behavioral Therapies clarifies terms present in the literature regarding cognitive and behavioral interventions and reveals the rich variety, similarities, and differences among the large number of cognitive and behavioral interventions that can be applied individually or combined to improve the lives of patients.

Praise for Bergin and Garfield's Handbook of Psychotherapy and Behavior Change, Sixth Edition "Not only is this a unique resource, it is the only book that all practitioners and researchers must read to ensure that they are in touch with the extraordinary advances that the field has made over the last years. Many of us have all five previous editions; the current volume is an essential addition to this growing, wonderful series." —Peter Fonagy, PhD, FBA, Freud Memorial Professor of Psychoanalysis and Head of the Research Department of Clinical, Educational and Health Psychology, University College London "As either researcher or clinician living in the contemporary world of accountability, this invaluable edition of the Handbook is a must for one's professional library." —Marvin R. Goldfried, PhD, Distinguished Professor of Psychology, Stony Brook University The classic reference on psychotherapy—revised for the twenty-first century Keeping pace with the rapid changes that are taking place in the field, Bergin and Garfield's Handbook of Psychotherapy and Behavior Change, Sixth Edition endures as the most important overview of research findings in psychotherapy for professionals, academics, researchers, and students. This bestselling resource presents authoritative thinking on the pressing questions, issues, and controversies in psychotherapy research and practice today. Thorough and comprehensive, the new edition examines: New findings made possible by neuro-imaging and gene research Qualitative research designs and methods for understanding emotional problems Research in naturalistic settings that capitalizes on the curiosity of providers of services Practice-relevant findings, as well as methodological issues that will help direct future research

First published in 2002, the landmark Psychotherapy Relationships That Work broke new ground by focusing renewed and corrective attention on the substantial research behind the crucial (but often overlooked) client-therapist relationship. This thoroughly revised edition brings a decade of additional research to the same task. In addition to updating each chapter, the second edition features new chapters on the effectiveness of the alliance with children and adolescents, the alliance in couples and family therapy, real-time feedback from clients, patient preferences, culture, and attachment style. The new editon provides "two books in one"--one on evidence-based relationship elements and one on evidence-based methods of adapting treatment to the individual patient. Each chapter features a specific therapist behavior that improves treatment outcome, or a transdiagnostic patient characteristic (such as reactance, preferences, culture, stage of change) by which clinicians can effectively tailor psychotherapy. All chapters provide original, comprehensive meta-analyses of the relevant research; clinical examples, and research-supported therapeutic practices by distinguished contributors. The result is a compelling synthesis of the best available research, clinical expertise, and patient characteristics in the tradition of evidence-based practice. The second edition of Psychotherapy Relationships That Work: Evidence-Based Responsiveness proves indispensible for any mental health professional. Reviews of the First Edition: "A veritable gold mine of research related to relationships, this is a volume that should be an invaluable reference for every student and practitioner of psychotherapy."--Psychotherapy "This is a MUST READ for any researcher, clinician, or counselor who is genuinely interested in the active ingredients of effective psychotherapy and who appreciates the importance of applying empirical evidence to the therapy relationship."--Arnold A. Lazarus, Ph.D., Distinguished Professor Emeritus, Rutgers University "Psychotherapy Relationships That Work is a superb contemporary textbook and reference source for students and professionals seeking to expand their knowledge and understanding of person-related psychotherapy." --Psychotherapy Research "One is struck with the thoroughness of all the chapters and the care and detail of presentation."--Brief Treatment and Crisis Intervention