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Articles & Interviews

Advanced Clinical Skills

"When I'm good, I'm very good, but when I'm bad I'm better": A New Mantra for Psychotherapists
by Barry Duncan, PhD and Scott Miller, PhD
Barry Duncan and Scott Miller provide a comprehensive summary of the Outcome-Informed, Client-Directed approach and a detailed, practical overview of its application in clinical practice.
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Clinical Wisdom: A Psychoanalyst Learns from his Mistakes
by Herbert Rabin
Dr. Rabin shares lessons culled from 40 years of psychotherapy teaching and practice.
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Grief and Gratitude: Working with Stroke Survivors
by Carol Howard Wooton, MFT & Gwyn Fallbrooke
After suffering from a stroke herself, a therapist recounts her journey from patient to professional, culminating in her leading  groups for other stroke survivors.
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How Therapists Fail: Why Too Many Clients Drop Out of Therapy Prematurely
by Bernard Schwartz, PhD and John Flowers, PhD
If we could learn from all of our less-than-optimal therapy outcomes, we'd really acquire some true clinical wisdom.  Here are some practical tips to increase your odds of success.
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It's Over Now: Termination and Countertransference
by Melissa Groman
A therapist explores the complex feelings that arise when a client terminates abruptly.
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Resistant Clients: We've All Had Them; Here's How to Help Them!
by Clifton Mitchell
Encountering resistance is likely evidence that therapy is taking place. In fact, successful psychotherapy is highly related to increases in resistance, and low resistance corresponds with negative outcomes.
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Self-Help Snake Oil and Self-Improvement Urban Legends
by Steven Kraus
A psychologist's skeptical look at the science (or lack thereof) behind much of the self-help industry,
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Sleep and the Therapist: A Poem
by Esther W. Wright-Wilson
A therapist poetically chronicles an underreported occupational hazard.
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Supershrinks: What is the secret of their success?
by Barry Duncan, PhD and Scott Miller, PhD
Clients of the best therapists improve at a rate at least 50-percent higher and drop out at a rate at least 50-percent lower than those of average clinicians. What is the key to superior performance?
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The Gift of Therapy
by Irvin Yalom
Existential psychotherapist Irv Yalom offers insights into the therapist's role as an obstacle remover and fellow traveler. Excerpted from his book The Gift of Therapy.
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The Man with the Beautiful Voice
by Lillian B. Rubin
Lillian Rubin's moving account of her challenging psychotherapy with a man struggling with his disability. Reprinted from the book of the same title.
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The Psychiatric Repression of Thomas Szasz: Its Social and Political Significance
by Ron Leifer
Psychiatrist Ron Leifer gives a compelling account of the historical context of Thomas Szasz's career as the leading critic of the medical model of psychiatry, along with its implications for the profession of psychiatry and for free thought and speech in the United States.
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Therapeutic Alliance, Focus, and Formulation: Thinking Beyond the Traditional Therapy Orientations
by Robert-Jay Green
The main elements of successful therapy include a positive therapeutic alliance, a clear focus, a coherent problem formulation, and improvised techniques—not a particular theoretical orientation.
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Trusting the Client as the Agent of Change
by Tracy A. Knight
Reflections on the client's capacity for change, including a case study of a successful single-session therapeutic intervention.
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Tyranny of Niceness: A Psychotherapeutic Challenge
by Evelyn Sommers
Dr. Sommers discusses the prevalent problem of cultural silencing called "niceness," and offers case studies and advice for addressing associated client issues of anxiety and helplessness.
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What Do We Believe and Whom Do We Trust?
by Jeffrey Kottler
We all know that clients may withhold critical information, but what do we do when they deliberately lie? Jeffrey Kottler explores this in an excerpt from his latest book, The Assassin and the Therapist: An Exploration of Truth in Psychotherapy and in Life.
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When a Patient Dies . . . Should the Therapist Attend the Funeral?
by Richard P. Halgin
Richard Halgin shares the story of a long-term client's unexpected death, and how he managed his professional boundaries around this tragic event.
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When the Therapist Leaves: A Personal Account of an Unusual Termination
by Amy Urdang
A psychotherapist explores client-therapist boundaries and termination issues in a particularly intensive course of therapy.
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Work Is Life: A Psychologist Looks at Identity and Work in America
by Ilene Philipson
In a discussion of the growing problem of work-life balance in American culture, Dr. Philipson shares the stories of clients whose overidentification with work ended in disaster.
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Working in the Here-and-Now of the Therapeutic Relationship
by Nancy Gunzberg
Working in the here-and-now of the therapeutic relationship requires therapists to be fully engaged, and take risks in revealing themselves. But utilizing the transference and counter-transference makes for rewarding and powerful therapy.
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Larry Beutler on Science and Psychotherapy
Larry Beutler discusses how to incorporate scientific findings into psychotherapy practice and teaching, and what horse training has to do with any of this.
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Mardi Horowitz on Psychotherapy Research and Happiness
Mardi Horowitz discusses his research on psychotherapy for stress and trauma, his recent book on happiness, and what therapists can teach their clients about attaining it.
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Nick Cummings on the Past and Future of Psychotherapy
The founder of the first professional school of psychology, visionary, and gadfly Nick Cummings reflects on the history and predicts the future of psychotherapy.
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Owen Renik on Practical Psychoanalysis and Psychotherapy
Renegade psychoanalyst Owen Renegade argues that psychoanalysis and psychoanalytic psychotherapy can and must be practical.
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Thomas Szasz on Freedom and Psychotherapy
The foremost psychiatric critic of our times, Thomas Szasz, engages in an in-depth dialogue of his life's work including freedom and liberty, the myth of mental illness, drug laws, the fragile state of psychotherapy, and his passion for humanistic values and social justice.
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