By Robert L. Woolfolk PhD
Read Online or Download The Value of Psychotherapy: The Talking Cure in an Age of Clinical Science PDF
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Extra info for The Value of Psychotherapy: The Talking Cure in an Age of Clinical Science
Example text
But we have no people of the stature of Carl Rogers or B. F. Skinner on the present scene. Will such people emerge? Possibly they will, but we have been waiting more than 40 years for them to show up. Now some could argue that we are in a period of what Thomas Kuhn (1970) called “normal science” and that a great paradigm shift is just around the corner. I doubt such claims. My own view is that much psychotherapy research is not science at all, normal or otherwise. It is an activity that is not theoretically grounded, given a proper definition of theory.
Psychotherapy could be compared with any intervention for which adequate quantitative data had been collected to allow the computation of means and standard deviations relative to a control group. When meta-analysis was first used to analyze psychotherapy research (Smith & Glass, 1977), some rather startling results emerged. All therapies seemed to be effective relative to controls, and there was no indication of the broad superiority of any particular approach. Behavior therapists, who possessed an almost religious conviction that their methods were superior, demurred.
Among other effects, the use of multiple drugs on a single patient can be justified, and diagnosis becomes a tool of bewilderment as often as it is a helpful guide to treatment. The sea change we have witnessed in the mental health professions over the past three decades began with biomedical psychiatry’s overthrow of psychoanalytic psychiatry. Prozac quickly followed, as did the age of user-friendly, putatively nonaddictive medicines. Dusted-off, recycled, slightly modified neurotransmitter theories of depression, anxiety, schizophrenia, and practically every mental malady began to be confidently asserted.