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Tough Customers: Is It Them or Us?
By Rich Simon As therapists, many of us practice in two different worlds. In the first, we see polite, well-behaved, articulate clients with solid values. They engage fully in therapy, talk cogently about their problems, listen attentively to our responses, make reasonably good-faith efforts to follow our suggestions, and sooner or later get better. No wonder we genuinely like these people! Where Have All the “Patients” Gone? Facing the Realities of Practice Today
By Rich Simon A thousand years ago, during the palmy days of generous insurance reimbursement, therapists could maintain the illusion that, since therapy was paid for by an unseen hidden hand, clinical practice was somehow untouched by the tacky subject of money. Even the style of therapy reflected this disjunction: Join Us
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MQ Nov/Dec 2011
Facing Our Fears
Why we avoid doing couples therapy
By Ellyn Bader and Peter Pearson • As neuro-science increasingly shows how wired we are to our intimate partners, an important question arises for therapists: Why do we continue primarily to see people individually who are grappling with serious problems in their relationships?
Let’s stop wasting time—clients’ and our own
By David Schnarch • Conventional therapeutic wisdom aside, people typically don’t hurt each other because they’re out of touch, unable to communicate, or can’t help themselves. all too frequently, they do hurtful things with impunity and entitlement simply to gratify their own needs.
Deciding whether to be right or be married
By Terry Real • There’s an ancient saying that’s profoundly applicable to couples therapy: the laws of nature are like a miller’s wheel—they’ll grind you to powder, unless you learn to be the miller.
Treating the mixed-agenda couple
By William Doherty • Nothing can sink the heart of a couples therapist faster, no matter how battle-tested and savvy, than the mixed-agenda, half-in/half-out duo: spouse A wants desperately to save the marriage, while spouse B is already busy planning a postdivorce life.
© 2013 Psychotherapy Networker