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Assessing the State of Psychotherapy

Is Today's Therapy Losing Out to Science and Psychopharmacology?

Mary Sykes Wylie

The bad news was made official in 2010, though everybody in the head-shrink business had long suspected as much: psychotherapy was in decline, or even in freefall. You might think this trend represents people’s preferences for the quick fix of a pill, rather than a slog through talk therapy, but you’d be wrong: surveys have consistently shown that depressed and/or anxious people and their families would rather talk to a real, live, human therapist than fill a prescription. So in what appears to be the twilight of the psychopharm gods, why aren’t therapy practitioners rising up, throwing off their chains, and reconquering lost mental health territory?

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Cognitive Behavioral Therapy Redefines Mental Health

How Aaron Beck and Albert Ellis Started a Psychotherapy Revolution

Mary Sykes Wylie

Cognitive behavioral therapy (CBT) is arguably the most successful therapy ever developed. In only about 40 years, it’s gone from the almost accidental innovations of two disenchanted psychoanalysts to the most widely practiced and promulgated approach in the world. Independently coinvented by Aaron Beck and Albert Ellis, CBT is brief, usually 16 sessions or fewer, thus much cheaper than that once-famous other brand, psychodynamic therapy. But where did this streamlined, efficient, practical therapy come from? And what made it so revolutionary?

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Sex Therapy for Building Intimacy

A Therapeutic Approach to Common Sexual Problems

Katy Butler, Katy Butler

Today, sex therapy consists mainly of counseling and “homework” in which new experiences are tried and new skills practiced. If clients are too tense or reluctant to try something new, systems approaches, couples therapy, prescription drugs and psychodynamic therapy may be tried as well. Once anxiety is lowered, sex therapy often proceeds successfully, especially in treating the following common problems outlined here.

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The Evolution of Modern Sex Therapy

Katy Butler, Katy Butler

Twenty years after the sexual revolution, in the most sexually explicit culture in the world, a surprisingly large number of people continue to have difficulties with the sexual basics. Psychoanalytic therapy had little to offer them beyond symbolic explorations of their upbringings and "Oedipal" conflicts. But modern sex therapy consists mainly of counseling and "homework" in which new experiences are tried and new skills practiced.

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Revolution on the Horizon

DBT Challenges the Borderline Diagnosis

Katy Butler, Katy Butler

DBT was no walk in the park: it required team treatment, including weekly individual therapy, a year-long "skills training" class, telephone coaching and supportive supervision for the therapist. But it offered clients and therapists alike a way out of chaos--a systematic clinical package that integrated the technical and analytical strengths of behaviorism, the subtleties of Zen training, the warmth and acceptance of relationship-centered therapies and the often undervalued power of psychoeducation.

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