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Confronting Racism as a Social Disease

Deborah Peterson Small on the Need to Hone Our Therapeutic Focus

Deborah Peterson Small

When you talk about mental health and racism, bear two things in mind. One is the obvious harm that racism causes to the black and brown people who are the objects of racial discriminatory behavior, but the other part---never really talked about---is the harm that comes to white people from living in a racist society and the way in which it distorts their perspectives of themselves. It doesn’t matter so much how people acquired the condition of racism. Instead, the relevant questions are how we contain it and how we prevent it from being passed on to the next generation.

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Rebranding Therapy for the Modern Day

Leaving the DSM Behind, Boosting Creativity, and Reinvigorating Your Clinical Work

William Doherty

Psychotherapy as we know it came out of the particular cultural milieu of the mid- to late-20th century. But the culture has moved on, and we haven’t adapted very well. As a result, we’re suffering the same fate as many other professions that have declined in their cultural support and public clout. Many of us are practicing in another century for another culture. It’s still unclear what we have to offer in a world that’s both hyperconnected and fragmented. What to do? Here’s a road map to a future of relevance.

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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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Stronger Medicine

Anti-Depressants Haven't Made Therapy Obsolete

Michael Yapko

Americans have a history of valuing quick-fix solutions to difficult problems. But the simplistic psychopharmacological approach to depressive disorders underestimates the remarkable human capacity for self-transformation. We have the ability to use imagination and intelligence to change our life circumstances, our attitudes and emotions, even, to some extent, our personalities. It is the privilege of our profession to be able to help troubled people along this path, and though medications may make this journey less arduous, in the long run, therapists are indispensable for getting their clients to this destination.

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A Therapist's Therapy: Telling the Story of Sexual Abuse

Mental Health Comes to Terms with Traumatic Sexual Abuse

Dusty Miller

As a systems therapist, incest survivor, and recovering alcoholic, I’ve lived through several stages of our culture’s attempt to come to terms with child sexual abuse–as a victim in the silent 1950s; as a therapy client in the oblivious 1960s and 1970s; and as a psychotherapist in the 1980s and 1990s, when once-dismissed accounts of abuse filled my therapy practice (and my television screen) only to be partly discredited within the decade during another swing of the cultural pendulum.

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Bad Couples Therapy

Betting Past the Myth of Therapist Neutrality

William Doherty

Most therapists learn couples therapy after they get licensed--through workshops and by trial and error. Most specialize in individual therapy, and work with couples on the side. So it's not surprising that the only form of therapy that received low ratings in a famous national survey of therapy clients, published in 1996 by Consumer Reports, was couples therapy. The state of the art in couples therapy isn't very artful. I'll start with beginners' mistakes and then describe how couples therapy can go south, even in the hands of experienced therapists.

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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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The End of Innocence

Reconsidering Our Concepts of Victimhood

Dusty Miller

As a systems therapist, incest survivor, and recovering alcoholic, I've lived through several stages of our culture's attempt to come to terms with child sexual abuse--as a victim in the silent 1950s; as a therapy client in the oblivious 1960s and 1970s; and as a psychotherapist in the 1980s and 1990s, when once-dismissed accounts of abuse filled my therapy practice (and my television screen) only to be partly discredited within the decade during another swing of the cultural pendulum.

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The Ethics Gray Zone: Is it an Ethical Violation or Not?

When Unique Issues Arise, Therapist Need to Determine Whether or Not it’s a Potential Ethical Violation

Mary Jo Barrett

Sometimes ethical violations we face with our clients become so subtle and complex that we risk alienating clients when we’re trying our best to protect them.

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The Networker Symposium Experience

Don't Take Our Word for It: Ask Our Guests

Rich Simon

It's easy for us at Psychotherapy Networker headquarters to tell you about all the wonders and benefits that await you at our annual Symposium. But the best—and most unbiased—endorsement for the Symposium can only come from our attendees.

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