Back in the 1970s, Donald Meichenbaum was part of a group of innovators that included Albert Ellis and Aaron Beck. Together they challenged the prevailing behaviorist paradigm, lobbying to have the psychology field recognize the pervasive influence of thoughts and beliefs on observable behavior. Four decades later, the sometimes acerbic Meichenbaum remains an outspoken critic of what he considers unproven therapeutic practices and fads, upholding standards of empirical proof for clinical methods within the field. Now 70 and retired from his professorship at the University of Waterloo in Canada, he's presently research director of the Melissa Institute for Violence Prevention in Miami, and has a particular interest in ensuring that the combat vets returning from the wars in Afghanistan and Iraq receive the best treatment available. As active as ever and a popular figure on the workshop circuit, he recently talked about conclusions he's drawn from decades of experience in the field.
RH: My students have an ongoing debate about the nature of therapy, and how much the therapist-client interaction should resemble a real relationship.
MEICHENBAUM: I get hung up with the word "real." I mean, what's an "unreal" relationship? Clearly, when we're talking about therapeutic alliance, we're talking about a relationship. The therapeutic alliance depends on the degree to which the therapist and the client agree on a set of…