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Who's Steering the Boat?

Navigating Therapy with Today's Clients

January/February 2018
Today’s clients are shifting out of their customary position of mannerly deference and asserting far more specifically what they want—and don’t want—from therapy. Increasingly, therapists are moving from the role of acknowledged expert in the room to something approaching an informed colleague. For some, it’s a sea change in professional identity, but a growing body of evidence suggests it pays off.

Clinician's Digest

Did England's Ambitious Mental Health Care Experiment Deliver?

January/February 2018
Nearly a decade ago, England embarked on one of the largest expansions of mental health care in modern history. What can be said of the outcome of this bold experiment?

How Psychotherapy Lost Its Magick

The Art of Healing in an Age of Science

March/April 2017
Studies show more people pay for the services of advisors claiming special powers than see mental health practitioners. How can mentalists and mediums be flourishing at a time when therapists—trained and sanctioned to care for people’s emotional well-being—are struggling to inspire confidence? In an effort to improve therapists’ efficacy, two researchers find themselves on an unexpected path.
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Clinician's Digest

Has CBT Lost Its Mojo?

November/December 2015
Questions have been raised about whether the effectiveness of cognitive behavioral therapy, the field’s most researched treatment model, has been overstated.
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Editor's Note

May/June 2015
Throughout history, for most people it was just expected that work was a difficult, tedious, underpaying, and often soul-killing grind. But in today’s world, something we call “burnout”—that mélange of weariness, depression, and apathy, seasoned with a tincture of cynicism—has become as pervasive as the common cold.
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Burnout Reconsidered

What Supershrinks Can Teach Us

May/June 2015
An entire industry has sprung up to address the problem of compassion fatigue, but research indicates that the most commonly proposed answer, improved self-care, doesn’t work. In fact, the study of the most highly effective clinicians suggests that burnout isn’t related to caring too much, but continuing to care ineffectively.
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The State of Our Art

Do Our Old Ways Fit the New Times?

March/April 2015
While the number of people in psychotherapy keeps declining, surveys reveal that potential clients would still rather talk to a therapist than fill a prescription. So what’s going on? We asked six of the field’s most outspoken leaders to offer their views.
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Scott Miller on Resolving Our Identity Crisis

March/April 2015
To move forward, our profession needs a more consistent message about what we have to offer.

One Brick at a Time

Therapy is More Craft Than Art or Science

September/October 2012
In this era of medical necessity and evidence-based therapies, it’s easy to lose sight of a basic truth. We heal not through prescriptions and procedures, but through talking and listening.
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Is Psychotherapy Getting Better?

A Progress Report on the Science—and Art—of the Psychotherapy Field

March/April 2012
What do we know today about the effectiveness of psychotherapy that we didn’t know 30 years ago? Even more important, how do we improve our treatments?
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