The Downside of Happiness
Beware of What You Wish ForAlthough happiness is widely beneficial, organizing one’s life around it can lead to a great deal of effort and time being spent unwisely. Trying too hard to... Read more
Psychotherapy in the Media Spotlight
Bessel van der Kolk, a leading trauma therapist, takes on the New York Times. Read more
Side By Side
No creative artist is an islandAn investigation of some of history’s most famous creative teams leads to the conclusion that no artist is an island. Read more
The Rise of the Two-Dimensional Parent
Are Therapists Seeing a New Kind of Attachment?We used to think that disordered attachment was the result of early parental neglect or abuse. But today, has a paradoxical mix of parental overinvolvement and... Read more
The Politics of PTSD
How a Diagnosis Battled Its Way into the DSMDuring Vietnam, there were proportionately far fewer reported cases of trauma on the actual battlefield than there'd been in previous wars. The primary reason... Read more
The Anatomy of a Psychiatric Consult
Solving the PuzzleFor many therapists, an air of mystery surrounds the role of psychopharmacology in mental health treatment. Here's a step-by-step tour of the complexities of... Read more
Editor's Note - July/August 2014
An adequate substitution for psychotherapy? Our Love Affair with PsychotropicsIn the age of Big Pharma, meds have flattened all before them in their virtual conquest of the mental health field. Over the years, antidepressants have come... Read more
Falling in Love Again
A Brief History of Psychoactive DrugsOver the last 150 years, we’ve seen waves of mass infatuations with psychotropic drugs—antidepressants being the latest. While all these drugs are... Read more
12 Missteps?
The evidence that AA works is many steps behindThe authors of a provocative new book argue that, despite its sterling reputation, alcoholics anonymous has one of the worst success rates in all of medicine. Read more
Editor's Note - May/June 2014
Trauma, the alluring diagnosis of the therapy profession.No other single condition tests the therapeutic relationship quite so stringently, demands so much from the clinician, or combines so many disparate treatment... Read more
Rush to Judgment
Beware of the ADHD diagnosisPart of the epidemic of misdiagnosed ADHD in young children today results from a failure to understand how trauma often leads to difficulty learning in school. Read more
Putting the Pieces Together
25 Years of Learning Trauma TreatmentTwenty-five years ago, we believed that helping trauma survivors dig into dark and unspeakable horrors would set them free. But in this new age of trauma... Read more
Improving Therapeutic Effectiveness: Moving Beyond Reliable Performance
How Can We Make Progress in Our Therapeutic Effectiveness?K. Anders Ericsson’s work on deliberate practice and client feedback explains studies showing that most of us grow continually in confidence over the course... Read more
Mad as Hell
The End of the Era of Male EntitlementThe era of unchallenged male entitlement has come to an end, and many men are mad as hell. A new book provides context to help us deal with this anger in the... Read more
The Little Things
Love in the Consulting RoomBarbara Fredrickson’s research on the biology of love and positivity demystifies our ideas about the role of intimacy, connection, and resilience in our... Read more
The Cult of DSM
Ending Our Allegiance to the Great GazooLabeling clients with DSM diagnoses is a ritual most of us perform to get reimbursed and pay our mortgages, but few of us actually believe in. Has the time... Read more
Shedding Light on DSM-5
The View from the TrenchesWhile the polemical debates over the new DSM have received widespread coverage, the reactions of ordinary clinicians have yet to receive much scrutiny. Read more
The Book We Love to Hate
Why DSM-5 Makes Nobody HappyFrom small insignificant beginnings in 1952, when almost nobody read it, DSM has become a kind of sacred literary monster. Today, it’s the most detested and... Read more
The Debate Over DSM-5: A Step Backward
A Step Backward: An Interview with Allen FrancesAs the man responsible for the previous edition, the foremost critic of DSM-5 is perhaps the last person you’d expect to trash this latest, biggest version. Read more
The ACE Studies: Calculating the Effects of Child Abuse
How the Effects of Child Abuse Have Become the Biggest Public Health Issue in AmericaSince the publication of DSM-IV in 1994, a massive body of neurobiological research has accumulated, revealing how protracted childhood abuse and neglect can... Read more
Psychotherapy and the Affordable Care Act
Ecstasy in the Consulting RoomThroughout the fall, news about the landmark Affordable Care Act (ACA), designed to extend healthcare coverage to millions of the country’s currently... Read more
Sizing Up Goliath
The Upside of Being UnderestimatedWith his enormous success, Malcolm Gladwell has morphed from a darling underdog to a publishing juggernaut at whom it’s now trendy to sling insults. Read more
How Food Improves Mood
Bringing Nutrition into the Consulting RoomLearning even a little about nutrition and diet can greatly enhance therapists’ ability to help clients with mood problems. Read more
The Next Big Step
What’s Ahead in Psychotherapy’s Fascination with Brain Science?Labeling behavior in fancy neurophysiological terms can make what we do sound more scientifically rigorous than the notoriously fuzzy language of... Read more
Beyond Phrenology
Let’s Look at How the Brain Really WorksIf therapists are going to bring genuine insights—not just soundbites—from neuroscience into the practice of therapy, they need the nuanced, sophisticated... Read more
Bullying in Schools
What to Do When Officials Can’t HelpAs parents become frustrated with officials who can’t help with bullying in schools, they turn to another source. Read more
The Black Shadow
Facing the Taboo Issue of Race in the Consulting RoomRaising the issue of race in therapy can help African American clients connect their personal struggles to an enduring cultural legacy that many insist isn’t... Read more
Something New, Here & Now
Breaking Free of the HabitualMost clients have automatic habits of thinking, feeling, and verbalizing experiences that imprison them in a world of gray sameness. How do we help them... Read more
Blue-Collar Therapy
The Nitty-Gritty of Lasting ChangeMost therapeutic progress comes from the painstaking process of continual practice that reinforces some behaviors while actively discouraging others. Read more