To understand the process of psychotherapeutic change, one must look for the answers in the psychotherapeutic process itself. This process involves the exchange of communications between two (or more) participants, and as a result of the exchange, modifications in the personality and behavior of the patient are expected to occur. But what is the nature of the therapeutic messages? How do they produce changes in the patient? What aspects of the messages are important for therapeutic change? And if the therapeutic force is somehow encoded in the messages, where shall we look for it- in sentence structure, in emotional overtones, in gestures and body movements? The Process of Psychotherapy is divided into two major parts, dealing respectively with method and with systems. In Part I, the author presents an analysis of psychotherapy process research from a communications perspective, developing an incisive and detailed analysis of the methodological issues that confront researchers in this field and suggesting theoretical and empirical strategies for addressing these issues. Part II provides the first exhaustive and detailed summary of extant psychotherapy process systems. The author first deals with direct systems, those procedures of content analysis or rating scales that have been developed to assess the exchanges between therapists and patients. Seventeen major direct process systems are presented in detail and are summarized with ample citations to the literature. The final section of the book offers an exhaustive listing and concise description of various indirect measures of psychotherapy process, which do not assess the verbatim interview exchanges of the participants in therapy but rather assess the participants' perceptions via self-report or standard analogue procedures. This book is a basic, sophisticated, and exhaustive coverage of psychotherapy process and content analysis that will become the standard and authoritative source for anyone interested in the process of psychotherapy, whether as student, researcher, or practitioner.
Kiesler's Beyond the Disease Model of Mental Disorder goes beyond recent volumes which argue that psychotropic medications are being overused and abused in contemporary mental health settings. Elliott Valenstein, for example, an emeritus professor of psychology and neuroscience at the University of Michigan, recently argues that people should be highly suspicious of the claim that all mental illness is primarily a biochemical disorder. In his 1998 book, Blaming the Brain: The Truth about Drugs and Mental Health, Valenstein does not argue that drugs never work or that patients should discontinue taking medication. Valenstein's central point, instead, is that drugs do not attack the real cause of a disorder, since biochemical theories are an unproven hypothesis and probably a false one. Inasmuch as Kiesler's volume is concerned exclusively with scientific explanations of mental disorders, it does not review at all the evidence for psychotropic medications or for other treatments of mental disorders. Kiesler does highlight a message similar to that of Valenstein, who rejects the hypothesis that mental illness is primarily a biochemical disorder. After a comprehensive review of the relevant scientific evidence, Kiesler concludes that henceforth the study of mental disorders must be guided by multicausal theories and research that systematically include an array of biological, psychological, and sociocultural causal factors. Kiesler adds that, in order for this to be accomplished, the mental health field and the public at large must first abandon the invalid monocausal biomedical (disease) model of mental disorder.
Kiesler's Beyond the Disease Model of Mental Disorder goes beyond recent volumes which argue that psychotropic medications are being overused and abused in contemporary mental health settings. Elliott Valenstein, for example, an emeritus professor of psychology and neuroscience at the University of Michigan, recently argues that people should be highly suspicious of the claim that all mental illness is primarily a biochemical disorder. In his 1998 book, Blaming the Brain: The Truth about Drugs and Mental Health, Valenstein does not argue that drugs never work or that patients should discontinue taking medication. Valenstein's central point, instead, is that drugs do not attack the real cause of a disorder, since biochemical theories are an unproven hypothesis and probably a false one. Inasmuch as Kiesler's volume is concerned exclusively with scientific explanations of mental disorders, it does not review at all the evidence for psychotropic medications or for other treatments of mental disorders. Kiesler does highlight a message similar to that of Valenstein, who rejects the hypothesis that mental illness is primarily a biochemical disorder. After a comprehensive review of the relevant scientific evidence, Kiesler concludes that henceforth the study of mental disorders must be guided by multicausal theories and research that systematically include an array of biological, psychological, and sociocultural causal factors. Kiesler adds that, in order for this to be accomplished, the mental health field and the public at large must first abandon the invalid monocausal biomedical (disease) model of mental disorder.
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