Therapeutic changes occur in many places, and among animals as
well as humans. A theory that attempts to explain therapeutic
changes should be based on principles that apply not only to those
changes occurring during the hour, but also to those observed in
the educational process, in interpersonal relations, and in the
social milieu, as well as with animals. It would be desirable to
discover principles broad enough to provide a deeper understanding
of therapeutic change in this wide variety of situations.
Experienced therapists appear to be similar in what they are doing,
although they may disagree as to why they do it. In spite of the
arguments about theoretical formulations, it can be observed that
during an hour with a patient many psychotherapists may not follow
their own theories too well. There probably is some relevance in a
comparison of psychotherapy with a concept formation test: the
subject gives the correct answers but is unable to state why he did
so or what principles he followed in making his choices. The
therapist, too, may help a patient but he is often uncertain as to
"why" and "how." It is very likely that the effective principles in
therapeutic work rest on processes that are more general than the
specific principles advanced by different schools. This volume
combines the elements of psychodynamic and cognitive behavioral
therapy in a theoretical system that focuses on the importance of
patient-therapist interaction, especially in terms of the exchange
of subtle or covert communication cues. In this significantly
updated and expanded edition of their classic text, Beier and Young
analyze recent developments in new areas of practice facing today's
therapist: managed care and the clinical impact of the control of
healthcare delivery; and biological intervention and other issues
related to psychotropic medication. Ernst G. Beier is professor
emeritus of psychology at the University of Utah. He is active in
the American Psychological Association, and was one of its founding
presidents. He is the author of many articles on psychotherapy and
clinical psychology. David M. Young is professor of psychology at
Indiana University-Perdue University at Fort Wayne. He is the
author of numerous journal articles and has private practice in
psychology and is busy in consulting.
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