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The dominant paradigm in psychotherapy is the medical model, which
views therapy as a clinical treatment rather than a healing
interpersonal connection. Words like patient, diagnosis, symptoms,
treatment, and modalities reflect this medically oriented view of
therapy. In this book, David Elkins cogently argues that while the
medical model remains widely accepted, science shows it to be
inappropriate. A wealth of evidence suggests that healing occurs
through human connection and social interaction, not modalities and
techniques. Elkins presents a nonmedical model of psychotherapy -
one that places common factors, particularly human factors, at the
centre and moves modalities and techniques to the periphery. In
this concise volume, he summarizes the supporting evidence from
various fields, including clinical psychology, attachment theory,
social relationships research, neuroscience, and evolutionary
theory. All of these fields show that humans are evolved to
develop, maintain, and restore our emotional well-being through
human connection and social interaction. Thus, psychotherapy can
best be understood as an expression of social healing. After
presenting this model and its vast supporting evidence, Elkins then
discusses important implications for clinical research, training,
and practice.
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