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This book examines therapeutic failures in psychotherapy. Despite
the consistent positive outcome findings and psychotherapists’
best intentions in their efforts to help their clients,
psychotherapy simply does not work in all cases. In fact, 5-10% of
adult clients deteriorate during psychotherapy. Although not
exclusively due to treatment failures per se, almost a fifth of
clients terminate their therapy prematurely and findings suggest
that that between 20 and 30% of clients do not return after the
first session with half terminating after just two sessions.
Therapeutic failures could include a range of negative therapy
outcomes, such as harm, deterioration, client non-response,
premature termination, or dropout, as well as process factors, such
as negative therapy experiences, impasses, or alliance ruptures.
Investigating therapeutic failures holds the key to improving the
effectiveness of psychotherapy as well as understanding some of the
fundamental conditions that need to be in place for the change
mechanisms of psychotherapy to take effect. Although psychotherapy
has made many strides over the last few decades to improve research
rigour and to promote evidence-based practices, it is a profession
that is still growing. By embracing the opportunity to learn from
therapeutic failures the profession will continue to refine its
practices to better serve clients and to strive toward developing
ethical and effective practices. Both comprehensive and accessible,
this book will be of great interest to psychotherapists in
practice, therapists-in-training, as well as students and
professionals in psychology and mental health in general. The
chapters in this book were originally published in Counselling
Psychology Quarterly.
This book is a valuable historical record of how counselling
psychologists responded to the COVID-19 pandemic around the globe.
Volume II presents 17 chapters that address four major topic areas.
In the first, the chapters focus on training and supervision:
during the pandemic, most on-site training and supervision had to
be discontinued to prevent spread of the virus. However, many
trainers and training programs found creative ways to continue to
provide training opportunities to their trainees. The second focus
is on the populations who may require specialty care during times
of such upheaval, such as those with psychosis and serious mental
illness. In the third part, the chapters speak to the pandemic
across cultures, as well as its effects on clients from
underrepresented groups. Finally, three chapters present research
perspectives on the pandemic. Written by prominent researchers and
clinicians in the field of counselling and psychotherapy, both the
volumes together cover a wide range of perspectives and offer
useful clinical recommendations related to effective
telepsychotherapy practice. The chapters in these volumes were
originally published as a special issue of Counselling Psychology
Quarterly.
This book is a valuable historical record of how counselling
psychologists responded to the COVID-19 pandemic around the globe.
Volume I includes 14 chapters that address topics associated with
transferring counselling practice online. Several chapters focus on
transitioning to online therapy from face-to-face contact,
including the effect of such a transition on the therapeutic
relationship, and working with clients' emotional processes online.
Written by prominent researchers and clinicians in the field of
counselling and psychotherapy, both the volumes together cover a
wide range of perspectives and offer useful clinical
recommendations related to effective telepsychotherapy practice.
The chapters in these volumes were originally published as a
special issue of Counselling Psychology Quarterly.
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