Wednesday, January 16, 2019

The biggest benefit is simply to take action

From Therapy wars: psychoanalysis vs. cognitive behavioral therapy by Neo. With 65,000 drug overdoses and 20,000 suicides, there is clearly a need for more effective mental health services but the field seems still under-developed, riven by techniques and personalities and of uncertain effectiveness.

Neo's assessment:
Back when I was in school to learn to be a family therapist (which by the way is a very different approach than either of those, and differs in general from techniques of individual therapy), I came to some conclusions about all of this.

The summary version is that therapy can be approached from any dimension: behavioral (action-oriented), emotional (feeling-oriented), or cognitive (thought-oriented). All three dimensions are interrelated and each influences the others, so that whichever one the therapist enters on and concentrates on, it has a ripple effect on the other two. For different clients different approaches can be best; there are no hard and fast rules about it. And different therapists are drawn to working in ways that happen to suit them, so they pick and choose as well.

But overall, the most important factor is the relationship between therapist and client. Some “click” and some do not. It’s not as simple as liking or not liking, either. It’s difficult to define and quantify, but it matters greatly.

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