How Psychotherapists Live is a landmark study of thousands of mental health practitioners worldwide. It significantly advances our understanding of psychotherapists and counselors by focusing on their individual qualities and lives, revealing the many ways they differ as persons and how those differences shape their experiences of therapeutic work. Topics include the therapist's personal self, private life, individual beliefs, quality of life, childhood family experiences, and personal psychotherapy. Based on thirty years of research, the book is written to interest clinical practitioners while also providing researchers with a rich array of data. Clinical psychologists, psychiatrists, clinical social workers, and counselors can easily compare their own experiences with the thousands of therapists in the study by reflecting on typologies constructed from research findings. The book will also be a valuable resource for researchers studying the sources of variation in therapists' effectiveness.

This book draws on the author's half century of experience in teaching, consulting with, and supervising psychotherapists throughout the world. He begins with the premise that the field has become too preoccupied with information: collecting information from the client and then feeding that information back to the client in different forms. The author then explains how and why shifting away from information gathering to attending to what is actually happening in the therapy room increases the effectiveness of the therapeutic interaction.

Psychotherapists are often deeply affected by the therapeutic relationships they form with patients. This book studies the impact of psychotherapeutic practice on the personal life and relationships of the therapist, examining the various personal benefits and hazards which result from conducting psychotherapy. Provides a novel approach to care for the psychotherapist, offering thoughtful, concrete suggestions for the prevention and treatment of various forms of therapist work-related impairment or disability. Avoids stressing one particular theoretical orientation over another while it confronts stereotypes regarding a career in psychotherapy. Topics covered include: the factors leading to the decision to become a psychotherapist; the impact of physical and psychological isolation on the therapist; effects of pyschotherapeutic practice on therapist's interpersonal relationships; therapist impairment; and therapist burnout. By providing information regarding the incidence, etiology, development, prevention and treatment of work-realted dysfunction, this text assists the therapist in formulating a comprehensive self-care program.

Lessons from the personal experience and reflections of a therapist. The difficulty and cost of training psychotherapists properly is well known. It is far easier to provide a series of classes while ignoring the more challenging personal components of training. Despite the fact that the therapist's self-insight, emotional maturity, and calm centeredness are critical for successful psychotherapy, rote knowledge and technical skills are the focus of most training programs. As a result, the therapist's personal growth is either marginalized or ignored. The Making of a Therapist counters this trend by offering graduate students and beginning therapists a personal account of this important inner journey. Cozolino provides a unique look inside the mind and heart of an experienced therapist. Readers will find an exciting and privileged window into the experience of the therapist who, like themselves, is just starting out. In addition, The Making of a Therapist contains the practical advice, common-sense wisdom, and self-disclosure that practicing professionals have found to be the most helpful during their own training.The first part of the book, 'Getting Through Your First Sessions,' takes readers through the often-perilous days and weeks of conducting initial sessions with real clients. Cozolino addresses such basic concerns as: Do I need to be completely healthy myself before I can help others? What do I do if someone comes to me with an issue or problem I can't handle? What should I do if I have trouble listening to my clients? What if a client scares me?The second section of the book, 'Getting to Know Your Clients,' delves into the routine of therapy and the subsequent stages in which you continue to work with clients and help them. In this context, Cozolino presents the notion of the 'good enough' therapist, one who can surrender to his or her own imperfections while still guiding the therapeutic relationship to a positive outcome. The final section, 'Getting to Know Yourself,' goes to the core of the therapist's relation to him- or herself, addressing such issues as: How to turn your weaknesses into strengths, and how to deal with the complicated issues of pathological caretaking, countertransference, and self-care.Both an excellent introduction to the field as well as a valuable refresher for the experienced clinician, The Making of a Therapist offers readers the tools and insight that make the journey of becoming a therapist a rich and rewarding experience.

How Psychotherapists Develop: A Study of Therapeutic Work and Professional Growth - based on a 15-year study of psychotherapists' experiences and careers - is a book written equally for practicing therapists, clinical educators, and mental health researchers. The authors and their collaborators collected detailed reports from nearly 5,000 psychotherapists of all career levels, professions, and theoretical orientations in more than a dozen countries worldwide. Here the authors sensitively explore the complex nature and interrelatedness of psychotherapeutic work and professional development through a series of systematic, controlled, clinically and theoretically informed analyses - and, in so doing, establish a solid foundation for empirically supported programs of training and supervision. This landmark work emphasizes to researchers the importance of the psychotherapist's contribution to effective treatment, offers guidance to teachers and supervisors of psychotherapists, and - not least - promises to satisfy the curiosity of therapists at all career levels about how their own experiences of work and growth compare with those of their peers and colleagues.

In the landmark volume, THE PSYCHOANALYTIC PROCESS, Joseph Weiss presented a bold, original theory of the therapeutic process. Now, in HOW PSYCHOTHERAPY WORKS, Weiss extends his powerful theory and focuses on its clinical applications, often challenging many familiar ideas about the psychotherapeutic process. Weiss' theory, which is supported by formal, empirical research, assumes that psychopathology stems from unconscious, pathogenic beliefs that the patient acquires by inference from early traumatic experiences. He suffers unconsciously from these beliefs and the feelings of guilt, shame, and remorse that they engender, and he is powerfully motivated unconsciously to change them. According to Weiss's theory, the patient exerts considerable control over unconscious mental life, and he makes and carries out plans for working with the therapist to change his pathogenic beliefs. He works to disprove these beliefs by testing them with the therapist. The theory derives its clinical power not only from its empirical origin and closeness to observation, and also from Weiss's cogent exposition of how to infer, from the patient's history and behavior in treatment, what the patient is trying to accomplish and how the therapist may help. By focusing on fundamental processes, Weiss's observations challenge several current therapeutic dichotomies--"supportive versus uncovering," "interactive versus interpretive," and "relational versus analytic." Written in simple, direct language, Weiss demonstrates how to uncover the patient's unconscious plan and how the therapist can help the patient to carry out his plans by passing the patient's tests. He includes many examples of actual treatment sessions, which serve to make his theory clear and usable. The chapters include highly original views about the patient's motivations, the role of affect in the patient's mental life, and the therapist's basic task. The book also contains chapters on how to pass the patient's tests, and how to use interpretation with the patient. Dr. Weiss also provides a powerful theory of dreams and demonstrates how dreams can be utilized in clinical practice. This distinguished volume is a major contribution that will profoundly affect the way one conceptualizes and practices therapy. Theoreticians, investigators, and clinicians alike will find it enlightening reading.

Whether you're a therapist yourself, studying to become a therapist, or simply interested in the mystery that often surrounds therapy, More than a Mirror will show you the rarely discussed, “invisible” side of the therapeutic experience--how clients influence the person of the therapist. In this collection of vignettes and thoughtful explorations, over 20 therapists describe for you how particular clients, issues, and the practice of therapy in general impact them as people. Writing about therapy is almost universally about how therapists influence clients. In More than a Mirror, therapists describe a range of responses to their work: some talk about what they have learned from particular clients; some discuss aspects of the work of therapy, such as bearing witness to stories of trauma or having to report suspected child abuse, and examine how these experiences affect them personally; and some describe the gifts and costs of doing therapy as a life's work. As you share these therapists’experiences, you'll notice some themes running throughout, including: how doing therapy heals the therapist empathy as a way to access transcendence the therapist's responses to encountering racism the particular struggles of a new therapist the personal toll of working with the dying the therapist's sexual feelings how doing therapy changes the therapist over time the struggles of working with angry or manipulative clients Editor Marcia Hill, EdD, a psychotherapist in private practice, elaborates, “It is not easy to examine how deeply and personally both the practice of therapy and individual clients influence therapists as people. This book shows you that therapy is not a one-way process, although the therapist is clearly there in service of the client. . . . Yet therapy affects the therapist profoundly and irrevocably. Every client moves us emotionally; we learn something from each person. The business of bearing witness to so many lives transforms us as no other work could. We may write and talk about therapy as if it were all about how to impact the client, but all the time we, too, are being impacted.”

In the best therapeutic tradition, Louis Breger describes contemporary theories and research in the field of analytic psychotherapy. Through the framework of his personal experiences as a scholar, researcher, and therapist, he focuses on his relationships with patients over the span of his fifty-year career. He records their reactions, in their own words, to their experience with psychotherapy many years after its conclusion. The author surveyed over thirty former patients to see if their progress, begun in therapy, had continued, expanded, or regressed. They were asked to highlight what they remembered as being most helpful, therapeutic, or curative in their treatment. The book is a unique long-term follow-up demonstrating the effectiveness of modern analytic psychotherapy. Breger primarily deals with the connections between therapist and patient. This is a professional memoir of the life of the psychotherapist dealing with trials as a young practitioner, lessons learned, and personal reflections on the choices, including mistakes, made along the way. Young therapists, and those who are in or considering psychotherapy, will find it helpful to have access to this self-reflective approach. Extracts from the patients are extensive and informative, giving the reader the opportunity to see therapy from their perspectives. The book also centers on the development of the therapist over his career span. Breger acknowledges that his understanding of patient care has improved over time in the eyes of his patients. In a larger sense, the book contains lessons for all psychotherapists. This is an important, unique, and innovative work. *Click here for an interview with the author. *Click here for an interview with the author on KQED's Forum with Michael Krasny

Drawing on narrative, postmodern, and other therapeutic perspectives, this book guides therapists in exploring the creative and healing possibilities in clients' spiritual and religious experience. Vivid personal accounts and dialogues bring to life the ways spirituality may influence the stories told in therapy, the language and metaphors used, and the meanings brought to key relationships and events. Applications are discussed for a wide variety of clinical situations, including helping people resolve relationship problems, manage psychiatric symptoms, and cope with medical illnesses.