This would've been a much stronger book if the authors had sublimated the urge to hysteria and name-calling, and controlled their vitriolic loathing of psychotherapy. They must have sensed this because they kept announcing that they were not there to crap all over psychotherapy.... and then repeatedly crapped all over psychotherapy, while often mischaracterizing it. Reading this book reminds me of when I was vegan, and how spending time around other vegans usually made me want to run out and eat raw steak, to distance myself from such embarrassingly self-righteous, histrionic attitudes. In fact, that's part (not all) of the reason I no longer am vegan, so if I ever wind up with a private practice, you know who to blame.
This book is full of uncited declarations which may well be true but which without any evidence belong more in a barroom rant than a serious book (e.g., "We [in the US] are the most individualistic nation in the world" [p. 15]; "Most clinical social workers who seek Ph.D.s in order to hang out a shingle and call themselves 'Doctor' obtain them at institutes and universities where one can attend part time and where the research requirements are not heavy" [p. 100]). Also, I think they exaggerate many points and seem to underestimate the harmful effects of oppression, poverty, trauma, etc. on individuals' psyches and functioning. Poor people deserve helpful interventions, and sometimes these might be based in therapeutic techniques. Just because middle-class people happen to find something enjoyable or beneficial doesn't mean poor people must be deprived of that thing. I do get their point about psychotherapy's individualism, which, like much in this book, is certainly valid but wildly overstated.
That said, this book's subtitle could be "Why Jessica Has Been Not Only Frustrated But Infuriated By Much of her Social Work School Experience (And Why You Should Be Too)." I didn't know anything about the issue of social work and private practice when I first showed up for class, and the situation I discovered (described in this book) is astonishing. Social workers have a mandate to serve the most vulnerable and oppressed members of society; people who primarily want to do psychotherapy should do like my very best friend since Berkeley High School (c/o '97!) Lesley and go to school for that. Yes, it takes longer. It does take longer. But if Lesley can do it, why can't you?
What ultimately won me over to this very flawed book was that it wasn't just about how social workers shouldn't be in private practice; it was about how social workers shouldn't be doing psychotherapy in the first place, because it's inherently incompatible with social work's mission. The problems with this book were all the more tragic, because this is a very important point, and I agree with most of the authors' arguments. I really wish I'd read this before I enrolled in social work school three years ago, because I would have chosen a different area of concentration (probably "community organizing" or "group work"), and likely had a better experience. As it was I chose "casework," knowing little about the field and not realizing that I was entering training to become, quite literally, the poor man's psychotherapist. I'm not interested in psychotherapy (though unlike these authors, I feel it has a valid function and place in society), and having to study it for the past two-and-a-half years has been a source of great dismay. Sprecht and Courtney helped me to understand the unfortunate historical context for why I should really get off Bookface right now and go write this paper on CBT, even though I really don't want to.
This book is a bit dated, being published in 1994 on the cusp of changes (e.g., in psychopharmacology) that had a giant impact on the mental health industry. I'd be interested in an updated edition by someone else (Sprecht has since died) revisiting these hugely important issues in a more responsible tone.