Money quote from the last chapter: “clearly, additional research is needed to understand how psychotherapy works.” No kidding! Most of this book was just the author (who refers to himself in the third person when referencing his own studies which is a proper academic thing to do but did always make me smile) posing a question such as “which psychotherapy theory is most effective?” And then answering it with “we don’t know. Studies are inconclusive.” Very interesting however that the “alliance” proves to be the real effective variable across all theories – that is, the relationship between therapist and client, the agreement on the tasks and goals of therapy, and the administration of explanations and solutions for the client’s problems, or the rationale: “the explanation for the clients distress is accepted by the client and leads to a solution to the presenting problem.”
Seems like the most important thing a therapist does, quoting from page 57, is to “tell a hopeful story to the client: if you believe in this new explanation and follow the steps in this treatment, your problems will be manageable and life will be better.”
Was scratching my head at his take on “truthiness” - no theory can be true, but the theory that the client believes in is the most effective one - while at the same time he has spent a considerable amount of time trying to determine the effectiveness (truth?) of different psychological theories. Maybe his failure thus far to do so leads to this conclusion.
For a book called the basics of psychotherapy, what you’ll find is a lot of acknowledgement that this entire field is very much in its infancy. Messer and Kaslow’s “Essential Psychotherapies” is next on my list and I’m hoping to find a little less failed studies and a little more certainty there.