Compared family therapy with individual, supportive psychotherapy for management of severe eating disorder. Findings showed family therapy more effective for patients with early onset, short duration disorder but not in other subgroups (early onset, duration more than 3 years; late onset, after age of 18 years; and those with bulimia nervosa).…

A clinical case of penile obsession and compulsive hypersexuality is interpreted from four different theoretical frameworks--psychoanalysis, behaviorism, Bowen-type multigenerational therapy, and structural/strategic systems theory--to illustrate how conceptual frameworks implicitly or explicitly underlie all therapeutic approaches. Implications…

Describes the creation of a class to train students in the skills necessary for dealing with clients who have sexual performance problems. Addresses issues of course design concerning subject matter, class atmosphere, role playing, videotaping, and personal values. Reports positive student reaction to the class. (KO)

Considers various ways that values enter into counseling or psychotherapy, with particular attention to goals of the process and methods or procedures by which counselor or therapist implements process. Suggests approach to counseling and psychotherapy that recognizes and incorporates values basic to democratic philosophy and the goal of…

Reviews conceptual schemata and organizing principles that ego psychology has contributed to our understanding of emotional disturbance. Argues that ego psychology can be converted to testable, pragmatic, and usable precepts for psychotherapeutic practice. Finds theory particularly well suited to practice domain of clinical social work. (JBJ)

Describes two models of counseling and psychotherapy that are based on a synthesis of developmental theory and multicultural counseling theory with a coconstructivist epistemology: Developmental Counseling and Therapy (DCT), and Systemic Cognitive-Developmental Therapy (SCDT). Presents five principles to help clinicians expand their own…

The Open Studio as a way of working evolved in an effort to maximize the effectiveness of the artmaking project as a means to increase and deepen consciousness. This method differentiates art from psychotherapy and calls into question the validity of marrying the two experiences. (JPS)

A solution-focused therapeutic approach to processing adventure experiences shifts the focus of debriefing sessions from problem to solution, helps clients recognize exceptions to their problem behavior, and sensitizes clients to seeking positive behaviors versus avoiding negative ones. Techniques include clients' rating of their own abilities on…

Challenges the assumption that extensive training is required to develop effective skills in psychotherapy and psychodiagnosis. It is argued that educators of researchers in psychology should examine common assumptions about the nature of psychology practice and consider conceptions of professional work that emphasize reflection in action and…

Study compares 27 depressed clients diagnosed with Cluster C personality disorder (PD) with 87 depressed clients without the diagnosis. All clients completed cognitive-behavioral or psychodynamic-interpersonal psychotherapy. Treatment length did not influence outcome for PD clients. PD clients whose depression was also relatively severe showed…

Argues that much psychotherapy literature and practice overvalues ways of knowing associated with science alone. The difficulty of establishing causal claims in psychotherapy points to unresolved difficulties in acquiring scientific knowledge. Additionally, the moral constitution of much psychotherapeutic focus questions the appropriateness of…

This study examined relationships among maltreatment experience, therapeutic alliance formation, and treatment outcome among 38 psychiatrically hospitalized adolescents. Results indicated that maltreatment, multiplicity of maltreatment, and type of perpetrator were all associated with initial alliance difficulties. Severity of interpersonal…

Notes that individual therapy is often assumed to be the desired intervention for children in alternate care who are having adjustment problems. Argues that group work should be considered as a possible treatment of choice, as it allows the child to develop his or her own support network. Describes such a group and its successful outcome. (HTH)

Examines the strengths and weaknesses of two broad approaches to psychotherapy outcome research: (1) clinical trials methodologies; and (2) "naturalistic," descriptive methodologies. An example of an ongoing, naturalistic study of individual psychotherapy is provided. Discusses general methodological considerations that apply to both approaches.…

Responds to previous article by Steenbarger on science-practice integration in brief counseling and therapy. Focuses specifically on the integration of science and practice in brief psychotherapy. Elaborates on agreements and disagreements concerning Steenbarger's analysis of brief psychotherapy. Muses over what is lost as well as gained in brief…