This uniquely practical volume examines precisely what the therapist can say at key moments to enhance therapeutic effectiveness and the process of healing and change. Through vivid clinical illustrations, the book illuminates why some communications in therapy are particularly effective, while others addressing essentially the very same content may actually be countertherapeutic. Wachtel's powerful integrative theory also provides new insights into how psychological disorder evolves, how it is maintained, and how psychotherapy contributes to change.
Paul L. Wachtel, PhD, is CUNY Distinguished Professor at City College and the Graduate Center of the City University of New York. His publications include Family Dynamics in Individual Psychotherapy (with Ellen F. Wachtel).
Table of Contents
The Talking Cure
Cyclical Psychodynamics I: Vicious Circles
Cyclical Psychodynamics II: The Centrality of Anxiety
Cyclical Psychodynamics III: Insight, the Therapeutic Relationship, and the World Outside
Accusatory and Facilitative Comments: Criticism and Permission in the Therapeutic Dialogue
Exploration, Not Interrogation
Building on the Patient's Strengths
Affirmation and Change
Attribution and Suggestion
Reframing, Relabeling, and Paradox
Therapist Self-Disclosure: Prospects and Pitfalls
Achieving Resolution of the Patient's Difficulties: Resistance, Working Through, and Following Through
Postscript: Therapeutic Communication with Couples