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9780807055113

Saving Talk Therapy

by
  • ISBN13:

    9780807055113

  • ISBN10:

    0807055115

  • Edition: Reprint
  • Format: Trade Paper
  • Copyright: 2019-01-08
  • Publisher: Beacon Press
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Summary

A hard-hitting critique of how managed care and the selective use of science to privilege quick-fix therapies have undermined in-depth psychotherapy—to the detriment of patients and practitioners

In recent decades there has been a decline in the quality and availability of psychotherapy in America that has gone largely unnoticed—even though rates of anxiety, depression, and suicide are on the rise. In Saving Talk Therapy, master therapist Dr. Enrico Gnaulati presents powerful case studies from his practice to remind patients and therapists alike how and why traditional talk therapy works and, using cutting-edge research findings, unpacks the problematic incentives in our health-care system and in academic psychology that explain its decline.

Beginning with a discussion of the historical development of talk therapy, Dr. Gnaulati goes on to dissect the factors that have undermined it. Psychotropic drugs, if no longer thought of as a magical cure, are still over-prescribed and shunt health-care dollars to drug corporations. Managed-care companies and mental health “carve outs” send health-care dollars to administrators, drive many practitioners away, and over-burden those who remain. And drawing back the curtains on CBT (cognitive behavior therapy), Dr. Gnaulati shows that while it might be effective in the research lab, its findings are of limited use for the people’s complex, real-world emotional problems.

Saving Talk Therapy is a passionate and deeply researched case for in-depth, personally transformative psychotherapy that incorporates the benefits of an evidence-based approach and psychotropic drugs without over-relying on them.

Author Biography

Dr. Enrico Gnaulati is a clinical psychologist based in Pasadena, California, and the author of the nationally acclaimed book Back to Normal: Why Ordinary Childhood Behavior Is Mistaken for ADHD, Bipolar Disorder, and Autism Spectrum Disorder. His work has been featured on Al Jazeera America, KPCC Los Angeles, and KPFA Berkeley; in Maclean’s and Prevention magazines; and online at the Atlantic and Salon.

Table of Contents

INTRODUCTION

CHAPTER ONE
In the Beginning, There Was Freud

CHAPTER TWO
Before Prozac: Psychotherapy Comes of Age in America

CHAPTER THREE
Pills for All Ills

CHAPTER FOUR
Managed Care-Lessness

CHAPTER FIVE
The Miseducation of Psychotherapists

CHAPTER SIX
The Healing Relationship

CHAPTER SEVEN
Practicing with Personality

CHAPTER EIGHT
Psychotherapy and the Social Good

ACKNOWLEDGMENTS
NOTES
INDEX

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