Re: Switching Approaches

Gloria and Sophia,

Lets first distinguish between an "approach" and a "technique". Also, a few comments about the "character" of the therapist would be relevant.

An "approach" to psychotherapy implies a combination of: a view of human nature; a theory of personality; assumptions about psychopathology; principles of treatment; and a conception of "cure". Some of these differences can be seen very clearly in a new book Psychoanalytic Versions of the Human Condition: Philosophies of Life and Their Impact on Practice, edited by Paul Marcus and Alan Rosenberg. (A description of the Adlerian approach can be found in Chapter 3, “Classical Adlerian Theory and Practice,” by Henry T.Stein, Ph.D. and Martha E. Edwards, Ph.D.)

Therapists tend to select an approach that fits their (explicit or implicit) existing world view and philosophy of living. Switching "approaches" might imply the therapist's ability to change his own world view or values in the midst of therapy--this seems improbable. Also, it helps credibility if a therapist's character is congruent with the values underlying the approach he is adopting.

If a therapist has a clearly defined, well integrated philosophy of life, theory or personality, and set of principles for treatment, it is possible to select, adapt, and modify techniques that will fit that framework without significant contradictions. However, if there is no philosphical and conceptual "centerline," the use of different approaches and techniques, might degenerate into an expensive "fishing" expedition. I do not think this is efficient or fair to a client. If the therapist doesn't really know what to do, the client should be referred to someone else.

I do not fully agree with the claim that "no one approach" is applicable to all clinical cases. In my experience, a properly trained, highly creative Classical Adlerian psychotherapist is prepared to deal effectively with almost any client. The more significant factors are the experience, skill, and creativity of the individual therapist. For example, I might refer a client to a fellow Classical Adlerian who specializes in substance abuse treatment.

There is nothing wrong with striving for perfection as long as you retain your activity, courage, and willingness to make, and then correct mistakes. Perfection as an ideal can stimulate and inspire improvement, but can lead to significant distress if it is taken literally as an immediate goal.

Dr. Stein

Replies:

Therapist as an Artist, by Star, 12/13/98 Re: The Art of Therapy, by Henry Stein, 12/15/98

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