Beyond Evidence-Based Psychotherapy: Fostering the Eight Sources of Change in Child and Adolescent Treatment (Counseling and Psychotherapy)

302 Pages·2008·2.7 MB·English

by  George W. Rosenfeld

Beyond
Evidence-Based
Psychotherapy
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COUNSELING AND PSYCHOTHERAPY:
INVESTIGATING PRACTICE FROM SCIENTIFIC, HISTORICAL,
AND CULTURAL PERSPECTIVES
A Routledge book series
Editor, Bruce E. Wampold, University of Wisconsin
Th is innovative new series is devoted to grasping the vast complexities of the practice of coun-
seling and psychotherapy. As a set of healing practices delivered in a context shaped by health
delivery systems and the attitudes and values of consumers, practitioners, and researchers,
counseling and psychotherapy must be examined critically. By understanding the historical
and cultural context of counseling and psychotherapy and by examining the extant research,
these critical inquiries seek a deeper, richer understanding of what is a remarkably eff ective
endeavor.
Published
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Forthcoming
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Perspective
Lee Cohen, Frank Collins, Alice Young, Dennis McChargue
Making Treatment Count: Using Outcomes to Inform and Manage Th erapy
Michael Lambert, Jeb Brown, Scott Miller, Bruce Wampold
Th e Handbook of Th erapeutic Assessment
Stephen E. Finn
IDM Supervision: An Integrated Developmental Model for Supervising Counselors and Th era-
pists, Th ird Edition
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Th e Great Psychotherapy Debate, Revised Edition
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Miguel E. Gallardo and Brian W. McNeill
Culture and the Th erapeutic Process: A Guide for Mental Health Professionals
Mark M. Leach and Jamie Aten
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Beyond
Evidence-Based
Psychotherapy
Fostering the Eight Sources of Change
in Child and Adolescent Treatment
George W. Rosenfeld
New York London
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Routledge Routledge
Taylor & Francis Group Taylor & Francis Group
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New York, NY 10016 Milton Park, Abingdon
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© 2009 by Taylor & Francis Group, LLC
Routledge is an imprint of Taylor & Francis Group, an Informa business
Printed in the United States of America on acid-free paper
10 9 8 7 6 5 4 3 2 1
International Standard Book Number-13: 978-0-415-99336-4 (Softcover) 978-0-415-99335-7 (Hardcover)
Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, trans-
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Library of Congress Cataloging-in-Publication Data
Rosenfeld, George W., 1945-
Beyond evidence-based psychotherapy : fostering the eight sources of change in
child and adolescent treatment / George W. Rosenfeld.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-415-99335-7 (hardbound : alk. paper) -- ISBN 978-0-415-99336-4 (pbk.
: alk. paper)
1. Child psychotherapy. 2. Adolescent psychotherapy. 3. Evidence-based
psychiatry. I. Title.
[DNLM: 1. Psychotherapy--methods. 2. Adolescent. 3. Child. 4. Evidence-Based
Medicine. 5. Mental Disorders--therapy. WS 350.2 R813b 2008]
RJ504.R67 2008
618.92’8914--dc22 2008015242
Visit the Taylor & Francis Web site at
http://www.taylorandfrancis.com
and the Routledge Web site at
http://www.routledge.com
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Th is book is dedicated to Jean Rosenfeld, LCSW, BCD, whose thinking has
blended so much with mine over the years that I am not sure which ideas
are hers and which are mine. Her contributions of content and editing are
on every page. Th ank you for your support and patience.
v
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Contents
Series Editor’s Foreword ix
Introduction xi
Part 1 Research and Th eory
Chapter 1 What Are Reasonable Expectations
for Psychotherapy? 3
Chapter 2 Th e Eight Sources of Change in Psychotherapy 13
Chapter 3 Th e Th erapist’s Contribution to Treatment 47
Chapter 4 Using the Th erapeutic Relationship as a
Treatment Tool 109
Chapter 5 How Can I Keep Clients in Treatment
so Th ey Can Benefi t? 121
Chapter 6 Managing Treatment 135
Chapter 7 Engage Clients by Helping Th em Seek
Greater Happiness 163
Chapter 8 Has Being a Th erapist Been a
Good Career Choice? 173
vii
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viii • Contents
Part 2 Case Studies
Chapter 9 A Typical Day 179
Chapter 10 Th ree Month Follow-Up 207
Chapter 11 Conclusion 227
Notes 239
References 245
Index 267
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Series Editor’s Foreword
Th is innovative new series is devoted to grasping the vast co mplexities of
the practice of counseling and psychotherapy. As a set of healing p ractices
delivered in a context shaped by health delivery systems and the attitudes
and values of consumers, practitioners, and researchers, counseling
and psychotherapy must be examined critically. By understanding the
historical and cultural context of counseling and psychotherapy, and by
examining the extant research, these critical inquiries seek a deeper, richer
understanding of what is a remarkably eff ective endeavor.
Delivering psychotherapy to children and adolescents is a complex
undertaking because of the institutional, political, and social context
in which these services are provided. One of the pervasive infl uences
in the current context is the notion of evidence-based practice in men-
tal health services. Narrowly interpreted, evidence-based practice has
become a rationale for mandating particular treatments for youth. George
Rosenfeld, in Beyond Evidence-Based Psychotherapy: Fostering the Eight
Sources of Change in Child and Adolescent Treatment, cogently proposes
principles for conducting psychotherapy for children and adolescents
that value evidence but recognize the broad context in which services are
delivered. His years of experience as a therapist bring to this volume the
clinical wisdom that supplements the research evidence; this synthesis
yields a remarkably important contribution that should interest clinicians
and scientists alike.
Bruce E. Wampold, PhD, ABPP, Series Editor
University of Wisconsin–Madison
ix
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