By Jeffery Smith
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Extra info for Psychotherapy: A Practical Guide
Over the past 30 years, this approach has largely been replaced with the one in which therapists learn one well-established therapy and then assimilate other techniques as they are needed to deal with the variety of problems presented by their patients. By adopting a unifying framework, we can now go a step further. We can plan our approach according to what will help the most with the specific task that is in front of us. In actual practice, every person’s problems are unique and individual but consist of layers of EDPs, starting with an original one, aimed at avoiding some painful, overwhelming, or uncomfortable feeling.
Here, as with behaviorism, Victorian attitudes continue to cast a shadow. ” The values of “neutrality” and self-restraint still color therapeutic technique, pulling therapists away from active engagement with patients and discouraging them from involving themselves with behavior change. It is perhaps appropriate to mention that this same Victorian tradition is the one that urged orphanage staff, including those in England and other developed countries, to abstain from forming any emotional bonds with the children, for fear of fostering dependence.
In recent decades the field has experienced a growing recognition that the therapeutic relationship has a central role in treatment success. There remains a good deal of discussion among thinkers about exactly what the relationship does. The affect avoidance model makes use of much of the wisdom of the psychodynamic tradition but ties it to a more naturalistic and contemporary view of human motivation, compared to Freud’s more philosophical concepts of sexual and aggressive drives. Here, as with behaviorism, Victorian attitudes continue to cast a shadow.