Psychotherapy as a Developmental Process Review

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Psychotherapy as a Developmental Process ReviewI heavily utilized this book during my dissertation and found it both theoretically and practically helpful in my clinical work. The following is an excerpt from my discussion section:
It has become apparent to me as a novice clinician that a developmental constructivist view of psychotherapy is extremely beneficial for both conceptualization and treatment. As a result of this research, I have learned how to conceptualize progression in therapy as a developmental process and become more attuned to clients' needs, in that I am better able to identify when they are "stuck" versus when they are moving forward. I have learned that this type of approach transcends theoretical orientation or intervention, and is applicable to clinical work from inpatient correctional populations to outpatient couples therapy, and that although clients may present with different types of needs, they are all seeking to resolve conflict. Inability to construct a resolution leads to distress, whereas new awareness leads to a developmental synthesis thus bringing relief. Having a developmental constructivist perspective enables me to take a meta-level approach to conducting therapy. As a result of this research and learning the DAPP process, I am better able to reflect on when and how therapy is working, and more importantly, when it isn't. This knowledge is invaluable and informs my direction in therapy, thus contributing to more individualized and thus more beneficial treatment.Psychotherapy as a Developmental Process OverviewFor all those engaged in psychotherapy practice, regardless of modality or approach, the goal of this book is to provide a framework and method for thinking about their work that allows for critical reflection on their own successes and disappointments, and on the similarities and differences among their own and other practitioners' work with different clients. The authors use a novel "common factors" approach, based on the idea that some form of development is the outcome of all effective psychotherapy, despite other differences that may exist. While most existing psychotherapy research focuses on treatment outcomes, primarily in terms of symptom reduction, this book offers an alternative research approach that systematically tracks the psychotherapy process itself, and describes each case's unique developmental outcome. In particular, Basseches & Mascolo focus on the questions of what kinds of therapeutic resources therapists are offering to their clients and whether and how clients are able to make use of these resources in the service of their own development. The goal is to provide a descriptive framework that can be used to appreciate the highly varied ways in which particular therapists tailor their work to unique clients' developmental needs, while at the same time offering a prescription of a more rigorous method for recognizing and correcting the problem when a particular therapist's way of working is not serving the client well. Ideally, this type of process-focused research will complement existing outcome research, and be more likely than further symptom-reduction studies to result in the improvement of overall psychotherapy success rates.

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