Therapeutic Communication: Knowing What to Say When

De (autor) Ellen F. Wachtel
Notă GoodReads:
en Limba Engleză Carte Hardback – April 2011
A uniquely practical guide and widely adopted text, this book shows precisely what therapists can say at key moments to enhance the process of healing and change. Paul Wachtel explains why some communications in therapy are particularly effective, while others that address essentially the same content may actually be countertherapeutic. He offers clear and specific guidelines for how to ask questions and make comments in ways that facilitate collaborative exploration and promote change. Illustrated with vivid case examples, the book is grounded in an integrative theory that draws from features of psychodynamic, cognitive-behavioral, systemic, and experiential approaches. New to this edition:
  • reflects nearly 20 years of advances in the field and refinements of the author's approach
  • broader audience: in addition to psychodynamic therapists, cognitive-behavioral therapists and others will find specific, user-friendly recommendations
  • chapter on key developments and convergences across different psychotherapeutic approaches
  • chapter on the therapeutic implications of attachment theory and research.
This book will be invaluable to clinical psychologists, psychiatrists, social workers, psychiatric nurses, counselors, psychotherapy students and trainees. It will also serve as a text in graduate-level psychotherapy courses.
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ISBN-13: 9781609181710
ISBN-10: 1609181719
Pagini: 398
Dimensiuni: 152 x 231 x 36 mm
Greutate: 0.68 kg
Ediția: Revizuită
Editura: Guilford Publications


Introduction. Rethinking the Talking Cure: The Therapist Speaks Too. Part I: Theoretical and Empirical Foundations. The Continuing Evolution of Psychotherapy: New and Converging Developments in Psychoanalytic, Cognitive-Behavioral, Systemic, and Experiential Approaches. Attending to Attachment: Accelerating Interest in the Therapeutic Implications of Attachment Theory and Research. Cyclical Psychodynamics I: Vicious and Virtuous Circles. Cyclical Psychodynamics II: Anxiety, Exposure, and Interpretation. Cyclical Psychodynamics III: Insight, the Therapeutic Relationship, and the World Outside. Part II: Clinical Applications and Guidelines. Accusatory and Facilitative Comments: Criticism and Permission in the Therapeutic Dialogue. Exploration, Not Interrogation. Building on the Patient’s Strengths. Affirmation and Change. Attribution and Suggestion. Reframing, Relabeling, and Paradox. Therapist Self-disclosure: Prospects and Pitfalls. Achieving Resolution of the Patient's Difficulties: Resistance, Working Through, and Following Through. Part III: Postscript. Wachtel, Therapeutic Communication with Couples.


"Therapeutic Communication is, quite simply, an excellent book. It is comprehensively researched; takes an inclusive and integrative theoretical and practical approach; it engages deeply and with precision on tendentious issues and difficult concepts; and it renders explicit what a seasoned and experienced therapist may be doing intuitively... This is a text that one would profit from greatly by reading straight through like any book; but my sense is that it will be ultimately more valuable as a reference and teaching guide that will be referred to again and again." - Aaron Balick, Psychodynamic Practice, Volume 18, Issue 2, March 2012
"Therapeutic Communication, Second Edition, builds on the foundation of Wachtel's original book, but it very substantially updates and revises it, reflecting many exciting advances that have occurred in our field. Wachtel presents theoretical and clinical material that will sharpen any psychotherapist's understanding of how to communicate with patients." - Leslie S. Greenberg, Distinguished Research Professor, Department of Psychology, York University, Ontario, Canada
"Paul Wachtel is among the very few teachers and theorists of psychotherapy whose writing has an immediate, direct, and powerful impact on my clinical practice. I have long used and recommended this excellent text and am delighted to see the revised second edition, which incorporates recent developments across the range of therapeutic approaches. Wachtel does not speak in generalities or abstractions; rather, he moves easily among theoretical formulations, research findings, and their practical application, illustrating his principles with numerous recognizable examples. He examines in great detail the nuances and subtleties of what you say to patients, how you say it, and the relational context within which you convey your therapeutic messages... This book is essential reading for practicing therapists of all persuasions. I can't wait to start reading it with my students." - Lewis Aron, Director, Postdoctoral Program in Psychotherapy and Psychoanalysis, New York University, USA
"The wisdom and experience of a creative therapist are reflected in every chapter. As the subtitle indicates, it's what you say and when you say it that determines what a patient hears. Novice and experienced therapists of any theoretical orientation will find this book to be of significant value. It is clear that therapy is not simply about techniques - it's about relations that work. This book shows you how and why that is true." - Robert L. Leahy, Director, American Institute for Cognitive Therapy; Department of Psychiatry, Weill Cornell Medical College, USA 
"This second edition to Wachtel's Therapeutic Communication builds on his very popular last with reflections on recent research and thinking, along with refinements of his own ideas. Although generous with theory, it remains a practical guide that is structured in an easy-to-read way for a particular purpose. This is the book I would have devoured on qualification, and it will be of use in many years to come too." - Julia Bueno, Private Practice,Winter 2011
"A comprehensive and provocative examination of the uses of language by therapists in clinical practice... Paul L. Wachtel, a noted expert, clinician, and theorist of psychotherapy...generously shares his extensive professional experience throughout the text... This book will be very helpful to clinicians in guiding their decisions about the best uses of language in clinical practice. Wachtel generously interweaves relevant theory and clinical experiences in the clearly written and informative chapters... It is... comprehensive, well referenced, and strongly grounded in relevant theory and practice... Wachtel's book provides a strong impetus for examining the nature of therapeutic communication and encourages careful thought about the strategic exchange of messages to achieve therapeutic outcomes." - PsycCRITIQUES (Gary L. Kreps, Vol. 57, No. 3, January 18th, 2012)

Notă biografică

Paul L. Wachtel, PhD, Distinguished Professor, Doctoral Program in Clinical Psychology, City College and the Graduate Center of the City University of New York, USA