Month: December 2014

Does Couples Counseling Help Relationships?

Does a marital crisis or some very disruptive marital event (e.g., wife discovers husband watches porn) indicate that marriage counseling is indicated? I am often asked this. For many people it seems natural to suppose that a significant and threatening marital conflict indicates marital counseling, but I think the matter requires some thinking through.  Read more

Most Psychotherapy Is Long Hard Work

Perhaps psychotherapy is misleadingly named. What does ‘therapy’ bring to mind? Everyone understands that psychotherapy means treatment. Everyone is familiar with medical treatment and dental treatment. The role of the patient in medical and dental treatment is to bring your body to the treatment site and endure what they do to you. Or take your medication as directed. Either way, you contribute little as an active participant. The success of treatment does not depend on you actively participating. By ‘you’ I mean you the person, not you the body that is being treated. A few years ago I had a hernia operation. Some kind of mesh was used. I have only the vaguest idea what was done. Nevertheless, the operation was a success.

Read more

How Does Change Occur in Psychotherapy?

I think it will be helpful to me and to prospective and beginning clients to try to provide an overview of how I think about …

Make-Believe in the Addiction Treatment Industry

Therapists shouldn’t be in the business of make-believe. There is a great deal of make-believe in the addiction treatment …

Magical Thinking About Drinking

Most of the people I see who have serious drinking problems express the hope that they can over time acquire the ability …