Pausing to Consider the Impact of Cultural Trends On Mental Health Treatment
DOI:
https://doi.org/10.61841/dv7xnz51Keywords:
cultural trends, discretion, efficiency,, therapeutic efficacyAbstract
The article raises concerns about a focus on efficiency and cost-containment as the main factors in evaluating psychotherapeutic practice. Pausing to consider the impact of cultural trends on therapy can lead to an accent on therapist discretion is an integral ingredient of the therapeutic process that can promote good outcomes for the client and personal satisfaction for the therapist.
Downloads
References
Albom, M. (2009). Have a little faith:A true story. Hyperion:New York.
Anson, B. (2001). Culture transformation in a health care organization:A process for building adaptive capabilities through leadership development. Consulting Psychology Journal:Practice and Research, 54(2), 116-130.
Berwick, D. Disseminating innovations in health care. (2003). JAMA, 289(15), 1969-1975.
Blatt, S., Sanislow, C., Zuroff, D. & Pilkonis, P. (1996). Characteristics of effective therapists:Further analyses of data from the National Institute of Mental Health treatment of depression collaborative research program. Journal of Consulting and Clinical Psychology, 64(6), 1276-1284.
Bohart, A., O’Hara, M. & Leitner, L. (1998). Empirically violated treatments:Disenfranchisement of humanistic and other psychotherapies. Psychotherapy Research, 8(2), 141-157.
Burns, D. (1999). The feeling good handbook. Plume:New York.
Cissna, K. (1994). The 1957 Martin Buber Carl Rogers dialogue as dialogue. Journal of Humanistic Psychology, 34, 11- 45.
Cissna, K. & Anderson, R. (1990). The contributions of Carl R. Rogers to a philosophical praxis of dialogue. Western Journal of Speech Communication, 54 (Spring, 1990), 125-147.
Clay, R. (2000). Treatment guidelines: sorting fact from fiction. Monitor on Psychology, 31(6), 44.
Cook, J., Biyanova, T. & Coyne, J. (2009). Influential psychotherapy figures, authors and books: An internet survey of over 2,000 psychotherapists. Psychotherapy: Theory, Research, Practice, Training. 46(1), 42-51.
Cowan-Jensenn, S. & Goodison, L. (2008). Narcissism: Fragile bodies in a fragile world. Part I. Psychotherapy and Politics International, 6(3), 171-184.
Cummings, N., Cummings, J. & O’Donohue, W. (2009). We are not a healthcare business:Our inadvertent vow of poverty. Journal of Contemporary Psychotherapy, 39, 7-15.
Cummings, N. (2006). Psychology, the stalwart profession, faces new challenges and opportunities. Professional Psycho- logy:Research and Practice, 37(6), 598-605.
Cummings, N. (1986). The dismantling of our health system:Strategies for the survival of psychological practice. American Psychologist, 41(4), 426-431.
Department of Health (2001). Treatment choice in psychological therapies and counselling:Evidence based clinical prac- tice guideline. Retrieved 13 August 2010 from http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh@en/documents/digitalasset/dh_4058245.pdf
Donabedian, A. (1988). The quality of care:How Can it be assessed? JAMA, 260(12), 1743-1748.
Edge, G. (1969), Higher and Higher, in To Our Children’s, children’s children. The Moody Blues. Threshold Records. London, England.
Figley, C. (2002). Compassion fatigue: Psychotherapists’ chronic lack of self care. Psychotherapy in Practice, 58(11), 1433-1441.
Goldfried, M. (2007). What has psychotherapy inherited from Carl Rogers? Psychotherapy: Theory, Research, Practice, Training, 44(3), 249-252.
Horner, A. (1993). Occupational hazards and characterological vulnerability: The problem of “burnout”. The American Journal of Psychoanalysis, 53 (2), 137-142.
Hunter, C., Goodie, J., Oordt, M. & Dobmeyer, A. (2010). Integrated behavioral health in primary care:Step-by-step guid- ance for assessment and intervention. Washington:American Psychological Association.
Kabat-Zinn, J. (1990). Full catastrophe living. Bantam Dell: New York.
Karger, H. (1981). Burnout as alienation. The Social Service Review, 55(2), 270-283.
Kernberg, O. (1965). Notes on countertransference. Journal of the American Psychoanalytic Association, 13, 38-56. Kirkey, S. (2010). Parents turning blind eye to child obesity. Calgary Herald, A1 & A9. Calgary: The Calgary Herald.
Martin, U. & Schinke, S. (1998). Organizational and individual factors influencing job satisfaction and burnout of mental health workers. Social Work in Health Care, 28(2), 51-62.
Megivern, D., McMillen, C., Proctor, E., Striley, C., Cabassa, L. & Munson, M. (2007). Quality of Care:Expanding the so- cial work dialogue. Social Work, 52(2), 115-124.
Mencken, H. L. (1920). “The Divine Afflatus,” in Prejudices:Second series. (p. 155-171). Alfred A. Knopf:New York.
Miller, W., Zweben, J. & Johnson, W. (2005). Evidence-based treatment:Why, what, where, when and how? Journal of Substance Abuse Treatment, 29, 267-276.
Miller, W. & Rollnick, S. (2002). Motivational interviewing:Preparing people for change (2nd Edition). New York:Guilfor Press.
Negash, S. & Sahin, S. (2011). Compassion fatigue in marriage and family therapy: Implications for therapists and clients. Journal of Marital Therapy, 57(1), 1-13.
Norcross, J. Hedges, M. & Prochaska, J. (2002). The face of 2010: A Delphi poll on the future of psychotherapy. Profes- sional Psychology: Research and Practice, 33(3), 316-322.
Patterson, C.H. (1984). Empathy, Warmth, and genuineness in psychotherapy: A review of reviews. Psychotherapy: The- ory, Research, Practice, Training, 21(4), 431-438.
Pearlman, L. & Mac Ian, P. (1995). Vicarious traumatisation: An empirical study of the effects of trauma work on trauma therapists. Professional Psychology:Research and Practice, 26(6), 558-565.
Racker, H. (1957). The meanings and uses of countertransference. Psychoanalytic Quarterly, 26, 303-357. Reed, G. (2002). Criteria for evaluating treatment guidelines. American Psychologist, 57(12), 1052-1059. Rogers, C. (1958). A process conception of psychotherapy. American Psychologist, 13(4), 142-149.
Rogers, C. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psy- chology, 21(2), 95-103).
Rollnick, S., Miller, W. & Butler, C. (2008). Motivational interviewing in health care:Helping patients change behaviour. New York:Guilford Press.
Rosenberg, T. & Pace, M. (2006). Burnout among mental health professionals: special considerations for the marriage and family therapist. Journal of Marital and Family Therapy, 32 (1), 87-99.
Simon, R. (2007). The top 10 most influential therapists of the past quarter century. Psychotherapy Networker, 68, 24-37. Smith, D. (1982). Trends in counselling and psychotherapy. American Psychologist, 37, 802-809.
Snyder, M. (1995). “Becoming”: A method for expanding systemic thinking and deepening empathic accuracy. Family Process, 34, 241-253.
Steinberg, E. & Luce, B. (2005). Evidence Based? Caveat Emptor! Health Affairs, 24(1), 80-92.
Strickler, G., Abrahamson, D., Bologna, N., Hollon, S., Robinson, E. & Reed, G. (1999). Treatment guidelines:The good, the bad, and the ugly. Psychotherapy, 36(1), 69-79.
Teasdale, J., Segal, Z., Williams, M., Ridgeway, V., Soulsby, J. & Lau, M. (2000). Prevention of relapse/recurrence in ma- jor depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615-623.
Thomason, T. (2010). The trend toward evidence-based practice and the future of psychotherapy. American Journal of Psy- chotherapy, 64(1), 29-38.
Torrey, W., Drake, R., Dixon, L., Burns, B., Flynn, L., Rush, J., Clark, R. & Klatzker, D. (2001). Implementing evid- ence-based practices for persons with severe mental illness. Psychiatric Services, 52, 45-50.
Witmer, M. & Young, M. (1996). Preventing counsellor impairment:A wellness approach. Journal of Humanistic Educa- tion & Development, 34(3), 141-155.
Zeldow, P. (2009). In defense of clinical judgment, credentialed clinicians, and reflective practice. Psychotherapy Theory, Research, Practice, Training, 46(1), 1-10.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.