The Heroic Client: A Revolutionary Way to Improve Effectiveness Through Client-Directed, Outcome-Informed TherapyIn this controversial book, psychologists Barry Duncan and Scott Miller, cofounders of the Institute for the Study of Therapeutic Change, challenge the traditional focus on diagnosis, "silver bullet" techniques, and magic pills, exposing them as empirically bankrupt practices that only diminish the role of clients and hasten therapy's extinction. Instead, they advocate for the long-ignored but most crucial factor in therapeutic success-the innate resources of the client. Based on extensive clinical research and case studies, The Heroic Client not only shows how to harness the client's powers of regeneration to make therapy effective, but also how to enlist the client as a partner to make therapy accountable. The Heroic Client inspires therapists to boldly rewrite the drama of therapy, recast clients in their rightful role as heroes and heroines of the therapeutic stage, and legitimize their services to third-party payers without the compromises of the medical model. |
Contents
| 1 | |
The Myth of the Medical Model | 21 |
Becoming Client Directed | 49 |
Becoming Outcome Informed | 81 |
The Clients Theory of Change | 119 |
The Myth of the Magic Pill | 147 |
Planet Mental Health | 178 |
A FirstPerson Account of Mental Health Services | 213 |
Five Questions About Psychotherapy | 219 |
References | 229 |
About the Authors | 249 |
| 261 | |
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Common terms and phrases
ADHD adolescents alliance American Psychological Association antidepressants approach asked assessment Barry Duncan behavioral believe benefit Chapter child client-directed client's theory Clinical Psychology clinicians collaboration considered conversation counselor Deinonychus depression diagnosis discussion disorders dodo bird dopamine dreams drug effects efficacy Emma Emslie Erickson evaluate evidence-based practice evidence-based treatments example experience factors Family Therapy feedback feel fluoxetine Greenberg Heroic Client Hubble ideas improvement intervention Jacqueline Jan and Mark JOAN Journal Lambert Maria measures medical model ment mental health professionals mental illness MIKE Miller monitoring outcome-informed paroxetine participation percent person perspective pill placebo problems Prozac psychiatric psychiatrist psychotherapy psychotropic question relationship reliable reserpine response schizophrenia score Scott Miller Session Rating Scale social Sparks specific SSRIs Stacey successful suggests talk theory of change ther Therapeutic Change therapist things tion validity Wampold