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 |
Outcome Rating Scale and Session Rating Scale Experimental Versions for Children | 221 |
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Common terms and phrases
alliance American antidepressants approach asked assessment become behavioral believe benefit better Chapter client’s theory clients clinical clinicians considered continued conversation counselor depression diagnosis direct discussion disorders drug Duncan effects empirical evidence example expectations experience fact factors feel field Finally four give given goals heroic hope ideas important improvement increase indicated individual intervention Journal lives look Mark mean measures meeting mental health Miller offer outcome particular percent person perspective placebo possible practice preferences present problems professional progress psychiatric Psychology psychotherapy question Rating relational relationship reliable reported requires response Scale score session showed specific story successful suggests talk theory theory of change therapeutic therapist therapy things thoughts tion treat treatment understanding validity