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«Editorial Courtenay Young 3 The Return of the Therapeut: The Genuine Psychotherapist (Part 2) Miles Groth 5 Incorporating Evidence-Based Practices ...»

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Journal of the European Association of Psychotherapy

Volume 18 Number 2 July 2014 page


Courtenay Young 3

The Return of the Therapeut: The Genuine Psychotherapist (Part 2)

Miles Groth 5

Incorporating Evidence-Based Practices into Psychotherapy Training in Clinical Psychology Ph.D. Programs in the United States Rebecca Kennedy, Helen Verdeli, Eleni Vousoura, Hilary Vidair, Marc J. Gameroff & Ruifan R. Zeng 21 Why Most Therapists Are Just Average (and How We Can Improve) Scott Miller, in an interview with Tony Rousmaniere Pharmacology vs. Psychotherapy in the management of depression and anxiety disorders Asta Prajapati Positive Psychotherapy: Priorities and Problems Theo A. Cope The Truth Shall Set You Free: Saying an Honest “Goodbye” Before a Loved-one’s Death Richard G. Erskine Professional issues 80 Adverts International Journal of


The International Journal of Psychotherapy is a leading professional and academic publication, which aims to inform, to stimulate debate, and to assist the profession of psychotherapy to develop throughout Europe and internationally. It is properly peer-reviewed.

The Journal raises important issues in the field of European and international psychotherapy practice, professional development, and theory and research for psychotherapy practitioners, related professionals, academics & students.

The Journal is published by the European Association for Psychotherapy, 3 times per annum.


The focus of the Journal includes:

* Contributions from, and debates between, the different European methods and modalities in psychotherapy, and their respective traditions of theory, practice and research * Contemporary issues and new developments for individual, group and psychotherapy in specialist fields and settings * Matters related to the work of European professional psychotherapists in public, private and voluntary settings * Broad-ranging theoretical perspectives providing informed discussion and debate on a wide range of subjects in this fast expanding field * Professional, administrative, training and educational issues that arise from developments in the provision of psychotherapy and related services in European health care settings * Contributing to the wider debate about the future of psychotherapy and reflecting the internal dialogue within European psychotherapy and its wider relations with the rest of the world * Current research and practice developments - ensuringthat new information is brought to the attention of professionals in an informed and clear way * Interactions between the psychological and the physical, the philosophical and the political, the theoretical and the practical, the traditional and the developing status of the profession * Connections, communications, relationships and association between the related professions of psychotherapy, psychology, psychiatry, counselling and health care * Exploration and affirmation of the similarities, uniqueness and differences of psychotherapy in the different European regions and in different areas of the profession * Reviews of new publications: highlighting and reviewing books & films of particular importance in this field * Comment and discussion on all aspects and important issues related to the clinical practice and provision of services in this profession * A dedication to publishing in European ‘mother-tongue’ languages, as well as in English _____________

This journal is therefore essential reading for informed psychological and psychotherapeutic academics, trainers, students and practitioners across these disciplines and geographic boundaries, who wish to develop a greater understanding of developments in psychotherapy in Europe.


EditorialCourtenay YoungEditor, International Journal of Psychotherapy

Dear Readers and Subscribers to the IJP The international world-view seems to be increasingly caught up with events like the forthcoming football World Cup in Brazil and the tennis championships at Wimbledon. Whilst we obviously wish our favourite national team all the success, and maybe also Andy Murray our best wishes to capture the Wimbledon title again, we must not lose sight of the very disturbing events that are happening in the Ukraine, in Syria, and the Sudan. What do these foretell?

George Friedman (2009) recently published a book called The Next Hundred Years in which he predicts: a second Cold War between Russia and the West; a “Polish-bloc” of alliances between middle-European states; the fragmentation of China in the 2020s; the expansion of Turkey in the 2030s; and a 3rd World War around 2050: a nice little catalogue of disasters, but from a very American perspective! Nostradamus (1503-1566) is also said to have predicted a massive conflict between good and evil in the early years of the 21st century. Edgar Case (1977predicted a 3rd World War between (possibly) Muslims and non-Muslims: “Strifes will arise through the period. Watch for them near the Davis Strait in the attempts there for the keeping of the life line to land open. Watch for them in Libya and in Egypt, in Ankara and in Syria, through the straits about those areas above Australia, in the Indian Ocean and the Persian Gulf.” The ancient Tibetan prediction that there would be (I think it was) at least 40 wars in the 20th century, is very likely going to be outnumbered very soon by the number of wars in the 21st century and we are, as yet, only halfway through the second decade: “When will we ever learn?” as the 1960’s protest song said. And so – whilst the future may be very grim - what is in store for you as you open this latest issue of the International Journal of Psychotherapy.

We start this issue with the second part of a seminal article from Miles Groth: “The Return of the Therapeut: The Genuine Psychotherapist”. The first part of this article was published in the last issue, where he explored the present state of psychotherapy from the perspective that we may have ‘lost’ something of quality that the original ‘Theraputes’ probably had: a practice that was known as “the cure of souls” or “the therapy of the word”. In this second part, he posits that (someone like) R.D. Laing had this quality and he tries to demonstrate this from his theory of practice and in his work.

The next contribution is a research article from a group from Columbia & Long Island University in New York, Rebecca Kennedy, Helen Verdeli, Eleni Vousoura, Hilary Vidair, Marc J. Gameroff & Ruifan R. Zeng: “Incorporating Evidence-Based Practices into Psychotherapy Training in Clinical Psychology Ph.D. Programs in the United States”, which looked at empirically supported treatments (EST) and evidence based practice (EBP) and the current noticeable ‘divide’ between science (research) and clinical practice, and how these are incorporated (or not) into USA Clinical Psychology Ph.D. training programs. Essentially,

much of the evidence-base practice research is ignored in the training of new psychologists:

though this does vary according to certain demographics. There is also some (deserved, though somewhat played down = implicit) criticism of the current lemming-like rush towards ESTs and EPBs and how that might affect the training of new psychologists & psychotherapists.

In doing some investigation into this area, I came across an interview by Tony Rousmaniere, with Scott Miller, entitled “Why Most Therapists Are Just Average (and How We Can Improve)”, which seemed to supply some interesting answers to the sort of questions that had International Journal of Psychotherapy: 2014, Vol. 18, No. 2, pp. 3-4: ISSN 1356-9082 © Author and European Association of Psychotherapy (IJP): Reprints and permissions: www.ijp.org.uk


been raised by these first two articles. Having contacts with the people who first published it, I asked them for their permission to re-print it here, which was kindly granted. Scott Miller is a well-known and published researcher in the field, who is interested in the ‘Common Factors’ in successful therapy. This is not a new model of therapy, but an in-depth look at what works for both the clients and for successful therapists. It de-bunks quite a lot of prevailing theories and comes up with some empirically based answers. Anyway, it gives some food for thought and we hope that you enjoy this.

Next we have an interesting piece of research from Asta Prajapati: Pharmacology vs.

Psychotherapy in the management of depression and anxiety disorders. What is particularly interesting is that Asta Prajapati is not a psychotherapist, but is a pharmacologist. We really welcome such additions from parallel professions. As an aside, I recently sent out a link to a ‘collection’ of about 70 articles on Anxiety – admittedly from a particular (Behavioural Science) perspective - (that had been sent to me from Routledge [Taylor & Francis]) as their ‘contribution’ to Mental Health Awareness Week. This ‘collection’ is/was available for free internet access (explore.tandfonline.com/page/beh/mental-health-awareness-week-2014) until 31st July 2014, so you may be lucky to just catch it.

We next offer a contribution from a psychotherapist in China: Theo Cope writes on Positive Psychotherapy: Priorities and Problems. This was initially a (sort of) in-house gripe about intellectual property and the use of a ‘title’ without full recognition and proper ascribing, but – with a little editorial help – it got transformed into an interesting article in its own right.

This issue is finished off by an emotional and very interesting article by Richard Erskine

on how to cope with someone-close-to-you’s imminent death: The Truth Shall Set You Free:

Saying an Honest “Goodbye” Before a Loved-one’s Death. It is difficult to comment on what seems to be so obvious and natural, and also (at times) so difficult and emotional.

We then have a couple of book reviews and the usual ‘professional / political ‘page’ (or two). These pretty much speak for themselves.

It is also a pleasure to report that the International Journal of Psychotherapy continues in its growth and development: we have established, much more clearly, our internal structure and allegiances, and we are also progressing satisfactorily towards our goal of being entered into the Thompson-Reuters Social Sciences Citation Index and thus obtaining an “impact factor”.

It really – really – helps if anyone who happens to be writing an article for another journal (with an impact factor) to ‘cite’ – as a reference – a previous article from this Journal. This helps to build our ‘profile’ and makes it much more likely that we will be accepted: not that there is any serious doubt, of course.

So, anyway, we hope that you enjoy these summer contributions, along with your observations of the World Cup, and (of course) Wimbledon or whatever your national or personal past-times or interests are.

Incidentally, to touch back into the opening theme: have you ever considered that (perhaps) nowadays football (in all its formats) is an emotional substitute – or a more acceptable form – for what would otherwise be World Wars, internecine aggression, or intercontinental and/or sectarian / religious rivalries?

Dr. W.B. Cannon eloquently suggested that athletics might be (in the New York Times, in April 1915 – some hope, given the date and the geo-politics of the time): J.A. Mangan suggests that often there is a parallel (especially from a Buddhist perspective) in his 2006 article, “Sport and War: Combative Societies and Combative Sports” (accessible here: www.sgiquarterly.org/ feature2006Jly-2.html); and a post from “Buzzard” on Yahoo Answers (about 7 years ago) said that: “Like the guy up there said, it could have a tribal element to it, two gangs sorting out who’s better, etc... shame that countries can’t sort their differences out in that way

- instead of invading Iraq, we could just have played them at football, and if they lost, Saddam would have had to stand down as team manager... it would be a better world!” Anyway, let us hope so.


The Return of the Therapeut: Part 2: R.D. Laing and the Genuine Psychotherapist Miles Groth Submitted May 2013; peer-reviewed twice Nov. 2013; re-submitted and accepted for publication, Dec. 2013.

Abstract An ancient religious group known as the Therapeutes may be understood as the implicit model for a practice that has come to be known as “the cure of souls” (Oskar Pfister) or “the therapy of the word” (Pedro Laín Entralgo) – in everyday parlance, psychotherapy. After Freud’s remarkable vision of a situation and method of therapeutic encounter, psychoanalysis, there followed a period of medicalization of psychotherapy until the Scottish psychiatrist and psychoanalyst, R.D. Laing, again took up the original vocation of the therapeut in his existential-phenomenological approach to human suffering, which he characterized as “genuine psychotherapy.” The first part of the discussion explored the history of this development. The second part examines the present state of psychotherapy in the context of that history and outlines Laing’s renewal of the work of the therapeut. Laing’s theory of practice as a psychotherapist is discussed in detail. This is the second part of the article: the first part was published in the previous issue: IJP, Vol. 18, No. 1., March 2014.

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