Category Archives: Treatment and Assessment of Problems of Childhood and Adolescence

The importance of context: Bread and Jam for Frances and the Culture of the Cockpit

Over the past few decades the focus of psychotherapy increasingly returned to its emphasis on the internal state of the individual. While psychoanalysis focused on unconscious processes newer models emphasize a focus on thoughts, (such as Acceptance and Commitment therapy), … Continue reading

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Therapist Concerns and the Interface with Clinical Issues

Therapist Concerns and the Interface with Clinical Issues October 2016 In the fall of 2015 I had the privilege of participating in a panel discussion with other members of the Illinois Psychological Association’s Ethics Committee, at the Illinois Psychological Association’s … Continue reading

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Couples at an Impasse: Changing Therapists versus Changing Treatment Modality

Recently I have had two clients referred to me for individual therapy, by therapists who had worked with the client and his/her spouse in couples’ therapy. In both instances the referring therapists explained that the clients had “individual issues” which … Continue reading

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Challenges to Coordinating Care in the age of “Integrated Care”

For those who regularly follow the news on health care the push for “integration” is one of the most frequently highlighted issues.  The Affordable Care Act calls for and mandates greater integration of services.  Moreover, professional organizations and insurance companies … Continue reading

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Improving Effectiveness with an Integrative Approach to doing Therapy

A few weeks ago I attended an all day workshop on the Integrative Problem Centered Metaframeworks  (IPCM) approach to therapy (1).  This workshop  activated my thinking about how to improve effectiveness in therapy, an issue I have been delving into … Continue reading

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Acceptance and Commitment Therapy (ACT): Not Just CBT Light!

            To begin with a little self-disclosure: I have been highly skeptical of ACT.  First, the clinicians who first explained ACT to me probably were not the best ambassadors for the model. Their descriptions and explanations made ACT sound as … Continue reading

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A Must Read: “Bitter Pill: Why Medical Bills are Killing Us” by Steven Brill

The cost of medical care has been debated vigorously (and at times viciously) for the past 5 or more years. Many concerns have been raised about the cost of healthcare, as well as issues of access to healthcare. Steven Brill’s … Continue reading

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Why I Still Recommend Family Therapy

Why I Still Recommend Family Therapy February 27, 2013 Over 25 years ago my partners and I founded the Centers for Family Change. One of our motivations, at that time, was to develop a private practice that emphasized family therapy … Continue reading

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Effective Strategies for Treating School Anxiety and School Refusal

While it is developmentally normal for younger children to be anxious about school this normal anxiety typically resolves quickly as the child adjusts to school. Moreover, most parents are able to provide the support needed to help their children overcome … Continue reading

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What makes us better?: A new study calls into question our understanding of change.

A recent study about a so called “honest placebo” has received a good deal of attention. This study is particularly intriguing because unlike other studies of placebo interventions the participants clearly knew they were being given a placebo, yet still … Continue reading

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