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1
Melella, John T., Sheldon Travin und Ken Cullen. „The Psychotherapist's Third-party Liability for Sexual Assaults Committed by his Patient“. Journal of Psychiatry & Law 15, Nr. 1 (März 1987): 83–116. http://dx.doi.org/10.1177/009318538701500106.
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Since the landmark Tarasoff decision, courts have expanded third-party liability to psychotherapists for the harm done to others by patients in their care. While this is an issue which affects all psychotherapists, it has particular importance for those treating sexual offenders. Recent advances in assessment techniques provide the psychotherapist with a more accurate profile of the patient and his potential victim(s). While this improvement in diagnostic accuracy affords greater potential for more focused treatment, it may also increase the psychotherapist's risk for incurring liability should the patient recidivate during treatment. This article examines some of the possible legal implications relevant to treating the sexual offender.
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Olivier, Bert. „Lacan and the Question of the Psychotherapist's Ethical Orientation“. South African Journal of Psychology 35, Nr. 4 (November 2005): 657–83. http://dx.doi.org/10.1177/008124630503500404.
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This article addresses the thorny issue of the psychologist or psychotherapist's values or ethical orientation. The suggestion is made that certain aspects of Jacques Lacan's psychoanalytical theory provide the resources to overcome the obstacle of arbitrariness or relativism faced by psychotherapists who unavoidably have to take an ethical stance — implicitly if not explicitly — in relation to clients' or analysands' lives and decisions. The dilemma faced by the psychotherapist is recontructed and specific aspects of the poststructuralist psychoanalytical theory of Lacan are addressed. These include the function of the subject's position in the symbolic register (in contrast to the imaginary register of the ego), the role of the unconscious as the ‘discourse of the Other’, of narrative and of repressed signifiers as ethical ‘anchoring points’. Crucially, however, the implications of the register of the ‘real’ for the ethics of the psychoanalyst as psychotherapist are added. These, offer invaluable means of overcoming the dilemma of ethical relativism faced by psychotherapists.
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O’Toole, Mia Skytte, und Jan Tønnesvang. „Kvalificeret selvbestemmelse i klinisk psykologisk arbejde“. Psyke & Logos 36, Nr. 2 (13.04.2016): 171–97. http://dx.doi.org/10.7146/pl.v36i2.23405.
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A large number of named psychotherapies provides clinicians with a broad catalogue from which to pick and choose intervention techniques. Today, many psychotherapists claim to work eclectically, referring to the use of varying intervention techniques both within and betweenthe different psychotherapeutic traditions. The availability of many psychotherapeutic techniques can indeed be beneficial, but the question remains as to how the psychotherapist chooses one technique over another depending on the circumstances. In this paper, we willpresent an analytic framework aimed at providing psychotherapists with a navigation tool with which to qualify the choice and coordination of psychotherapeutic techniques. The foundation for this tool is the concept of qualified self-determination, which points to some of the basic competencies necessary for humans to navigate within the technical, social, and personal domains of life. On this basis, we outline how different psychotherapies are differentially aimed at developing these competencies. Finally, we present specific examples onwhere and how this framework can be used, including how it can guide the client case formulation, and how it can facilitate productive collaboration at network meetings.
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Ngoubene-Atioky, Arlette J., Claudette Williamson-Taylor, Arpana G. Inman und John Case. „Psychotherapists' Empathy for Childfree Women of Intersecting Age and Socioeconomic Status“. Journal of Mental Health Counseling 39, Nr. 3 (01.07.2017): 211–24. http://dx.doi.org/10.17744/mehc.39.3.03.
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The purpose of the study was to discern the empathy ability of psychotherapists for childfree female clients with intersectional identities. Each participating psychotherapist was randomly assigned to view one of four mock video sessions with a childfree woman of varying age and socioeconomic status (SES). Psychotherapists rated their ability to empathize for the woman in their assigned mocked video. An analysis of variance revealed that psychotherapists experienced higher empathy ability for a childfree woman of younger age and lower SES than for an older and upper-SES childfree woman. Implications for research and practice are discussed.
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Lazos, Gelena. „Psychologists and war: a paradigm shift in psychological/psychotherapeutic assistance and specialist resilience“. Організаційна психологія Економічна психологія 3-4, Nr. 27 (25.11.2022): 37–47. http://dx.doi.org/10.31108/2.2022.3.27.3.
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Introduction. The full-scale invasion of the Russian Federation on February 24, 2022 has changed the history of Ukraine and the life of every Ukrainian. Millions of people, saving their lives, were forced to move to safer places In Ukraine as well as other countries. Hundreds of thousands of Ukrainians went to defend their country from the invaders. A huge number of people found themselves in the occupation and suffered tortures, captivity, abuse, hunger, and terrible wanderings. It is obvious that the war and its consequences have radically changed the paradigm of psychological assistance and increased the role of a psychologist/psychotherapist, which makes the problem of psychologists/psychotherapists' mental health resilience extremely important. After all, the effectiveness of psychological help depends on psychologists/psychotherapists' psychological and emotional stability. Aim. To formulate the first reflexive thoughts about the change in the paradigm of psychological and psychotherapeutic work in the context of war and the strategy of maintaining and developing psychologists and psychotherapists' resilience. Results. The article analyzes the peculiarities of psychologists/psychotherapists' work in the conditions of the Russia's war against Ukraine, discusses some transformations in the paradigm of mental and psychotherapeutic help in a crisis situation, the most common symptoms and clients' requests over the past six months as well as the dynamics of clients' psychological and emotional states. The author also considers the changes in the therapeutic relationship between the psychologist/psychotherapist and the client as well as the strategy of maintaining and developing psychologists/psychotherapists' resilience and mental health needed to preserve their professional identity. Conclusions. The information presented in the article can be useful in planning, organizing and providing psychological help as well as in developing and applying a psychologists/psychotherapists' resilience promotion psychotechnology.
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Coira, D., und M. Grady. „Flexible eclectic psychotherapy (FEP): A model for psychotherapy integration“. European Psychiatry 33, S1 (März 2016): S558. http://dx.doi.org/10.1016/j.eurpsy.2016.01.2059.
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IntroductionMost experienced psychotherapists use an eclectic approach in their practice, combining techniques of different schools of psychotherapy to treat their patients. However, there are no good teaching models to train the new generation of psychotherapists in the technique of psychotherapy integration. FEP is a form of psychotherapy that combines techniques from four different psychotherapies: psychodynamics, CBT, IPT and supportive therapy. It also incorporates mindfulness, motivational interviewing, exercise and nutrition. A strong therapeutic alliance is crucial to the success of FEP. Techniques are tailored to the patient's current clinical state. Several techniques from different psychotherapies may be used in the same session. The therapist is empathic, flexible adaptive to the patient's needs and assumes an active role in the therapeutic process.ObjectiveTo present a model of psychotherapy integration that can be used by psychotherapists in their clinical practice.AimsWe aim to present a model of psychotherapy integration that can be taught and implemented by psychotherapists in their clinical practice.ResultsWe present ten case examples were FEP was effective clinically and we compare it to the standard of care received by these patients and show the savings to the healthcare system.ConclusionThe results of our study suggest that FEP could be a cost effective treatment that could be added to the psychotherapists toolbox. Teaching and training methods, like manuals and workshops can be developed to train the new generation of psychotherapists.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Shoja Shafti, Saeed. „Opinion: Grasping the Unconscious Dynamism: A Prerequisite in Insight- Oriented Training“. Journal of Clinical Case Reports and Studies 3, Nr. 7 (06.08.2022): 01–03. http://dx.doi.org/10.31579/2690-8808/125.
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Insight-oriented psychotherapies, like psychoanalysis, as the most systematic method, and short-term dynamic psychotherapies, as the related compressed techniques, have a shared goal, which includes restoration of insight in patient by the help of a psychoanalyst or other associated psychotherapists. While there are many psychotherapists, who introduce themselves as psychodynamic therapists, a lot of criticizers believe in futility of analytic methods. Though there is no absolute guarantee of the effectiveness of any therapeutic method, whether pharmaceutical or psychological, it seems that based on physiognomies of systematic methods, some positive consequences can be reasonably expectable, which can be quantifiable by available evidence and records, too.
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Šefarová, I., und M. Šlepecký. „Self-efficacy of the psychotherapist in the context of supervision“. European Psychiatry 41, S1 (April 2017): s506. http://dx.doi.org/10.1016/j.eurpsy.2017.01.645.
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IntroductionIn the context of the importance of psychotherapy in mental health care the aim of our study is to highlight the importance of supervision as an integral part thereof.AimWe analyze the relationship between the assessment of the quality of supervision and the perceived self-efficacy of the psychotherapist as one of the antecedents of decision-making in the psychotherapeutic process. This framework is applied to an empirical study that focuses on psychotherapist's perception of clinical supervision in relationship to professional self-efficacy in the therapeutic process.MethodsThe study was operationalized using the Manchester clinical supervision scale (MCSS), containing a demographic questionnaire, counselor self-efficacy scale–modified version. One hundred and twenty-five psychotherapists with supervisory experience participated in the research, including 67 trainees and 58 graduates of psychotherapy training.ResultsThe results show a positive relationship between effective supervision and self-efficacy (r = 0.363; sig = 0.000; n = 125). The participants who attributed higher ratings to supervision and supervision work alliance also assigned higher scores to perceived self-efficacy–although there is a significant relationship among the participants of psychotherapeutic training (r = 0.444; sig = 0.000; n = 67), this relation is not significant among the actual graduates. Based on modeling, rapport was discovered to be the most important predictor of supervision effectiveness assessment.ConclusionsThe results support the merits of supervision in the education of psychotherapists and the importance of investing resources in its regular implementation.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Romero-Moreno, Antonio, Alberto Paramio, Serafín J. Cruces-Montes, Antonio Zayas, Diego Gómez-Carmona und Ana Merchán-Clavellino. „Development and Validation of the Psychotherapeutic Effectiveness Attribution Questionnaire (PEAQ-12) in a Spanish Population“. International Journal of Environmental Research and Public Health 18, Nr. 19 (01.10.2021): 10372. http://dx.doi.org/10.3390/ijerph181910372.
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In recent decades, the study of psychotherapy effectiveness has been one of the pillars of clinical research because of its implication for therapeutic cure. However, although many studies have focused their interest on the patient’s perception, there are no instruments oriented to the study of psychotherapists’ attributions of effectiveness: to what factors psychotherapists attribute responsibility for the cure of the therapies they provide. The present study aimed to develop and validate an instrument for assessing the attribution of the effectiveness of psychotherapy in a population of 69 psychotherapists of different theoretical orientations. After an initial process of inter-judge content validation, 12 items were selected for validation in the targeted population, adequately fulfilling the quality requirements in the validity–reliability tests, and grouped into four factors after principal component analysis. These factors were as follows: (1) therapeutic alliance enhancers; (2) psychotherapist emotional characteristics; (3) therapy-specific variables; and (4) facilitators of patient engagement with therapy. This four-factor structure also showed a good fit for the fit indices checked in confirmatory factor analysis. In summary, we can conclude that the Psychotherapeutic Effectiveness Attribution Questionnaire (PEAQ-12) developed in our research can be helpful if tested on a larger number of individuals. The results can be replicated in other populations of psychotherapists.
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Singer, Michael C. „The Piano and the Couch: Music and Psyche. By Margret Elson“. Medical Problems of Performing Artists 34, Nr. 2 (01.06.2019): 120–21. http://dx.doi.org/10.21091/mppa.2019.2019.
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The celebrated meeting between Sigmund Freud and Gustav Mahler in 1910 was the first known instance of a performing artist seeking out the assistance of a psychotherapist who happened to know something about art. It marked the beginning of what has grown into a permanent relationship between psychotherapists and performing artists.
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Guimarães, Lilian Pereira de Medeiros, und Elisa Medici Pizão Yoshida. „Criteria of Progress in Child Psychotherapies According to Psychotherapists“. Paidéia (Ribeirão Preto) 24, Nr. 57 (April 2014): 95–104. http://dx.doi.org/10.1590/1982-43272457201412.
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This study aimed to perform a survey with psychotherapists, regarding the criteria they consider relevant to measure the progress of children in psychotherapy and whether the criteria indicated by them differ according to the therapist’s theoretical approach. Therapists were contacted electronically and answered a questionnaire composed of items with criteria of positive change present in the literature. Participants were 154 child therapists from different regions of Brazil. The analysis regarding the criteria of positive change that the participants indicated and their theoretical approach suggested that, despite the theoretical differences, in practice psychotherapists seem to adopt similar criteria to interpret progress in child psychotherapies. The criteria mentioned may be useful for a better systematization of the psychotherapy techniques for children. However, due to the lack of elements to evaluate the sample’s representativeness, caution is advised in generalizing the results.
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Abdullah, Ahmed. „The Attitude of Egyptian Psychotherapists Towards Internet-Based Psychotherapy“. Journal of Umm Al-Qura University for Educational and Psychological Sciences 14, Nr. 2 (01.06.2022): 1–23. http://dx.doi.org/10.54940/ep33997108.
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The current study aims at revealing the nature of attitude of psychotherapists towards Internet-based psychotherapy. The study used a tool to measure the attitude of the psychotherapist towards internet-based psychotherapy, prepared by re-searcher, with consideration of the psychometric properties. The sample of the study consisted of (156) psychotherapists from psychiatric hospitals and clinics in Egypt (60 males, 96 females), whose ages ranged between (26 to 53) years. The results of the study indicated that there is a positive attitude towards Internet-based psychotherapy with a relative weight of (59%), and this was in service of the therapist, then service of the case, and finally service of the therapeutic process. It was also found that there is a positive correlation between the number of hours of daily use of Internet-based psycho-therapy and total score of attitude of Internet-based psychotherapy and all its dimensions (service of case, therapist and therapeutic process). There was a negative correlation between age and both the total score of the positive attitude of Internet-based psychotherapy and all its dimensions. Internet based psychotherapists had higher scores compared to tra-ditional psychotherapists (face to face) in the positive attitude towards Internet-based psychotherapy and all its dimen-sions. Whereas, females had high degrees compared to males in the positive attitude towards Internet-based psychotherapy in the service of therapeutic process only.
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Kalmykov, H. „PSYCHOTHERAPY: DISCUSSION ISSUES OF TRAINING AND ACTIVITIES OF PSYCHOTHERAPEUTIC PROFESSIONALS“. Psychology and Personality, Nr. 1 (20.05.2021): 9–31. http://dx.doi.org/10.33989/2226-4078.2021.1.227183.
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The article deals with highlighting of the results of psychological problem analysis demanded by the current state of the development of psychotherapy – medical and psychological science and practice of treatment by word; establishing the relationship between psychology, psychiatry and psychotherapy, which has been recently formed in the world practice on providing psychological care; identifying the ideas of scientists and practitioners working in the field of psychotherapy, the strategies and tactics of training future psychotherapists in universities. The article presents debatable, sometimes diametrically opposed, views of domestic and foreign scientists (physicians, practicing psychotherapists and supervisors) on the definition of their own, different from each other, subjects in psychology, psychiatry and psychotherapy - sciences related to a common object of study – the human psyche, as well as which of the specialists who provide psychological assistance has the right to work as a psychotherapist. Considerable attention in the content of this article is paid to the explanation of what points of view exist in the representatives of science, public organizations, medicine and psychology on the delimitation of psychotherapeutic functions and powers of psychotherapists at present; showing how the competencies of psychiatrists, psychologists, psychoanalysts, medical psychotherapists and psychologists-psychotherapists differ, and what are the specific differences between them. The traditions and author’s understanding of training the future psychotherapists in medical and psychological institutions of higher education and retraining of specialists in the field of psychotherapy, as well as the role and importance of psycholinguistic knowledge, discursive skills, abilities and competencies in psychotherapeutic education are described. The results of monitoring the content of training the psychotherapists in medical and psychological institutions of higher education in the specialties: “clinical psychology”, “psychotherapy” are shown, the imperfection characteristic for the current psychotherapeutic education are described, and it is emphasized on existing of the problem of significant terminological disorder not only among the names of specialities acording to which the psychotherapists are trained, but also in the educational and professional qualifications received by future specialists. It is proved that regardless of the medical or psychological sphere in psychotherapy, it cannot exist and develop in a promising direction without applied psycholinguistics, which equips it with scientifically substatiated rational means, in particular speech-language psychotechnics, metamodels of psychological (discursive) influence, samples of psychotherapeutic discourses providing lapidary effective intervention in the subconscious and conscious layers of the psyche of clients / patients.
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Kulik, Agnieszka, Natalia Kajka, Agata Banakiewicz und Ewelina Frańczyk. „Risk factors of Secondary Traumatic Stress in psychotherapists studied during the COVID-19“. Current Problems of Psychiatry 24 (30.05.2023): 125–33. http://dx.doi.org/10.12923/2353-8627/2023-0012.
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Introduction: The aim of the study was: to assess the severity of Secondary Traumatic Stress (STS), to identify ST's predictors, and to assess the model of relationships between predictors of Secondary Traumatic Stress in psychotherapists working during the pandemic in Poland. Materials and methods: The research group consisted of 153 psychotherapists (130 women, 85%) aged 25-66 (M = 39.39; SD = 9.65). The following tools were used to measure the variables: Coping Inventory for Stressful Situations (CISS), Perceived Stress Scale (PSS-10), Fatigue Severity Scale (FSS), FCV-19S Fear of COVID-19 Scale (FCV-19S), Secondary Traumatic Stress Scale (STSS), Personal Inquiry, Assessment of working conditions during a pandemic. Discussion: It has been shown that 9.8% of psychotherapists working during the pandemic experienced high or very high-intensity of symptoms of Secondary Traumatic Stress. The predictors of STS turned out to be: task-induced stress during the pandemic, emotion-focused stress-coping style, and fear of COVID-19. The proposed model of moderated moderation, which assumes that COVID-19 anxiety that intensifies the emotional style of coping with stress in specialists, has an influence on the relationship between occupational tasks stress during a pandemic and the severity of symptoms of Secondary Traumatic Stress, has not been confirmed. Therefore, there is a need for further exploration of the issue. Conclusions: Research shows an increase in STSD among Polish psychotherapists during covid as well as risk factors intensifying this diagnosis. Keywords: secondary traumatic stress, psychotherapist, anxiety, coping, risk factors
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Macilwain, I. F. „Psychotherapy at a Time of Diminishing Resources“. Bulletin of the Royal College of Psychiatrists 9, Nr. 11 (November 1985): 222. http://dx.doi.org/10.1192/s0140078900026031.
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Estimating demand for psychotherapy is like trying to evaluate the size of a mountain range from the foothills—the higher one climbs, the more potential needs become apparent. The unspoken dream that at some point all these needs will be met by trained psychotherapists seems firmly destined to stay in the realms of fantasy. In reality, specialist psychotherapists will always be thin on the ground. In Surrey, where my own practice is based, I am, and am likely to remain, the only medically trained psychotherapist with four sessions allocated to a population of 200,000. The psychotherapy department at St. George's Hospital, Tooting, to which I am also attached, has a catchment which extends to the whole South-West Thames Region, encompassing places as far afield as Chichester and Haywards Heath.
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Whisker, Craig. „Opportunities and challenges for psychotherapy in Aotearoa New Zealand’s new health system“. Ata: Journal of Psychotherapy Aotearoa New Zealand 26, Nr. 2 (30.12.2022): 31–60. http://dx.doi.org/10.9791/ajpanz.2022.09.
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The dawning of a new national public health system in Aotearoa New Zealand offers opportunities and challenges for psychotherapists. This paper discusses these against three data sets, namely, a 2022 national District Health Board psychotherapy workforce survey, a video recording of the Psychotherapy and Public Worlds panel event at the 2022 New Zealand Association of Psychotherapists’ (NZAP) conference, and psychotherapist registration statistics supplied by The Psychotherapists Board of Aotearoa New Zealand (PBANZ). The expansion of short-term, risk-based, manualised interventions during the former DHB era did not improve mental health at a community level (Mulder et al., 2022) nor promote equity and sustainability (Berg et al., 2022). Placing Te Tiriti o Waitangi, the Treaty of Waitangi (1840) (Te Tiriti) at the centre of the new health system suits psychotherapy, whose wholistic worldview of health and wellbeing aligns with te ao Māori better than most other Western psychological approaches. Kōrero about the indigenising of psychotherapy in Aotearoa has been around since at least the 1980s. The Ministry of Health (the Ministry) has recently invited psychotherapists’ advice on workforce policy development and how to promote psychotherapy in the new health system. This task will largely fall on the psychotherapy associations and some psychotherapy training organisations. A major challenge may be whether these entities can sustain the expenditure of human and other resources necessary to represent their memberships in continuing dialogue with the Ministry and its operational partners, Te Whatu Ora, Health New Zealand (Te Whatu Ora) and Te Aka Whai Ora, Māori Health Authority (Te Aka Whai Ora). Key opportunities include the recruitment of overseas psychotherapists and the greatly expanded provision of psychotherapy student placements in public health services to stimulate new psychotherapy training programmes and workforce growth.
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Mace, Chris, und Kevin Healy. „Medical psychotherapy: a specialty for now“. Psychiatrist 35, Nr. 8 (August 2011): 301–4. http://dx.doi.org/10.1192/pb.bp.110.032599.
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SummaryIf many patients having multiple difficulties are to receive the integral and efficient psychotherapies they require, they need attention from psychiatrists who have specialised training in psychotherapy. This paper sets out the roles to which existing holders of the Certificate of Completion of Training have already moved to, as they work with patients, families, teams and organisations. The General Medical Council has recognised that the understanding of medical psychotherapists is also vital to the future clinical teaching of all psychiatric trainees. This paper summarises key components of the knowledge and roles of future specialists in medical psychotherapy. It recommends that the term ‘medical psychotherapy’ be used widely to clearly differentiate psychiatrists with this training and these responsibilities from non-medical psychotherapists.
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Rosati, Fau, Maric Martin Lorusso, Jessica Pistella, Guido Giovanardi, Bianca Di Giannantonio, Marta Mirabella, Riccardo Williams, Vittorio Lingiardi und Roberto Baiocco. „Non-Binary Clients’ Experiences of Psychotherapy: Uncomfortable and Affirmative Approaches“. International Journal of Environmental Research and Public Health 19, Nr. 22 (20.11.2022): 15339. http://dx.doi.org/10.3390/ijerph192215339.
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Non-binary people may face specific challenges in psychological settings. Psychotherapists often display a lack of preparation for non-binary gender identities, resulting in overt or subtle forms of prejudice that compromise the therapeutic alliance. The present study aimed to provide data on non-binary clients’ positive and negative experiences within therapeutic relationships. Twenty-five interviews were conducted with non-binary people in the age range of 19–35. Using codebook thematic analysis, the researchers identified three main themes: (1) the self of the psychotherapist, consisting of the impact of the therapist’s personal (i.e., sexual identity) and professional (i.e., competence) characteristics on the therapeutic experience; (2) the practice of the psychotherapist, emerging as affirmative (validation and microaffirmations) or negative (gender identity change efforts, manifest aggressions, and microaggressions) approaches toward non-binary identities; (3) the therapeutic relationship, referring to the alliance, rupture, and reparation based on the therapists’ openness toward non-binary identities. To provide a safer setting for non-binary clients, psychotherapists should incorporate issues related to gender minority identities in their training, acknowledge clinical errors when they occur and adopt an active predisposition to learn through the client’s experience, giving value to their unique contribution.
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Davey, Tom. „Reducing the other to the same/sane“. Ata: Journal of Psychotherapy Aotearoa New Zealand 4 (30.06.1998): 78–86. http://dx.doi.org/10.9791/ajpanz.1998.07.
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I have been intrigued by my very different responses to two uses of the word method. The first, commonplace and currently popular, suggests that psychotherapists should have a number of methods at their disposal. This could be called the ballast argument. The second, from a statement by Laplanche, is that what Freud predominantly gave us was a method. I am rather disturbed by the former, but take the latter very seriously in my own practice. My sense of intrigue comes from the belief that both examples contain radically different notions of what psychotherapists are engaged in. The ballast argument enlists a technological approach, the application of knowledge, where one is engaged in a particular kind of behandlung (treatment); a kind of violence. But Freud's method is also a technology, so why should I favour that? Perhaps, because it is a method that opens up and contains particular kinds of spaces. I wish to explore these ideas by sharing some of the ideas that have been helpful to me in feeling and thinking through this issue over the years; in order to wonder about what kind of spaces are being offered by psychotherapists in these differing positions. What are psychotherapist's responsibilities in such spaces?
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Worthington, Carol. „My journey toward becoming a psychotherapist“. Ata: Journal of Psychotherapy Aotearoa New Zealand 26, Nr. 2 (30.12.2022): 145–50. http://dx.doi.org/10.9791/ajpanz.2022.13.
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As the New Zealand Association of Psychotherapists (NZAP) celebrates 75 years as an association, the author, a psychotherapist of long-standing and considerable experience as a practitioner in Aotearoa New Zealand, reflects upon her journey to becoming a psychotherapist. She considers the influences that have impacted upon her in this journey, and the qualities essential, in the author’s view, to the practice of psychotherapy. The article is a reflection on lessons learnt throughout her career, in the hope that this may be of benefit to other practitioners, whether beginning or well-seasoned.
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Danvers, Faye, und Tania Robin. „Reflections and projections in Māori/ Tau Iwi relationships“. Ata: Journal of Psychotherapy Aotearoa New Zealand 6, Nr. 1 (30.07.2000): 92–104. http://dx.doi.org/10.9791/ajpanz.2000.09.
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This paper seeks to promote thought and discussion around the question "What do psychotherapists of Tau Iwi need to uncover in themselves to meet as fully as possible the needs of Māori clients?" Drawing on shadow theory, research and statistics from within Aotearoa, and their own experience as psychotherapist and educator, the writers explore the implications of this question as it confronts us in our clinical work.
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Winther, Gerda. „Psychotherapy with Manic-Depressives: Problems in Interaction between Patient and Therapist“. Group Analysis 27, Nr. 4 (Dezember 1994): 467–74. http://dx.doi.org/10.1177/0533316494274012.
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Psychotherapy with manic-depressives, whether individually or in groups, has not had the interest of most psychotherapists. Apart from the suicide risk and the manic chaos, the reasons for this seem to lie in the dynamics and special mode of communication of the manic-depressive and in the personality and training of the psychotherapist. Awareness of this combination of factors is essential in understanding the problems of interaction between the manic- depressive and the therapist.
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Humer, Elke, Christoph Pieh, Martin Kuska, Antonia Barke, Bettina K. Doering, Katharina Gossmann, Radek Trnka et al. „Provision of Psychotherapy during the COVID-19 Pandemic among Czech, German and Slovak Psychotherapists“. International Journal of Environmental Research and Public Health 17, Nr. 13 (04.07.2020): 4811. http://dx.doi.org/10.3390/ijerph17134811.
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Psychotherapists around the world are facing an unprecedented situation with the outbreak of the novel coronavirus disease (COVID-19). To combat the rapid spread of the virus, direct contact with others has to be avoided when possible. Therefore, remote psychotherapy provides a valuable option to continue mental health care during the COVID-19 pandemic. The present study investigated the fear of psychotherapists to become infected with COVID-19 during psychotherapy in personal contact and assessed how the provision of psychotherapy changed due to the COVID-19 situation and whether there were differences with regard to country and gender. Psychotherapists from three European countries: Czech Republic (CZ, n = 112), Germany (DE, n = 130) and Slovakia (SK, n = 96), with on average 77.8% female participants, completed an online survey. Participants rated the fear of COVID-19 infection during face-to-face psychotherapy and reported the number of patients treated on average per week (in personal contact, via telephone, via internet) during the COVID-19 situation as well as (retrospectively) in the months before. Fear of COVID-19 infection was highest in SK and lowest in DE (p < 0.001) and was higher in female compared to male psychotherapists (p = 0.021). In all countries, the number of patients treated on average per week in personal contact decreased (p < 0.001) and remote psychotherapies increased (p < 0.001), with more patients being treated via internet than via telephone during the COVID-19 situation (p < 0.001). Furthermore, female psychotherapists treated less patients in personal contact (p = 0.036), while they treated more patients via telephone than their male colleagues (p = 0.015). Overall, the total number of patients treated did not differ during COVID-19 from the months before (p = 0.133) and psychotherapy in personal contact remained the most common treatment modality. Results imply that the supply of mental health care could be maintained during COVID-19 and that changes in the provision of psychotherapy vary among countries and gender.
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Ashurst, Pamela, und Anne Nightingale. „Psychotherapy Specialist Section“. Bulletin of the Royal College of Psychiatrists 11, Nr. 5 (Mai 1987): 172–74. http://dx.doi.org/10.1192/s0140078900025384.
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Consultant posts in psychotherapy appeared separately in DHSS statistics for 1975 for the first time, having previously been included within the figures for Adult Mental Illness. In 1975, ten Consultant Psychotherapist posts (six whole-time equivalents) were recorded, and this figure increased steadily as more post holders declared themselves as specialist psychotherapists, after initial reluctance on the part of many to relinquish the title of Consultant Physician in Psychological Medicine or Consultant Psychiatrist, since the title of Psychotherapist did not assert medical status. By 1984 there were 91 Consultant Psychotherapist posts (61.2 whole-time equivalents), but there was no record of the number of Consultant Psychiatrist post holders with specified contractual Special Responsibility or Special Interest in psychotherapy. Such details are held only by Regional Health Authorities, and are not available for manpower statistics.
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Milligan, Jeannie. „Deprivation and delinquency in the adolescent forensic patient“. International Journal of Forensic Psychotherapy 3, Nr. 2 (22.12.2021): 133–40. http://dx.doi.org/10.33212/ijfp.v3n2.2021.133.
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Drawing upon Donald Winnicott’s classic paper, “Delinquency as a Sign of Hope”, the author has underscored the importance of recognising the role of emotional loss in the aetiology and treatment of adolescent forensic patients, and she has elucidated how this particular psychoanalytical lens can assist psychotherapists to work more effectively with deprivational trauma. The author has also described her experience as both a field social worker and as a forensic psychotherapist, and has shared moving clinical material with great clarity and generosity, demonstrating the value of incorporating Winnicott’s insights into the forensic consulting room. In particular, the author has examined how the patient can use the psychotherapist as an understanding object who can help to counteract earlier deprivations.
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Adams, Clare, und Maria O'Kane. „Consultant psychotherapists: who needs them?“ Irish Journal of Psychological Medicine 16, Nr. 2 (Juni 1999): 41–42. http://dx.doi.org/10.1017/s0790966700005127.
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“The idea of a psychotherapeutically informed psychiatry seems such a simple and obvious one and yet the divide between psychotherapy and general psychiatry – between ‘brainlessness’ and ‘mindlessness’ has, until recently, seemed unbridgeable”.The Psychotherapy section of the Royal College of Psychiatrists has the largest membership in the college. Since psychotherapy became recognised as a discipline within psychiatry in 1975 the Royal College of Psychiatrists has recommended one consultant psychotherapist for each 200,000 of the population. In Northern Ireland there are only 1.9 whole time equivalents rather than the eight expected and in the Republic of Ireland there is none. According to the recent document produced by the Royal College of Psychiatrists' Psychotherapy Faculty Executive Committee in December 1998, The development of psychological therapy services: Role of the consultant psychotherapist, there has been no net growth in the last five years in the numbers of psychotherapists in England and Wales. The future looks equally gloomy in Ireland.This is rather surprising given that recent government documents have highlighted both the importance and the effectiveness of psychological therapies. There is a growing evidence base underpinning the use of psychotherapy in the management of a wide variety of conditions including psychoses, eating disorders and severe personality disorders.Psychotherapy has high public acceptability and finds itself in the unusual position of having both government and public demanding the provision of extra psychological therapies, but not receiving the full support of psychiatry and the purchasers of healthcare.
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Drozdov, D. S. „Influence of Personal Faith on Psychotherapist’s Professional Activity“. Консультативная психология и психотерапия 24, Nr. 5 (2016): 135–50. http://dx.doi.org/10.17759/cpp.2016240508.
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The article presents the main results of the study of influence of personal faith on psychotherapist’s professional activities.The empirical analysis is based on interviews with practicing Orthodox psychotherapists, conducted in accordance with a specially developed procedure. The author makes a conclusion about the presence of trends in the practice of Orthodox therapists to one of the two poles, distinguished by the degree of directivity, the role of the therapist and their methods. The first pole — pastoral counseling, second — psychotherapy in a spiritual dimension.
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Meyers, C. J. „Hard Cases: The “Duty to Warn” as a Felt Necessity of our Time“. Journal of Psychiatry & Law 15, Nr. 2 (Juni 1987): 189–204. http://dx.doi.org/10.1177/009318538701500204.
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Now in its second decade of existence, the psychotherapist's “duty to warn” is no longer a disreputable novelty. It is established law in an increasing number of jurisdictions, and equally important, it is believed to be law by most psychotherapists in most jurisdictions in the United States. This article asks why the duty to warn was created and why it thrives, relating the development of the phenomenon to social, psychological, and legal pressures felt by the judges who made the decisions.
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Van Broeck, Nady, und Germain Lietaer. „Psychology and Psychotherapy in Health Care“. European Psychologist 13, Nr. 1 (Januar 2008): 53–63. http://dx.doi.org/10.1027/1016-9040.13.1.53.
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During the last 20 years, psychological interventions and psychotherapy have acquired a modest but significant place in health care. The lack of a uniform legal definition of these professional activities in the domain of health care hampers quality control of training programs and delivered services and complicates coordination of care. Training requirements are not always made explicit, and often there are no mechanisms for quality control or for monitoring compliance with ethical codes of conduct. In this review, the legal regulation of the professional activity of psychologists in health care and of psychotherapists in 17 European countries is examined. Eleven of these have adopted a legal regulation the title and the professional activities of psychologists in health care. Seven have an additional law regulating the title and the professional activities of psychotherapists. In five countries, professionals other than psychologists and medical doctors can obtain a legally protected title and license to practice as a psychotherapist. Conclusions are drawn concerning the available models of regulation of psychotherapy and their respective consequences.
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Li, Chin. „Where Words Trap the Mind: The Bewitchment of Psychotherapy“. Language and Psychoanalysis 7, Nr. 1 (25.06.2018): 84–105. http://dx.doi.org/10.7565/landp.v7i1.1584.
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When psychotherapists reify the concepts they are using to describe human experiences, both therapist and patient are likely to end up with befuddled thinking, and become unable to grasp the lived experience of the emotional turmoil the patient is struggling with. In this context, proper use of language is of vital importance, and the first task of the psychotherapist is to think clearly about the words she uses. This essay attempts to clarify some of these issues, and to discuss their relevance to the practice of psychotherapy.
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Kleszczewska-Albińska, Angelika. „Creating a healthy work environment for the well-being of a cognitive behavioural psychotherapist“. Psychiatria i Psychologia Kliniczna 20, Nr. 4 (31.12.2020): 283–90. http://dx.doi.org/10.15557/pipk.2020.0035.
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The work of a cognitive behavioural therapist is associated with a number of factors contributing to the feeling of satisfaction as well as many concerns. Studies show that psychotherapists are vulnerable to the effects of distress which, if left unattended, lead to burnout and serious professional impairments. Even though it has been emphasised that self-care of a psychotherapist is more of an imperative than an option, all too often professionals ignore their needs. Among the most common self-care myths cognitive behavioural therapists believe in, one may find the assumptions that self-care is optional, the knowledge how to look after oneself is equivalent to managing it, and coping is identical to being a therapist. Responsibility for oneself is usually an optional topic during education and supervision processes. Even though articles on that subject are widely available, it is important to analyse the problem of self-care, and to propose ways for creating a healthy work environment for cognitive behavioural therapists. In the article, the core ideas concerning the cognitive behavioural model of therapy are presented, and the cognitive behavioural model of burnout is described. In addition, the role of self-care in professional activity among cognitive behavioural psychotherapists is examined. The data on the role of awareness, balance, flexibility, and health in increasing self-care practices among psychotherapists is presented, and the importance of a proactive approach to self-care is highlighted. Furthermore, the main ideas that should be incorporated in training courses and supervision are given, together with the description of the role of supervision in psychotherapeutic work.
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Jones, David, Roger Horrocks und Anthony Crouch. „Registration of Psychotherapists“. Self & Society 19, Nr. 1 (Januar 1991): 51–57. http://dx.doi.org/10.1080/03060497.1991.11085155.
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Chessick, Richard D. „Heidegger for Psychotherapists“. American Journal of Psychotherapy 40, Nr. 1 (Januar 1986): 83–95. http://dx.doi.org/10.1176/appi.psychotherapy.1986.40.1.83.
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Chessick, Richard D. „Hermeneutics for Psychotherapists“. American Journal of Psychotherapy 44, Nr. 2 (April 1990): 256–73. http://dx.doi.org/10.1176/appi.psychotherapy.1990.44.2.256.
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Palmer, Becky. „Psychotherapists on Psychotherapy“. Journal of Clinical Activities, Assignments & Handouts in Psychotherapy Practice 1, Nr. 3 (14.11.2001): 103–6. http://dx.doi.org/10.1300/j182v01n03_11.
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36
Lieberman, Lewis R. „Psychologists as psychotherapists.“ American Psychologist 52, Nr. 2 (1997): 181. http://dx.doi.org/10.1037/0003-066x.52.2.181.b.
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Ford, Charles V. „Psychotherapy with Psychotherapists“. Psychosomatics 26, Nr. 6 (Juni 1985): 554. http://dx.doi.org/10.1016/s0033-3182(85)72843-5.
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Wylie, Kevan R. „Boundaries for psychotherapists“. Psychiatric Bulletin 30, Nr. 11 (November 2006): 435. http://dx.doi.org/10.1192/pb.30.11.435-b.
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Farber, Barry A. „Burnout in Psychotherapists:“. Psychotherapy in Private Practice 8, Nr. 1 (18.04.1990): 35–44. http://dx.doi.org/10.1300/j294v08n01_07.
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Strauß, Bernhard. „„Psychotherapists for future““. Psychotherapeut 65, Nr. 1 (Februar 2020): 1–2. http://dx.doi.org/10.1007/s00278-019-00395-9.
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Aldridge, David. „Artists or psychotherapists?“ Arts in Psychotherapy 20, Nr. 3 (Januar 1993): 199–200. http://dx.doi.org/10.1016/0197-4556(93)90013-r.
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Drcar, Stephanie, und Elliott Ingersoll. „ Unique Histories and Unified Futures: Future Trends for Human Service Graduates Entering Psychotherapy Fields“. Journal of Human Services 40, Nr. 1 (März 2021): 123–35. http://dx.doi.org/10.52678/2021.9.
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Undergraduate Human Services (HMSV) students are often interested in graduate education and might consider a career as a psychotherapist. The psychotherapy disciplines are primarily composed of psychology, social work, counseling, and addiction counseling, each of which have a unique history regarding their development and approach to clinical work. HMSV graduates aspiring to psychotherapy training need an understanding of the trends influencing the fields of psychotherapy across disciplines. This article presents an overview of trends and factors to prepare the next generation of psychotherapists to work as a unified collective to address societal and individual challenges.
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Flemmer, D. D., Steven Sobelman, Michele L. Flemmer und Jan Åström. „Attitudes and Observations about Nonverbal Communication in the Psychotherapeutic Greeting Situation“. Psychological Reports 78, Nr. 2 (April 1996): 407–18. http://dx.doi.org/10.2466/pr0.1996.78.2.407.
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A survey of 209 licensed psychotherapists was conducted to investigate attitudes towards and observations of nonverbal communication in a reference situation. Background factors such as gender, years of psychotherapeutic experience, hours of therapy practiced each month, and theoretical approach were used to examine relationships. The psychotherapeutic greeting situation, i.e., the first time a therapist and patient meet in a waiting room, was chosen as the reference situation. Female psychotherapists believed that nonverbal communication was more important than male psychotherapists. Psychotherapists with 16 years or more experience supported items that constitute the greeting phase and items on active observation significantly more often than psychotherapists with less experience. Hours of psychotherapeutic practice and frames of reference were not significantly related to any item within the questionnaire. Belief in nonverbal communication was not significantly related to items that involve preparing to meet a patient for the first time.
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Huang, Yen‐Chi. „An Existential Psychoanalyst in the Literary Therapy Genre: The Representation of a Psychoanalytic Encounter in Irvin Yalom’s The Schopenhauer Cure“. Ars Aeterna 7, Nr. 1 (01.06.2015): 23–34. http://dx.doi.org/10.1515/aa-2015-0004.
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Abstract The aim of this paper is to describe the fictionalisation of psychoanalysis in the literary therapy genre written by psychotherapists. Being a psychotherapist, Irvin Yalom has written and published several literary therapy novels. The Schopenhauer Cure (2006) presents a psychoanalytic encounter with focus on the patient’s interpersonal issues in a group therapy session and draws a parallel line between fictional patients and the philosopher Arthur Schopenhauer. The fictionalisation of patients’ psychological symptoms and the way therapists examine themselves in the therapeutic milieu in The Schopenhauer Cure correspond to the fundamental concerns of isolation, meaninglessness, death and freedom in existential psychotherapy. I explore the literary representation of the psychotherapist and therapist-patient relationship and the therapeutic encounter in The Schopenhauer Cure in the context of how fictional narratives can be read as a form of highlighting the psychoanalytic encounter
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Mullet, Etienne, Maria Teresa Munoz Sastre und Florence Sordes-Ader. „Lay People’s Views on the Appropriateness of Psychotherapies“. European Journal for Person Centered Healthcare 2, Nr. 3 (15.07.2014): 353. http://dx.doi.org/10.5750/ejpch.v2i3.741.
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Rationale, aims and objectives When choosing a particular psychotherapy, psychotherapists are expected to take into account their clients’ preferences, needs, and values, their own professional experience, and what is currently known regarding the real impact of these therapies. Psychotherapists widely vary the one from the other in the weight they attribute to each of these factors. We examined the way lay people judge of the appropriateness of therapeutic decisions taken by clinical psychologists.Methods 206 participants were presented with 24 vignettes depicting the way a psychotherapist has selected therapy. They were composed according to a three within-subject factor design: (a) the frequency with which the therapy was used in clinical practice in the area, (b) the patients’ usual level of appreciation of this therapy, and (c) the level of scientific evidence supporting the use of this therapy (strong evidence, weak evidence, unknown evidence and no evidence). The participants rated appropriateness of the decision in each case.Results For half the participants, the most important factor was the patients’ appreciation of the therapy in general. Even scientifically supported therapies were considered as only mildly appropriate if patients in general didn’t like them much. For the remaining half of participants, scientific evidence was the most important factor: Therapies that were well appreciated by patients were not viewed as appropriate if they were not scientifically grounded.Conclusions Creating authoritative multilingual web sites synthesizing the main findings regarding the impact of diverse therapies would be a way through which at least some patients could judge of the appropriateness of the technique they have been offered by their psychotherapists. Their (informed) reactions could ease changes in direction of more weight attributed to existing scientific evidence from the part of therapists.
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Ratner, Juanita. „Rollo May and the Search for Being: Implications of May’s Thought for Contemporary Existential-Humanistic Psychotherapy“. Journal of Humanistic Psychology 59, Nr. 2 (05.11.2015): 252–68. http://dx.doi.org/10.1177/0022167815613880.
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Rollo May left a body of profound and incisive written work, laying a foundation for existential psychotherapy for years to come. His insightful reflections on the cultural, philosophical, and psychological dilemmas of contemporary human beings raise themes of which psychotherapists need to remain mindful and address in our practices. This article explores the implications of Rollo May’s thought for effective psychotherapy, therapy that does not content itself with simply managing symptoms but touches the root causes of the many dilemmas clients bring with them as their “presenting problems.” Underlying all these is the search for being. Rollo May viewed contemporary times as an age of anxiety; yet he also normalized anxiety as encountered in living any life. However, not knowing who one really is, not being able to engage in life from the depths of one’s being, inevitably creates conflicts that surface in psychotherapy. Effective psychotherapists must do their own inner work, inhabiting a therapeutic presence in the encounter with clients, helping them wrestle with the daimon with which they contend. May states succinctly, “A life is at stake.” This is the seriousness of the call of the psychotherapist. This article highlights meanings one student has gleaned from May’s contribution.
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Chambel, Hélder, und Filipe Baptista-Bastos. „Un momento en el tiempo“. Clínica e Investigación Relacional 16, Nr. 1 (16.04.2022): 71–94. http://dx.doi.org/10.21110/19882939.2022.160105.
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A moment in time is a diptych written by two psychotherapists who talk about their work during the pandemic. Both write in a contemporary psychoanalytic language, but it is a writing loaded with lived experience. From Chaos Theory; the non-linearity of relationships, up to the design of the daily practice of the Psychotherapist's work; down to his body and soul, the two texts are representative of two identities; figures of different style, with a common vision of the actuality of Psychoanalysis. The Webinar that gave the opportunity to read these texts, benefited the manifestation of ideas of rupture with the conservative and rigid models of Psychoanalysis
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Ellis, Emma. „Internalised Racism“. Ata: Journal of Psychotherapy Aotearoa New Zealand 22, Nr. 1 (24.09.2018): 85–102. http://dx.doi.org/10.9791/ajpanz.2018.07.
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This article identifies and explores how the internalised racism of racial minority clients is identified and treated clinically by white psychotherapists. Four psychotherapists, who selfidentified as “white”, participated in semi-structured interviews, exploring their perceptions and understandings of how internalised racism and racism manifested within the clinical setting. The data from these interviews was analysed using thematic analysis and produced four main themes: manifestations of internalised racism and racism in therapy, disidentification, therapist’s explicitness, and connection to culture. These themes were supported and anchored by four sub-themes. The themes represent a therapeutic process of: emergence, understanding, intervention and aim. The emergence of racism and internalised racism in therapy describes both the clients’ and the psychotherapists’ experiences of internalised racism and racism as it emerges in the therapeutic encounter. Dis-identification captures the psychotherapists’ understanding of internalised racism operating as their minority clients’ dis-identification with their racial and cultural heritage. Therapist’s explicitness identifies a therapeutic intervention, the psychotherapist’s communication to their minority clients about the racial differences between them. And finally, connection to culture captures the psychotherapist’s therapeutic aim of encouraging a connection to racial and cultural heritage as a protective factor against racism and emotional and psychological difficulties.
Whakarāpopotonga
E tautuhi e tūhura ana tēnei tuhinga pēhea ai te tautuhi te whakaora a ngā kaiwhakaora hinengaro kirimā i te aukatinga iwi ā-roto o ngā kiritaki tokoiti. Tokowhā ngā kaiwhakaora hinengaro, whakatau “kirimā”, i uru mai ki ngā uiuinga kōkau, e tūhura ana i ō rātau whakaaro, mātauranga hoki he pēhea te putanga mai o te aukatinga iwi ā-roto i waenga i te nōhanga haumanu. I whāia te aromatawaihanga kaupapa hai aromatawai i te raraunga o ēnei uiuinga, ā, e whā ngā kaupapa i puta ake: ngā tohu o te aukatinga iwi ā-roto me te aukati iwi i roto i te haumanu, te tuakiri-ui, te mārama o te kaihaumanu me te here ki te ahurea. E whā ngā kaupapa huiroto tuatoko, taunaki hoki i ēnei kaupapa. He kanohitanga ēnei kaupapa i te tukanga haumanu o te: pueatanga, te māramatanga, te whakaurutanga me te whāinga. Te pueatanga ake o te aukatinga iwi me te aukatinga iwi ā-roto i rō haumanutanga e whakaāhua ana i te whaiaro aukatinga iwi ā-roto me te aukatinga iwi hoki o te kiritaki rāuatahi ko te kaiwhakaora hinengaro i te wā haumanutanga. E mau ana i te tuakiri-ui te tirohanga a ngā kaiwhakaora hinengaro o te aukatinga iwi ā-roto whakamahia ai hai tuakiri-whakaui pānga iwi, tuakiri-whakaui ahurea o ō rātau kiritaki tokoiti. He whakaaturanga haumanu aukati te whakamārama koi ā ngā kaihaumanu, ko te whakatau a te kaiwhakaora hinengaro ki ā rātau kiritaki tokoiti mō te rerekētanga iwi i waenga i a rātau. I te mutunga, ko te here ki te ahurea e hopu ana i te whāinga haumanu ā te kaiwhakaora hinengaro, arā ki te whakatenatena herenga tuku iho ā-iwi, ā-ahurea hai mea haumarutanga atu i te aukatinga iwi, whakararutanga kare ā-roto, hinengaro.
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Houghton, Simon, Joe Curran und Dave Saxon. „An Uncontrolled Evaluation of Group Behavioural Activation for Depression“. Behavioural and Cognitive Psychotherapy 36, Nr. 2 (März 2008): 235–39. http://dx.doi.org/10.1017/s1352465808004207.
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AbstractBehavioural Activation is a contemporary contextual psychological treatment for depression. The outcome of a series of five treatment groups involving a total of 42 patients presenting to a psychotherapy department with self-reported depression is reported. Three of the treatment groups were delivered by two cognitive behavioural psychotherapists, two of the groups were delivered by a single cognitive behavioural psychotherapist and a trainee with no previous experience of the approach. The results suggest that group Behavioural Activation is an effective and tolerable treatment as indicated by BDI-II, CORE scores and the low drop-out rate. The methodological limitations of the findings are discussed.
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Tantam, Digby. „The machine as intermediary: personal communication via a machine“. Advances in Psychiatric Treatment 12, Nr. 6 (November 2006): 427–31. http://dx.doi.org/10.1192/apt.12.6.427.
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The physical co-presence of psychotherapist or counsellor and client has been considered essential to the development of the therapeutic relationship. Psychotherapists have often, therefore, been resolutely opposed to anything other than face-to-face therapy. The richness and ubiquity of internet communication is likely to change that. I consider here the circumstances in which internet psychotherapy is indicated, some of the new problems it poses, including boundary-keeping and ethics, along with some solutions to these problems. The potential of the internet has already been exploited by many clients themselves and I conclude with a consideration of the growth of internet-based peer support groups.