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How to Fail as a Therapist: 50 Ways to Lose or Damage Your Patients (Practical Therapist)
 
 
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How to Fail as a Therapist: 50 Ways to Lose or Damage Your Patients (Practical Therapist) [Paperback]

Bernard Schwartz (Author), John Flowers (Author), Arnold A. Lazarus (Foreword)
4.7 out of 5 stars  See all reviews (6 customer reviews)


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Paperback, May 1, 2006 --  
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How to Fail as a Therapist: 50+ Ways to Lose or Damage Your Patients (Practical Therapist) How to Fail as a Therapist: 50+ Ways to Lose or Damage Your Patients (Practical Therapist) 4.7 out of 5 stars (6)
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Book Description

May 1, 2006 1886230706 978-1886230705
Depending on which study you read, between 20 and 57 percent of psychotherapy patients do not return after their initial session. Another thirty-seven to 45 percent only attend therapy twice. A follow-up study on dropouts found that most clinicians had no idea why their patients had terminated, whereas their clients could define very specific "therapeutic errors." Clients who dropout early display poor treatment outcomes, over-utilize mental health services, and demoralize clinicians.

It doesn’t have to be that way. There are a number of well-researched strategies which have been proven to reduce dropout rates and increase positive treatment outcomes. How to Fail as a Therapist is a manual for practicing clinicians and clinicians-in-training, detailing the fifty most common errors therapists make, and how to avoid them. Therapists will learn to avoid such failures as not recognizing one’s limitations, performing incomplete assessments, ignoring science, ruining the client relationship, setting improper boundaries, terminating improperly, therapist burnout, and more.



Editorial Reviews

Review

"... If you treat, coach, or counsel people or engage in clinical supervision, it will make your work a lot easier and more effective." -- Arnold A. Lazarus, Ph.D., ABPP, Distinguished Professor Emeritus of Psychology, Rutgers University

"...a must read for therapists starting out in private practice and a gem for clinicians already working in the field." -- R. Chip Tafrate, Ph.D., Psychologist, Co-Author: Anger Management: The Complete guidebook for Practitioners

"...a superb and exceptionally practical book that addresses issues relevant for all psychotherapists to consider." -- John Preston, Psy.D., ABPP, Professor, Alliant International University

"...a wealth of valuable information that should be readily implemented by readers... and shares numerous lessons of relevance for all psychotherapists..." -- PsycCritiques - APA Review of Books

"...for both the novice therapist and the more seasoned of us who want a nice check list to make sure we stay at the top of our game." -- Richard Landis, Ph.D., The Milton H. Erickson Foundation Newsletter

From the Publisher

The Practical Therapist Series® -- books for practicing psychotherapists, written by distinguished professionals. Emphasizing clear, straightforward language, each book offers practitioners expert information and understanding of the theory and techniques of a specific approach to psychotherapy.

Product Details

  • Paperback: 160 pages
  • Publisher: Impact Publishers (May 1, 2006)
  • Language: English
  • ISBN-10: 1886230706
  • ISBN-13: 978-1886230705
  • Product Dimensions: 8.8 x 5.9 x 0.4 inches
  • Shipping Weight: 8 ounces
  • Average Customer Review: 4.7 out of 5 stars  See all reviews (6 customer reviews)
  • Amazon Best Sellers Rank: #951,917 in Books (See Top 100 in Books)

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10 of 12 people found the following review helpful:
5.0 out of 5 stars A must-read!, August 1, 2006
This review is from: How to Fail as a Therapist: 50 Ways to Lose or Damage Your Patients (Practical Therapist) (Paperback)
It is with great enthusiasm that I recommend How to Fail as a Therapist. Rarely, indeed, does a small book contain such large volume of relevant clinical information. It spans orientations and levels of training/experience on the therapist's side, and diagnoses/ exposure to therapy on the side of clients. As noted by the authors, as well as reviewers on the back cover, this manual is intended for therapists-in-training and for seasoned therapists alike. In this reviewer's opinion, this little book should receive a must-read place in graduate programs for clinical professionals at all levels.

The chapter divisions and titles of specific therapist errors make this manual especially valuable to use as a reference book when self-examination points to omissions/commissions in one's clinical work. Like all good teachers, Schwartz and Flowers have not only articulated a wide range of clinical pitfalls (supported by meticulous research), but also offer ideas (as integral part of the book) and tools (in the appendixes) towards their avoidance or remedy.

Proactive avoidance of many of these errors is the self-evident best use of this manual, and the authors give ample assistance with relevant examples and assessment tools. However, even more valuable to this reader is the comfort that if therapy feels "stuck",
this book can be used as a quick reference for how to "unstick" the therapy process (providing, of course, that it is not too late!). Beyond such future usefulness, reading How to Fail catapulted this clinician to do a first sorting of her own therapy behaviors into a personal list of: (1) "Ooops, I vaguely remember that one but am not doing it"; (2) "Ouch, I am not paying adequate attention to that one; and (3) "glad that I am OK doing this one (more often than not)" etc. Over and above such listing in progress (with the promise to self to make changes!), this clinician revised her intake form to include questions regarding prior therapy (when, how long, issues and outcome) and treatment expectations.

Lastly, echoing the focus by the authors on human resilience, it is reasonable to hope that even with the commission of the occasional therapy error we not only forgive ourselves these professional shortcomings, but that most of our clients do also (and stay in therapy to benefit from their hard work, in spite of our imperfections.)

Monika Davignon, Ph.D., MFT


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7 of 8 people found the following review helpful:
4.0 out of 5 stars fun and frightening book, June 19, 2008
This review is from: How to Fail as a Therapist: 50 Ways to Lose or Damage Your Patients (Practical Therapist) (Paperback)
I liked this book, for it poses the ways we can and should be vulnerable. Instead of hiding behind the illusion that we know what we are doing, it shows how and how often we make mistakes as therapists. Let's be honest folk, we fail all the time, and still get paid for our failures. Instead of burying our patients with whom we fail as physicians, we simply say "they weren't ready," they were non-compliant," "they were resistant," or any array of moving the locus of responsibility away from our mismanagement and on to the patient. If we can honestly assess our failures, we'd be better therapists and better as a field. Well done.
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5.0 out of 5 stars "This book is invaluable...", December 22, 2011
GUEST REVIEW BY Sean Stanek, MA, LMHP, LPC
(from [...])

I would like to share with you a little book that was recommended to me by Janice Maddox of Reno Counseling through a comment on my blog: How to Fail as a Therapist: 50+ Ways to Lose or Damage Your Patients. This book inspired Janice to begin getting feedback on the quality of her services from her clients. This book has many helpful suggestions, not just on soliciting client feedback, but also on talking to patients about medication, conducting research, and avoiding burnout.

As a the title suggests, How to Fail as a Therapist is a bit snarky and satirical. Written by Bernard Schwartz and John Flowers, both of whom are PH.D psychologists and clinical supervisors, this book draws heavily on fictional and real examples of how both new and experienced therapists interact with their clients. Such examples are short and illustrate the points in each chapter rather well.

How to Fail as a Therapist uses chapter titles similar to the book title, which in my opinion, makes the book rather fun. The first chapter, titled "How to fail before you start therapy - The intake process" sets the tone for the book. The authors go on to address the problem the chapter title suggests, then offers ways that therapists can avoid making the same error. Each chapter afterwards follows in a similar manner.

I believe that this book is invaluable to new counselors because it addresses common problems that arise while learning how to meet the needs of our clients. The section on "How to avoid collaboration with the client" was helpful to me because it reminded me that I do not have to have all the answers. Sometimes it is our clients that come up with a great solution, and we need to celebrate this more often. Ultimately, the client is likely to experience a better outcome when he or she is a part of generating a solution. Each chapter provides so many great suggestions that you will likely walk away with a few great insights and ideas each time you flip through the book.

I think counselor educators should use How to Fail as a Therapist as part of their programs. It enriches the discussion by showing clearly the mistakes that we all can unintentionally make while learning our craft. Plus, it adds an element of reality. Sometimes in our graduate programs we can forget that therapy is serious, that our clients' pain is real and they are looking for ways to ease this pain. This book reminds us that we need to take care, involve our clients, avoid our own burnout, keep abreast of current research, and help turn around bad attitudes, among many similar directives.

How to Fail as a Therapist is an entertaining read and a helpful one too. This little volume is easy to read, understand, and use because it shows the common mistakes but also offers solutions to avoid these pitfalls. I hope that if you read it you find it as helpful as I have in my practice.

--Sean Stanek, MA, LMHP, LPC
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Inside This Book (learn more)
First Sentence:
We are living in an age in which the general population has become more and more accepting of psychotherapy as a useful and appropriate tool to use in coping with life's challenges. Read the first page
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
therapist burnout, therapeutic errors, psychological reactance, previous therapist
Key Phrases - Capitalized Phrases (CAPs): (learn more)
Avoiding the Error, Avoid Collaboration, Set Improper Therapist-Client Boundaries
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Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
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