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The Heart and Soul of Change: Delivering What Works in Therapy 2nd Edition

17 customer reviews
ISBN-13: 978-1433807091
ISBN-10: 1433807092
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Product Details

  • Hardcover: 464 pages
  • Publisher: American Psychological Association; 2 edition (December 2009)
  • Language: English
  • ISBN-10: 1433807092
  • ISBN-13: 978-1433807091
  • Product Dimensions: 1.2 x 7.2 x 10.2 inches
  • Shipping Weight: 2.4 pounds (View shipping rates and policies)
  • Average Customer Review: 4.6 out of 5 stars  See all reviews (17 customer reviews)
  • Amazon Best Sellers Rank: #30,972 in Books (See Top 100 in Books)

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Customer Reviews

Most Helpful Customer Reviews

80 of 82 people found the following review helpful By David C. Young on March 11, 2010
Format: Hardcover Verified Purchase
If you, as a psychotherapist, read only one book this year, I'd recommend "The Heart and Soul of Change".

This is a gem of a book, challenging many of our dearest assumptions about psychotherapy. As Bruce Wampold sets forth in Chapter 2, for over 100 years psychotherapy has based itself on the medical model, which he boils down to the five components: 1. a disorder, complaint or problem. 2. an explanation of that disorder, complaint, problem. 3. a mechanism of change, how to fix it, that fits the general explanation. 4. based on that mechanism of change, several specific actions emerge which ought to help. 5. "Fifth, and most important, the therapeutic action [#4] is responsible for the benefits of the psychotherapy and not other factors, such as the alliance with the therapist (i.e., the decrease in symptoms was caused by [for example] prolonged exposure and not other therapeutic actions or conditions). This last component, which is referred to as "specificity", is in many ways the hallmark of medicine." (p. 51.) As Wampold shows in his "meta-analyses" (analyzing groups of psychotherapeutic research studies), specificity - the superiority of a given specific approach for specific disorders -- doesn't explain why psychotherapy works, at least for the most common psychological disorders.

(I note that, in working with Complex PTSD for over 20 years, I rather think that here and, say, in working with those with Asperger's/High Functioning Autism, that we may need to adjust "specifically" to the disorder. Not all treatments work. Believe me, I know. Disorder-specific ways of relating appear most important, along with a delicate balance of client-driven, family-driven and problem-driven approaches appear, at least in my experience, most effective.
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26 of 27 people found the following review helpful By G. Drucker, Ph.D. on July 15, 2010
Format: Hardcover Verified Purchase
This book, in many up to date articles by various authors, reviews the past 70 years of psychotherapy outcome research that clearly show, among other things, that no theory or method of psychotherapy is superior to any other, and that the relationship between the therapist and the client is the most important variable determining psychotherapy outcome that the therapist can control. If you are a practicing psychotherapist and wish to be guided by what science has told us about the practice of psychotherapy, rather than by closely and stubbornly held beliefs such as the superiority of so-called "evidence-based practice", this book is a must read.
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17 of 19 people found the following review helpful By Midwest Book Review on February 13, 2010
Format: Hardcover
Now in an updated second edition, The Heart & Soul of Change: Delivering What Works in Therapy by the editorial team of Barry L. Duncan, Scott D. Miller, Bruce E. Wampold, and Mark A. Hubble is a manual for therapists with emphatic focus on the practical and pragmatic - namely, which approaches consistently deliver solid results for which types of patients. The core principle of The Heart & Soul of Change recognizes that psychotherapy is delivered to one person at a time, and that person's unique situation determines the method that is best to use. Exhaustively researched and thoroughly detailed, The Heart & Soul of Change never allows theory to eclipse its focus of discerning what works best and helps different individuals the most, and is an absolute "must-have" for practicing psychotherapists everywhere.
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By Nikki on May 11, 2015
Format: Hardcover Verified Purchase
This was a great book and I highly recommend it in the classroom. I used it in conjunction with 2 other books and only had the student read selected chapters. I LOVE the common factors approach to therapy, and thought this was an excellent book to demonstrate them!
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By Steven Bingner on December 21, 2014
Format: Hardcover Verified Purchase
Helpful for Mental Health Counselors - a way to explain what we do and the role we play.
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1 of 2 people found the following review helpful By Julie Rae on November 16, 2013
Format: Hardcover Verified Purchase
This book is for those therapists who aren't willing to be merely well-trained experts. An excellent deconstruction of the practice of therapy, it not only discusses commonalities among disparate theories, it also elucidates the art of flexibility. A must read for anyone who desires to act in the service of a client, rather than a theory.
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0 of 1 people found the following review helpful By Jeri Ryan on April 29, 2013
Format: Hardcover Verified Purchase
Heart and Soul brings a whole new and valuable perspective to psychotherapy research, the roles of the therapist and the client. This gives very helpful direction to the clinician. It is enlightening and encouraging. Excellent resource!!
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0 of 1 people found the following review helpful By Phil Rich on November 3, 2013
Format: Hardcover Verified Purchase
Excellent book for those looking to understand the nature of the therapeutic relationship and alliance, and the elements that are central to effective treatment, regardless of technique or school of treatment.
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