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How Clients Make Therapy Work: The Process of Active Self-Healing Kindle Edition

4.5 4.5 out of 5 stars 17 ratings

In this provocative book, the authors debunk the medical model of the psychotherapist as healer who merely applies the proper nostrum to make the client well. Instead, they see the therapist as a coach, collaborator, and teacher who frees up the client's innate tendency to heal.

What makes therapy work? Ultimately it is the client. Most people cope, survive, and grow with challenges in their everyday lives, with or without the help of a therapist.

The self-healing tendency of the client usually overrides differences in technique or theoretical approach, which is why research continually finds different approaches to therapy to be equally as effective. If the client is the driver of change, how can therapists help? Often therapists can help their clients by simply providing an empathic workspace that allows the client's capacity for generative thinking to thrive.

The authors show how different schools of therapy have unique ways of mobilizing clients and share tips for dealing with client resistance, passivity, and maladaptive behavior.

This practical and provocative book is a must-read for those who care about the nature of therapeutic change.

Editorial Reviews

About the Author

Arthur C. Bohart, Ph.D. professor of psychology at California State University Dominguez Hills.

Product details

  • ASIN ‏ : ‎ B01DYEBEXU
  • Publisher ‏ : ‎ American Psychological Association (April 15, 1999)
  • Publication date ‏ : ‎ April 15, 1999
  • Language ‏ : ‎ English
  • File size ‏ : ‎ 2481 KB
  • Text-to-Speech ‏ : ‎ Enabled
  • Screen Reader ‏ : ‎ Supported
  • Enhanced typesetting ‏ : ‎ Enabled
  • X-Ray ‏ : ‎ Not Enabled
  • Word Wise ‏ : ‎ Enabled
  • Print length ‏ : ‎ 509 pages
  • Customer Reviews:
    4.5 4.5 out of 5 stars 17 ratings

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Arthur C. Bohart
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Customer reviews

4.5 out of 5 stars
17 global ratings

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Top reviews from the United States

  • Reviewed in the United States on August 13, 2013
    This book and its premise reinforces my perception that there is little I can do as a therapist without the client being willing and able to do the work it will take to resolve conflicts, weaknesses, doubts, feelings and most other experiences that motivate them to seek therapy and grow from the experience. This book also underlines the idea that most of us have the tools to deal with mental and emotional problems successfully, and, for the most part, these tools can be learned. I expect that this book will help to make me a better therapist.
    One person found this helpful
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  • Reviewed in the United States on December 9, 2013
    Dr. Bohart knows his stuff. All very useful information. I contend the client makes therapy work, it is up to him/her to take the tools the professional offers and use them to resolve his/her issues.
  • Reviewed in the United States on June 17, 2016
    Brilliant book as a trainee.
  • Reviewed in the United States on May 1, 2000
    The effectiveness of treatment has routinely been attributed to the technique a therapist uses or the therapist using the techniques. Witness so much emphasis on the model of therapy at continuing education programs and in graduate education. Finally, someone has gathered together evidence about what really makes therapy work--or better said, who. Researchers Art Bohart and Karen Tallman have compiled a compelling, readable, and practical summary of the research on the client's contribution to change in treatment. As noted above, the client is the single largest contributor to change in treatment--accounting for the largest percentage of the variance in treatment outcome.
    30 people found this helpful
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  • Reviewed in the United States on March 28, 2002
    In the psychotherapy profession we spend so much time focusing on how therapists make therapy work. Bohart and Tallman, relying on numerous research studies, remind us that it is the client, not the therapist, who makes therapy work. Bohart and Tallman make clear we can do a more effective job as facilitors if we keep clear that the client, not our our techniques are what makes the difference. A great book, carefully researched, well-written and full of ideas worth thinking about. Phillip Ziegler, co-author of Recreating Partnership: A Solution-Oriented, Collaborative Approach to Couples Therapy
    9 people found this helpful
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Top reviews from other countries

  • Generic Nomenclature
    5.0 out of 5 stars Helping the client help themselves
    Reviewed in the United Kingdom on July 3, 2010
    This book is the body of work behind the chapter by Bohart and Tallman in The Heart and Soul of Change: What Works in Therapy edited by Hubble Duncan and Miller; itself an excellent work. A look at Bohart and Tallman's chapter there will give you a good idea of the essential idea behind this one. They build on the 'Common Factors' idea (i.e. that all therapies seem equally effective and that the real variance is between the ability of individual therapists) and propose that it is the client who makes the therapy work. This book then goes into detail about how to best help the client do this. It fits in nicely with other research (such as by Asay and Lambert (1999) showing that client variables and factors external to the therapy comprise the largest single factor in determining a successful outcome). This book could be used by any therapist, counsellor or helper from any discipline but is particularly appropriate for solution focused brief therapy. It is also simple to read and set into a logical sequence that takes the reader from the basic ideas and supporting evidence into examples of how the authors have applied them. It is a shame that it costs so much but it is nontheless a really useful book that makes you think about how to engage better with a client. This book is also cited by Mick Cooper in Essential Research Findings in Counselling and Psychotherapy: The Facts are Friendly
  • shilleligh
    5.0 out of 5 stars Amazing service
    Reviewed in the United Kingdom on January 31, 2022
    Delighted with my purchase. Thank you
  • Dawna Concannon
    5.0 out of 5 stars Five Stars
    Reviewed in the United Kingdom on July 9, 2016
    V.Good

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