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The Great Psychotherapy Debate: Models, Methods, and Findings 1st Edition

by Bruce E. Wampold (Author)
4.2 4.2 out of 5 stars 18 ratings
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This volume disproves the belief that certain psychotherapies are more effective in treating certain psychological problems than other therapies.
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  1. ISBN-10
    0805832025
  2. ISBN-13
    978-0805832020
  3. Edition
    1st
  4. Publisher
    Routledge
  5. Publication date
    March 3, 2001
  6. Language
    English
  7. Dimensions
    6 x 0.75 x 9 inches
  8. Print length
    280 pages
  9. See all details
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There is a newer edition of this item:

Psychotherapy Relationships that Work: Volume 2: Evidence-Based Therapist Responsiveness
Psychotherapy Relationships that Work: Volume 2: Evidence-Based Therapist Responsiveness
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Editorial Reviews

Review

"...the author presents the problem, offers competing hypotheses, then goes about meticulously fitting existing medical evidence into the competing hypotheses." -- Martin Ritchie, University of Toledo

"...touches the most important policy questions that will be faced by the clinical uses of psychology in the next decade." -- Gene V. Glass, Arizona State University

"I am not engaging in hyperbole when I say that it is the best scientific analysis of psychotherapy ever written." -- Charles Claiborn, Arizona State University

"The logic of the author's presentation is persuasive without being adversarial...will challenge many in the psychological establishment." -- James Lichtenberg, University of Kansas

Product details

  • Publisher ‏ : ‎ Routledge; 1st edition (March 3, 2001)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 280 pages
  • ISBN-10 ‏ : ‎ 0805832025
  • ISBN-13 ‏ : ‎ 978-0805832020
  • Item Weight ‏ : ‎ 1.02 pounds
  • Dimensions ‏ : ‎ 6 x 0.75 x 9 inches
  • Customer Reviews:
    4.2 4.2 out of 5 stars 18 ratings

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Bruce E. Wampold

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Customer reviews

4.2 out of 5 stars
18 global ratings

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Customers say

Customers find the book helpful for understanding psychotherapy research and its merits. They consider it an essential read for psychology students and good for stimulating conversation among psychologists. However, opinions differ on how easy or difficult the book is to read and understand.

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Knowledge of psychologyReadability
4 customers mention "Knowledge of psychology"4 positive0 negative

Customers find the book's knowledge of psychology to be thorough. They say it presents decades of research on psychotherapy and contrasts the medical model with the contextual model. It is an essential read for PhD students in counseling, psychology, social work, or psychiatry. The analysis is compelling and good for stimulating conversation among psychologists and students. Some reviewers consider it the best scientific review of the field.

"...If for nothing else, it is good for stimulating conversation among psychologists and students- particularly on the meaning of "effiacious" -..." Read more

"An essential read for PhD students in counseling, psychology, social work, or psychiatry...." Read more

"This book meticulously presents decades of psychotherapy research to contrast the medical vs contextual model of psychotherapy...." Read more

"...It's easy to read, to understand. It's compelling in it's analysis of the merits of that scientific art of psychotherapy...." Read more

4 customers mention "Readability"2 positive2 negative

Customers have mixed views on the book's readability. Some find it easy to understand and a must-read for therapists and mental health researchers. Others describe it as difficult and not for pleasure reading.

"...I truly wish I'd read it when it was published. It's easy to read, to understand...." Read more

"...A difficult read but totally worth the effort. It should be a must read for all therapists and mental health researchers and policy makers...." Read more

"...It should be a must read for all therapists and mental health researchers and policy makers...." Read more

"Very data-ridden and not an easy read if you are not experimentally sound. Gets convoluted between the data and the argument." Read more

Top reviews from the United States

  • Amazon Customer
    5.0 out of 5 stars Good for stimulating conversation even if the main thesis of the book is incorrect.
    Reviewed in the United States on February 8, 2014
    Verified Purchase
    The premise of the book (that all psychotherapy treatment are equally efficacious) is clearly false, but the book makes a good attempt at proving it is true, and definitely calls into question the validity of ESTs and evidence based practices. If for nothing else, it is good for stimulating conversation among psychologists and students- particularly on the meaning of "effiacious" - is it simply higher well-being and symptom reduction like the outcome studies in this book show - or is it true emotional insight and long-term change like what most psychologists really want for their clients- something that can't be easily measured and is definitely not attained by every form of psychotherapy.
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  • John
    5.0 out of 5 stars Must read
    Reviewed in the United States on February 11, 2020
    Verified Purchase
    An essential read for PhD students in counseling, psychology, social work, or psychiatry. Must have a general knowledge of empirical research and theories of psychotherapy.
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  • Catherine Lieb
    4.0 out of 5 stars Hope for a Much-needed Debate in the Field of Psychotherapy
    Reviewed in the United States on January 22, 2014
    Verified Purchase
    This book meticulously presents decades of psychotherapy research to contrast the medical vs contextual model of psychotherapy. A difficult read but totally worth the effort. It should be a must read for all therapists and mental health researchers and policy makers. Wampold sheds light on the false and hidden assumptions of the "evidence-based" movement in the field of psychotherapy that idealizes CBT (cognitive behavioral therapy) and relegates all other therapies to the category of "other". He cautions against the continued medicalization of psychotherapy research and practice warning that reducing psychotherapy to treating symptoms and diagnoses with specific techniques organized into manuals not only distorts the nature of what actually occurs in psychotherapy but risks destroying talk therapy as a beneficial treatment for psychological and social problems. The contextual model which focuses on the common factors of all good therapy is a nuanced, common sense alternative that has more science to support it than the medical model has to date. Hopefully, this book will enliven the debate that is so sorely needed to challenge the hegemony of the CBT-medical model that dominates the field of psychotherapy today.
    2 people found this helpful
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  • Elizabeth Ritzman
    5.0 out of 5 stars Wish I could get this book in more hands
    Reviewed in the United States on August 29, 2008
    Verified Purchase
    I agree with another reviewer, that this is the best scientific review of the field that's been published.
    I truly wish I'd read it when it was published. It's easy to read, to understand. It's compelling in it's analysis of the merits of that scientific art of psychotherapy. I wish that all clergy MD's had to read it.
    5 people found this helpful
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  • Clewi C
    2.0 out of 5 stars Hard read, not for pleasure reading---Very emperical
    Reviewed in the United States on September 7, 2013
    Verified Purchase
    Very data-ridden and not an easy read if you are not experimentally sound. Gets convoluted between the data and the argument.
    2 people found this helpful
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  • Bret
    5.0 out of 5 stars Read this book!
    Reviewed in the United States on May 23, 2009
    Verified Purchase
    For anyone working in mental health this is a must read. The reality is that the most important aspect of psychotherapy is the quality of the relationship and this is the research that proves it.
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  • Tony Plant
    5.0 out of 5 stars Client Relationship Trumps Technique: and science proves it
    Reviewed in the United States on March 14, 2004
    Wampold provides us with an invaluable resource. This book is a remarkable scientific analysis of psychotherapy with significant implications for developments both in this, and related fields. Wampold scrupulously and extensively reviews decades of perplexing and sometimes contradictory research evidence on psychotherapy outcomes. His findings lead him to dispute the fashionable medical model's assumption that the benefits of psychotherapy can be reduced to specific aspects contained in a given treatment: and that it is sufficient or effective to run the 5 D's model of diagnosis, disorder, dysfunction, disease, and deficit against a client's symptoms.
    Wampold's review of the literature convincingly argues that successful outcomes depend more upon general therapeutic effects, and is best predicted by a contextual model. It is a much-needed, very extensive reprise of the idea of the primary role of general or common factors in the efficacy of psychotherapeutic outcomes from the work of Saul Rosenzweig who in the 1930s wrote `Some Implicit Common Factors in Diverse Methods of Psychotherapy'. Rosenzweig showed remarkable foresight when he argued that any competition to identify a therapy that was superior to its competitors was fated to end in a tie. He anticipated that the value of any therapy's unique features is secondary to, and much smaller than, the factors that they hold in common. Rosenzweig is most often remembered for his adaptation of Lewis Caroll to provide the (Dodo's) verdict on the therapeutic beauty competition, "Everybody has won and all must have prizes".
    More recently, Frank & Frank wrote the interesting Persuasion and Healing (issued 1961 with a revision in 1991). Jerome Frank argues that the weight of development and research findings lead him to question whether "psychotherapy might be more closely allied to rhetoric and its close relative, hermeneutics, than to behavioral science!". Frank poses the provocative question, "Could the fundamental limitation of psychotherapy research be that researchers have been trying to apply to the realm of meanings methods created to elucidate facts?". Wampold's review provides some well-validated answers to this and other crucial questions.
    Wampold analyses the literature and research findings on:
    · the absolute efficacy of psychotherapy;
    · the relative efficacy of treatments;
    · the differential elements and ingredients offered in various therapies;
    · the effects attributable to common factors such as the therapeutic alliance, therapist allegiance and adherence to treatment protocol;
    · the effects produced by different therapists who use the same techniques and methods.
    Wampold's analysis of the evidence for each of these lends support to a contextual model and discredits the evidence base for applying the fashionable medical model metaphor to psychotherapy. Wampold offers a very fine discussion of how the contextual and medical models compete on a theoretical level and he details the criteria for the acceptance and presentation of evidence and the appropriateness of meta-analyses. The quality of the reasoning enlists the reader and is both engaging and persuasive: that said, this is not an easy read, and the writing style reaches out more readily to the academic market than a general readership. Nonetheless, the text is useful to a more general audience and should be referenced more widely for its findings that contradict what passes currently for received wisdom in popular discussion.
    Wampold's well-validated conclusion from analysing decades of variation in psychotherapy outcomes suggest this partitioning of contribution:
    1. General effects (common factors that underlie all psychotherapies: >70%).
    2. Specific effects (differential aspects that distinguish a particular treatment: <8%).
    3. Unexplained variability (encompasses client differences: 22%).
    Wampold's analysis illustrates that the best assessment of therapist competence will always be the quality of therapeutic outcomes. In a challenge to professional associations that insist on the pursuit of CEU's, Wampold demonstrates that clients respond more to the quality of the therapeutic relationship, than show improvement related to innovatory techniques and methods. "The evidence in this book has shown that specific ingredients are not active in and of themselves. Therapists need to realize that the specific ingredients are necessary but active only in the sense that they are a component of the healing context. Slavish adherence to a theoretical protocol and maniacal promotion of a single theoretical approach are utterly in opposition to science. Therapists need to have a healthy sense of humility with regard to the techniques they use."
    Recent research indicates that the current dependence on cognitive-behavioural therapy (CBT) may be unfounded or at least unjustifiable in some contexts. Wampold strengthens this when he reports that the distinctive/specific ingredients of CBT for depression and anxiety are not demonstrably responsible for any successful outcome in these conditions. Wampold reports that despite strong official support for the streamlining of therapy to a recommended sequence of procedures administered as if from a manual of Standard Operating Procedures, adherence to treatment protocol is not reliably associated with successful outcomes. Wampold warns us: "Therapy practice is both a science and an art ... Treating clients as if they were medical patients receiving mandated treatments conducted with manuals will stifle the artistry."
    This fine book is a resource for psychotherapists and also for those of us engaged in coaching individuals and groups for optimal performance. It is my personality type to be attracted to the new, bright, and shiny; but Wampold has convinced me to resist the siren call of unproven innovations and to focus my time and energy on the client relationship as the crucible for positive change.
    98 people found this helpful
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  • Lotta Heiskanen
    5.0 out of 5 stars This is a must read...
    Reviewed in the United States on January 1, 2006
    for anyone interested in psychotherapy research. Just great piece of work; critical and balanced summary of meta-analyses and research done so far on psychotherapy effectivity. The book is well organized and the models and methods are explained with clarity. This book is accessible for psychology students as well.
    7 people found this helpful
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Top reviews from other countries

  • Sue
    5.0 out of 5 stars Five Stars
    Reviewed in the United Kingdom on September 23, 2015
    Verified Purchase
    Just what a student counselling needed
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