For many therapists, making sense of the latest developments in psychotherapy can feel overwhelming. Every day it seems there are dozens of therapeutic approaches, fully-manualized treatments hot off the press, and twenty more clinical tests meant to measure the precise extent of evolving psychopathologies. In therapy with individual clients, it can often be difficult to know objectively if you're achieving the desired results or worse, you might know you're not reaching a particular client but have no idea why, and no idea what to do about it. An accumulation of unfruitful encounters over time can weigh on you, despite your good success rate overall. You read as much as you can, you try new approaches, but despite all the hard work you feel as though you're missing something. How can you properly assess your progress and that of your clients? How can you achieve better results, more often, with a wider variety of clients? In short: how can you become a better therapist? In this book, Barry L. Duncan answers these questions and more by applying the ideas described in the bestselling The Heart and Soul of Change, now in its second edition. In this volume, Duncan examines the common factors inherent in all successful therapies and details the importance of the therapeutic alliance as a foundation of effective therapy. He provides clear and compelling advice for how therapists can systematically deal with clients who do not seem to improve over time. This advice is presented as a simple, five-step method of integrating honest, client-based outcome feedback with therapists' long-term professional development into a coherent and compelling whole. With lively case examples and unfailing good humor, Dr. Duncan's book is essential reading for anyone who seeks to rediscover purpose in their work and become a better therapist.
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Barry L. Duncan, PsyD, a therapist, trainer, and researcher with 17,000 hours of clinical experience, is director of the Heart and Soul of Change Project.
Dr. Duncan has published, as author or coauthor, more than 100 articles in various publications, as well as 16 books, addressing client feedback, consumer rights and involvement, the power of relationship, and a risk/benefit analysis of psychotropic medications. Because of his self-help books (the latest isWhat's Right With You), he has appeared on Oprah and several other national TV programs.
His work regarding consumer rights and client feedback, the Partners for Change Outcome Management System (PCOMS), is included in the Substance Abuse and Mental Health Services Administration's National Registry of Evidence-Based Programs and Practices and has been implemented across the United States and in 20 other countries. He codeveloped PCOMS to give clients the voice they deserve as well as to provide clients, clinicians, administrators, and payers with feedback about the client's response to services, thus enabling more effective care tailored to client preferences. He is the developer of the clinical process of PCOMS.
Dr. Duncan implements PCOMS in small and large systems of care and conducts agency trainings, workshops, and keynote presentations on all of the topics listed above. Drawing upon his extensive clinical experience and passion for the work, his trainings speak directly to the frontline clinician about what it means to be a therapist and how each of us can re-remember and achieve our original aspirations to make a difference in the lives of those we serve.
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