Professional counseling does not occupy any of my time thee days but that’s where I have most training, where I am licensed by the state, and the subject of much of my writing and teaching. Not surprising, then, Psychotherapy Networker (PT) magazine goes to the top of my reading pile whenever it arrives. The articles on therapy have surprising relevance both for mental health professionals and for non-counselors like many who read this newsletter. The March/April issue addresses an issue that we all could consider profitably: We are older as a discipline, profession or individual. But is there any evidence that we are better? Stated differently, “Do our old ways fit the new times?” The PT answer seems to be “not much.”
- First we need to remember that established methods that have worked for years are not necessarily bad just because they are old.
- At times we all succumb to fads that claim to be revolutionary breakthroughs. (Mindfulness and evidence-based practices are among the most recent.) Therapists aren’t the only ones “succumbing to the allure of novel procedures and fancy theories, particularly those that promise quick and dramatic cures” and changes. In time most fads fade and we rush to something new.
- Despite all our approaches, methods, theories, and training seminars, this conclusion emerges as “one of the most robust research findings in the psychological literature: all therapies…produce the same level of results, regardless of the particular insights they promulgate.”
- “We need to embrace what our research tells us: a professional relationship organized around empathy, genuineness, respect, openness, congruence, collaboration, and goal consensus helps people change.”
- Cultural awareness counts a lot. Mary Piper writes that the main area where “we’re failing right is taking into account the impact of the larger culture on all of us…. The kind of verbal, cognitive, come-and-sit-down-in-an-office [or talk on the telephone or Internet] approach is deeply unsuited to the poor and underserved populations that we’re ignoring.” Overall our work “remains largely a white, upper-middle-class phenomenon.” Often we fail to recognize and understand the growing elderly population or the young emerging generations where we’re not connecting.
- No one of us can connect with everybody but we must not forget that we work and lead in community.
This picture is not limited to mental health professionals. For all of us the question remains. We are getting older but are we getting better? Please comment.