This work provides an analysis of postmodern/narrative theory, with its underlying antirealist/constructivist philosophy that the subject makes rather than discovers reality. The author sees the ascent of this theory as a misguided attempt to solve a recalcitrant problem within psychotherapy: how to achieve a theory that attends to the uniqueness of each client and yet preserves a systematic, replicable enterprise. As an alternative she introduces readers to the integrative/eclectic therapy movement and proposes a "modest realism".
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Barbara S. Held, Ph.D., is professor of psychology at Bowdoin College, Brunswick, Maine.
Within psychotherapy the influence of postmodern theory, with its underlying antirealist philosophy (that the knower makes rather than discovers reality), has been growing exponentially. Yet none of the many - and proliferating - writings on this use of postmodern theory has scrutinized the problematic implications, both theoretical and applied, of this trend. This book fills that gap with the first thorough critical assessment of the theory and practice of the postmodern narrative therapy movement, a movement that now includes therapists who represent such disparate schools as family/systemic, cognitive, psychoanalytic, feminist, and constructivist therapies. In calling for a modest realism in all psychotherapy theory and practice, Held delineates a realist philosophy of knowing in terms that are accessible to readers who are not philosophers by training. She concludes by considering not only the theoretical implications of adopting an antirealist approach to therapy, but also the ethical/practical implications of that trend.
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