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I thought this was merely a failure of my institute, so when I graduated, I set out to find which school of thought had sounder teachings. I was shocked to find that none of them did. Worse, the best overviews of the research all showed the same thing: Despite the special pleadings of each approach, all have roughly similar success rates. Clearly, if all the conflicting teachings work equally well, truth is not the common currency of the profession.
Still, my experience showed that psychotherapy helps many people at their wits' end, so I had a deep conundrum. What is going on here? I wrote CULTURES OF HEALING to work out an answer to that question.
I think mental health care does important things, but not what its practitioners claim (and believe). This book should be helpful for at least three sorts of people:
1. Patients, prospective patients, and former patients who are puzzled about just what to make of therapy but want a serious response, not doctrinaire ideology, in response to their puzzlement.
2. Mental health workers who are puzzled over what to make of their profession--especially those who recognize the immense gap between what they were taught in school (and what professional journals say) and what they find themselves actually doing to try to help patients.
3. Anyone concerned with the state of American culture and the role of mental health in shaping it--including public policy types and cultural critics.
If you read this book, please feel free to drop me a line sharing your reactions.
Bob Fancher
184 Lexington Avenue, 16F
New York, NY 10016
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