The Great Psychotherapy Debate: Models, Methods, and Findings

By Bruce E. Wampold | Go to book overview

9
Implications of Rejecting the Medical Model

In this book, evidence has been presented that demonstrates that the medical model does not adequately explain the benefits of psychotherapy. On the contrary, the evidence is largely consistent with a contextual model of psychotherapy. Corroborating the contextual model has enormous implications for research in psychotherapy and for the delivery of mental health services. It is scientifically interesting that the medical model is not explanatory. However, policy related to psychotherapy has increasingly assumed that psychotherapy can be conceptualized as a medical treatment, changing the nature of the endeavor and possibly destroying its usefulness. In this chapter, the urgency of dislodging psychotherapy from the chains of the medical establishment is discussed.

The first part of this chapter reviews the evidence and discusses the implications for the scientific understanding of psychotherapy. The second part discusses the implications of rejecting the medical model for the delivery of mental health services for the training and supervision of therapists.


IMPLICATIONS FOR THE SCIENCE OF PSYCHOTHERAPY

Summary of the Evidence

In the various chapters of this book, the empirical evidence related to the benefits of psychotherapy was presented within a framework that contrasted the medical model to the contextual model. Recounting the conclu—

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