The clinician's dilemma: Core confictual relationship themes in personality disorders
Psychotherapy as a treatment for mental health disorders has been developing for almost 120 years (Norcross, VandenBos, Freedheim, 2010). This history is a rich one, with many millions of pages of text written about psychotherapy, analysing individual cases (Breuer & Freud, 1895/1955; Watson & Rayner, 1920); collections of cases (Jones, 1936); aggregating multiple sets of studies (Smith & Glass, 1977); and doing large studies of many thousands of cases (Seligman, 1995). Much of the promise of the Boulder model of clinical psychology training (Raimy, 1950) is to add every trained clinician into the ranks of scientists who can join this discourse and investigation. The 'scientist-practitioner' is a useful rubric for understanding the clinical situation - a client struggling to present their story, and a clinician struggling to make sense of it, using a model of treatment informed by scientific theory and empirical outcomes (Weiner, 2012).
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