Deciphering Motivation in Psychotherapy
I have often stated to students that I felt that one of the most important characteristics of a psychotherapist is the ability to tolerate ambiguity. As Allen so aptly points out in this creative and valuable book, my observa tion contains an implicit as
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CRITICAL ISSUES IN PSYCHIATRY An Educational Series for Residents and Clinicians Series Editor:
Sherwyn M. Woods, M.D., Ph.D. University of Southern California School of Medicine Los Angeles, California
Recent volumes in the series: CASE STUDIES IN INSOMNIA Edited by Peter J. Hauri, Ph.D. CLINICAL DISORDERS OF MEMORY Aman U. Khan, M.D. CONTEMPORARY PERSPECTIVES ON PSYCHOTHERAPY WITH LESBIANS AND GAY MEN Edited by Terry S. Stein, M.D., and Carol J. Cohen, M.D. DECIPHERING MOTIVATION IN PSYCHOTHERAPY David M. Allen, M.D. DIAGNOSTIC AND LABORATORY TESTING IN PSYCHIATRY Edited by Mark S. Gold, M.D., and A. L. C. Pottash, M.D. DRUG AND ALCOHOL ABUSE: A Clinical Guide to Diagnosis and Treatment, Third Edition Marc A. Schuckit, M.D. EMERGENCY PSYCHIATRY: Concepts, Methods, and Practices Edited by Ellen L. Bassuk, M.D., and Ann W. Birk, Ph.D. ETHNIC PSYCHIATRY Edited by Charles B. Wilkinson, M.D. EVALUATION OF THE PSYCHIATRIC PATIENT: A Primer Seymour L. Halleck, M.D. NEUROPSYCHIATRIC FEATURES OF MEDICAL DISORDERS James W. Jefferson, M.D., and John R. Marshall, M.D. THE RACE AGAINST TIME: Psychotherapy and Psychoanalysis in the Second Half of Life Edited by Robert A. Nemiroff, M.D., and Calvin A. Colarusso, M.D. STATES OF MIND: Configurational Analysis of Individual Psychology, Second Edition Mardi J. Horowitz, M.D.
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Deciphering Motivation in Psychotherapy
David M. Allen, M.D. Burbank, California
Plenum Press • New York and London
Llbrary of Congress Cataloglng-ln-Publlcatlon Data
Allen, Davld M., 1949Declpherlng motivation in psychotherapy I David M. Allen. p. cm. -- (Critical issues in psychiatry> Includes bibliographical references. Inc I udes index. ISBN' 13: 978'1'4684'5891'6
DOl: 10.1007/978'1-4684'5889'3
e'ISBN'13: 978'1'4684'5889'3
1. Motivation (Psychology> 2. Psychotherapy patlents--Language. I. Title. II. Serles. IDNLM: 1. Communication. 2. Motivatlon. 3. Psychotherapy. HM 460.5.M6 I A425bl RC489.M655A45 1991 616.89' 14--dc20 DNLM/DLC 91-2458 for Library of Congress CIP
ISBN'13: 978'1'4684'5891'6
© 1991 Plenum Press, New York Softcover reprint ofthe hardcover I st edition 1991 A Division of Plenum Publishing Corporation 233 Spring Street, New York, N.Y. 10013 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher
To the memory of Rose Kreitzberg
Foreword I have often stated to students that I felt that one of the most important characteristics of a psychotherapist is the ability to tolerate ambiguity. As Allen so aptly points out in this creative and valuable book, my observation contains an implicit assumption that requires a clear statement in order fo