ABSTRACT

Any attempt to provide a relatively clear and integrative approach to psychological therapy is likely to be incomplete. In the preceding chapters practitioners have been introduced to a process of structured commitmentmaking in the form of a flexible ‘flow-chart’ progression of negotiated agreements regarding the length of time and possible outcome (see Table 1). The emphasis throughout has been on accurate initial assessment and continuous reviews for which a checklist has been provided in Table 3a. An emphatic argument has been made for the episodic nature of all forms of psychological therapy which highlights the peripheral position of all practitioners of psychological therapy. Each client’s life process of psychological evolution has been conceptualised as inevitable, central and independent of any particular practitioner’s expertise. Practitioners are required to judge, with humility and sensitivity, where and how to enter this lifelong process.