ABSTRACT
To a greater extent than most cognitive therapists, constructivist psychologists tend to express suspicion about the increasing reliance on psychotropic medication as a commercially advertised ``quick ®x'' for everything from the blues to social anxiety. Moreover, many fear that pharmacotherapy can compete with psychotherapy, perhaps stripping away the motivation for more deep-going changes in life, while at the same time risking reinforcing a biological attribution for existential, personal, or relational dif®culties. The result is a general hostility to the medical model of psychological distress, with its attendant implication that the problems clients bring to therapy can be substantially assuaged by the appropriate prescription.
