ABSTRACT

This chapter examines some of the issues clinicians must face if they are to free themselves to make the necessary changes in their ways of working with their patients. The human mind is designed to be unaware of deep unconscious contents and meanings; it is not designed to do psychotherapy in terms of the powerful deep unconscious experiences and the deep unconscious knowledge that have the greatest adaptive power in our emotional lives. The chapter also presents some of the directions that the technique of psychotherapy is likely to take once our understanding of the design of the mind takes hold. These include: there will be a change in how therapists listen to and formulate the material from their patients; and the ground rules and setting—the framework of therapy, its management by the therapist and impingements by the patient—will move from a peripheral position in the thinking of psychotherapists to the centre of their perspectives on the treatment experience.