The immovable force of an increasingly reductionistic approach to understanding and treating psychological life and the irresistible force of people searching desperately for solutions to struggles that allow for meaning, purpose, and richness in life create serious challenges and great opportunities for humanistic psychology. Humanistic psychology, if it can grasp these opportunities, has the chance to transform the field of psychology. To do so, humanistic psychology will have to deal adequately with three major manifestations of this reductionistic approach to psychology: the DSM as the means for understanding human distress, manualized treatments as the only scientifically based treatments of distress, and randomized controlled trials as the best way of determining treatment effectiveness. This article, after describing each of these reductionistic challenges, briefly reviews the current state of the humanistic response and concludes with a template that, if followed, offers us the chance to create a science that is both intellectually rigorous and experientially rich.
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References
1.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author .
2.
Bakan, D. (1967). On method: Toward a reconstruction of psychological investigation. San Francisco: Jossey-Bass .
3.
Becker, E. (1973). Denial of death. New York: The Free Press .
4.
Benjamin, L. S. (1974). Structural analysis of social behavior . Psychological Review, 81, 392-425 .
5.
Bohart, A. C. (2001, August). The therapist as improvisational artist . Paper presented at the annual meeting of the American Psychological Association, San Francisco, CA.
6.
Bohart, A. C., O'Hara, M., & Leitner, L. M. (1998). Empirically violated treatments: Disenfranchisement of humanistic and other psychotherapies . Psychotherapy Research, 8(2), 141-157 .
7.
Bohart, A. C., & Tallman, K. (1996). The active client: Therapy as self-help . Journal of Humanistic Psychology, 36, 7-30 .
8.
Bohart, A. C., & Tallman, K. (1999). How clients make therapy work: The process of active self-healing. Washington, DC: American Psychological Association .
9.
Breggin, P. (1994). Toxic psychiatry. New York: St. Martin's Press .
10.
Brockington, I., Hall, P., Levings, J., & Murphy, C. (1993). The community's tolerance of the mentally ill . British Journal of Psychiatry, 162, 93-99 .
11.
Bugental, J.F.T. (1999). Psychotherapy isn't what you think. Phoenix, AZ: Zeig, Tucker .
12.
Cain, D. J., & Seeman, J. (Eds.). (2002). Humanistic psychotherapies: Handbook of research and practice. Washington, DC: American Psychological Association .
13.
Caplan, P. J. (1995). They say you're crazy: How the world's most powerful psychiatrists decide who's normal: The inside story of the DSM. New York: Addison-Wesley .
14.
Carson, R. C. (1996). Aristotle, Galileo, and the DSM taxonomy: The case of schizophrenia . Journal of Consulting and Clinical Psychology, 64, 1133-1139 .
15.
Cloninger, C. R., Bayon, C., & Svrakic, D. M. (1998). Measurement of temperament and character in mood disorders: A model of fundamental states as personality types . Journal of Affective Disorders, 51(1), 21-32 .
16.
Corrigan, P. W., & Penn, D. L. (1999). Lessons from social psychology on discrediting psychiatric stigma . American Psychologist, 54, 765-776 .
17.
Elliott, R. (1995). Therapy process research and clinical practice: Practical strategies. In M. Aveline & D. A. Shapiro (Eds.), Research foundations for psychotherapy practice (pp. 49-72). Chichester, UK: Wiley .
18.
Elliott, R. (1996). Are client-centered/experiential therapies effective? A meta-analysis of outcome research. In U. Esser, H. Pabst, & G. W. Speierer (Eds.), The power of the person-centered approach: New challenges, perspectives, answers (pp. 125-138). Cologne, Germany: GwG Verlag .
19.
Elliott, R. (2002). The effectiveness of humanistic therapies: A metaanalysis. In D.J. Cain & J. Seeman (Eds.), Humanistic psychotherapies: Handbook of research and practice (pp. 57-82). Washington, DC: American Psychological Association .
20.
Faidley, A. J., & Leitner, L. M. (1993). Assessing experience in psychotherapy. Westport, CT: Praeger .
21.
Farina, A., Holland, C. H., & Ring, K. (1966). Role of stigma and set in interpersonal interaction . Journal of Abnormal Psychology, 71, 421-428 .
22.
Follette, W. C. (1996). Introduction to the special section on the development of theoretically coherent alternatives to the DSM system . Journal of Consulting and Clinical Psychology, 64, 1117-1119 .
23.
Frank, J. D., & Frank, J. B. (1991). Persuasion and healing (3rd ed.). Maryland: The Johns Hopkins University Press .
24.
Frankl, V. E. (1963). Man's search for meaning. New York: Washington Square Press .
25.
Gendlin, E. T. (1996). Focusing-oriented psychotherapy. New York: Guilford Press .
26.
Glaser, B. G., & Strauss, A. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine .
27.
Greenberg, L. S., Elliott, R., & Liataer, G. (1994). Research on humanistic and experiential psychotherapies. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change (4th ed., pp. 509-539). New York: Wiley .
28.
Greenberg, L. S., Rice, L. N., & Elliott, R. (1993). Facilitating emotional change. New York: Guilford Press .
29.
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment . Journal of Consulting and Clinical Psychology, 64, 1152-1168 .
30.
Henry, W. P., Strupp, H. H., Butler, S. F., Schacht, T. E., & Binder, J. L. (1993). The effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior . Journal of Consulting and Clinical Psychology, 61, 434-440 .
31.
Hillman, J., & Ventura, M. (1992). We've had a hundred years of psychotherapy—and the world's getting worse. San Francisco: HarperCollins .
32.
Honos-Webb, L., & Leitner, L. M. (2001). How using the DSM causes damage: A client's report . Journal of Humanistic Psychology, 41(4), 34-54 .
33.
Kelly, G. A. (1969). Sin and psychotherapy. In B. Maher (Ed.), Clinical psychology and personality: The selected papers of George Kelly (pp. 165-188). New York: Wiley .
34.
Kelly, G. A. (1991). The psychology of personal constructs (2 vols.). London: Routledge & Kegan Paul .
35.
Kutchins, H., & Kirk, S. A. (1997). DSM: The psychiatric bible and the creation of mental disorders. New York: The Free Press .
36.
Laing, R. D. (1967). The politics of experience. New York: Pantheon .
37.
Laing, R. D. (1969). The divided self. Middlesex, UK: Penguin .
38.
Leitner, L. M. (2001). The role of awe in experiential personal construct psychology . The Psychotherapy Patient, 11(3-4), 149-162 .
39.
Leitner, L. M., Faidley, A. J., & Celentana, M. A. (2000). Diagnosing human meaning making: An experiential constructivist approach. In R. A. Neimeyer & J. D. Raskin (Eds.), Constructions of disorder: Meaning-making frameworks for psychotherapy (pp. 175-204). Washington, DC: American Psychological Association .
40.
Leitner, L. M., & Guthrie, A. J. (1993). Validation of therapist interventions in psychotherapy: Clarity, ambiguity, subjectivity . International Journal of Personal Construct Psychology, 6, 281-135 .
41.
Levy, D. (1992). A proposed category for the Diagnostic and Statistical Manual of Mental Disorders (DSM): Pervasive labeling disorder . Journal of Humanistic Psychology, 32, 121-125 .
42.
Mahrer, A. R. (1996). A complete guide to experiential psychotherapy. New York: Wiley .
43.
Maslow, A. H. (1970). Motivation and personality. New York: Harper & Row .
44.
May, R. (1958). Existence: A new dimension in psychiatry and psychology. New York: Simon & Schuster .
45.
May, R. (1981). Freedom and destiny. New York: Ballantine Books .
46.
Mehta, S., & Farina, A. (1997). Is being “sick” really better? Effect of the disease view of mental disorder on stigma . Journal of Social and Clinical Psychology, 16, 405-419 .
47.
Moustakas, C. E. (1975). Who will listen? New York: Norton .
48.
Orlinsky, D. E. (1989). Researchers' images of psychotherapy: Their origins and influence on research . Clinical Psychology Review, 9, 413-442 .
49.
Page, S. (1977). Effects of the mental illness label in attempts to obtain accommodation . Canadian Journal of Behavioral Science, 9, 84-90 .
50.
Perls, F. S., Hefferline, R. F., & Goodman, P. (1951). Gestalt therapy: Excitement and growth in the human personality. New York: Julian Press .
51.
Piner, K. E., & Kahle, L. R. (1984). Adapting to the stigmatizing label of mental illness: Forgone but not forgotten . Journal of Personality and Social Psychology, 47, 805-811 .
52.
Rabkin, J. (1972). Opinions about mental illness: A review of the literature . Psychological Bulletin, 77, 153-170 .
53.
Raskin, J. D., & Epting, F. R. (1993). Personal construct theory and the argument against mental illness . International Journal of Personal Construct Psychology, 6, 351-369 .
54.
Rennie, D. L. (2002). Experiencing psychotherapy: Grounded theory studies. In D. J. Cain & J. Seeman (Eds.), Humanistic psychotherapies: Handbook of research and practice (pp. 117-144). Washington, DC: American Psychological Association .
55.
Rennie, D. L., Phillips, J. R., & Quartaro, G. K. (1988). Grounded theory: A promising approach to conceptualization in psychology? Canadian Psychology, 29, 139-150 .
56.
Rice, L. N., & Greenberg, L. (Eds.). (1984). Patterns of change. New York: Guilford Press .
57.
Rogers, C. R. (1951). Client-centered therapy. Boston: Houghton Mifflin .
58.
Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change . Journal of Consulting Psychology, 21, 95-203 .
59.
Rogers, C. R., & Dymond, R. F. (Eds.). (1954). Psychotherapy and personality change. Chicago: University of Chicago Press .
60.
Sachse, R. (1992). Goal-oriented client-centered psychotherapy: A new fundamental conceptualization. Gottingen, Germany: Hogrefe .
61.
Sachse, R., & Elliott, R. (2002). Process-outcome research on humanistic therapy variables. In D. J. Cain & J. Seeman (Eds.), Humanistic psychotherapies: Handbook of research and practice (pp. 83-116). Washington, DC: American Psychological Association .
62.
Sanua, V. D. (1994). Quo Vadis APA? Inroads of the medical model . The Humanistic Psychologist, 18, 85-89 .
63.
Stiles, W. B., & Shapiro, D. A. (1989). Abuse of the drug metaphor in psychotherapy process-outcome research . Clinical Psychology Review, 9, 521-544 .
64.
Szasz, T. (1960). The myth of mental illness . American Psychologist, 15, 113-118 .
65.
Szasz, T. (1974). The myth of mental illness. Foundations of a theory of personal conduct (Rev. ed.). New York: Harper and Row .
66.
Szasz, T. (1987). Insanity: The idea and its consequences. New York: Wiley .
67.
Task Force for the Development of Guidelines for the Provision of Humanistic Psychosocial Services. (1997). Guidelines for the provision of humanistic psychosocial services . The Humanistic Psychologist, 25, 64-107 .
68.
Task Force on Promotion and Dissemination of Psychological Procedures. (1995). Training and dissemination of empirically-validated psychological treatments: Report and recommendations . The Clinical Psychologist, 48, 3-23 .
69.
Viney, L. L. (1998). Should we use personal construct therapy? A paradigm for outcomes evaluation . Psychotherapy: Theory, Research, Practice, Training, 35(3), 366-380 .
70.
Wilber, K. (1993). Transpersonal dimensions of development. In K. Wilber, J. H. Engler, & M. Epstein (Eds.), Paths beyond ego: The transpersonal vision (pp. 116-129). Los Angeles: J. P. Tarcher/Perigee .
71.
Wulfert, E., Greenway, D. E., & Dougher, M. J. (1996). A logical functional analysis of reinforcement-based disorders: Alcoholism and pedophilia . Journal of Consulting and Clinical Psychology, 64(6), 1140-1151 .
72.
Yalom, I. (1980). Existential psychotherapy. New York: Basic Books .
