Inside the Session: What Really Happens in Psychotherapy

Unlike many presentations of clinical material, Inside the Session does not offer carefully selected examples of therapeutic dialogue that are conveniently chosen to conform to the therapist's views. Rather, it presents full transcripts of three entire sessions, enabling readers to see not just what went right, but where the therapist may have missed a crucial detail or may have intervened at the wrong moment. Inside the Session provides a rare opportunity to look over the shoulder -- and into the mind of a renowned psychotherapist at work. The therapist in this candid and revealing annotation is prolific author Paul Wachtel, who intersperses the sessions' transcripts with insightful at-the-moment commentary not only on his clients' presenting problems, but also on his thoughts about how to proceed with exploring the clients' lines of thought, encouraging crucial insight, and effectively using restatements and simple words (and sounds) to facilitate dialogue. An additional key feature of the book is a comprehensive integrative framework that guides both the clinical work presented and the theoretical discussion that further illuminates it. Wachtel's well-known integrative theory draws on psychodynamic, cognitive-behavioral, systemic, and experiential perspectives, highlighting convergences that are obscured by different terminologies and clarifying where the differences are real and important.