Clinical Dilemmas in Psychotherapy: A Transtheoretical Approach to Psychotherapy Integration

Pages: 255
Item #: 4317068
ISBN: 978-1-59147-229-2
List Price: $19.95
Member/Affiliate Price: $19.95
Copyright: 2005
Format: Hardcover
Availability: In Stock
FREE Shipping

For individuals in the U.S. & U.S. territories


Clinical Dilemmas in Psychotherapy: A Transtheoretical Approach to Psychotherapy Integration, Douglas J. Scaturo addresses the kinds of questions posed by both new and experienced psychotherapists alike, such as: When should I shift from an exploratory mode of treatment to more active behavioral intervention? Am I identifying too much with this patient's life? Questions like these are typical of the dilemmas facing most psychotherapists each day.

This book describes the process of psychotherapy from the standpoint of managing the fundamental dilemmas that confront all psychotherapists, regardless of theoretical approach or treatment modality used. The author explores how typical dilemmas are managed, including those that are unique to specific orientations, those related to specific aspects of the therapeutic process, and those that arise in working with particular client groups, such as families and couples. While several books on the market address ethical conduct and dilemmas, this one uniquely focuses on dilemmas of psychotherapeutic technique, and the gray area where technical and ethical matters overlap.

By exploring the dialectic involved in resolving common dilemmas, new and seasoned therapists alike will gain tools for practice and a good dose of clinical wisdom. Patients will benefit by their therapist's modeling of an effective approach to everyday conflicts and dilemmas in their own lives.

Table of Contents


I. Clinical Dilemmas: An Introduction

  1. Fundamental Clinical Dilemmas in Psychotherapy: Introduction to a Transtheoretical Concept (PDF, 151KB)
  2. The Evolution of Psychotherapy: The Dilemma of Integration Versus Manualization

II. Clinical Dilemmas Among Diverse Approaches to Treatment

  1. Psychodynamic and Insight-Oriented Psychotherapy: Focus and Comprehensiveness, Confrontation and Support
  2. Cognitive–Behavioral Therapy: Balancing Directive and Nondirective Elements of Treatment
  3. Marital and Couple Therapy: The Therapist's Dilemmas with Dyads
  4. Family Therapy: Dilemmas of Codependency and Family Homeostasis
  5. Group Psychotherapy: Multiple Dilemmas with Multiple Patients

III. Clinical Dilemmas in the Therapeutic Process

  1. Transference, Countertransference, and Resistance: Unconscious Determinants of Dilemmas
  2. Therapeutic Neutrality, Self-Disclosure, and Boundary Management: Dilemmas of Therapeutic Engagement

IV. Clinical Dilemmas in Psychotherapy Integration: Theory, Practice, and Historical Context

  1. A Three-Phase Learning-Based Integrative Model of Psychotherapy: Therapeutic Alliance, Technical Interventions, and Relearning
  2. Integrative Psychotherapy in Clinical Practice: An Illustration of Dilemma Management
  3. Dilemmas, Dialecticism, and Integration in the History of Psychology: Toward Synergy and Synthesis



About the Author

Author Bio

Douglas J. Scaturo, PhD, is the lead psychologist and director of the APA-accredited Psychology Internship Training Program at the Behavioral Health Outpatient Clinic of the Syracuse Veterans Affairs Medical Center, which is accredited by the American Psychological Association.

Dr. Scaturo holds academic appointments as a clinical associate professor in the Departments of Psychiatry and Family Medicine in the College of Medicine at the State University of New York Upstate Medical University and as clinical adjunct associate professor in the Department of Psychology at Syracuse University.

His published clinical and research interests are in the areas of posttraumatic stress disorder, panic disorders and agoraphobia, codependency and alcohol abuse, the assessment and delivery of behavioral health services in primary care settings, the doctor–patient relationship in family medicine, the family life cycle, psychotherapy integration, and most recently and extensively on the clinical dilemmas that take place for psychotherapists working within a broad range of theoretical orientations and treatment modalities. He regularly lectures at national and international conferences and conducts professional workshops for clinicians in these areas of practice.

Dr. Scaturo lives in central New York with his wife and son, where he also conducts a part-time private practice in individual and couple therapy in Syracuse.

Reviews & Awards

A wise old owl of a book! Like a seasoned supervisor, this book will assist clinicians in successfully navigating the inevitable quandaries of contemporary practice in a supportive, sensitive, and integrative manner.
—John C. Norcross, PhD, Professor of Psychology and Distinguished University Fellow, University of Scranton, PA; Editor, Journal of Clinical Psychology