near-insurmountable problems in therapy

Adam Blatner ablatner at verizon.net
Thu Dec 25 20:17:10 CST 2008


Dear Colleagues, I've had what seems like a bit of an insight today. Briefly, it seems to me that many people are caught up in problems that are far more complex than anything that can be addressed by therapy, conundrums that partake of many facets of life: Real economic issues, real family responsibilities, moral obligations, dealing with the consequences of problematic behavior, and so forth. (Indeed, on a paper I've just posted on my website, I've listed twenty such situations, though many people often are caught up in more than one---another type of co-morbidity.) The official DSM (diagnostic manual) hardly addresses the depth or extent of such problems: "situational" is the closest term and it doesn't do justice to the complexity and weight and often long-term processes involved. 
       It's about 4 pages and for those who would care to, I invite to think along with me, email me and make suggestions. This paper should be thought of as a provisional warm-up for dialog rather than my presuming to make any definitiive pronouncements on the issues. 

       go to http://www.blatner.com/adam/psyntbk/nearinsurmountprob.html

   Thanks, Adam Blatner
  
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