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Although (as Bill Bennett rightly points out) our founding Fathers (and Mothers) often fell far short of their own ideals and were profoundly skeptical about the potential of people to do the right thing, they also aspired to a kind of virtue on Earth that combined true nobility of spirit and deed with good relations towards others.
Bennett has put these ideals into the following categories: patriotism and courage; love and courtship; civility and friendship; education of the head and heart; industry and frugality; justice; and piety. You can dip your inquisitive toe into any of these, whenever you want. .... I suggest that in addition to buying a copy for yourself, that you plan to give this book as a gift to your children and grandchildren as they reach the age when they will begin to make important moral choices for themselves. .... In most cases, I felt like the material here was stating timeless principles that do apply today ....
Bennett does a nice job as editor in explaining the context of each passage. His love of these people, these ideals, and these words is obvious. It will move you. And hopefully inspire you to follow the good advice in those words.
Nicely done, Bill Bennett! This is a good use of history . . . to help us learn not to repeat the mistakes of the past needlessly.
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The authors first debunk the myths of:
1) PSYCHIATRIC DIAGNOSIS:
a) it lacks reliability,
b) it lacks validity,
c) it puts the blame on the client, and
d) it is often motivated by self-interest, fueled by greed, and blows with the winds of fashion,
2)DRUG TREATMENT OF MENTAL PROBLEMS:
a) they work no better than therapy in the short term
b) changes brought about by medication are less likely to persist over time
c) there often are severe adverse effects,
d) drug studies often look better than they are because they rate improvement by looking to clinicians' perceptions, not clients'
e) the relationship between drug companies and psychiatry is an unholy alliance, making most of the drug-effectiveness research very suspect
3) THE MAGIC APPROACH:
a) there is no special magic silver bullet approach which is much better than another approach
b) the role of the competence and experience of the therapist is rather unimportant
According to the authors, four decades of outcome research have shown that there are four main factors of change, being:
1. Client factors (percentage contribution to positive outcome: 40%).
2. Relationship factors (percentage contribution: 30%).
3. Hope and expectancy (percentage contribution: 15%).
4. Model and technique (percentage contribution: 15%).
Some conclusions:
1. Thoughts, ideas, actions, initiatives, traits of clients are the most important predictor of therapy success!
2. Next to what the client brings to therapy, the client's perception of the therapeutic relationship is responsible for most of the gains resulting from the therapy.
3. Models and techniques are much less important than generally thought.
The authors advocate a new and refreshing approach characterised by:
1) Client-directedness. Clients' beliefs, values, theories and goals are repected, close attention is being paid to clients' initiatives, interventions and perceptions. Much attention is given to establishing the quality of the relationship, and to monitoring the clients' perception of the quality of the relationship.
2) Outcome informedness. Progress is measured from session to session using paper and pencil questionnaires. By the way: the client's experience of meaningful change in the first few visits is emerging as one of the best predictors of eventual treatment outcome.
Two thoughts come up after having read this book. First, this book is refreshing indeed and a shock to the therapy system. Second, the ideas ventilated in this book might be relevant for work outside the therapy field as well. Consider for instance what management consultancy and managing coaching could learn from this......
Duncan and Miller present an exciting, well-researched and thought-provoking argument for client-directed, outcome-informed therapy, which they call "co-therapy." Based on the research on what makes for success in therapy, Duncan and Miller propose we place greater reliance on the theories of change, experiences and strengths clients bring and less on our preferred causal theories and techniques.
This is a courageous and challenging book. Every mental health professional and consumer should read it. It can make a difference. Tobey Hiller MFT and Phillip Ziegler, MFT, co-authors of Recreating Partnership: A Solution-Oriented, Collaborative Approach to Couples Therapy (W.W. Norton, 2001)
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I read this with relish. A genuine "Thanks" to all those who contributed to this book. I can't say enough about it.
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This book is a keeper :)
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Some notable moments from the book: (1) Albert Hammond, best known for one hit, wrote many classics for other artists (including "One Moment in Time"); (2) Helen Reddy refuses to reveal what she thinks one of her hits is about, preferring to leave it as a mystery for listeners; (3) Three Dog Night changed the lyrics of one of Leo Sayer's songs; people who heard their version first accuse him of changing Three Dog Night's song.
This book is a look at a lot of what people were REALLY listening to in the '70s, which is not just the "classic rock" superstars the era is remembered for. "Stairway to Heaven" never made the Top 100, but the Osmonds and the Partridge Family had huge hits. Many of us in the '70s enjoyed guilty pleasures like the songs and artists in the book, and this book takes us back to wherever we were (late childhood? teen years?) when we were listening to the incredible diversity on AM radio.
Scott suggests that there may be more to come: a focus on artists who peaked in the '60s and a look at one-hit wonders.
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Our forefathers, with courage and genius, created the most immitated society the world has ever known. How proud and fortunate this audio book makes one feel. I'm committed to listening to it with my teenage nieces and nephews on a "captive" drive sometime. It'll be a great topic for discussion.