Printable timeline of psychotherapy and counselling
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Moral treatment, hypnosis & early clinics · up to 1894
Philosophical consolation, asylum reform, moral treatment, hypnotism, suggestion, and early dynamic theories of dissociation before formal psychotherapy schools.
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Cicero composes Tusculanae Disputationes on the philosophical treatment of distress
Following the death of his daughter Tullia, Marcus Tullius Cicero wrote the five books of Tusculanae Disputationes, arguing that grief, fear, and destructive passions arise from mistaken judgements that can be alleviated through structured philosophical dialogue (medicina animi). In the second century CE, the physician Galen similarly proposed in On the Diagnosis and Cure of the Soul's Passions that individuals require an impartial mentor to point out emotional blind spots and cultivate self-mastery.
Project Gutenberg: Cicero's Tusculan Disputations
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Why it matters
Greco-Roman consolation literature and philosophical guidance framed emotional suffering as responsive to reasoned conversation and cognitive reframing rather than purely supernatural appeasement or physical physic.
In psychotherapy and counselling
Stoic and Academic practices of examining beliefs about loss, rehearsing adversity, and engaging a candid interlocutor prefigured cognitive restructuring and Socratic questioning in modern cognitive-behavioural therapies.
Important context and scope
Ancient philosophical care was an ethical and educational practice for literate elites rather than a clinical profession, and its analogies to modern psychotherapy are conceptual rather than institutional. Composed c. 45 BCE at Tusculum; closely paralleled in later Greco-Roman medicine by Galen's On the Diagnosis and Cure of the Soul's Passions (c. 170 CE).
Date type
Publication year, approximate
Sources
- Project Gutenberg: Cicero's Tusculan Disputations(primary or catalogue record)
- Stanford Encyclopedia of Philosophy: Ancient Theories of Soul(scholarly or historical account)
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Abu Zayd al-Balkhi writes Masalih al-Abdan wa al-Anfus (Sustenance for Body and Soul)
In Masalih al-Abdan wa al-Anfus, Abu Zayd al-Balkhi discussed the care of body and soul. The section on the soul describes anger, fear, sadness and distressing recurring thoughts, and offers ways of responding to them.
Al-Balkhi: Sustenance of the Soul, translated by Malik Badri (2013), complete translation
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Why it matters
The treatise is a historical account of emotional distress and its relationship to bodily health. A modern study compares al-Balkhi’s description of fear with contemporary concepts of phobia.
In psychotherapy and counselling
Al-Balkhi described preparing helpful thoughts in calmer moments and recalling them when distressing thoughts arise. Modern authors have drawn comparisons with cognitive approaches; resemblance does not establish a direct line of influence or clinical effectiveness.
Important context and scope
The Arabic treatise belongs to an Islamic intellectual and medical setting and reflects its historical ideas about body, soul and the bodily humours. Its categories should not be equated automatically with modern diagnoses. Al-Balkhi lived in the ninth and tenth centuries CE; the precise date of composition is uncertain.
Date type
Publication year, approximate
Sources
- Al-Balkhi: Sustenance of the Soul, translated by Malik Badri (2013), complete translation(primary or catalogue record)
- PubMed: Awaad and Ali (2016), al-Balkhi’s account of phobia(scholarly or historical account)
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Johann Weyer publishes De praestigiis daemonum on witchcraft accusations
In 1563, court physician Johann Weyer published De praestigiis daemonum in Basel. He challenged the prosecution of people accused of witchcraft, questioning supposed pacts with the devil and invoking medical, legal and theological arguments.
WorldCat: De praestigiis daemonum (Basel, 1563)
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Why it matters
Weyer’s work is an early critique of witchcraft prosecutions. Historians have also questioned accounts that present him as a straightforward founder of modern psychiatry or as a purely secular critic of demonology.
In psychotherapy and counselling
Weyer argued that physicians should be consulted in cases involving accusations. His descriptions invoked melancholy and assumptions about elderly women; they are historical explanations, not diagnoses of the people who were accused.
Important context and scope
Weyer accepted the existence of demons and worked within the religious and medical ideas of his time. His portrayal of women as vulnerable to deception also reflected assumptions about gender and age. First Latin edition published in Basel by Johannes Oporinus in 1563.
Date type
Publication year
Sources
- WorldCat: De praestigiis daemonum (Basel, 1563)(primary or catalogue record)
- Encyclopaedia Britannica: Johann Weyer(scholarly or historical account)
- Metzger (2013): Battling demons with medical authority: werewolves, physicians and rationalization(scholarly or historical account)
- Weyer, De Praestigiis Daemonum (1563), translated excerpts, Book III(primary or catalogue record)
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Robert Burton publishes The Anatomy of Melancholy
Oxford scholar and cleric Robert Burton published The Anatomy of Melancholy, an encyclopaedic synthesis of classical, medieval, and Renaissance medical and philosophical literature on sorrow, fear, religious despair, and love-melancholy. Drawing openly on his own lived experience of melancholia, Burton recommended confiding in a trusted, empathetic friend alongside moderation in diet, exercise, music, and purposeful occupation.
Project Gutenberg: The Anatomy of Melancholy by Robert Burton
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Why it matters
Burton's work bridged humoral medicine and early psychological introspection, emphasising that unburdening grief to a non-judgemental listener could relieve distress when physical remedies failed.
In psychotherapy and counselling
His prescription of candid self-disclosure, compassionate companionship, and structured daily activity prefigured supportive counselling, behavioural activation, and the therapeutic alliance.
Important context and scope
The book is a literary and scholarly compendium rather than a clinical manual, blending humoral physiology, astrology, theology, and humane consolatory counsel. First quarto edition published at Oxford in 1621 under the pseudonym Democritus Junior; expanded across five further editions during Burton's lifetime.
Date type
Publication year
Sources
- Project Gutenberg: The Anatomy of Melancholy by Robert Burton(primary or catalogue record)
- Internet Archive: The Anatomy of Melancholy(primary or catalogue record)
Related
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Franz Anton Mesmer publishes Mémoire sur la découverte du magnétisme animal
In 1779, physician Franz Anton Mesmer published a statement of his theory of animal magnetism, proposing an invisible fluid as a medium of influence on health. His treatment later included group sessions around a vessel known as a baquet.
Bibliothèque nationale de France (Gallica): Mémoire sur la découverte du magnétisme animal (1779)
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Why it matters
Mesmer’s work attracted widespread attention and later became part of histories of hypnosis and psychotherapy. Historians distinguish his theory and practices from the methods that developed after him.
In psychotherapy and counselling
Mesmer used physical procedures and group settings that he believed transmitted animal magnetism. The Royal College of Physicians of Edinburgh notes that he did not practise the later techniques of hypnosis commonly associated with his name.
Important context and scope
In 1784, royal commissioners examined animal magnetism and attributed observed effects to factors including imagination. A separate historical account traces the development of magnetic somnambulism to the Marquis de Puységur in 1784. These accounts do not establish the clinical effectiveness of Mesmer’s treatments. Published in Paris and Geneva in 1779 as a 27-proposition summary of Mesmer's magnetic system.
Date type
Publication year
Sources
- Bibliothèque nationale de France (Gallica): Mémoire sur la découverte du magnétisme animal (1779)(primary or catalogue record)
- Encyclopaedia Britannica: Franz Anton Mesmer(scholarly or historical account)
- Royal College of Physicians of Edinburgh: Anton Mesmer and animal magnetism(institutional record)
- Crabtree (2019): Puységur and the psychological turn in 1784(scholarly or historical account)
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The Franklin-Lavoisier Royal Commission tests animal magnetism with blinded trials
A royal commission including Benjamin Franklin, Antoine Lavoisier, Jean Sylvain Bailly and Joseph-Ignace Guillotin examined animal magnetism as practised by Charles Deslon. In some blindfolded tests, participants reacted when led to believe they were being magnetised, but not when magnetised without their knowledge. The commissioners found no evidence of the proposed magnetic fluid and attributed the effects they observed to imagination, imitation and touch.
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Why it matters
The investigation used blindfolding and comparison to examine whether reported effects depended on knowledge of the supposed treatment. It is an early example of controlled inquiry into a therapeutic claim.
In psychotherapy and counselling
In some experiments, people reacted when they believed they were being magnetised but not when the procedure was performed without their knowledge. These observations do not establish the effectiveness of a treatment.
Important context and scope
The commission examined procedures associated with Charles Deslon; its experiments were not a modern clinical trial of treatment outcomes. Royal Commission appointed by Louis XVI in March 1784; report submitted in August 1784.
Date type
Clinical study or review
Sources
- Library of Congress: Report of Dr Benjamin Franklin and other commissioners charged by the King of France with the examination of animal magnetism(primary or catalogue record)
- Royal College of Physicians of Edinburgh: English translation of the 1784 report(primary or catalogue record)
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Philippe Pinel begins work at Bicêtre alongside Jean-Baptiste Pussin
Philippe Pinel began medical work at the Bicêtre hospice in 1793, where he observed and worked with governor Jean-Baptiste Pussin. Their approach to care became associated with moral treatment. In 1797 Pussin replaced chains with other restraints; reforms at the Salpêtrière followed later.
Weiner (1994), Le geste de Pinel: The history of a psychiatric myth
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Why it matters
Their work is part of the history of moral treatment, an approach that paid attention to the care environment and relationships with patients.
In psychotherapy and counselling
The historical record describes observation and changes to institutional care. Restraint continued in other forms, including straitjackets.
Important context and scope
The familiar image of Pinel single-handedly removing chains in 1793 simplifies a longer process and obscures Pussin’s role. Pinel assumed medical duties at Bicêtre in September 1793, working alongside non-medical governor Jean-Baptiste Pussin, and moved to the Salpêtrière in 1795.
Date type
Institutional or policy milestone
Sources
- Weiner (1994), Le geste de Pinel: The history of a psychiatric myth(scholarly or historical account)
- Weiner (1979), The apprenticeship of Philippe Pinel: a new document, observations of Citizen Pussin on the insane(scholarly or historical account)
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William Tuke opens the York Retreat, later documented by Samuel Tuke (1813)
William Tuke and the Society of Friends established the York Retreat in 1796. In 1813 his grandson Samuel Tuke described its use of a domestic setting, occupation, social activity and encouragement of self-restraint. Although chains were forbidden, seclusion and other forms of restraint were used.
Wellcome Collection: Samuel Tuke, Description of the Retreat, an Institution near York (1813)
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Why it matters
The Retreat and Samuel Tuke's account influenced later discussions of moral treatment and asylum reform. The historical account does not isolate the effect of the environment on recovery.
In psychotherapy and counselling
Samuel Tuke described social activity, occupation and encouragement of self-control as features of care, alongside practices now recognised as coercive.
Important context and scope
Moral treatment at the Retreat combined Quaker values and a domestic setting with forms of supervision and restraint. Later institutions adapted its ideas in different contexts. Opened in May 1796 by William Tuke; documented for international readers in Samuel Tuke's Description of the Retreat (1813).
Date type
Institutional or policy milestone
Sources
- Wellcome Collection: Samuel Tuke, Description of the Retreat, an Institution near York (1813)(primary or catalogue record)
- British Journal of Psychiatry: The Retreat at York of 1796(scholarly or historical account)
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Philippe Pinel publishes Traité médico-philosophique sur l'aliénation mentale
Philippe Pinel published his landmark treatise Traité médico-philosophique sur l'aliénation mentale, ou la manie in Paris, presenting empirical clinical histories and arguing that many forms of mental alienation resulted from overwhelming passions, grief, and psychological shocks rather than irreversible brain lesions. He outlined the principles of 'traitement moral', advocating patient listening, avoidance of physical violence, and individualised psychological management.
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Why it matters
Pinel's book provided early nineteenth-century European medicine with a systematic clinical rationale for treating psychological distress through interpersonal and environmental intervention.
In psychotherapy and counselling
He emphasised taking detailed longitudinal biographies, identifying precipitating emotional crises, and maintaining a calm, benevolent therapeutic stance.
Important context and scope
Pinel's 'traitement moral' still included calculated theatrical staging and institutional authority when persuasion failed, distinguishing it from modern non-directive counselling. First edition published in Paris in 1801 (An IX of the French Revolutionary calendar); English translation by D. D. Davis published in 1806.
Date type
Publication year
Sources
- Internet Archive: A Treatise on Insanity by Philippe Pinel (1806 English translation of the 1801 edition)(primary or catalogue record)
- Bibliothèque nationale de France (Gallica): Traité médico-philosophique sur l'aliénation mentale (1801)(primary or catalogue record)
Related
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James Braid publishes Neurypnology
In 1843, Scottish surgeon James Braid published Neurypnology, presenting an account of what he called neuro-hypnotism or nervous sleep. He argued against an invisible magnetic fluid as the explanation for the phenomena.
Internet Archive: Neurypnology; or, the Rationale of Nervous Sleep by James Braid (1843)
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Why it matters
Braid helped bring hypnotic phenomena into medical and scientific discussion. A later historical review describes his contribution alongside earlier traditions rather than presenting hypnosis as an entirely new technique.
In psychotherapy and counselling
Braid described sustained eye fixation as a way to induce what he called nervous sleep and reported clinical cases. His case reports do not by themselves establish the effectiveness of hypnosis for a particular condition.
Important context and scope
The 1843 book is a historical account. Contemporary research continues to debate how best to explain hypnotic phenomena; Braid’s terminology and explanations should be read in their historical setting. Published in London and Edinburgh in 1843 after Braid's 1841 observations of Charles Lafontaine's mesmeric demonstrations in Manchester.
Date type
Publication year
Sources
- Internet Archive: Neurypnology; or, the Rationale of Nervous Sleep by James Braid (1843)(primary or catalogue record)
- Encyclopaedia Britannica: James Braid(scholarly or historical account)
- Montgomery and colleagues (2025): history and research on hypnosis(scholarly or historical account)
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Walter Cooper Dendy uses the term psychotherapeia
In 1853, London surgeon Walter Cooper Dendy published Psyche; A Discourse on the Birth and Pilgrimage of Thought. A separate article by Dendy, Psychotherapeia, or the Remedial Influence of Mind, appeared that year. Both belong to nineteenth-century discussions of the relationship between mind and body.
Wellcome Collection: Psyche by Walter Cooper Dendy, 1853 (catalogue record)
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Why it matters
The works document an early use of language linking mental influence and treatment. They do not establish that Dendy was the first person to use related terminology.
In psychotherapy and counselling
The title of the 1853 article identifies the remedial influence of mind as its subject. This entry does not assess the effectiveness of the practices discussed.
Important context and scope
The book and the journal article are distinct publications. The evidence cited here does not establish a direct line of influence from Dendy to Daniel Hack Tuke. The book was published in London by Longman, Brown, Green, and Longmans in 1853. A separate article appeared in April 1853; their order within the year has not been established here.
Date type
Publication year
Sources
- Wellcome Collection: Psyche by Walter Cooper Dendy, 1853 (catalogue record)(scholarly or historical account)
- National Library of Medicine: Psychotherapeia, or the Remedial Influence of Mind (1853 article)(primary or catalogue record)
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Hippolyte Bernheim and Ambroise-Auguste Liébeault establish the Nancy School of suggestive therapeutics
Building on country physician Ambroise-Auguste Liébeault's charitable clinic in Nancy, neurology professor Hippolyte Bernheim published De la suggestion et de ses applications à la thérapeutique (1886), arguing against Jean-Martin Charcot's Salpêtrière school that hypnosis was not a pathological symptom confined to hysteria. Instead, Bernheim demonstrated that hypnosis was a normal heightened state of suggestibility producible through verbal persuasion and that therapeutic effects could also be achieved through waking suggestion (psychothérapie).
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Why it matters
The Nancy School established psychological suggestion and verbal communication as normal, universal human processes applicable to everyday outpatient medical and psychological care.
In psychotherapy and counselling
Both Josef Breuer and Sigmund Freud visited or translated Bernheim's work (Freud translated it into German in 1888), and Freud's gradual abandonment of direct hypnotic command in favour of free association grew directly out of his experience with Nancy-style suggestion.
Important context and scope
Direct authoritarian symptom suggestion frequently produced only temporary relief, a limitation that spurred Janet, Breuer, Freud, and Dubois to seek deeper dynamic or rational approaches. Expanded from Bernheim's 1884 study De la suggestion dans l'état hypnotique et dans l'état de veille into the comprehensive 1886 volume.
Date type
Publication year
Sources
- Internet Archive: Suggestive Therapeutics: A Treatise on the Nature and Uses of Hypnotism by H. Bernheim(primary or catalogue record)
- Bibliothèque nationale de France (Gallica): De la suggestion et de ses applications à la thérapeutique (1886)(primary or catalogue record)
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Frederik van Eeden and Albert van Renterghem open a clinic for hypnotic suggestion in Amsterdam
In 1887, Dutch physicians Frederik van Eeden and Albert Willem van Renterghem opened a clinic in Amsterdam using hypnotic suggestion. Van Eeden later described their work as following the approach of Ambroise-Auguste Liébeault of Nancy. Van Renterghem presented a statistical report on their treatment at a hypnotism congress in Paris in 1889.
Van Renterghem (1906): L’évolution de la psychothérapie en Hollande, Revue de l’Hypnotisme
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Why it matters
The clinic was an early Dutch centre for treatment using psychological methods. Its founders later used the term psychotherapy to describe and discuss their work.
In psychotherapy and counselling
The physicians used hypnotic suggestion in their clinical practice. Their historical case reports record their own observations and do not by themselves establish treatment effectiveness.
Important context and scope
Their work formed part of a late nineteenth-century discussion about hypnotism, suggestion and the meaning of psychotherapy. Van Renterghem later dated the Amsterdam clinic’s opening to 15 August 1887.
Date type
Institutional or policy milestone
Sources
- Van Renterghem (1906): L’évolution de la psychothérapie en Hollande, Revue de l’Hypnotisme(primary or catalogue record)
- Van Eeden (1892): Het beginsel der psycho-therapie, De Nieuwe Gids(primary or catalogue record)
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Pierre Janet publishes L'Automatisme psychologique on dissociation and subconscious fixed ideas
In L'Automatisme psychologique, Pierre Janet described clinical cases and proposed that overwhelming experiences could disrupt mental synthesis, leaving ideas outside ordinary awareness. These were his historical interpretations of the cases, not established explanations of every dissociative symptom.
Bibliothèque nationale de France (Gallica): L'Automatisme psychologique by Pierre Janet (1889)
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Why it matters
Janet's case studies and account of dissociation influenced later thinking about trauma and psychotherapy. They do not by themselves establish a general mechanism of symptoms or the effectiveness of a treatment.
In psychotherapy and counselling
Janet described using psychological analysis and hypnotic suggestion in individual cases. Later writers have connected his work with phase-oriented approaches to trauma treatment, which developed over time.
Important context and scope
Janet's work was eclipsed for much of the mid-twentieth century by Freudian psychoanalysis, which replaced dissociation with active repression and conflict, before being rediscovered by trauma researchers in the late twentieth century. Submitted as Janet's doctoral dissertation at the Sorbonne and published by Félix Alcan in Paris in 1889.
Date type
Publication year
Sources
- Bibliothèque nationale de France (Gallica): L'Automatisme psychologique by Pierre Janet (1889)(primary or catalogue record)
- PubMed: van der Kolk and van der Hart (1989) Pierre Janet and the breakdown of adaptation in psychological trauma(scholarly or historical account)
- American Psychiatric Association Publishing: historical discussion of Janet’s case of Marie(scholarly or historical account)
Related
Psychoanalysis, talking cures & early schools · 1895 to 1939
Psychoanalysis, rational persuasion, psychological clinics, individual and analytical psychology, psychodrama, play technique, character analysis, and early cultural critiques.
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Josef Breuer and Sigmund Freud publish Studien über Hysterie
Viennese physicians Josef Breuer and Sigmund Freud published Studien über Hysterie (Studies on Hysteria), combining their 1893 theoretical paper with five clinical case histories, including Breuer's treatment of Bertha Pappenheim (Anna O.), who famously described conversational symptom relief as the 'talking cure' and 'chimney-sweeping'. The authors proposed that affect associated with distressing memories could be converted into bodily symptoms, and described cathartic abreaction and associative exploration. This was their historical theory, not an established explanation for every bodily symptom.
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Why it matters
The book bridged late nineteenth-century neuropathology and psychoanalysis, introducing Freud's early concepts of psychological defence (Abwehr), resistance, and transference within an intensive talking relationship.
In psychotherapy and counselling
Moving from hypnotic catharsis toward encouraging waking patients to speak freely about whatever came to mind laid the clinical foundation for psychodynamic free association and emotional processing.
Important context and scope
A publication date, not the single beginning of psychotherapy or psychoanalysis; historical archival research later showed that Bertha Pappenheim's clinical outcome after Breuer's treatment was far more protracted and complex than depicted in the 1895 case report. Published in May 1895 in Leipzig and Vienna following Breuer and Freud's 1893 preliminary communication.
Date type
Publication year
Sources
- Library of Congress catalogue(primary or catalogue record)
- Internet Archive: Studien über Hysterie by Josef Breuer and Sigmund Freud (1895)(primary or catalogue record)
Related
- (link to this entry)
Lightner Witmer begins a psychological clinic at the University of Pennsylvania
In 1896, University of Pennsylvania psychologist Lightner Witmer began examining and teaching children with learning and other difficulties in a psychological clinic. He outlined a plan for practical psychological work to the American Psychological Association later that year; his article “Clinical Psychology” appeared in 1907.
Classics in the History of Psychology: Lightner Witmer (1907) Clinical Psychology
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Why it matters
Witmer’s clinic and later writing contributed to the development of clinical psychology as a field combining psychological assessment, education and practical work.
In psychotherapy and counselling
In his 1907 account, Witmer described examining children’s difficulties and using individual educational instruction alongside observation.
Important context and scope
Witmer's clinic focused primarily on paediatric psychoeducational and behavioural remediation rather than adult conversational psychotherapy, which entered American clinical psychology more strongly after the Second World War. Clinic began in 1896; Witmer outlined a plan to the American Psychological Association in December 1896 and published “Clinical Psychology” in 1907.
Date type
Institutional or policy milestone
Sources
- Classics in the History of Psychology: Lightner Witmer (1907) Clinical Psychology(primary or catalogue record)
- American Psychological Association: Lightner Witmer and the first psychological clinic(institutional record)
- Wiley Encyclopedia of Clinical Psychology: Lightner Witmer(scholarly or historical account)
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Sigmund Freud publishes Die Traumdeutung (The Interpretation of Dreams)
Sigmund Freud published Die Traumdeutung, arguing that dreams are meaningful psychological constructions shaped by unconscious wish-fulfilment and disguised through the mechanisms of dream-work (Traumarbeit): condensation, displacement, symbolic representation, and secondary revision. In the book's seventh chapter, he introduced his topographic model dividing the psyche into unconscious, preconscious, and conscious systems, along with primary and secondary mental processes.
Library of Congress: Sigmund Freud, Die Traumdeutung (1900)
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Why it matters
Freud himself regarded this book as his most significant theoretical work, as it moved psychoanalysis from a narrow theory of hysterical neurosis to a general depth psychology of ordinary human mental life.
In psychotherapy and counselling
Distinguishing between manifest content and latent unconscious meaning via the patient's own free associations became a cornerstone of psychoanalytic interpretation and exploratory psychotherapy.
Important context and scope
Modern sleep neurobiology and empirical dream research do not support Freud's universal thesis that all dreams are disguised infant wish-fulfilments, even as clinical work with personal dream imagery remains valued across psychodynamic and humanistic modalities. Printed by Franz Deuticke in November 1899, but post-dated 1900 on the title page to mark the new century.
Date type
Publication year
Sources
- Library of Congress: Sigmund Freud, Die Traumdeutung (1900)(primary or catalogue record)
- Internet Archive: Die Traumdeutung by Sigmund Freud (1900)(primary or catalogue record)
Related
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Paul Dubois publishes Les psychonévroses et leur traitement moral on rational persuasion therapy
Swiss neuropathologist Paul Dubois published Les psychonévroses et leur traitement moral, rejecting both deceptive hypnotic suggestion and Freudian unconscious sexual interpretation in favour of 'persuasion rationnelle' (rational persuasion). Through candid, Socratic dialogue, Dubois sought to educate patients about how faulty logic, heightened self-observation, and fearful expectations amplified and maintained functional nervous symptoms.
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Why it matters
Dubois's rational psychotherapy was one of the most widely practised medical psychotherapies in Europe and North America before 1914 and served as a direct conceptual precursor to mid-century cognitive therapies.
In psychotherapy and counselling
His focus on identifying illogical health anxieties, correcting catastrophic self-talk through collaborative reasoning, and encouraging active mastery anticipates Albert Ellis's rational emotive behaviour therapy and Aaron Beck's cognitive therapy.
Important context and scope
Critics such as Freud and Janet argued that Dubois's rational persuasion still relied heavily on the physician's personal prestige and warmth rather than purely intellectual logic. Published in Paris by Masson in 1904 with a foreword by Jules Dejerine; English translation published in 1905 as The Psychic Treatment of Nervous Disorders.
Date type
Publication year
Sources
- Internet Archive: The Psychic Treatment of Nervous Disorders by Paul Dubois (1905 translation of 1904 edition)(primary or catalogue record)
- Bibliothèque nationale de France (Gallica): Les psychonévroses et leur traitement moral by Paul Dubois(primary or catalogue record)
- (link to this entry)
Joseph Hersey Pratt begins tuberculosis classes in Boston
Boston physician Joseph Hersey Pratt organised classes for people with tuberculosis, combining education about home care with encouragement and opportunities to discuss their efforts. His 1907 paper described the class method for patients unable to afford sanatorium treatment.
Pratt (1907), The class method of treating consumption in the homes of the poor
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Why it matters
Later histories of group psychotherapy identify Pratt’s classes as an early group-based approach to medical care. They do not establish the separate effect of any one group process.
In psychotherapy and counselling
The classes used teaching and encouragement in a large group. The historical account describes an instructional and inspirational approach, distinct from later small-group psychotherapy.
Important context and scope
By 1922 Pratt had extended the class method to some other medical conditions, according to the American Group Psychotherapy Association’s history. The American Group Psychotherapy Association dates the beginning of Pratt’s groups to July 1905.
Date type
Clinical study or review
Sources
- Pratt (1907), The class method of treating consumption in the homes of the poor(primary or catalogue record)
- American Group Psychotherapy Association: A brief history of the association(institutional record)
- (link to this entry)
Clifford Whittingham Beers publishes A Mind That Found Itself and launches the mental hygiene movement
Drawing on three years of personal confinement in private and state psychiatric institutions following a suicide attempt and severe mood episodes, Clifford Whittingham Beers published his autobiography A Mind That Found Itself, exposing mechanical restraint, physical abuse, and institutional neglect. Working alongside psychiatrist Adolf Meyer and philosopher William James, Beers founded the Connecticut Society for Mental Hygiene in 1908 and the National Committee for Mental Hygiene in 1909.
Project Gutenberg: A Mind That Found Itself by Clifford Whittingham Beers (1908)
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Why it matters
Beers inaugurated the modern service-user and lived-experience advocacy movement in mental health, shifting policy toward outpatient prevention, early community intervention, and patients' human rights.
In psychotherapy and counselling
His partnership with Adolf Meyer promoted community clinics, psychiatric social work, and viewing distress through a biopsychosocial life-chart perspective rather than custodial asylum isolation.
Important context and scope
While Beers championed humane care and survivor dignity, segments of the broader early twentieth-century mental hygiene movement became entangled with coercive social control and eugenic policies before later reform. Published in March 1908 with an endorsement by William James; the Connecticut Society for Mental Hygiene was founded in May 1908 and the National Committee for Mental Hygiene in 1909.
Date type
Publication year
Sources
- Project Gutenberg: A Mind That Found Itself by Clifford Whittingham Beers (1908)(primary or catalogue record)
- Mental Health America: About MHA(institutional record)
Related
- (link to this entry)
Salzburg Congress (1908), Clark University lectures (1909), and founding of the IPA at Nuremberg (1910)
Following the First International Psychoanalytical Congress in Salzburg in April 1908, Sigmund Freud and Carl Gustav Jung, accompanied by Sándor Ferenczi, travelled to Clark University in Worcester, Massachusetts in September 1909 at G. Stanley Hall's invitation to deliver five lectures on psychoanalysis to an American audience including William James and Adolf Meyer. At the Second Congress in Nuremberg in March 1910, on Ferenczi's motion, they formally established the International Psychoanalytical Association (IPA) with Jung as its first president.
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Why it matters
The 1908-1910 sequence transformed psychoanalysis from a Viennese discussion circle into an international clinical movement with branch societies, training standards, and English-language reach.
In psychotherapy and counselling
Freud's accessible Clark lectures (Über Psychoanalyse) introduced English-speaking practitioners to repression, childhood emotional development, dream interpretation, and transference, while the IPA created the institutional framework for analytic training.
Important context and scope
Centralised authority within the IPA also intensified doctrinal disputes over what counted as legitimate psychoanalysis, contributing to the departures of Alfred Adler (1911) and Carl Gustav Jung (1913-1914). Covers the First International Psychoanalytical Congress in Salzburg (April 1908), Freud and Jung's Clark University lectures in Worcester, Massachusetts (September 1909), and the founding of the IPA at Nuremberg (March 1910).
Date type
Institutional or policy milestone
Sources
- Classics in the History of Psychology: Sigmund Freud (1910) The Origin and Development of Psychoanalysis (Clark Lectures)(primary or catalogue record)
- International Psychoanalytical Association: History of the IPA(institutional record)
Related
- (link to this entry)
Alfred Adler publishes Über den nervösen Charakter and establishes Individual Psychology
After breaking with Freud in 1911 over the primacy of sexual drives, Viennese physician Alfred Adler published Über den nervösen Charakter (The Neurotic Constitution) in 1912, founding 'Individualpsychologie' (Individual Psychology). Adler argued that human behaviour is holistically goal-directed, shaped by feelings of inferiority, compensatory striving for significance, subjective 'fictional finalism', family constellation, and social relatedness ('Gemeinschaftsgefühl', later elaborated as social interest).
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Why it matters
Adler initiated the first major relational, socially oriented, and teleological departure from classical drive theory, directly influencing ego psychology, humanistic therapy, cognitive therapy, and family counselling.
In psychotherapy and counselling
Adlerian therapy replaced the couch with face-to-face egalitarian dialogue, explored early memories and lifestyle beliefs (private logic), and established public child and family guidance clinics across working-class Vienna in the 1920s.
Important context and scope
Many of Adler's clinical innovations, including collaborative goal setting, homework tasks, and examining core beliefs, were absorbed into mainstream cognitive and brief therapies without always retaining his name. Adler resigned from the Vienna Psychoanalytic Society in 1911 to form the Society for Free Psychoanalytic Inquiry (soon renamed Individual Psychology) and published Über den nervösen Charakter in 1912.
Date type
Publication year
Sources
- Internet Archive: The Neurotic Constitution by Alfred Adler (English translation of Über den nervösen Charakter)(primary or catalogue record)
- Encyclopaedia Britannica: Alfred Adler and Individual Psychology(scholarly or historical account)
Related
- (link to this entry)
Sigmund Freud publishes his Papers on Technique codifying the psychoanalytic frame
Between 1912 and 1914, Sigmund Freud published papers on psychoanalytic practice, including Recommendations to Physicians Practising Psycho-Analysis, On Beginning the Treatment and Remembering, Repeating and Working-Through. He discussed listening, the treatment setting, repetition and transference as parts of his clinical approach.
Library of Congress: Sigmund Freud Papers
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Why it matters
These papers became influential in the development of psychoanalytic approaches to clinical technique.
In psychotherapy and counselling
Freud described ways of listening and working with patients. Later psychodynamic practices differ in how they use and interpret these recommendations.
Important context and scope
In his 1912 recommendations, Freud presented technical rules arising from his own experience and allowed that another clinician might work differently. Covers Freud's technical series published between 1911 and 1915, especially Recommendations to Physicians Practising Psycho-Analysis (1912), On Beginning the Treatment (1913), and Remembering, Repeating and Working-Through (1914).
Date type
Publication year
Sources
- Library of Congress: Sigmund Freud Papers(primary or catalogue record)
- Freud Edition: Ratschläge für den Arzt bei der psychoanalytischen Behandlung (1912)(primary or catalogue record)
Related
- (link to this entry)
Carl Gustav Jung publishes Wandlungen und Symbole der Libido and forms Analytical Psychology
Swiss psychiatrist Carl Gustav Jung published Wandlungen und Symbole der Libido (later translated as Psychology of the Unconscious), redefining libido as generalised psychic energy rather than exclusively sexual drive and interpreting clinical fantasy through comparative mythology and symbol formation. The theoretical divergence precipitated his break with Freud (1913-1914) and the founding of 'Analytische Psychologie' (Analytical Psychology).
Internet Archive: Psychology of the Unconscious by C. G. Jung (1916 translation of the 1912 edition)
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Why it matters
Jung broadened depth psychology to encompass adult mid-life development, spiritual and existential meaning, psychological types, complexes (a term he developed through word-association experiments at the Burghölzli), and the collective unconscious.
In psychotherapy and counselling
Jungian analysis introduced active imagination, expressive sand and art work, dream amplification, and a dialectical, face-to-face therapeutic encounter aimed at individuation.
Important context and scope
Jung's speculative theories of inherited archetypes and his controversial writings during the 1930s have drawn sustained historical and methodological critique alongside his lasting influence on depth and expressive therapies. Published in two parts across 1911 and 1912 in the Jahrbuch für psychoanalytische und psychopathologische Forschungen and as a book in 1912; Jung resigned as IPA president in 1914.
Date type
Publication year
Sources
- Internet Archive: Psychology of the Unconscious by C. G. Jung (1916 translation of the 1912 edition)(primary or catalogue record)
- Encyclopaedia Britannica: Carl Jung and Analytical Psychology(scholarly or historical account)
Related
- (link to this entry)
Charles S. Myers describes shell shock (1915) and W. H. R. Rivers treats war neurosis at Craiglockhart (1917)
In 1915, Charles Samuel Myers published an account of three First World War soldiers with memory and sensory disturbances under the heading shell shock. At Craiglockhart War Hospital, W. H. R. Rivers worked with officers experiencing war-related distress and later wrote about the repression of war experience.
Rivers (1918), An address on the repression of war experience (The Lancet)
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Why it matters
The cases and later debates show how military clinicians encountered and interpreted psychological distress during the First World War.
In psychotherapy and counselling
In his 1918 address, Rivers discussed repression of war experiences and argued for helping patients confront experiences that troubled them. This historical account does not establish the effectiveness of any one treatment for all trauma survivors.
Important context and scope
Military responses varied and were shaped by medical debates, rank and the demands of war. Charles Samuel Myers published his Lancet paper introducing the medical use of 'shell shock' in February 1915; W. H. R. Rivers practised talking treatment at Craiglockhart War Hospital in Edinburgh across 1916-1917 and published in The Lancet in 1918.
Date type
Clinical study or review
Sources
- Rivers (1918), An address on the repression of war experience (The Lancet)(primary or catalogue record)
- Myers (1915), A contribution to the study of shell shock(primary or catalogue record)
- (link to this entry)
The Berlin Poliklinik für Psychoanalyse and London's Tavistock Clinic open for low-fee outpatient therapy
In February 1920, Karl Abraham, Max Eitingon, and Ernst Simmel opened the Berlin Poliklinik für Psychoanalyse to provide free and low-fee analytic treatment across social classes while establishing the tripartite 'Eitingon model' of training (personal analysis, seminars, and supervised cases). Seven months later, in September 1920, Hugh Crichton-Miller founded the Tavistock Square Clinic in London to offer multidisciplinary psychodynamic outpatient care to adults and children unable to afford private fees.
Tavistock and Portman NHS Foundation Trust: Our History
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Why it matters
Together, the Berlin Poliklinik and the Tavistock Clinic transformed psychodynamic therapy from an affluent private-practice luxury into a civic, outpatient public health service and codified modern clinical training and supervision.
In psychotherapy and counselling
Combining sliding-scale community access with structured clinical supervision, case conferences, and child and adult departments created the institutional template for twentieth-century psychotherapy training institutes and public mental health clinics.
Important context and scope
While the Berlin Poliklinik was forcibly dissolved and absorbed into the Göring Institute under Nazi rule in 1933, the Tavistock Clinic expanded and entered the British National Health Service upon its creation in 1948. The Berlin Poliklinik für Psychoanalyse opened on 14 February 1920 (Karl Abraham, Max Eitingon, Ernst Simmel) and the Tavistock Square Clinic opened in London in September 1920 (Hugh Crichton-Miller).
Date type
Institutional or policy milestone
Sources
- Tavistock and Portman NHS Foundation Trust: Our History(institutional record)
- PubMed: Danto (1999) The Berlin Poliklinik: psychoanalytic innovation in Weimar Germany(scholarly or historical account)
Related
- (link to this entry)
Jacob Levy Moreno explores improvised theatre in Vienna
In Vienna during the early 1920s, Jacob Levy Moreno explored improvised theatre. After moving to the United States, he developed psychodrama, an approach using dramatic action and group participation.
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Why it matters
Moreno’s work contributed to the development of psychodrama and group psychotherapy.
In psychotherapy and counselling
Psychodrama uses dramatic enactment and role-playing in a group. The historical development of the approach does not establish its effectiveness for every person or concern.
Important context and scope
Later accounts distinguish Moreno’s early theatre experiments from the subsequent development of psychodrama as a clinical method. Moreno explored improvised theatre in Vienna in the early 1920s; psychodrama developed over subsequent years.
Date type
Historical or conference event
Sources
- History and development of psychodrama, in The Spread and Development of Psychodrama in Mainland China (2018)(scholarly or historical account)
- American Society of Group Psychotherapy and Psychodrama: About us(institutional record)
Related
- (link to this entry)
Hermann Rorschach publishes Psychodiagnostik and introduces the inkblot perception method
Swiss psychiatrist and artist Hermann Rorschach published Psychodiagnostik: Methodik und Ergebnisse eines wahrnehmungsdiagnostischen Experiments, presenting ten standardised bilateral inkblot cards developed through empirical testing with psychiatric patients and non-clinical controls at Herisau Asylum. Rorschach focused not simply on symbolic content but on perceptual form, movement (B), colour (Fb), and whole-versus-detail responses to assess personality structure and perceptual organisation.
University of Bern Rorschach Archives bibliography: Psychodiagnostik (1921)
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Why it matters
Psychodiagnostik helped launch formal personality and projective assessment, giving clinical psychologists a distinctive diagnostic role alongside psychiatry throughout the twentieth century.
In psychotherapy and counselling
Analysing how individuals structure ambiguous perceptual stimuli informed psychodynamic case formulation, cognitive-perceptual style assessment, and collaborative therapeutic assessment.
Important context and scope
Rorschach conceived his task as an empirical experiment in perception rather than a test of unconscious projection; subsequent proliferation of unstandardised scoring systems drew sharp psychometric criticism until John Exner's Comprehensive System (1974) and later R-PAS reforms. Published by Ernst Bircher in Bern in June 1921, less than a year before Hermann Rorschach's sudden death at age 37 in April 1922.
Date type
Publication year
Source
- University of Bern Rorschach Archives bibliography: Psychodiagnostik (1921)(primary or catalogue record)
- (link to this entry)
Girindrasekhar Bose forms the Indian Psychoanalytical Society in Calcutta
Physician and psychologist Girindrasekhar Bose founded the Indian Psychoanalytical Society in Calcutta in 1922 after publishing Concept of Repression (1921) and entering into a long theoretical correspondence with Sigmund Freud. Through Ernest Jones and the International Psychoanalytical Association, the society became one of the earliest formally affiliated psychoanalytic institutions outside Europe and North America.
International Psychoanalytical Association: Asia-Pacific history
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Why it matters
Bose’s work offers an early example of psychoanalytic ideas being developed and debated in an Indian context.
In psychotherapy and counselling
Bose proposed a theory of opposite wishes and drew on Indian philosophical and religious texts in his writing about psychoanalysis.
Important context and scope
This records an institution, not the beginning of psychological healing or therapy in India, where rich indigenous contemplative, Ayurvedic, and relational traditions existed for millennia. Founded in Calcutta (Kolkata) in January 1922 by Girindrasekhar Bose and recognised by the International Psychoanalytical Association later that year.
Date type
Institutional or policy milestone
Sources
- International Psychoanalytical Association: Asia-Pacific history(institutional record)
- Concept of Repression, review of Bose’s 1921 work, Indian Medical Gazette(scholarly or historical account)
- (link to this entry)
Mary Cover Jones reports the case of Peter
In 1924, psychologist Mary Cover Jones described work with Peter, a boy aged two years and ten months who showed fear of a rabbit and other objects. She reported gradual changes during sessions that used other children as models and, later, food alongside the rabbit.
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Why it matters
The case became an early historical example of efforts to reduce learned fear. Jones reported that Peter showed less fear of several other objects at the last interview as well as increased tolerance of the rabbit.
In psychotherapy and counselling
The report describes changes in procedure over time, including observation of other children and a gradual approach to the rabbit during food. These historical methods are not a protocol for present-day treatment.
Important context and scope
The Peter report is a single case with interruptions and several procedures used together; it cannot isolate their individual effects or establish outcomes for other children. A separate 1924 paper discusses a wider study of 70 institutionalised children. Jones published the broader study in the Journal of Experimental Psychology and the case of Peter in the Pedagogical Seminary in 1924.
Date type
Clinical study or review
Sources
- Classics in the History of Psychology: Mary Cover Jones (1924) A Laboratory Study of Fear: The Case of Peter(primary or catalogue record)
- American Psychological Association: Mary Cover Jones profile(institutional record)
- Jones (1924): The Elimination of Children’s Fears (Journal of Experimental Psychology)(primary or catalogue record)
- (link to this entry)
Otto Rank publishes Das Trauma der Geburt and with Sándor Ferenczi advances active and relational therapy
Building on Sándor Ferenczi's 1919 paper Technische Schwierigkeiten einer Hysterieanalyse (active therapy), Otto Rank published Das Trauma der Geburt (1924) and co-authored Entwicklungsziele der Psychoanalyse (1924) with Ferenczi, proposing that the prototype of anxiety lies in primary separation from the mother at birth rather than later paternal castration threats. In his clinical practice and subsequent books on 'will therapy' (Technik der Psychoanalyse, 1926-1931), Rank emphasised the pre-Oedipal mother-child relationship, present-centred emotional experiencing (Erlebnis) in the therapeutic relationship, and setting a fixed termination date to work through separation and autonomy.
Internet Archive: The Trauma of Birth by Otto Rank (1929 translation of the 1924 German edition)
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Why it matters
Rank and Ferenczi's shift from passive historical reconstruction toward maternal separation, active experiential engagement, and time-limited endings laid foundations for object-relations theory, brief dynamic therapy, existential therapy, and client-centred counselling.
In psychotherapy and counselling
Through his teaching in Paris and at the Pennsylvania School of Social Work with Jessie Taft and Frederick Allen, Rank directly influenced Carl Rogers's formulation of client-centred therapy and James Mann's time-limited psychotherapy.
Important context and scope
Orthodox members of Freud's committee rejected Rank's challenge to the primacy of the Oedipus complex, leading to Rank's departure from Freud's circle in 1926. Published in Leipzig, Vienna, and Zurich in December 1923 (dated 1924) alongside Rank and Sándor Ferenczi's joint monograph Entwicklungsziele der Psychoanalyse (1924), which built on Ferenczi's 1919 paper Technische Schwierigkeiten einer Hysterieanalyse proposing 'active therapy'.
Date type
Publication year
Sources
- Internet Archive: The Trauma of Birth by Otto Rank (1929 translation of the 1924 German edition)(primary or catalogue record)
- Encyclopaedia Britannica: Otto Rank(scholarly or historical account)
Related
- (link to this entry)
Trigant Burrow introduces group analysis and challenges the authoritarian dyad
American psychoanalyst Trigant Burrow developed group-based research with Clarence Shields and other participants. His 1927 work The Social Basis of Consciousness discussed social relationships and the study of human behaviour.
Yale University Library: Trigant Burrow Papers, biographical note
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Why it matters
Burrow was an early contributor to group analysis, a forerunner of later group approaches.
In psychotherapy and counselling
His work examined relationships and tensions among participants in groups. Later group analysts developed their own approaches.
Important context and scope
Burrow’s work diverged from established psychoanalytic practice. Accounts differ on the date of his departure from the American Psychoanalytic Association. Burrow began experimental group sessions with Clarence Shields in 1923 and published 'The Group Method of Analysis' in The Psychoanalytic Review in 1927.
Date type
Publication year
Sources
- Yale University Library: Trigant Burrow Papers, biographical note(institutional record)
- Internet Archive: The Social Basis of Consciousness by Trigant Burrow (1927)(primary or catalogue record)
- (link to this entry)
Sándor Ferenczi presents Confusion of Tongues Between the Adults and the Child
At the 1932 Wiesbaden Congress, Hungarian psychoanalyst Sándor Ferenczi presented a paper later known in English as Confusion of Tongues Between the Adults and the Child. He discussed the impact of abuse and the adult’s response to the child, and described identification with an aggressor.
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Why it matters
The paper is part of the history of psychoanalytic thinking about childhood trauma and the therapeutic relationship. Its clinical arguments are not evidence that every person responds to trauma in the same way.
In psychotherapy and counselling
He advocated clinical humility, openly acknowledging the therapist's own countertransference mistakes, and offering genuine empathetic attunement rather than aloof professional reserve when treating trauma survivors.
Important context and scope
The paper was presented in 1932 and published in German in 1933. The linked 1988 journal publication reproduces an English translation. Presented at the Twelfth International Psychoanalytical Congress in Wiesbaden in September 1932; the paper was published in German in 1933.
Date type
Historical or conference event
Source
- Ferenczi, Confusion of Tongues Between Adults and the Child (1988 journal republication of English translation)(primary or catalogue record)
Related
- (link to this entry)
Margaret Lowenfeld and Melanie Klein develop approaches to child play
In London, Margaret Lowenfeld developed the World Technique, using toys and sand trays to help children express experiences. In The Psycho-Analysis of Children (1932), Melanie Klein described an analytic play technique and her interpretations of children’s play.
Melanie Klein Trust: The Psycho-Analysis of Children (1932)
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Why it matters
Their different approaches contributed to the history of child psychotherapy and the use of play in clinical work.
In psychotherapy and counselling
Lowenfeld’s World Technique used toys and sand trays; Klein’s approach interpreted play within a psychoanalytic framework. These are historical approaches, not proof of a single interpretation of a child’s play.
Important context and scope
The two clinicians developed distinct approaches to children’s expression and its interpretation. Lowenfeld opened the Children’s Clinic in 1928 and developed the World Technique in the late 1920s; Klein published The Psycho-Analysis of Children in 1932.
Date type
Publication year
Sources
- Melanie Klein Trust: The Psycho-Analysis of Children (1932)(institutional record)
- Dr Margaret Lowenfeld Trust: The World Technique(institutional record)
Related
- (link to this entry)
Johannes Heinrich Schultz publishes Das autogene Training on concentrative self-relaxation
German psychiatrist Johannes Heinrich Schultz published Das autogene Training (konzentrative Selbstentspannung) in 1932. Autogenic training is a self-relaxation method that uses passive concentration on bodily sensations and was developed in relation to hypnosis.
PubMed: Stetter and Kupper (2002) Autogenic training: a meta-analysis of clinical outcome studies
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Why it matters
The method became a form of self-directed relaxation practice. A 2002 meta-analysis reviewed 60 controlled clinical studies, including 35 randomised trials, across a range of conditions.
In psychotherapy and counselling
The exercises involve repeated attention to sensations such as heaviness and warmth. Findings from the 2002 review varied with the condition and comparison used; they do not establish that the method produces the same effect for every person.
Important context and scope
From 1936 to 1945, Schultz was assistant director of the Göring Institute under the Nazi regime. A historical study documents his advocacy of compulsory sterilisation and participation in abusive treatments of homosexual concentration-camp prisoners. Its authors note that they relied on written sources and could not interview contemporary witnesses. First edition of Das autogene Training (konzentrative Selbstentspannung) published by Georg Thieme Verlag in Leipzig in 1932.
Date type
Publication year
Sources
- PubMed: Stetter and Kupper (2002) Autogenic training: a meta-analysis of clinical outcome studies(scholarly or historical account)
- WorldCat catalogue: Das autogene Training (konzentrative Selbstentspannung) by J. H. Schultz (1932)(primary or catalogue record)
- Brunner, Schrempf and Steger (2008): Johannes Heinrich Schultz and National Socialism, abstract(scholarly or historical account)
- (link to this entry)
Wilhelm Reich publishes Charakteranalyse on character and resistance
In Charakteranalyse (1933), Wilhelm Reich presented an approach to psychoanalytic technique that attended to recurring patterns of character and resistance as well as what patients said. He later proposed a connection between psychological defence and muscular tension.
Internet Archive: Character Analysis by Wilhelm Reich
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Why it matters
Reich’s ideas contributed to later discussions of psychoanalytic technique and body-oriented approaches. His account of character and muscular armour remains a theory, not a proven universal mechanism.
In psychotherapy and counselling
Reich argued for attending to the manner of communication and resistance in treatment. His proposed sequence is a historical clinical approach, not a rule established for every therapy.
Important context and scope
Later editions included Reich’s ideas about bodily tension and orgone energy. A review of different body psychotherapy interventions does not establish Reich’s particular theory of muscular armour. Published in Vienna in 1933 based on Reich's clinical seminars at the Vienna Psychoanalytic Ambulatorium (1924-1930).
Date type
Publication year
Sources
- Internet Archive: Character Analysis by Wilhelm Reich(primary or catalogue record)
- Encyclopaedia Britannica: Wilhelm Reich(scholarly or historical account)
- Shapiro (2002): Theoretical reflections on Wilhelm Reich’s character analysis(scholarly or historical account)
- Rosendahl and colleagues (2021): Effectiveness of body psychotherapy, systematic review and meta-analysis(scholarly or historical account)
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- (link to this entry)
Anna Freud publishes Das Ich und die Mechanismen der Abwehr (The Ego and the Mechanisms of Defence)
Anna Freud published Das Ich und die Mechanismen der Abwehr, cataloguing and illustrating with clinical vignettes how the ego protects itself against instinctual anxiety, superego guilt, and external danger through mechanisms including repression, regression, reaction formation, isolation, undoing, projection, introjection, turning against the self, reversal, sublimation, intellectualisation, and altruistic surrender. She contended that the analyst's proper vantage point is equidistant from the id, the ego, and the superego.
Internet Archive: The Ego and the Mechanisms of Defence by Anna Freud
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Why it matters
Her book launched modern Ego Psychology and developmental psychopathology, establishing that observing how a person defends against distress in the present is as clinically essential as uncovering unconscious wishes.
In psychotherapy and counselling
Systematic attention to adaptive versus rigid defence mechanisms, developmental lines in childhood, and strengthening ego coping capacities became foundational across psychodynamic assessment and supportive-expressive therapy.
Important context and scope
In London during the 1940s, Anna Freud's developmental ego approach clashed with Melanie Klein's emphasis on early unconscious phantasy in the British Psychoanalytical Society's 'Controversial Discussions' (1941-1945). Published in German by the Internationaler Psychoanalytischer Verlag in Vienna in May 1936 for Sigmund Freud's eightieth birthday; English translation published in 1937.
Date type
Publication year
Sources
- Internet Archive: The Ego and the Mechanisms of Defence by Anna Freud(primary or catalogue record)
- Anna Freud National Centre for Children and Families: History and Anna Freud's legacy(institutional record)
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- (link to this entry)
Saul Rosenzweig proposes the common factors model and the Dodo bird verdict
In a 1936 paper, psychologist Saul Rosenzweig proposed that different approaches to psychotherapy might share factors relevant to their results. He used the Dodo bird from Alice’s Adventures in Wonderland to illustrate the question of success across competing approaches.
Rosenzweig (1936), Some implicit common factors in diverse methods of psychotherapy
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Why it matters
The paper contributed an early formulation of common factors in psychotherapy and prompted later research on how treatments work.
In psychotherapy and counselling
Later researchers have examined shared features such as the therapeutic relationship and treatment rationale, alongside the contributions of particular interventions.
Important context and scope
Rosenzweig’s paper was a theoretical proposal, not an empirical meta-analysis or proof that every treatment works equally well. Published in the American Journal of Orthopsychiatry (Vol. 6, No. 3, pp. 412-415) in July 1936.
Date type
Publication year
Sources
- Rosenzweig (1936), Some implicit common factors in diverse methods of psychotherapy(primary or catalogue record)
- PubMed Central: Wampold (2015) How important are the common factors in psychotherapy? An update(scholarly or historical account)
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- (link to this entry)
Karen Horney publishes The Neurotic Personality of Our Time advancing cultural and feminist psychoanalysis
In The Neurotic Personality of Our Time (1937), psychoanalyst Karen Horney gave cultural and interpersonal conditions a central role in her account of neurosis. She discussed basic anxiety and challenged explanations that placed primary weight on biological drives. These are elements of her theory, not an established account of every person’s distress.
Internet Archive: The Neurotic Personality of Our Time by Karen Horney (1937)
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Why it matters
Horney’s 1937 book helped develop a cultural and interpersonal approach to psychoanalytic theory. Her earlier essays had challenged aspects of Freud’s account of women’s psychology.
In psychotherapy and counselling
Horney argued for attention to current relationships and cultural pressures. Her proposed explanations are historical clinical ideas; this entry does not establish that they apply to every person.
Important context and scope
Horney developed her ideas over several books. Our Inner Conflicts (1945) presented the strategies of moving toward, against and away from people; Neurosis and Human Growth (1950) developed her account of the idealised self and the tyranny of the shoulds. These later formulations should not be attributed wholesale to the 1937 book. Published in New York by W. W. Norton in 1937 after Horney's emigration from Berlin to the United States.
Date type
Publication year
Sources
- Internet Archive: The Neurotic Personality of Our Time by Karen Horney (1937)(primary or catalogue record)
- Encyclopaedia Britannica: Karen Horney(scholarly or historical account)
- Bernard J. Paris: Brief account of Karen Horney and bibliography(scholarly or historical account)
- Archives of Neurology and Psychiatry: review of Our Inner Conflicts (1946)(scholarly or historical account)
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- (link to this entry)
Carl R. Rogers publishes The Clinical Treatment of the Problem Child
Based on more than a decade of pragmatic child guidance work in Rochester, New York, psychologist Carl R. Rogers published The Clinical Treatment of the Problem Child, evaluating environmental, foster-care, expressive, and direct interview therapies for troubled children. Influenced by Otto Rank's relational ideas and Jessie Taft's 'relationship therapy', Rogers highlighted how a warm, accepting, non-judgemental clinical relationship allowed children and parents to clarify feelings and gain self-understanding.
Library of Congress: Carl R. Rogers Papers
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Why it matters
This book marked Rogers's transition from applied child guidance clinician to academic theorist (earning him a professorship at Ohio State University in 1940) and laid the direct clinical bridge to his December 1940 speech introducing non-directive counselling.
In psychotherapy and counselling
Rogers's emphasis on emotional acceptance, respecting the client's capacity for self-direction, and evaluating treatment processes empirically prefigured his 1942 book Counseling and Psychotherapy and the humanistic movement.
Important context and scope
The 1939 volume still included diagnostic testing and environmental placement routines alongside relationship therapy; Rogers articulated his fully non-directive stance over the next three years (1940-1942). Published by Houghton Mifflin in Boston in 1939 while Rogers directed the Rochester Society for the Prevention of Cruelty to Children guidance clinic.
Date type
Publication year
Sources
- Library of Congress: Carl R. Rogers Papers(primary or catalogue record)
- Internet Archive: The Clinical Treatment of the Problem Child by Carl R. Rogers (1939)(primary or catalogue record)
Related
Humanistic, behavioural & group turns · 1940 to 1969
Client-centred counselling, existential logotherapy, Gestalt therapy, group analysis, therapeutic communities, systematic desensitisation, attachment theory, and early cognitive therapy.
- (link to this entry)
The Controversial Discussions at the British Psychoanalytical Society
Between 1942 and 1944, members of the British Psychoanalytical Society held a series of formal scientific meetings to debate Melanie Klein's theories of early object relations, unconscious phantasy, and child analysis against the positions of Anna Freud and her Viennese colleagues.
British Psychoanalytical Society: History and the Controversial Discussions
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Why it matters
Rather than splitting into rival organisations, the Society reached a training governance agreement that recognised Kleinian, Anna Freudian, and non-aligned Middle Group (later Independent) traditions under one institutional roof.
In psychotherapy and counselling
The debates clarified enduring clinical differences around early transference interpretation, the internal object world, ego defences, and the developmental timing of analytical work with children and adults.
Important context and scope
Although anchored to 1942 when the formal series began, the scientific meetings continued until 1944 and the administrative training compromise was formalised in 1946. Scientific discussions held at the British Psychoanalytical Society between October 1942 and May 1944
Date type
Historical or conference event
Sources
- British Psychoanalytical Society: History and the Controversial Discussions(institutional record)
- PEP-Web archive: The Freud-Klein Controversies 1941-45 (King and Steiner, 1991)(scholarly or historical account)
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- (link to this entry)
Carl R. Rogers publishes Counseling and Psychotherapy
Carl R. Rogers published Counseling and Psychotherapy: Newer Concepts in Practice, setting out a non-directive approach to counselling alongside a complete verbatim transcript of a phonographically recorded therapy case.
Library of Congress: Carl R. Rogers Papers finding aid
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Why it matters
The book shifted clinical authority away from diagnostic advice-giving toward the client's capacity for self-understanding and introduced verbatim audio transcription as an empirical tool for studying therapeutic process.
In psychotherapy and counselling
Non-directive counselling emphasised careful listening, acceptance, and reflection of feeling rather than interpretation, advice, or persuasion.
Important context and scope
This volume represents an early formulation that Rogers later revised into client-centred and person-centred therapy; audio recording had precedents in late 1930s research, though Rogers made full-case transcription central to training and research. Published by Houghton Mifflin in late 1942
Date type
Publication year
Sources
- Library of Congress: Carl R. Rogers Papers finding aid(primary or catalogue record)
- WorldCat bibliographic record: Counseling and Psychotherapy (1942)(primary or catalogue record)
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- (link to this entry)
A psychoanalytic group forms in São Paulo
On 5 June 1944, six practitioners led by Durval Marcondes, including training analyst Adelheid Lucy Koch and Virgínia Leone Bicudo, formalised the founding of the Grupo Psicanalítico de São Paulo.
Instituto Durval Marcondes (SBPSP): institutional history
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Why it matters
The group created the first institutional structure for psychoanalytic training in Brazil and in Latin America to include figures such as Virgínia Leone Bicudo, one of the earliest Black women psychoanalysts and public mental health educators in the region.
In psychotherapy and counselling
Guided by Adelheid Koch's training analyses after her emigration from Berlin, the group established tripartite analytic training combining personal analysis, seminar study, and supervised clinical work.
Important context and scope
A retrospective institutional history; its later recognition as a full component society of the International Psychoanalytical Association in 1951 and the institute's formal establishment are separate events. Founding meeting recorded on 5 June 1944; provisional IPA recognition followed in 1945 and definitive recognition in 1951
Date type
Institutional or policy milestone
Source
- Instituto Durval Marcondes (SBPSP): institutional history(institutional record)
- (link to this entry)
Viktor E. Frankl publishes ...trotzdem Ja zum Leben sagen
Viennese neurologist and psychiatrist Viktor E. Frankl published ...trotzdem Ja zum Leben sagen: Ein Psychologe erlebt das Konzentrationslager, combining an account of survival in Nazi concentration camps with an outline of logotherapy.
Viktor Frankl Institute Vienna: Life and Work chronology
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The book brought existential questions of meaning, responsibility, and suffering into the centre of twentieth-century psychotherapy and reached a massive international readership once translated as Man's Search for Meaning.
In psychotherapy and counselling
Logotherapy oriented clinical work around the 'will to meaning', existential vacuum, and techniques such as paradoxical intention and dereflection.
Important context and scope
Frankl had begun developing existential analysis and the term logotherapy in Vienna during the 1930s prior to his deportation; the 1946 book is a post-war synthesis and testimony rather than the sole origin of his clinical approach. First German edition published in Vienna in 1946; English translation published in 1959 and retitled Man's Search for Meaning in 1962
Date type
Publication year
Sources
- Viktor Frankl Institute Vienna: Life and Work chronology(institutional record)
- Library of Congress catalogue record: Man's Search for Meaning(primary or catalogue record)
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- (link to this entry)
The Northside Center is founded
Psychologists Mamie Phipps Clark and Kenneth B. Clark founded the Northside Testing and Consultation Center, soon renamed the Northside Center for Child Development, in Harlem, New York.
Northside Center for Child Development history
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Northside provided full-scale psychological testing, child therapy, family casework, and remedial education in an underserved Black community while directly challenging racist assumptions in municipal mental health and special education placement.
In psychotherapy and counselling
Its multidisciplinary model combined psychodynamic child psychotherapy, psychiatric social work, paediatric care, and educational consultation that recognised the psychological toll of racial segregation and economic deprivation.
Important context and scope
An institutional event in the history of child mental health services; the Clarks' experimental doll studies on racial identification were conducted earlier between 1939 and 1940 and later cited in Brown v. Board of Education (1954). Opened in March 1946 in Harlem, New York
Date type
Institutional or policy milestone
Sources
- Northside Center for Child Development history(institutional record)
- Library of Congress: Kenneth Bancroft Clark Papers finding aid(primary or catalogue record)
- (link to this entry)
S. H. Foulkes publishes Introduction to Group-Analytic Psychotherapy
Drawing on his wartime psychiatric work at Northfield Military Hospital in Birmingham and private group practice in Exeter, S. H. Foulkes published Introduction to Group-Analytic Psychotherapy: Studies in the Social Integration of Individuals and Groups.
Group Analytic Society International: S. H. Foulkes history
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Why it matters
The book laid the theoretical and technical foundations of British group analysis and preceded the founding of the Group Analytic Society in London in 1952.
In psychotherapy and counselling
Foulkes conceptualised the therapy group as a communicative 'matrix' in which the conductor facilitates free-floating discussion so that therapy is conducted by the group itself, including its conductor.
Important context and scope
Foulkes's work emerged alongside parallel group initiatives in the United Kingdom and the United States by figures such as Wilfred Bion, Rickman, Trigant Burrow, Paul Schilder, and Alexander Wolf. Published by William Heinemann Medical Books in London in 1948
Date type
Publication year
Sources
- Group Analytic Society International: S. H. Foulkes history(institutional record)
- WorldCat bibliographic record: Introduction to Group-Analytic Psychotherapy (1948)(primary or catalogue record)
Related
- (link to this entry)
The Boulder Conference defines the scientist-practitioner training model
In 1949, participants met at the University of Colorado in Boulder to discuss graduate training in clinical psychology. Supported by the United States Public Health Service and organised by the American Psychological Association, the conference produced recommendations later associated with the scientist-practitioner model.
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Why it matters
The conference influenced doctoral training in clinical psychology by linking preparation for research and clinical practice, including assessment and intervention.
In psychotherapy and counselling
The scientist-practitioner model envisaged doctoral training in both research and clinical work. The balance between these roles has remained a subject of debate.
Important context and scope
The model influenced clinical psychology training in the United States and Canada. The 1973 Vail Conference endorsed an alternative practitioner-scholar approach and the Doctor of Psychology degree. Held in August and early September 1949 in Boulder, Colorado; the conference report was published in 1950.
Date type
Historical or conference event
Sources
- Baker & Benjamin (2000), The affirmation of the scientist-practitioner: A look back at Boulder (American Psychologist)(scholarly or historical account)
- Raimy (ed.), Training in Clinical Psychology (1950): bibliographic record of the conference report(primary or catalogue record)
- Hayden: Reconsidering the integration of science and practice in training in clinical psychology(scholarly or historical account)
- Cambridge University Press: Following the scientific path in applied psychology(scholarly or historical account)
- (link to this entry)
Dollard and Miller publish Personality and Psychotherapy
Yale researchers John Dollard and Neal E. Miller published Personality and Psychotherapy: An Analysis in Terms of Learning, Thinking, and Culture, reformulating psychoanalytic concepts of neurosis, repression, conflict, and transference in the vocabulary of Clark Hull's drive-reduction learning theory.
APA PsycNet record: Personality and Psychotherapy (Dollard and Miller, 1950)
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Why it matters
The book built an influential conceptual bridge between clinic-based psychodynamic psychotherapy and academic experimental psychology, demonstrating that therapeutic processes could be analysed as learned habits and cue-producing responses.
In psychotherapy and counselling
By framing symptoms as learned avoidance responses and therapy as a setting where extinguished fears allow new adaptive labelling and problem-solving, the text anticipated behavioural and cognitive-behavioural models of exposure and cognitive mediation.
Important context and scope
Dollard and Miller sought to integrate rather than replace psychoanalysis; later behaviour therapists in the late 1950s broke more sharply with psychodynamic theory in favour of direct conditioning interventions. Published by McGraw-Hill in 1950
Date type
Publication year
Source
- APA PsycNet record: Personality and Psychotherapy (Dollard and Miller, 1950)(primary or catalogue record)
Related
- (link to this entry)
Perls, Hefferline, and Goodman publish Gestalt Therapy
Frederick (Fritz) Perls, Ralph F. Hefferline, and Paul Goodman published Gestalt Therapy: Excitement and Growth in the Human Personality, combining experiential self-awareness experiments with a theoretical critique of classical psychoanalysis.
New York Institute for Gestalt Therapy: About us
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Why it matters
Together with the founding of the New York Institute for Gestalt Therapy shortly thereafter, the book established Gestalt therapy as a major experiential and humanistic tradition.
In psychotherapy and counselling
The approach shifted clinical attention from reconstructing the distant past to present-moment ('here and now') organism-environment contact, embodied awareness, figure-ground formation, and creative adjustment.
Important context and scope
Laura Posner Perls made foundational clinical and theoretical contributions to Gestalt therapy from their earlier 1947 work Ego, Hunger and Aggression onward, even though she was not credited as a co-author on the 1951 title page. Published by Julian Press in New York in December 1951
Date type
Publication year
Sources
- New York Institute for Gestalt Therapy: About us(institutional record)
- WorldCat bibliographic record: Gestalt Therapy (Perls, Hefferline, and Goodman, 1951)(primary or catalogue record)
Related
- (link to this entry)
Client-Centered Therapy is published
Carl R. Rogers published Client-Centered Therapy: Its Current Practice, Implications and Theory, presenting nineteen formal propositions of personality and behaviour alongside chapters on play therapy, group-centred leadership, and student-centred teaching.
Library of Congress: Carl R. Rogers Papers
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Why it matters
The book marked the transition from 'non-directive' technique to a comprehensive humanistic theory of the self, positioning the counsellor's empathic attitude and respect for the client's internal frame of reference as the core engine of change.
In psychotherapy and counselling
Practitioners were guided to set aside diagnostic categorisation and cultivate an accepting climate in which incongruence between self-concept and organismic experience could be explored safely.
Important context and scope
A book publication, not a single founding date for client-centred therapy; the Library of Congress lists the book in its chronology of Rogers's work at the University of Chicago Counseling Center. Published by Houghton Mifflin in 1951
Date type
Publication year
Source
- Library of Congress: Carl R. Rogers Papers(primary or catalogue record)
Related
- (link to this entry)
Hans J. Eysenck questions the effectiveness of psychotherapy
British psychologist Hans J. Eysenck compared published reports of psychoanalytic and eclectic therapy with estimates drawn from state hospital discharge records and insurance disability claims.
PubMed record: The effects of psychotherapy: an evaluation (Eysenck, 1952)
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Why it matters
Eysenck estimated that about two-thirds of patients in his comparison groups recovered or improved substantially without systematic psychotherapy. His conclusion that the evidence did not show an advantage for psychotherapy prompted debate and further outcome research.
In psychotherapy and counselling
The paper challenged clinicians to define measurable outcome criteria and demonstrate that specific therapeutic interventions outperformed unassisted recovery or routine medical care.
Important context and scope
The comparison groups were not randomized controls, and the hospital group could include patients who received some psychotherapy. A later reanalysis argued that the timing of improvement also mattered when comparing therapy with the two-year baseline. Published in the Journal of Consulting Psychology, Vol. 16(5), October 1952
Date type
Clinical study or review
Sources
- PubMed record: The effects of psychotherapy: an evaluation (Eysenck, 1952)(primary or catalogue record)
- DOI record: Journal of Consulting Psychology (1952)(primary or catalogue record)
- McNeilly and Howard: The effects of psychotherapy: A reevaluation based on dosage (1991)()
- (link to this entry)
Maxwell Jones publishes Social Psychiatry on the therapeutic community
Psychiatrist Maxwell Jones and colleagues published Social Psychiatry: A Study of Therapeutic Communities (published in the United States in 1953 as The Therapeutic Community), documenting the Industrial Neurosis Unit established at Belmont Hospital in Sutton in 1947.
Fees and Kennard: Maxwell Jones and the Therapeutic Community (historical review)
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Why it matters
The book described a therapeutic community approach that treated the social life of an institution as part of psychiatric care.
In psychotherapy and counselling
Jones and colleagues described community meetings and attention to relationships among patients and staff as part of their approach.
Important context and scope
Jones built upon earlier wartime experiments at Mill Hill and Northfield Military Hospital alongside figures such as Tom Main (who coined the term 'therapeutic community' in 1946), Wilfred Bion, and S. H. Foulkes. Published in the UK as Social Psychiatry (Tavistock, 1952) and in the US as The Therapeutic Community (Basic Books, 1953)
Date type
Publication year
Sources
- Fees and Kennard: Maxwell Jones and the Therapeutic Community (historical review)(scholarly or historical account)
- WorldCat bibliographic record: Social Psychiatry (Maxwell Jones, 1952)(primary or catalogue record)
Related
- (link to this entry)
Harry Stack Sullivan's The Interpersonal Theory of Psychiatry is published posthumously
Edited by Helen Swick Perry and Mary Ladd Gawel from lectures delivered at the Washington School of Psychiatry, Harry Stack Sullivan's The Interpersonal Theory of Psychiatry defined psychiatry and psychotherapy as the study of interpersonal relations rather than isolated intrapsychic drives.
Sullivan (1951), The Psychiatric Interview: lecture prepared from recordings
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Why it matters
Sullivan helped develop an interpersonal approach to psychiatry that attends to relationships and communication.
In psychotherapy and counselling
Clinicians were cast as 'participant observers' operating within an interpersonal field, attending closely to anxiety, security operations, 'parataxic distortions', and selective inattention in the therapeutic dyad.
Important context and scope
Sullivan died in 1949. Several of his books were assembled posthumously from lectures and other material. Published posthumously by W. W. Norton in 1953, based on a series of lectures.
Date type
Publication year
Sources
- Sullivan (1951), The Psychiatric Interview: lecture prepared from recordings(primary or catalogue record)
- APA PsycNet record: The Interpersonal Theory of Psychiatry (Sullivan, 1953)(primary or catalogue record)
Related
- (link to this entry)
George A. Kelly publishes The Psychology of Personal Constructs
George A. Kelly published his two-volume work The Psychology of Personal Constructs, proposing the philosophical position of 'constructive alternativism' and modelling each person as an intuitive scientist who anticipates events through bipolar personal constructs.
APA PsycNet record: The Psychology of Personal Constructs (Kelly, 1955)
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Why it matters
Kelly offered one of the earliest comprehensive cognitive and constructivist theories of personality and therapy, predating both mainstream cognitive therapy and later narrative-constructivist approaches.
In psychotherapy and counselling
The volumes introduced the Role Construct Repertory Test (Rep Grid) to map a client's idiosyncratic meaning system and 'fixed-role therapy', in which clients experiment with enacting an alternative persona in daily life.
Important context and scope
Although frequently cited as a forerunner of cognitive therapy, Kelly rejected both behavioural stimulus-response models and rationalist assumptions that a therapist corrects 'distorted' thinking against a single objective reality. Published in two volumes by W. W. Norton in 1955
Date type
Publication year
Source
- APA PsycNet record: The Psychology of Personal Constructs (Kelly, 1955)(primary or catalogue record)
Related
- (link to this entry)
Albert Ellis introduces Rational Therapy in print
Following his August 1956 presentation to the American Psychological Association, Albert Ellis published 'Outcome of Employing Three Techniques of Psychotherapy' in the Journal of Clinical Psychology (1957) and 'Rational Psychotherapy' in the Journal of General Psychology (1958), comparing his active-directive rational approach with orthodox psychoanalysis and psychoanalytically oriented psychotherapy.
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Why it matters
Ellis pioneered the first explicitly cognitive-directive psychotherapy of the post-war era, directly challenging both psychoanalytic passivity and Rogerian non-directiveness by targeting self-defeating beliefs.
In psychotherapy and counselling
Clinicians actively disputed rigid, absolutist 'musts' and 'shoulds' using what Ellis formalised as the ABC model (Activating event, Belief system, Emotional and behavioural Consequence) alongside behavioural homework assignments.
Important context and scope
Ellis renamed the approach Rational-Emotive Therapy (RET) in 1961 (and expanded it in Reason and Emotion in Psychotherapy in 1962) and Rational Emotive Behavior Therapy (REBT) in 1993; his 1957 comparative outcome data relied on his own clinical caseload rather than a randomised trial. First presented at the APA convention in Chicago in August 1956; outcome and theoretical papers published in 1957 and expanded in 1958 and 1962
Date type
Publication year
Source
- Ellis (1957), Outcome of employing three techniques of psychotherapy (Journal of Clinical Psychology)(primary or catalogue record)
Related
- (link to this entry)
Carl R. Rogers publishes 'The Necessary and Sufficient Conditions of Therapeutic Personality Change'
In the Journal of Consulting Psychology, Carl R. Rogers distilled six relational conditions that he hypothesised were both necessary and sufficient for constructive personality change across any form of psychotherapy.
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Why it matters
The paper presented the therapeutic relationship as central to change and gave researchers a set of propositions to examine.
In psychotherapy and counselling
Rogers described therapist congruence, unconditional positive regard and empathic understanding among six conditions. His account also included psychological contact, client vulnerability and the client’s perception of the therapist’s attitudes.
Important context and scope
Rogers presented necessity and sufficiency as hypotheses. A 2018 meta-analysis found an association between measured therapist empathy and outcomes across 82 samples; that association alone does not show that all six conditions are necessary or sufficient in every case. Published in the Journal of Consulting Psychology, Vol. 21(2), April 1957
Date type
Publication year
Sources
- PubMed record: The necessary and sufficient conditions of therapeutic personality change (Rogers, 1957)(primary or catalogue record)
- DOI record: Journal of Consulting Psychology (1957)(primary or catalogue record)
- Elliott and colleagues: Therapist empathy and client outcome, updated meta-analysis (2018)(scholarly or historical account)
Related
- (link to this entry)
Joseph Wolpe publishes Psychotherapy by Reciprocal Inhibition
South African psychiatrist Joseph Wolpe published Psychotherapy by Reciprocal Inhibition while on a fellowship at Stanford, translating his experimental conditioning studies on neurotic anxiety into clinical procedures including systematic desensitisation and assertiveness training.
APA PsycNet record: Psychotherapy by Reciprocal Inhibition (Wolpe, 1958)
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Why it matters
The book provided behaviour therapy with a replicable, step-by-step clinical protocol for phobias and anxiety disorders that could be tested in controlled experimental designs.
In psychotherapy and counselling
In systematic desensitisation, clients learned progressive muscular relaxation and were gradually exposed in imagination to a collaboratively constructed hierarchy of anxiety-evoking situations so that relaxation inhibited fear.
Important context and scope
While Wolpe attributed recovery to Sherringtonian reciprocal inhibition at the neurological level, later experimental work in the 1960s and 1970s (such as Isaac Marks's and Edna Foa's research) showed that prolonged exposure to feared stimuli was effective even without relaxation pairing. Published by Stanford University Press in 1958
Date type
Publication year
Source
- APA PsycNet record: Psychotherapy by Reciprocal Inhibition (Wolpe, 1958)(primary or catalogue record)
Related
- (link to this entry)
Wilfred R. Bion publishes Experiences in Groups
British psychoanalyst Wilfred R. Bion published Experiences in Groups and Other Papers, bringing together his wartime Northfield paper with John Rickman (1943) and his series of Human Relations articles (1948 to 1951) from the Tavistock Clinic.
PEP-Web archive: Experiences in Groups and Other Papers (Bion, 1961)
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Why it matters
The book became a cornerstone of psychodynamic group psychotherapy and the Tavistock group relations tradition, including the Leicester Conferences initiated in 1957.
In psychotherapy and counselling
Bion distinguished between the 'work group' oriented toward reality-based tasks and three unconscious 'basic assumption' mentalities (dependency, fight-flight, and pairing) that pull groups away from reflective work when collective anxiety rises.
Important context and scope
Although published as a single book in 1961, the clinical observations dated from the 1940s; by the 1960s Bion's primary focus had shifted toward individual psychoanalysis of psychotic states and his theory of container-contained. Published by Tavistock Publications in 1961, collecting papers first published between 1943 and 1952
Date type
Publication year
Sources
- PEP-Web archive: Experiences in Groups and Other Papers (Bion, 1961)(primary or catalogue record)
- Tavistock Institute: History of Group Relations and Leicester Conferences(institutional record)
Related
- (link to this entry)
Frantz Fanon publishes Les Damnés de la Terre on colonial trauma and psychiatry
Martinican psychiatrist Frantz Fanon, trained in institutional psychotherapy under François Tosquelles at Saint-Alban and formerly medical director of a ward at Blida-Joinville Psychiatric Hospital in Algeria, published Les Damnés de la Terre (The Wretched of the Earth), closing with a clinical chapter on mental disorders arising from colonial rule and war.
Egalité, Our Newspaper as Care: Narrative Approaches in Fanon’s Psychiatry Clinic
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Why it matters
Fanon connected psychological suffering and psychiatric practice with colonial domination and violence. His work has influenced later discussions of colonialism and mental health.
In psychotherapy and counselling
At Blida-Joinville, Fanon explored sociotherapy through collective activities, including a ward newspaper. He and colleagues also reconsidered activities that did not engage Algerian Muslim men, introducing social gatherings and culturally familiar practices.
Important context and scope
Fanon's psychiatric essays were developed across a decade from Peau noire, masques blancs (1952) and his clinical papers with Jacques Azoulay (1954) to his 1956 letter of resignation from Blida-Joinville and final 1961 case studies. Published by François Maspero in Paris in late 1961 shortly before Fanon's death
Date type
Publication year
Sources
- Egalité, Our Newspaper as Care: Narrative Approaches in Fanon’s Psychiatry Clinic(scholarly or historical account)
- WorldCat bibliographic record: Les Damnés de la Terre (Fanon, 1961)(primary or catalogue record)
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- (link to this entry)
Eric Berne publishes Games People Play
Psychiatrist Eric Berne published Games People Play: The Psychology of Human Relationships, cataloguing recurring interpersonal patterns using the framework of Transactional Analysis (TA) and simultaneous founding of the International Transactional Analysis Association (ITAA).
International Transactional Analysis Association: History of TA and Eric Berne
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Why it matters
Written in accessible everyday language alongside clinical theory, the book brought Transactional Analysis to a wide public and clinical audience, demystifying therapeutic concepts and promoting contractual, egalitarian therapy.
In psychotherapy and counselling
Transactional Analysis equipped counsellors and group therapists to analyse Parent, Adult, and Child ego states, crossed versus complementary transactions, psychological 'games', and early life scripts.
Important context and scope
Berne had introduced his structural and transactional framework earlier in professional papers from 1957 to 1958 and in his 1961 textbook Transactional Analysis in Psychotherapy; Games People Play represents its wide popular and clinical dissemination. Published by Grove Press in New York in 1964
Date type
Publication year
Sources
- International Transactional Analysis Association: History of TA and Eric Berne(institutional record)
- WorldCat bibliographic record: Games People Play (Berne, 1964)(primary or catalogue record)
Related
- (link to this entry)
Virginia Satir publishes Conjoint Family Therapy
Social worker and Mental Research Institute (MRI) co-founder Virginia Satir published Conjoint Family Therapy: A Guide to Theory and Technique, grown out of the first formal family therapy training programme she directed at the MRI in Palo Alto.
California Social Welfare Archives: Virginia Satir
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Why it matters
The book contributed to the growing literature on family therapy and presented Satir’s approach to working with families.
In psychotherapy and counselling
Satir framed the presenting patient as the 'identified patient' carrying distress for the wider family system and focused sessions on clear versus incongruent communication, self-esteem ('self-worth'), and family rules.
Important context and scope
Conjoint Family Therapy represents one strand of the broader 1950s and 1960s family therapy movement alongside Nathan Ackerman in New York, Gregory Bateson, Don Jackson, Jay Haley, and John Weakland in Palo Alto, and Murray Bowen in Washington. Published by Science and Behavior Books in Palo Alto in 1964
Date type
Publication year
Sources
- California Social Welfare Archives: Virginia Satir(institutional record)
- WorldCat bibliographic record: Conjoint Family Therapy (Satir, 1964)(primary or catalogue record)
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- (link to this entry)
Aaron T. Beck publishes Depression: Clinical, Experimental, and Theoretical Aspects
University of Pennsylvania psychiatrist Aaron T. Beck published Depression: Clinical, Experimental, and Theoretical Aspects, presenting empirical studies of depressed patients' dreams and cognitions that led him away from the psychoanalytic hostility-turned-inward hypothesis.
Beck Institute for Cognitive Behavior Therapy: History of CBT
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Why it matters
The monograph laid the empirical and theoretical cornerstone for Beckian cognitive therapy, linking mood disturbance directly to systematic negative biases in information processing and introducing early psychometric work on the Beck Depression Inventory (first published in 1961).
In psychotherapy and counselling
Beck identified the 'cognitive triad' (negative views of the self, the world or ongoing experience, and the future), underlying schemas, and systematic logical errors such as arbitrary inference, selective abstraction, and overgeneralisation.
Important context and scope
While the 1967 book outlined cognitive psychotherapy principles, the fully manualised treatment protocol and randomised clinical trial comparisons with antidepressant medication were consolidated over the following decade in 1977 and 1979. Published by Hoeber Medical Division, Harper and Row in 1967 (reissued as Depression: Causes and Treatment)
Date type
Publication year
Sources
- Beck Institute for Cognitive Behavior Therapy: History of CBT(institutional record)
- APA PsycNet record: Depression: Clinical, Experimental, and Theoretical Aspects (Beck, 1967)(primary or catalogue record)
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- (link to this entry)
John Bowlby publishes Attachment, Volume 1 of Attachment and Loss
British psychiatrist and psychoanalyst John Bowlby published Attachment, the first volume of his Attachment and Loss trilogy (followed by Separation in 1973 and Loss in 1980), synthesising psychoanalytic clinical observations with ethology, evolutionary biology, and control systems theory.
PEP-Web archive: Attachment and Loss, Vol. 1: Attachment (Bowlby, 1969)
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Why it matters
Bowlby transformed developmental and clinical psychology by demonstrating that the infant's tie to a caregiver is a primary biologically evolved attachment system rather than a secondary byproduct of feeding drives.
In psychotherapy and counselling
Attachment theory gave psychotherapy the enduring clinical concepts of the therapist as a 'secure base' for exploration and 'internal working models' of self and others formed through early caregiving relationships.
Important context and scope
Bowlby's theoretical synthesis depended heavily on collaborative empirical work by Mary Salter Ainsworth (who developed the Strange Situation procedure in the 1960s and published Patterns of Attachment in 1978) and film documentation of hospitalised children with James and Joyce Robertson. Published by Hogarth Press and the Institute of Psycho-Analysis in London in 1969
Date type
Publication year
Source
- PEP-Web archive: Attachment and Loss, Vol. 1: Attachment (Bowlby, 1969)(primary or catalogue record)
Related
Cognitive, systemic, feminist & outcome research · 1970 to 1989
Manualised cognitive and interpersonal therapies, structural and Milan systemic family models, feminist and relational perspectives, meta-analysis, and the working alliance.
- (link to this entry)
Irvin D. Yalom publishes The Theory and Practice of Group Psychotherapy
Stanford psychiatrist Irvin D. Yalom published the first edition of The Theory and Practice of Group Psychotherapy, organising group treatment around empirically studied 'curative factors' (later termed therapeutic factors) and interpersonal learning.
APA PsycNet record: The Theory and Practice of Group Psychotherapy (Yalom, 1970)
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Why it matters
The book became the standard international reference text for group psychotherapy training across multiple orientations, shifting focus from competing doctrinal schools toward shared mechanisms of change in groups.
In psychotherapy and counselling
Yalom articulated eleven therapeutic factors, including instillation of hope, universality, altruism, cohesiveness, catharsis, and interpersonal learning worked through in the 'here-and-now' social microcosm of the group.
Important context and scope
First published in 1970, the text has gone through six editions (most recently co-authored with Molyn Leszcz), evolving alongside empirical research on group cohesion and specialist medically ill, bereavement, and existential groups. First edition published by Basic Books in 1970
Date type
Publication year
Source
- APA PsycNet record: The Theory and Practice of Group Psychotherapy (Yalom, 1970)(primary or catalogue record)
Related
- (link to this entry)
Heinz Kohut publishes The Analysis of the Self
Austrian-born Chicago psychoanalyst Heinz Kohut published The Analysis of the Self: A Systematic Approach to the Psychoanalytic Treatment of Narcissistic Personality Disorders, arguing that narcissistic development follows its own developmental pathway rather than merely defending against oedipal conflict.
PEP-Web archive: The Analysis of the Self (Kohut, 1971)
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Why it matters
The book launched psychoanalytic self psychology, broadening analytic treatment to patients previously deemed 'unanalyzable' by classical ego psychology and placing sustained empathic immersion at the centre of clinical method.
In psychotherapy and counselling
Kohut described idealising and mirror transferences, including twinship as a form of mirror transference. He proposed that empathic understanding and the working through of tolerable frustrations can contribute to psychological development, a process he called transmuting internalisation.
Important context and scope
In 1971 Kohut still framed his work as an extension of classical drive theory; only in The Restoration of the Self (1977) did he break explicitly with classical metapsychology to establish a standalone psychology of the self. Published by International Universities Press in New York in 1971
Date type
Publication year
Sources
- PEP-Web archive: The Analysis of the Self (Kohut, 1971)(primary or catalogue record)
- University of Chicago Press: The Analysis of the Self, contents(primary or catalogue record)
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- (link to this entry)
Donald W. Winnicott publishes Playing and Reality
British paediatrician and Independent Group psychoanalyst Donald W. Winnicott published Playing and Reality, expanding his classic 1953 paper on transitional objects and transitional phenomena into a comprehensive account of play, creativity, mirror-role caregiving, and therapeutic space.
PEP-Web archive: Playing and Reality (Winnicott, 1971)
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Why it matters
Winnicott's book reshaped contemporary psychodynamic, child, and creative arts therapies by defining psychotherapy itself as taking place in the overlap of two areas of playing: that of the patient and that of the therapist.
In psychotherapy and counselling
It introduced clinicians to 'potential space', the 'holding environment', the mother's (and therapist's) emotional mirroring role, and the task of helping a non-playing client become able to play and experience authentic selfhood.
Important context and scope
Playing and Reality gathered and reworked essays written between 1951 and 1970; Winnicott's foundational clinical insights emerged across four decades of paediatric consultations at Paddington Green Children's Hospital and psychoanalytic work in London. Published by Tavistock Publications in London in 1971 shortly after Winnicott's death in January 1971
Date type
Publication year
Sources
- PEP-Web archive: Playing and Reality (Winnicott, 1971)(primary or catalogue record)
- British Psychoanalytical Society: Donald Winnicott profile(institutional record)
Related
- (link to this entry)
Salvador Minuchin publishes Families and Family Therapy
Argentine-born psychiatrist Salvador Minuchin, director of the Philadelphia Child Guidance Clinic, published Families and Family Therapy, presenting the theory, structural mapping, and clinical transcripts of Structural Family Therapy.
Harvard University Press record: Families and Family Therapy (Minuchin, 1974)
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Why it matters
Building on his earlier work with disadvantaged inner-city families at the Wiltwyck School (Families of the Slums, 1967), Minuchin made Structural Family Therapy one of the most widely taught and practised systemic models in the world.
In psychotherapy and counselling
Therapists actively 'joined' the family system, enacted live family interactions in the consulting room, mapped subsystems, hierarchies, and coalitions, and intervened to rebalance rigid ('disengaged') or diffuse ('enmeshed') boundaries.
Important context and scope
While Minuchin's live, directive restructuring proved highly influential across child guidance and adolescent eating-disorder treatment, later feminist and narrative family therapists critiqued early structural assumptions about normative parental hierarchies. Published by Harvard University Press in 1974
Date type
Publication year
Source
- Harvard University Press record: Families and Family Therapy (Minuchin, 1974)(primary or catalogue record)
Related
- (link to this entry)
Luborsky, Singer, and Luborsky publish 'Comparative Studies of Psychotherapies'
Lester Luborsky, Barton Singer and Lise Luborsky reviewed comparative studies of psychotherapy and other treatments in 1975. In comparisons between psychotherapies, most studies reported no statistically significant difference in the proportion of patients who improved.
PubMed record: Comparative studies of psychotherapies (Luborsky, Singer, and Luborsky, 1975)
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Why it matters
The authors discussed possible shared elements of psychotherapy, including the helping relationship. Their review contributed to a continuing debate about common factors and differences between treatments.
In psychotherapy and counselling
The authors cautioned against assigning patients to treatments at random: a similar amount of improvement in a study does not rule out differences in the quality of improvement.
Important context and scope
A non-significant difference is not proof that treatments are equivalent. The review summarised the studies available at the time and does not establish that all treatments work equally well for every problem or person. Published in Archives of General Psychiatry, Vol. 32(8), August 1975
Date type
Clinical study or review
Sources
- PubMed record: Comparative studies of psychotherapies (Luborsky, Singer, and Luborsky, 1975)(primary or catalogue record)
- DOI record: Archives of General Psychiatry (1975)(primary or catalogue record)
- (link to this entry)
Jean Baker Miller publishes Toward a New Psychology of Women
Psychiatrist and psychoanalyst Jean Baker Miller published Toward a New Psychology of Women, challenging traditional developmental theories that treated male-normed separation and autonomy as the sole benchmark of psychological maturity while pathologising women's relational capacities.
Wellesley Centers for Women: the development of Relational-Cultural Theory
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Why it matters
The book laid the theoretical foundation for the Stone Center at Wellesley College (where Miller became inaugural director in 1981) and the collaborative development of Relational-Cultural Therapy (RCT) with Irene Stiver, Judith Jordan, and Janet Surrey.
In psychotherapy and counselling
Relational-Cultural Therapy reoriented clinical practice around growth-fostering relationships, mutual empathy, mutual empowerment, and the repair of chronic relational disconnections shaped by gender, race, and social power.
Important context and scope
Miller's 1976 text began as a feminist reappraisal of women's psychology; over the 1980s and 1990s the Stone Center group explicitly expanded the framework into Relational-Cultural Theory to address intersecting forms of cultural marginalisation and systemic power. First edition published by Beacon Press in Boston in 1976
Date type
Publication year
Sources
- Wellesley Centers for Women: the development of Relational-Cultural Theory(institutional record)
- APA PsycNet record: Toward a New Psychology of Women (Miller, 1976)(primary or catalogue record)
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- (link to this entry)
The British Association for Counselling is founded in the United Kingdom
Growing out of the Standing Conference for the Advancement of Counselling (convened by the National Council of Social Service in 1970), the British Association for Counselling (BAC, later the British Association for Counselling and Psychotherapy, BACP) was formally established in 1977.
BACP, Therapy Today: history of counselling and the association (December 2012)
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Why it matters
The association extended membership to individual counsellors and became a professional body for counselling in the United Kingdom.
In psychotherapy and counselling
The association later developed professional standards, accreditation and an ethical framework for its members.
Important context and scope
The association grew from the Standing Conference for the Advancement of Counselling, a grouping of organisations inaugurated in 1970. The association traces its formation to 1977 and its change of name to 2000.
Date type
Institutional or policy milestone
Source
- BACP, Therapy Today: history of counselling and the association (December 2012)(institutional record)
- (link to this entry)
Smith and Glass publish the first meta-analysis of psychotherapy outcome studies
Mary Lee Smith and Gene V. Glass published 'Meta-Analysis of Psychotherapy Outcome Studies' in American Psychologist, statistically aggregating 833 effect sizes from 375 controlled evaluations of psychotherapy and counselling.
PubMed record: Meta-analysis of psychotherapy outcome studies (Smith and Glass, 1977)
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Why it matters
The paper applied Glass’s meta-analytic method to psychotherapy research and contributed quantitative evidence to a longstanding debate about outcomes.
In psychotherapy and counselling
The authors reported an average effect size of 0.68 and described it as the average treated person scoring above 75% of untreated controls. This is a statistical interpretation of the pooled studies, not a guarantee for an individual.
Important context and scope
The analysis combined studies with different populations, interventions, measures and designs. The average does not establish the effect of every therapy, and the conclusions depend on the quality and selection of the included studies. Published in American Psychologist, Vol. 32(9), September 1977 (expanded in The Benefits of Psychotherapy, 1980)
Date type
Clinical study or review
Sources
- PubMed record: Meta-analysis of psychotherapy outcome studies (Smith and Glass, 1977)(primary or catalogue record)
- DOI record: American Psychologist (1977)(primary or catalogue record)
- (link to this entry)
The Milan Associates publish Paradox and Counterparadox
Mara Selvini Palazzoli, Luigi Boscolo, Gianfranco Cecchin and Giuliana Prata published an English edition of Paradox and Counterparadox in 1978, following the Italian edition in 1975. The book presents the Milan team’s historical approach to family communication and therapy.
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Why it matters
The book and the team’s later writing contributed to the development of systemic family therapy and discussion of how therapists work with families.
In psychotherapy and counselling
The team described clinical methods including consultation, attention to interaction patterns and paradoxical interventions. These are historical descriptions and do not by themselves establish the effectiveness or suitability of a technique.
Important context and scope
The book uses the historical phrase “schizophrenic transaction” in its title. Its account of family communication is a clinical theory, not an established cause of schizophrenia. NIMH describes multiple genetic and environmental factors associated with risk. Italian edition Paradosso e controparadosso published in 1975; English edition Paradox and Counterparadox published by Jason Aronson in 1978
Date type
Publication year
Sources
- PubMed record: Hypothesizing, circularity, neutrality: three guidelines for the conductor of the session (Selvini Palazzoli et al., 1980)(primary or catalogue record)
- WorldCat bibliographic record: Paradox and Counterparadox (1978)(primary or catalogue record)
- National Institute of Mental Health: Schizophrenia(institutional record)
Related
- (link to this entry)
Beck, Rush, Shaw, and Emery publish Cognitive Therapy of Depression
Aaron T. Beck, A. John Rush, Brian F. Shaw, and Gary Emery published Cognitive Therapy of Depression, a comprehensive clinical treatment manual detailing session-by-session cognitive and behavioural procedures for unipolar depression.
Guilford Press record: Cognitive Therapy of Depression (Beck et al., 1979)
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Why it matters
As one of the earliest and most influential structured psychotherapy treatment manuals, the volume enabled cognitive therapy to be standardised and tested directly against pharmacotherapy in multi-site randomised clinical trials.
In psychotherapy and counselling
The manual codified 'collaborative empiricism', Socratic questioning ('guided discovery'), activity scheduling, graded task assignments, Daily Record of Dysfunctional Thoughts worksheets, and behavioural experiments to test underlying assumptions.
Important context and scope
A treatment manual milestone rather than the origin of cognitive therapy; its structured format followed the 1977 Rush et al. clinical trial comparing cognitive therapy with imipramine and became the template for manualised CBT protocols across anxiety and mood disorders. Published by Guilford Press in New York in 1979
Date type
Publication year
Sources
- Guilford Press record: Cognitive Therapy of Depression (Beck et al., 1979)(primary or catalogue record)
- Rush et al. (1977), Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients (Springer)(scholarly or historical account)
Related
- (link to this entry)
Edward S. Bordin formulates the pan-theoretical working alliance
In 'The Generalizability of the Psychoanalytic Concept of the Working Alliance', Edward S. Bordin proposed that the working alliance is not an exclusively psychoanalytic construct but a collaborative relational framework present across all forms of psychotherapy.
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Why it matters
Bordin’s account informed later measures of the working alliance. A 2018 meta-analysis of 295 studies found an association between alliance and treatment outcomes, but an association alone does not establish why change occurs.
In psychotherapy and counselling
He defined the working alliance through three interdependent components: mutual agreement on the therapeutic goals, collaboration on the clinical tasks required to reach those goals, and an affective bond of trust and attachment between client and therapist.
Important context and scope
Bordin drew on earlier psychoanalytic accounts of the working alliance and proposed a framework applicable across therapies. Research continues to examine how alliance and symptom change relate over time. Published in Psychotherapy: Theory, Research and Practice, Vol. 16(3), Fall 1979 (originally presented as Bordin's SPR presidential address in 1975)
Date type
Publication year
Sources
- DOI record: The generalizability of the psychoanalytic concept of the working alliance (Bordin, 1979)(primary or catalogue record)
- APA PsycNet record: Bordin (1979)(primary or catalogue record)
- Flückiger and colleagues: The alliance in adult psychotherapy, a meta-analytic synthesis (2018)(scholarly or historical account)
Related
- (link to this entry)
Jon Kabat-Zinn establishes the Stress Reduction Clinic at the University of Massachusetts
Molecular biologist and meditation practitioner Jon Kabat-Zinn founded the Stress Reduction and Relaxation Program (later the Center for Mindfulness) at the University of Massachusetts Medical Center, introducing an eight-week secular group curriculum that became Mindfulness-Based Stress Reduction (MBSR).
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Why it matters
By adapting Buddhist mindfulness meditation practices (vipassana and Zen) and mindful movement into a secular hospital outpatient curriculum for patients with chronic pain and stress-related conditions, Kabat-Zinn initiated the modern clinical mindfulness movement.
In psychotherapy and counselling
Participants practised formal body-scan meditation, sitting meditation, and gentle hatha yoga alongside informal cultivation of purposeful, non-judgemental present-moment awareness of bodily sensations, thoughts, and emotions.
Important context and scope
Initially developed as behavioural medicine for medical patients rather than a standalone psychotherapy, MBSR later directly informed Mindfulness-Based Cognitive Therapy (MBCT, developed by Segal, Williams, and Teasdale in the 1990s) and broader contextual CBT approaches. Stress Reduction and Relaxation Program founded in autumn 1979; initial clinical study on chronic pain published in 1982
Date type
Institutional or policy milestone
Sources
- PubMed record: An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation (Kabat-Zinn, 1982)(primary or catalogue record)
- UMass Memorial Health Center for Mindfulness: History of MBSR(institutional record)
Related
- (link to this entry)
The NIMH Treatment of Depression Collaborative Research Program is launched
Coordinated by Irene Elkin and colleagues at the United States National Institute of Mental Health (NIMH), the Treatment of Depression Collaborative Research Program (TDCRP) compared two manualised psychotherapies, Cognitive Behavior Therapy (CBT) and Interpersonal Psychotherapy (IPT), against imipramine plus clinical management and pill-placebo plus clinical management across 250 depressed outpatients at three university sites.
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Why it matters
As an early NIMH-coordinated multisite study, the programme contributed to comparative research on psychotherapy and medication.
In psychotherapy and counselling
The trial demonstrated that both CBT and IPT could be delivered reliably across sites using structured manuals and competency rating scales, with overall recovery rates generally comparable across active treatments and further analyses examining baseline depression severity.
Important context and scope
Initiated in 1980 with primary outcome findings published by Elkin et al. in the Archives of General Psychiatry in 1989, the trial sparked enduring methodological debates over site differences, pill-placebo clinical management, and the role of initial symptom severity. Programme planning and pilot training began around 1980; main clinical trial conducted 1982-1986; primary outcome report published by Elkin et al. in 1989
Date type
Clinical study or review
Sources
- PubMed record: NIMH Treatment of Depression Collaborative Research Program: General effectiveness of treatments (Elkin et al., 1989)(primary or catalogue record)
- PubMed: NIMH Treatment of Depression Collaborative Research Program, background and research plan (Elkin et al., 1985)(primary or catalogue record)
Related
- (link to this entry)
Prochaska and DiClemente publish the transtheoretical stages-of-change model
James O. Prochaska and Carlo C. DiClemente described an integrative model of change in 1982 and reported a study of stages and processes in self-change of smoking in 1983.
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Why it matters
The model proposes that change involves different stages and processes. It has informed discussions of how support might be adapted to a person’s readiness to change; this proposal should be distinguished from evidence that stage matching improves outcomes.
In psychotherapy and counselling
A later Cochrane review describes five stages in relation to smoking cessation: precontemplation, contemplation, preparation, action and maintenance. Stage-based interventions aim to fit support to the person’s stage.
Important context and scope
The Cochrane review of smoking cessation found the extra value of stage matching unclear and did not support restricting quitting advice to people thought to be ready for action. Its latest search was in August 2010; the finding should not be generalised to all psychotherapy. Initial Transtheoretical paper published in 1982; empirical stages-of-change study published in Journal of Consulting and Clinical Psychology in June 1983
Date type
Clinical study or review
Sources
- PubMed record: Stages and processes of self-change of smoking: toward an integrative model of change (Prochaska and DiClemente, 1983)(primary or catalogue record)
- DOI record: Transtheoretical therapy: Toward a more integrative model of change (Prochaska and DiClemente, 1982)(primary or catalogue record)
- Cochrane: Stage-based interventions for smoking cessation (latest search August 2010)(scholarly or historical account)
Related
- (link to this entry)
Klerman, Weissman, Rounsaville, and Chevron publish Interpersonal Psychotherapy of Depression
Gerald L. Klerman, Myrna M. Weissman, Bruce J. Rounsaville, and Eve S. Chevron published Interpersonal Psychotherapy of Depression, codifying the time-limited manualised treatment originally developed for the New Haven-Boston Collaborative Depression Project in the late 1960s and 1970s.
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Why it matters
Drawing on the interpersonal psychiatry of Harry Stack Sullivan and Adolf Meyer as well as attachment research, Interpersonal Psychotherapy (IPT) became one of the most rigorously validated time-limited psychotherapies worldwide, recommended across international depression guidelines.
In psychotherapy and counselling
IPT links depressive symptoms to current interpersonal disruption across four focal problem areas: complicated bereavement (grief), interpersonal role disputes, role transitions, and interpersonal deficits, while granting the client the temporary 'sick role' during recovery.
Important context and scope
IPT originated in 1969 as a 'high-contact' psychotherapeutic condition in a randomised maintenance trial of amitriptyline before its creators recognised its standalone efficacy and formalised the 1984 clinical manual. Published by Basic Books in New York in 1984
Date type
Publication year
Sources
- Markowitz and Weissman (2004), Interpersonal psychotherapy: principles and applications (PubMed Central)(scholarly or historical account)
- APA PsycNet record: Interpersonal Psychotherapy of Depression (Klerman et al., 1984)(primary or catalogue record)
Related
- (link to this entry)
Steve de Shazer publishes Keys to Solution in Brief Therapy
Working with Insoo Kim Berg and colleagues at the Brief Family Therapy Center (BFTC, founded in Milwaukee in 1978), Steve de Shazer published Keys to Solution in Brief Therapy, shifting brief systemic therapy from analysing problem maintenance to constructing solutions.
W. W. Norton record: Keys to Solution in Brief Therapy (de Shazer, 1985)
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Why it matters
Together with his 1988 book Clues: Investigating Solutions in Brief Therapy and Insoo Kim Berg's clinical teaching, this work established Solution-Focused Brief Therapy (SFBT), now practised widely in counselling, social work, schools, and community mental health.
In psychotherapy and counselling
SFBT oriented conversations around what clients want to be different in the future rather than the history of the problem, introducing hallmark interventions such as the 'miracle question', exception-seeking questions, scaling questions, and strengths-based compliments.
Important context and scope
De Shazer and Berg built directly upon the Mental Research Institute (MRI) Brief Therapy Center in Palo Alto (where both had trained with John Weakland and colleagues) and the pragmatic hypnotic work of Milton H. Erickson. Published by W. W. Norton in New York in 1985
Date type
Publication year
Sources
- W. W. Norton record: Keys to Solution in Brief Therapy (de Shazer, 1985)(primary or catalogue record)
- Solution Focused Brief Therapy Association: History of SFBT(institutional record)
Related
- (link to this entry)
Edna B. Foa and Michael J. Kozak publish 'Emotional Processing of Fear'
In Psychological Bulletin, Edna B. Foa and Michael J. Kozak published 'Emotional Processing of Fear: Exposure to Corrective Information', proposing that pathological anxiety reflects a fear network in memory whose stimulus, response, and meaning elements resist modification.
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Why it matters
Emotional Processing Theory provided the theoretical engine for Prolonged Exposure (PE) therapy for post-traumatic stress disorder (PTSD) and modern exposure and response prevention (EX/RP) for obsessive-compulsive disorder.
In psychotherapy and counselling
The model argued that effective exposure therapy requires two conditions: activating the fear structure through imaginal and in vivo exposure, and simultaneously incorporating corrective information that is incompatible with pathological elements of the fear network.
Important context and scope
Craske and colleagues later proposed an inhibitory-learning account of exposure, including attention to the difference between feared outcomes and experience. Their approach challenges reliance on fear reduction within a session as a measure of long-term learning; research continues on mechanisms and clinical applications. Published in Psychological Bulletin, Vol. 99(1), January 1986
Date type
Publication year
Sources
- PubMed record: Emotional processing of fear: exposure to corrective information (Foa and Kozak, 1986)(primary or catalogue record)
- DOI record: Psychological Bulletin (1986)(primary or catalogue record)
- Craske and colleagues: Maximizing exposure therapy: An inhibitory learning approach (2014)(primary or catalogue record)
Related
- (link to this entry)
Howard, Kopta, Krause, and Orlinsky publish 'The Dose-Effect Relationship in Psychotherapy'
Kenneth I. Howard, S. Mark Kopta, Merton S. Krause and David E. Orlinsky combined data from fifteen samples of individual outpatient psychotherapy, comprising 2,431 patients, to model the association between the number of sessions and measurable improvement.
Howard et al. (1986): The dose-effect relationship in psychotherapy (full article)
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Why it matters
The authors used a statistical model to compare reports across studies with different treatment lengths and measures. Their estimated curve showed a larger increase in the proportion improved at earlier session counts, but the observations do not prove that session number alone caused improvement.
In psychotherapy and counselling
The model estimated that about half of patients showed measurable improvement by eight sessions and around three quarters by twenty-six sessions. These were estimates based on the included samples and their outcome measures, not a predicted course or recommended session limit for an individual.
Important context and scope
The authors noted that session count and elapsed time could not be separated in the included studies, so improvement associated with treatment was mixed with other changes over time. The samples and measures varied, and the estimates do not determine how long an individual needs treatment. Published in American Psychologist, Vol. 41(2), February 1986
Date type
Clinical study or review
Sources
- Howard et al. (1986): The dose-effect relationship in psychotherapy (full article)(primary or catalogue record)
- PubMed record: The dose-effect relationship in psychotherapy (Howard et al., 1986)(primary or catalogue record)
- DOI record: American Psychologist (1986)(primary or catalogue record)
- (link to this entry)
Leslie S. Greenberg and Jeremy D. Safran publish Emotion in Psychotherapy
Leslie S. Greenberg and Jeremy D. Safran wrote Emotion in Psychotherapy: Affect, Cognition, and the Process of Change. The book reviews clinical and experimental psychology and proposes a role for emotion in therapeutic change.
Guilford Press: Emotion in Psychotherapy, publisher description
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Why it matters
The authors brought emotional experience into an integrative account of psychotherapy. Their later 1989 article discussed emotional change processes across therapeutic perspectives.
In psychotherapy and counselling
The publisher describes case examples and transcripts concerning emotional expression, access to feelings and restructuring emotion. These illustrate the authors’ approach rather than establish an outcome for an individual client.
Important context and scope
The publisher’s description and the abstract of a 1989 article were consulted; the complete 1987 book and 1989 article were not reviewed. The sources do not establish that a specific four-part classification originated in this book. Copyright 1987; publisher lists the paperback edition in 1990
Date type
Publication year
Sources
- Guilford Press: Emotion in Psychotherapy, publisher description(primary or catalogue record)
- Greenberg and Safran (1989): Emotion in psychotherapy, abstract(scholarly or historical account)
- APA PsycNet record: Emotion in Psychotherapy (Greenberg and Safran, 1987)(primary or catalogue record)
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- (link to this entry)
Francine Shapiro publishes the initial controlled study of Eye Movement Desensitization
American psychologist Francine Shapiro published 'Efficacy of the Eye Movement Desensitization Procedure in the Treatment of Traumatic Memories' in the Journal of Traumatic Stress, reporting a controlled study of twenty-two participants with traumatic memories.
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Why it matters
The approach was later renamed Eye Movement Desensitization and Reprocessing (EMDR). In its 2018 PTSD guideline, NICE recommended EMDR for some adults after non-combat-related trauma; its recommendations distinguish presentation at one to three months from presentation after three months.
In psychotherapy and counselling
In the adult PTSD intervention described by NICE, a trained practitioner works with target memories in phases and uses bilateral stimulation, normally eye movements; taps or tones may also be used when preferred or more appropriate.
Important context and scope
A 2013 Cochrane review found EMDR reduced clinician-rated symptoms compared with waiting list or usual care in adults with chronic PTSD. It rated the evidence for each comparison very low quality and found limited long-term follow-up. The mechanisms of EMDR and the role of eye movements remain subjects of research. Published in the Journal of Traumatic Stress, Vol. 2(2), April 1989
Date type
Clinical study or review
Sources
- DOI record: Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories (Shapiro, 1989)(primary or catalogue record)
- APA PsycNet record: Journal of Traumatic Stress (Shapiro, 1989)(primary or catalogue record)
- Francine Shapiro: Background, chapter excerpt from EMDR Therapy, third edition (2018)(primary or catalogue record)
- NICE guideline NG116: Post-traumatic stress disorder, recommendations 1.6.18 to 1.6.20 (2018)()
- Cochrane: Psychological therapies for chronic PTSD in adults (2013)()
- Landin-Romero and colleagues: systematic review of proposed EMDR mechanisms (2018)()
Related
Third-wave, narrative, trauma & evidence movements · 1990 to 2009
Narrative and solution-focused therapies, motivational interviewing, trauma staging, DBT, ACT, MBCT, schema and mentalization models, multicultural competencies, and evidence-based practice.
- (link to this entry)
White and Epston publish Narrative Means to Therapeutic Ends
Australian social worker Michael White and New Zealand therapist David Epston published Narrative Means to Therapeutic Ends through W. W. Norton in 1990. The book presented narrative therapy methods including externalising conversations, therapeutic letter-writing, and the identification of unique outcomes.
W. W. Norton: Maps of Narrative Practice
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Why it matters
The book brought Australasian narrative practice to an international clinical audience and established a major collaborative, post-structuralist orientation within family therapy and counselling. It challenged deficit-based diagnostic models by locating problems in cultural and relational contexts rather than inside individuals.
In psychotherapy and counselling
Practitioners use externalising language so that clients can examine their relationship to a problem rather than equating their identity with it. Therapy focuses on re-authoring personal narratives by tracing neglected exceptions and recruiting supportive audiences.
Important context and scope
The 1990 W. W. Norton volume expanded earlier writings published through Dulwich Centre Publications in Adelaide during the late 1980s. It marks an international publishing milestone rather than a single founding moment for narrative approaches. First US trade edition published by W. W. Norton in 1990 following earlier Australasian work in the 1980s.
Date type
Publication year
Sources
- W. W. Norton: Maps of Narrative Practice(primary or catalogue record)
- Dulwich Centre: What is Narrative Therapy?(institutional record)
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- (link to this entry)
Miller and Rollnick publish Motivational Interviewing
Psychologists William R. Miller and Stephen Rollnick published Motivational Interviewing: Preparing People to Change Addictive Behavior in 1991. The volume articulated a collaborative, person-centred counselling style designed to explore and resolve ambivalence about behaviour change.
MINT: Motivational Interviewing Network of Trainers resources
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Why it matters
Motivational interviewing shifted addiction treatment away from confrontational models that attributed reluctance to personal denial or pathology. It subsequently spread across health psychology, primary care, social work, and general counselling.
In psychotherapy and counselling
Clinicians combine Carl Rogers's empathic listening conditions with strategic attention to client 'change talk' and discrepancy between current behaviour and core values. Rather than arguing for change, the practitioner supports client autonomy and self-efficacy.
Important context and scope
Miller first described the approach in a 1983 paper in Behavioural Psychotherapy before collaborating with Rollnick on the 1991 text. Later editions broadened the framework beyond substance use to general health and behavioural consultations. First edition of Motivational Interviewing published by Guilford Press in 1991.
Date type
Publication year
Sources
- MINT: Motivational Interviewing Network of Trainers resources(institutional record)
- Miller (1983) foundational article record (Cambridge Core)(scholarly or historical account)
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- (link to this entry)
Judith Lewis Herman publishes Trauma and Recovery
Psychiatrist Judith Lewis Herman published Trauma and Recovery: The Aftermath of Violence, from Domestic Abuse to Political Terror in 1992. She connected the clinical consequences of domestic and sexual abuse with those of combat trauma and political captivity, proposing the diagnostic concept of complex post-traumatic stress disorder (Complex PTSD).
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Why it matters
The book unified feminist domestic violence scholarship and veterans' trauma research, fundamentally reshaping how clinicians conceptualise chronic interpersonal trauma. It laid the conceptual foundation for phase-oriented trauma treatment and the eventual inclusion of Complex PTSD in the WHO ICD-11.
In psychotherapy and counselling
Herman structured recovery into three sequential stages: establishing safety and stabilisation, remembrance and mourning of the trauma, and reconnection with ordinary life and relationships. Clinicians are cautioned against premature trauma processing before safety and self-regulation are secure.
Important context and scope
Although widely adopted in clinical practice from the 1990s onward, Complex PTSD was not added as an official diagnosis in the APA DSM series and was formally codified by the World Health Organization only in ICD-11 (2018). First edition published by Basic Books in 1992.
Date type
Publication year
Sources
- Herman (1992), Complex PTSD: A Syndrome in Survivors of Prolonged and Repeated Trauma (Journal of Traumatic Stress)(primary or catalogue record)
- National Center for PTSD: Complex PTSD overview(institutional record)
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- (link to this entry)
Sue, Arredondo, and McDavis publish Multicultural Counseling Competencies
Derald Wing Sue, Patricia Arredondo, and Roderick J. McDavis published 'Multicultural Counseling Competencies and Standards: A Call to the Profession' in 1992. The framework organised cultural responsiveness around counsellor awareness of personal assumptions, understanding of the culturally diverse client's worldview, and culturally appropriate intervention strategies.
Sue, Arredondo & McDavis (1992), Journal of Counseling & Development
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Why it matters
The paper transformed multicultural counselling from a specialist concern into a core competency movement across training accreditation, ethical codes, and professional standards. It challenged the assumption that traditional Euro-American counselling theories were universally neutral.
In psychotherapy and counselling
Practitioners examine how their own cultural conditioning, power, and institutional context affect case formulation and the therapeutic alliance. Interventions are adapted to honour clients' cultural values, community networks, and lived experiences of racism or marginalisation.
Important context and scope
The 1992 standards built on an earlier 1982 APA Division 17 position paper and were later updated by the Multicultural and Social Justice Counseling Competencies (2015), which placed greater weight on intersectionality and structural advocacy. Published concurrently in the Journal of Counseling & Development and The Counseling Psychologist in 1992.
Date type
Publication year
Sources
- Sue, Arredondo & McDavis (1992), Journal of Counseling & Development(primary or catalogue record)
- American Counseling Association: Multicultural and Social Justice Competencies(institutional record)
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- (link to this entry)
Marsha Linehan publishes the foundational manual for Dialectical Behaviour Therapy
Psychologist Marsha M. Linehan published Cognitive-Behavioral Treatment of Borderline Personality Disorder and its companion skills manual with Guilford Press in May 1993. The books codified Dialectical Behaviour Therapy (DBT), integrating behaviour therapy with Zen-informed mindfulness and dialectical philosophy.
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Why it matters
Linehan demonstrated that chronically suicidal clients diagnosed with borderline personality disorder, long regarded by many services as untreatable, could benefit from a structured, compassionate, and empirically tested psychotherapy. DBT became a foundational pillar of contextual and 'third-wave' cognitive-behavioural therapies.
In psychotherapy and counselling
DBT balances validation of the client's current emotional pain with structured behavioural change across four skills modules: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. Comprehensive delivery combines individual therapy, group skills training, between-session coaching, and a therapist consultation team.
Important context and scope
The publisher lists 14 May 1993 for this hardcover edition; Linehan's initial randomised controlled trial of DBT for parasuicidal women had appeared in Archives of General Psychiatry in 1991. The book represents formal manualisation rather than the single date of DBT's creation. Hardcover edition published on 14 May 1993 by Guilford Press alongside the companion skills training manual.
Date type
Publication year
Sources
- Guilford Press edition record(primary or catalogue record)
- Linehan et al. (1991) clinical trial in Archives of General Psychiatry(scholarly or historical account)
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- (link to this entry)
United Kingdom Council for Psychotherapy (UKCP) established as a national umbrella body
The United Kingdom Council for Psychotherapy (UKCP) was formally inaugurated in 1993 and launched the first National Register of Psychotherapists in the UK. It brought psychoanalysis, humanistic and integrative, systemic, cognitive-behavioural, and experiential training organisations under a shared governance structure.
UK Council for Psychotherapy: About Us and History
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Why it matters
Following the 1971 Foster Report and the 1978 Sieghart Report calls for psychotherapy regulation, UKCP created a pluralistic institutional structure that recognised distinct modalities while establishing national ethical and training standards.
In psychotherapy and counselling
By organising registration through modality-specific colleges and sections, UKCP shaped British psychotherapy training around rigorous personal therapy, supervised clinical hours, and adherence to an overarching ethical code.
Important context and scope
UKCP evolved out of the Rugby Psychotherapy Conferences of the 1980s and the UK Standing Conference for Psychotherapy (1989). Later debates over statutory regulation in the 2000s led some psychoanalysis bodies to form the British Psychoanalytic Council (BPC) separately. Inaugurated as the United Kingdom Council for Psychotherapy in 1993, succeeding the UK Standing Conference for Psychotherapy (established 1989).
Date type
Institutional or policy milestone
Sources
- UK Council for Psychotherapy: About Us and History(institutional record)
- Professional Standards Authority: UKCP Accredited Register profile(institutional record)
- (link to this entry)
Insoo Kim Berg publishes Family Based Services: A Solution-Based Approach
Korean-American psychotherapist Insoo Kim Berg published Family Based Services: A Solution-Based Approach with W. W. Norton in 1994. The book translated Solution-Focused Brief Therapy (SFBT), developed with Steve de Shazer at the Brief Family Therapy Center in Milwaukee, into child welfare and home-based family support.
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Why it matters
Berg showed that brief, resource-oriented therapy could be practised effectively inside public social services and mandated child protection contexts, rather than only in private consulting rooms.
In psychotherapy and counselling
Practitioners use the miracle question, scaling questions, coping questions, and a search for exceptions to help families identify existing strengths and small workable steps toward preferred futures.
Important context and scope
This entry records the 1994 W. W. Norton edition; Berg and de Shazer had been developing solution-focused methods in Milwaukee since the late 1970s and early 1980s. Hardcover edition published by W. W. Norton in 1994.
Date type
Publication year
Sources
- W. W. Norton edition record(primary or catalogue record)
- Solution Focused Brief Therapy Association: History of SFBT(institutional record)
Related
- (link to this entry)
Ignacio Martín-Baró's Writings for a Liberation Psychology published in English
Harvard University Press published Writings for a Liberation Psychology in 1994, collecting essays by Salvadoran social psychologist and Jesuit priest Ignacio Martín-Baró, who was assassinated in 1989 during the Salvadoran civil war. The volume introduced his concepts of liberation psychology, psychosocial trauma, and the recovery of historical memory to English-speaking clinicians.
Writings for a Liberation Psychology (1994), bibliographic record
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Why it matters
Martín-Baró critiqued individualism and decontextualised diagnostic models in psychology, arguing that war, state violence, and poverty produce collective 'psychosocial trauma' rooted in social relations rather than private intrapsychic defects.
In psychotherapy and counselling
Liberation-informed counselling situates distress within structural oppression, links individual healing with community solidarity and conscientisation (concientización), and values collective testimony and historical memory.
Important context and scope
Martín-Baró developed and published these essays in Spanish throughout the 1980s at the Universidad Centroamericana (UCA) in San Salvador; the 1994 volume marks their major English-language dissemination. Posthumous English collection edited by Adrianne Aron and Shawn Corne and published by Harvard University Press in 1994.
Date type
Publication year
Source
- Writings for a Liberation Psychology (1994), bibliographic record(primary or catalogue record)
Related
- (link to this entry)
APA Division 12 Task Force publishes criteria for Empirically Validated Treatments
Chaired by Diane L. Chambless, the American Psychological Association Division 12 (Clinical Psychology) Task Force on Promotion and Dissemination of Psychological Procedures published its 1995 report establishing criteria for 'well-established' and 'probably efficacious' Empirically Validated Treatments (later termed Empirically Supported Treatments, ESTs).
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Why it matters
The report catalysed the evidence-based practice movement in psychology by aligning manualised psychotherapies with medical clinical trial standards, while simultaneously igniting fierce debate over whether disorder-specific manuals neglected the therapeutic relationship and client complexity.
In psychotherapy and counselling
Training programmes and healthcare commissioners increasingly prioritised manualised, disorder-specific protocols tested in randomised controlled trials, particularly cognitive-behavioural and interpersonal therapies.
Important context and scope
In 1998 Chambless and Hollon refined the terminology from 'empirically validated' to 'empirically supported treatments' (ESTs) to clarify that scientific support is ongoing and provisional rather than final validation. Report of the APA Division 12 Task Force published in The Clinical Psychologist in 1995, following its 1993 task force work.
Date type
Publication year
Sources
- Chambless & Hollon (1998), Defining Empirically Supported Therapies (Journal of Consulting and Clinical Psychology)(scholarly or historical account)
- APA Division 12 (Society of Clinical Psychology): Psychological Treatments(institutional record)
- (link to this entry)
Richard C. Schwartz publishes Internal Family Systems Therapy
Richard C. Schwartz's Internal Family Systems Therapy applies family-systems ideas to the way different aspects of a person's experience may interact. The model describes a core 'Self' and protective or vulnerable 'parts' as ways of understanding internal experience.
Guilford Press: Internal Family Systems Therapy, second edition and first-edition information
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Why it matters
The book presents a way to think about internal conflict using the language of parts and relationships.
In psychotherapy and counselling
In the IFS model, practitioners may explore a client's relationship with protective and vulnerable parts. These terms describe the model; they do not establish separate entities or a necessary process of recovery.
Important context and scope
The model has been studied in different settings. A 2026 pilot randomised trial of an IFS-based group programme for PTSD found both study groups improved, without a significant difference between them. Its findings do not establish effectiveness for every IFS format or population. Some catalogues list 1995; the publisher lists the first edition copyright as 1994.
Date type
Publication year
Sources
- Guilford Press: Internal Family Systems Therapy, second edition and first-edition information(primary or catalogue record)
- WorldCat: Internal family systems therapy (1995 catalogue record)(institutional record)
- PubMed: Randomised trial of an IFS-based group programme for PTSD (2026)(primary or catalogue record)
Related
- (link to this entry)
Francine Shapiro publishes the foundational textbook on EMDR
Psychologist Francine Shapiro published Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures in 1995. The textbook standardised an eight-phase trauma psychotherapy protocol combining brief focus on traumatic memories with bilateral stimulation such as saccadic eye movements.
Guilford Press: Eye Movement Desensitization and Reprocessing
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Why it matters
EMDR became one of the most widely researched and internationally recommended psychological treatments for post-traumatic stress disorder, later endorsed by the World Health Organization and NICE.
In psychotherapy and counselling
Guided by the Adaptive Information Processing (AIP) model, clinicians assist clients in accessing distressing images, negative self-beliefs, and bodily sensations while engaging in dual-attention bilateral stimulation until distress reduces and adaptive beliefs consolidate.
Important context and scope
Shapiro first published a preliminary study of Eye Movement Desensitization (EMD) in the Journal of Traumatic Stress in 1989. While meta-analyses support EMDR's clinical efficacy for PTSD, researchers have continued to debate the specific mechanism of eye movements relative to exposure and working-memory taxation. First edition of the comprehensive textbook published by Guilford Press in 1995.
Date type
Publication year
Sources
- Guilford Press: Eye Movement Desensitization and Reprocessing(primary or catalogue record)
- Shapiro (1989) initial study in Journal of Traumatic Stress(scholarly or historical account)
Related
- (link to this entry)
Susan M. Johnson publishes The Practice of Emotionally Focused Marital Therapy
Canadian clinical psychologist Susan M. Johnson published The Practice of Emotionally Focused Marital Therapy: Creating Connection in 1996. Building on her 1980s collaboration with Leslie S. Greenberg, the book integrated John Bowlby's adult attachment theory with experiential and systemic therapy.
Routledge edition record: The Practice of Emotionally Focused Couple Therapy
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Why it matters
Johnson’s account places attachment needs and patterns of interaction at the centre of understanding couple distress. Later reviews have examined outcomes of emotionally focused couple therapy; a review does not establish what will happen for a particular couple.
In psychotherapy and counselling
In three stages and nine steps, therapists help partners de-escalate negative interaction cycles (such as pursue-withdraw patterns), access underlying attachment fears and needs, and enact new bonding interactions.
Important context and scope
Johnson and Greenberg published an outcome study of emotionally focused couples therapy in 1985, followed by their book in 1988. Johnson’s later work placed adult attachment theory at the centre of her account of couple therapy. First edition of Creating Connection published by Brunner/Mazel in 1996, expanding Greenberg and Johnson's 1988 text.
Date type
Publication year
Sources
- Routledge edition record: The Practice of Emotionally Focused Couple Therapy(primary or catalogue record)
- Beasley and Ager (2019): Emotionally focused couples therapy, systematic review abstract(scholarly or historical account)
- Johnson and Greenberg (1985): Emotionally focused couples therapy, outcome study(scholarly or historical account)
- ICEEFT: What is Emotionally Focused Therapy?(institutional record)
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Lambert and colleagues publish an outcome questionnaire validation study
In 1996, Michael J. Lambert and colleagues reported on the development, reliability and validity of the Outcome Questionnaire. It was designed to assess subjective distress, interpersonal relationships and social role performance.
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Why it matters
The questionnaire became one tool used in routine outcome monitoring. Subsequent research has examined feedback systems designed to help clinicians identify patients whose progress differs from expectations.
In psychotherapy and counselling
In some services, patients complete self-report measures repeatedly and clinicians discuss the results with them. Systems, timing and responses to feedback differ between settings.
Important context and scope
The 1996 study assessed the measure’s psychometric properties; it did not itself establish that using feedback improves outcomes. The OQ-45 and the separately developed Partners for Change system use different measures and are not interchangeable. Outcome Questionnaire (OQ-45) psychometric validation published in 1996.
Date type
Clinical study or review
Sources
- Lambert et al. (1996), The Reliability and Validity of the Outcome Questionnaire (Clinical Psychology & Psychotherapy)(primary or catalogue record)
- Lambert (2007), Presidential address: What we have learned from a decade of research aimed at improving psychotherapy outcome in routine care(scholarly or historical account)
- Redmayne and colleagues: Comparing OQ-45 and Outcome Rating Scale trajectories (2023)(scholarly or historical account)
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Hayes, Strosahl, and Wilson publish Acceptance and Commitment Therapy
Psychologists Steven C. Hayes, Kirk D. Strosahl, and Kelly G. Wilson published Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change in 1999. Rooted in functional contextualism and Relational Frame Theory (RFT), the book articulated a behavioural therapy focused on psychological flexibility rather than direct symptom elimination.
Association for Contextual Behavioral Science publication record
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Why it matters
ACT challenged the cognitive therapy premise that distressing thoughts must be disputed or modified before behavioural change can occur. Alongside DBT and MBCT, it defined the 'third wave' of behavioural and cognitive therapies.
In psychotherapy and counselling
Clinicians use experiential exercises and metaphors across six core processes: experiential acceptance, cognitive defusion, present-moment awareness, self-as-context, values clarification, and committed action.
Important context and scope
Hayes had developed 'comprehensive distancing' since the early 1980s; the 1999 book represents the comprehensive clinical manualisation of ACT rather than a single date of origin or claim of superiority. First edition published by Guilford Press in 1999.
Date type
Publication year
Sources
- Association for Contextual Behavioral Science publication record(primary or catalogue record)
- Guilford Press: Acceptance and Commitment Therapy(primary or catalogue record)
Related
- (link to this entry)
Martell, Addis and Jacobson publish Depression in Context
Christopher R. Martell, Michael E. Addis and Neil S. Jacobson published Depression in Context: Strategies for Guided Action in 2001. The book presents a behavioural activation approach to depression following earlier work by Jacobson and colleagues.
Jacobson et al. (1996) component analysis in Journal of Consulting and Clinical Psychology
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Why it matters
In a 1996 component analysis, 150 outpatients were randomly assigned to behavioural activation, activation plus work on automatic thoughts, or full cognitive therapy. The primary outcome analysis did not detect statistically significant differences between the treatment conditions; this finding alone does not establish that the treatments are equivalent for everyone.
In psychotherapy and counselling
Rather than directly challenging negative automatic thoughts, therapists help clients examine the environmental context of depressed mood, identify avoidance cycles, and schedule value-consistent activities that restore contact with natural sources of reinforcement.
Important context and scope
Behavioural approaches to depression have earlier roots. The 2006 trial compared behavioural activation, cognitive therapy and antidepressant medication. The UK COBRA trial used a non-inferiority design and found that behavioural activation was not inferior to cognitive behavioural therapy on its prespecified depression measure at 12 months. This result is bounded by the trial's population and margin; it does not establish identical outcomes for every person. Published by W. W. Norton in 2001 following Neil Jacobson's 1996 component analysis study.
Date type
Publication year
Sources
- Jacobson et al. (1996) component analysis in Journal of Consulting and Clinical Psychology(primary or catalogue record)
- Dimidjian et al. (2006): randomised trial of behavioural activation, cognitive therapy and medication(scholarly or historical account)
- Richards et al. (2016): COBRA non-inferiority trial(scholarly or historical account)
- W. W. Norton: Depression in Context (2001)(primary or catalogue record)
Related
- (link to this entry)
Bruce E. Wampold publishes The Great Psychotherapy Debate
In The Great Psychotherapy Debate: Models, Methods, and Findings (2001), Bruce E. Wampold compared a medical model, which emphasises specific treatment ingredients, with a contextual model of psychotherapy.
WorldCat: The Great Psychotherapy Debate, first edition (2001)
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Why it matters
Wampold argued that relational and contextual factors deserve greater weight in understanding psychotherapy outcomes. This is an interpretation of research, not proof that all therapies are equivalent or that any one factor causes improvement.
In psychotherapy and counselling
The contextual model emphasises a therapeutic relationship, an explanation for distress and therapeutic actions meaningful to the people involved. It is a framework for understanding practice, not a recommendation for one treatment.
Important context and scope
The relative contributions of specific techniques and factors shared across therapies remain debated. A 2019 review notes the difficulty of establishing causal mechanisms from correlational research. Wampold and Zac E. Imel published a revised second edition in 2015. First edition published by Lawrence Erlbaum Associates in 2001.
Date type
Publication year
Sources
- WorldCat: The Great Psychotherapy Debate, first edition (2001)(scholarly or historical account)
- Routledge: The Great Psychotherapy Debate, second edition (Wampold and Imel, 2015)(primary or catalogue record)
- Wampold (2015): How important are the common factors in psychotherapy? An update(scholarly or historical account)
- Cuijpers, Reijnders and Huibers (2019): The role of common factors in psychotherapy outcomes(scholarly or historical account)
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Segal, Williams, and Teasdale publish Mindfulness-Based Cognitive Therapy for Depression
Psychologists Zindel V. Segal, J. Mark G. Williams, and John D. Teasdale published Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse in 2002. They combined Jon Kabat-Zinn's Mindfulness-Based Stress Reduction (MBSR) practices with principles of cognitive therapy to address vulnerability to depressive relapse.
Guilford Press: Mindfulness-Based Cognitive Therapy for Depression
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Why it matters
MBCT demonstrated through multicentre randomised trials that group mindfulness training significantly reduced relapse rates in people with three or more previous episodes of depression, leading to its inclusion in UK NICE depression guidelines in 2004.
In psychotherapy and counselling
Delivered as an eight-week group programme, MBCT teaches participants to notice early shifts in mood and body sensations and to relate to negative thoughts with 'decentred' awareness as passing mental events rather than facts requiring rumination.
Important context and scope
The authors' foundational multi-site trial appeared in the Journal of Consulting and Clinical Psychology in 2000. Early trial evidence was strongest for preventing relapse in recurrent depression with three or more prior episodes. First edition of Mindfulness-Based Cognitive Therapy for Depression published by Guilford Press in 2002.
Date type
Publication year
Sources
- Guilford Press: Mindfulness-Based Cognitive Therapy for Depression(primary or catalogue record)
- Teasdale et al. (2000) prevention of relapse trial in Journal of Consulting and Clinical Psychology(scholarly or historical account)
Related
- (link to this entry)
Jeffrey E. Young and colleagues publish Schema Therapy: A Practitioner's Guide
Psychologist Jeffrey E. Young, together with Janet S. Klosko and Marjorie E. Weishaar, published Schema Therapy: A Practitioner's Guide in 2003. The book integrated cognitive-behavioural therapy with attachment theory, psychodynamic object relations, and Gestalt experiential techniques to treat chronic personality and relational difficulties.
Guilford Press: Schema Therapy: A Practitioner's Guide
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Why it matters
Young addressed the limitations of short-term standard CBT for clients with entrenched lifelong patterns and personality disorders, creating an integrative model that later showed strong clinical efficacy in trials for borderline and Cluster C personality disorders.
In psychotherapy and counselling
Therapists identify Early Maladaptive Schemas (such as abandonment, defectiveness, or emotional deprivation) and Moment-to-Moment Schema Modes (such as the Vulnerable Child or Punitive Parent), using 'limited reparenting', chair work, and imagery rescripting.
Important context and scope
Young first introduced the concept of early maladaptive schemas in a 1990 monograph; the 2003 volume added the Schema Mode work developed for complex personality presentations. Comprehensive clinical practitioner guide published by Guilford Press in 2003.
Date type
Publication year
Sources
- Guilford Press: Schema Therapy: A Practitioner's Guide(primary or catalogue record)
- Giesen-Bloo et al. (2006) randomized trial of Schema Therapy in Archives of General Psychiatry(scholarly or historical account)
Related
- (link to this entry)
Anthony Bateman and Peter Fonagy publish Mentalization-Based Treatment for Borderline Personality Disorder
Psychiatrist Anthony Bateman and psychoanalyst-psychologist Peter Fonagy published Psychotherapy for Borderline Personality Disorder: Mentalization-Based Treatment with Oxford University Press in 2004. Grounded in developmental attachment research, the book operationalised 'mentalizing', the capacity to understand one's own and others' behaviour in terms of underlying mental states.
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Why it matters
Mentalization-Based Treatment (MBT) revitalised contemporary psychodynamic therapy within public mental health services by providing a manualised, empirically validated relational treatment for borderline personality disorder.
In psychotherapy and counselling
Avoiding complex unconscious interpretations that might overwhelm emotionally aroused clients, MBT therapists adopt a 'not-knowing', inquisitive stance focused on the current interpersonal moment to help clients recover mentalizing when attachment stress triggers psychic equivalence or pretend mode.
Important context and scope
Bateman and Fonagy first demonstrated the clinical effectiveness of their psychoanalytically oriented partial hospitalisation programme in the American Journal of Psychiatry in 1999, with eight-year follow-up published in 2008. Published by Oxford University Press in 2004 following the authors' 1999 partial-hospitalisation trial.
Date type
Publication year
Sources
- Oxford University Press: Psychotherapy for Borderline Personality Disorder: Mentalization-Based Treatment(primary or catalogue record)
- Bateman & Fonagy (1999) randomised trial in American Journal of Psychiatry(scholarly or historical account)
Related
- (link to this entry)
NICE publishes clinical guidelines on depression and anxiety in England and Wales
In December 2004 the National Institute for Clinical Excellence (NICE) published guidance for the management of adult anxiety and depression in England and Wales. CG22 concerned panic disorder and generalised anxiety disorder; CG23 addressed depression in primary and secondary care.
NICE: Depression, CG23, published 6 December 2004 and subsequently replaced
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Why it matters
The guidance brought research-based recommendations into NHS care. The 2004 depression guideline organised care using a stepped model, but the recommendations were guidance for clinical judgement rather than a legal requirement to use a particular therapy.
In psychotherapy and counselling
The historical depression guideline described different levels of care and interventions according to a person’s needs and circumstances. It included psychological and medication options; recommendations differed by presentation and severity.
Important context and scope
These 2004 guidelines have been updated and replaced. NICE’s current depression and anxiety guidance should be consulted for present-day recommendations. The guidelines informed the later development of talking-therapy services, but did not by themselves establish the IAPT programme. NICE Clinical Guidelines CG22 (Anxiety) and CG23 (Depression) published in December 2004.
Date type
Institutional or policy milestone
Sources
- NICE: Depression, CG23, published 6 December 2004 and subsequently replaced(institutional record)
- National Collaborating Centre for Primary Care: Clinical Guidelines for the Management of Anxiety (2004), PubMed record(institutional record)
- NICE: Service-level interventions, 2009 guideline discussion of the 2004 stepped-care model(institutional record)
- UK Parliament: 2009 statement on psychological therapies in the 2004 depression guidance(institutional record)
- NICE: Depression in adults, current guideline NG222(institutional record)
- NICE: Generalised anxiety disorder and panic disorder in adults, CG113(institutional record)
- (link to this entry)
APA publishes its evidence-based practice in psychology policy report
The American Psychological Association (APA) Council approved its evidence-based practice in psychology policy in 2005; the Presidential Task Force report appeared in American Psychologist in 2006. The policy integrates the best available research with clinical expertise and the patient’s characteristics, culture and preferences.
APA Presidential Task Force on Evidence-Based Practice (2006) in American Psychologist
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Why it matters
The policy describes research evidence broadly and recognises clinical expertise and patient context as parts of psychological decision-making. It does not settle every debate about how to weigh evidence in an individual case.
In psychotherapy and counselling
The APA statement calls for clinical decisions to be made collaboratively, with attention to research, the person’s circumstances and preferences, and ongoing monitoring and adjustment.
Important context and scope
The policy drew on an evidence-based medicine definition adapted by the Institute of Medicine. In 2021 the APA adopted guidelines intended to clarify and extend the policy for psychological practice in health care. Policy statement approved by APA Council in August 2005 and published in American Psychologist in May-June 2006.
Date type
Institutional or policy milestone
Sources
- APA Presidential Task Force on Evidence-Based Practice (2006) in American Psychologist(primary or catalogue record)
- APA Policy Statement on Evidence-Based Practice in Psychology(institutional record)
- (link to this entry)
Pat Ogden, Kekuni Minton, and Clare Pain publish Trauma and the Body: A Sensorimotor Approach to Psychotherapy
Pat Ogden, Kekuni Minton and Clare Pain published Trauma and the Body: A Sensorimotor Approach to Psychotherapy in 2006. The book presents a body-oriented approach alongside ideas about attachment, cognition and emotion.
W. W. Norton: Trauma and the Body: A Sensorimotor Approach to Psychotherapy
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Why it matters
The authors describe attention to bodily experience as part of psychotherapy for trauma. Their proposed explanations should be distinguished from established mechanisms or claims about all trauma treatments.
In psychotherapy and counselling
The approach pays attention to posture, movement, breathing and sensation alongside thoughts and emotions. Completing a defensive action is one proposed technique, not an established requirement for recovery.
Important context and scope
A 2020 pilot randomised trial evaluated a group intervention adapted from Sensorimotor Psychotherapy with a small sample. It cannot establish effectiveness for every version of the approach or every population. Published in the Norton Series on Interpersonal Neurobiology in October 2006.
Date type
Publication year
Sources
- W. W. Norton: Trauma and the Body: A Sensorimotor Approach to Psychotherapy(primary or catalogue record)
- National Library of Medicine (NLM) Catalog: Trauma and the Body (2006)(primary or catalogue record)
- PubMed: Pilot randomised trial of a group adaptation of Sensorimotor Psychotherapy (2020)(primary or catalogue record)
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England launches the Improving Access to Psychological Therapies programme
In 2008 the English NHS began the national rollout of Improving Access to Psychological Therapies (IAPT), following demonstration sites in Doncaster and Newham. The programme expanded access to recommended psychological therapies for adults with depression and anxiety disorders.
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Why it matters
The programme invested in training and services and collected routine outcome data. It became a substantial publicly funded programme in England; reported outcomes should be interpreted alongside access, data completeness and who enters treatment.
In psychotherapy and counselling
Services offered different levels of psychological support, including guided self-help and more intensive therapies. Routine questionnaires helped services monitor symptoms and report outcomes. The available treatment and referral pathway depend on the person’s circumstances and service.
Important context and scope
In 2023 IAPT was renamed NHS Talking Therapies for anxiety and depression. An Office for National Statistics analysis of 2017–2018 data found that some groups, including older adults and disabled people with a probable common mental disorder, were underrepresented among those treated. These estimates have methodological limits and do not by themselves explain the causes of unequal access. National rollout began in 2008 following the 2006-2007 Doncaster and Newham demonstration sites.
Date type
Institutional or policy milestone
Sources
- Clark (2018): Realizing the Mass Public Benefit of Evidence-Based Psychological Therapies, IAPT programme history(scholarly or historical account)
- NHS England: NHS Talking Therapies for anxiety and depression manual(institutional record)
- Office for National Statistics: socio-demographic differences in IAPT use in England, April 2017 to March 2018(institutional record)
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Paul Gilbert publishes The Compassionate Mind, formalising Compassion-Focused Therapy
British clinical psychologist Paul Gilbert published The Compassionate Mind in 2009, presenting the evolutionary, attachment, and neurophysiological foundations of Compassion-Focused Therapy (CFT). Gilbert developed CFT after observing that clients with high shame and self-criticism could often generate logical alternative thoughts in CBT while still feeling internally attacked and unsoothed.
Gilbert (2009), Introducing Compassion-Focused Therapy (Advances in Psychiatric Treatment)
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Why it matters
CFT placed shame, self-criticism, and affiliation at the centre of psychological formulation, integrating evolutionary psychology and affective neuroscience with cognitive-behavioural and contemplative practices.
In psychotherapy and counselling
Clinicians map three interacting affect-regulation systems (threat/self-protection, drive/resource-seeking, and soothing/affiliative) and use Compassionate Mind Training, soothing rhythm breathing, and compassionate chair work to cultivate a supportive inner stance.
Important context and scope
Gilbert had been publishing on evolutionary psychopathology and social rank theory since the late 1980s and 1990s; the 2009 book and subsequent 2010 clinical guide consolidated CFT as a distinct therapeutic modality. Published in the UK by Constable & Robinson in 2009.
Date type
Publication year
Sources
- Gilbert (2009), Introducing Compassion-Focused Therapy (Advances in Psychiatric Treatment)(primary or catalogue record)
- Compassionate Mind Foundation: About Compassion Focused Therapy(institutional record)
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Pluralism, digital care & global mental health · 2010 to present
Pluralistic and transdiagnostic frameworks, alliance rupture-repair research, internet-delivered and remote therapy, community task-sharing trials, and shared decision-making.
- (link to this entry)
Jonathan Shedler publishes 'The Efficacy of Psychodynamic Psychotherapy' in American Psychologist
Psychologist Jonathan Shedler published a widely cited synthesis of meta-analyses in American Psychologist in 2010 examining empirical evidence for psychodynamic psychotherapy. He argued that effect sizes for psychodynamic therapy are as large as those reported for other empirically supported therapies, and that patients often continue to improve after treatment ends.
Shedler (2010), The Efficacy of Psychodynamic Psychotherapy (American Psychologist)
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Why it matters
The article directly challenged the widespread academic and policy perception that psychodynamic therapy lacked empirical support, helping re-establish contemporary psychodynamic research within mainstream evidence-based debates.
In psychotherapy and counselling
Shedler distilled seven distinctive features of psychodynamic process: focus on affect and emotion expression, exploration of attempts to avoid distressing thoughts, identification of recurring themes, discussion of past experience, focus on interpersonal relations, focus on the therapy relationship, and exploration of wishes and fantasies.
Important context and scope
The paper prompted lively methodological commentary in subsequent issues of American Psychologist regarding the heterogeneity of included meta-analyses and direct comparisons with specific CBT protocols. Published in American Psychologist, Vol. 65, No. 2, in February-March 2010.
Date type
Clinical study or review
Sources
- Shedler (2010), The Efficacy of Psychodynamic Psychotherapy (American Psychologist)(primary or catalogue record)
- PubMed record: Shedler (2010)(scholarly or historical account)
Related
- (link to this entry)
David H. Barlow and colleagues publish the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders
David H. Barlow and colleagues published the first Therapist Guide for the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) with Oxford University Press. The authors proposed a cognitive-behavioural approach addressing processes shared across emotional disorders.
Oxford Academic: Unified Protocol Therapist Guide, first edition (online 2010; print copyright 2011)
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Why it matters
The protocol offered a way to address shared processes rather than using a separate manual for every presentation. In a 2017 equivalence trial, 223 adults with a principal diagnosis of panic disorder, generalised anxiety disorder, social anxiety disorder or obsessive-compulsive disorder were assigned to the UP, a diagnosis-specific protocol or a waitlist. On the primary clinical severity measure, the two active treatments were statistically equivalent at treatment end and six months.
In psychotherapy and counselling
Clinicians guide clients through core modules focused on mindful emotion awareness, cognitive flexibility, identifying and preventing emotional and behavioural avoidance, tolerance of physical sensations, and interoceptive and situational emotion exposures.
Important context and scope
The 2017 trial was conducted at one outpatient centre and tested specific diagnoses and protocols. Its statistical equivalence finding concerns the prespecified measure and margins; it does not establish equal outcomes for every condition or individual. The first guide's online and print dates differ. The first Therapist Guide has a 2011 print copyright; Oxford Academic dates its online publication to December 2010. The second edition followed in 2017.
Date type
Publication year
Sources
- Oxford Academic: Unified Protocol Therapist Guide, first edition (online 2010; print copyright 2011)(primary or catalogue record)
- Oxford Academic: Unified Protocol Therapist Guide, second edition (2017)(primary or catalogue record)
- Barlow et al. (2017), equivalence trial in JAMA Psychiatry (PubMed abstract)(scholarly or historical account)
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Mick Cooper and John McLeod publish Pluralistic Counselling and Psychotherapy
Counselling psychologists Mick Cooper and John McLeod published Pluralistic Counselling and Psychotherapy with SAGE in 2011. Drawing on philosophical pluralism and Edward Bordin's working alliance model, they proposed that different clients need different things at different points in therapy, and that clients should be active partners in deciding how therapy is conducted.
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Why it matters
The pluralistic framework moved integrative counselling beyond fixed theoretical syntheses (where the therapist blends theories in advance) toward transparent, collaborative shared decision-making with the client.
In psychotherapy and counselling
Practitioners engage in explicit 'metatherapeutic communication' with clients to agree and regularly review shared goals, tasks, and therapeutic methods, drawing flexibly across humanistic, cognitive-behavioural, psychodynamic, and narrative practices.
Important context and scope
Cooper and McLeod first outlined the pluralistic framework in Counseling and Psychotherapy Research in 2007; the approach gained particular prominence in British and European counselling psychology training. Published by SAGE Publications in late 2010 with a 2011 imprint date, following their 2007 foundational paper.
Date type
Publication year
Sources
- Cooper & McLeod (2007), A pluralistic framework for counselling and psychotherapy (Counselling and Psychotherapy Research)(primary or catalogue record)
- SAGE Publications: Pluralistic Counselling and Psychotherapy(primary or catalogue record)
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Safran, Muran, and Eubanks-Carter publish meta-analytic synthesis on repairing alliance ruptures
In 2011, Jeremy D. Safran, J. Christopher Muran and Catherine Eubanks-Carter reviewed research on tensions in the therapeutic alliance and their repair. Their first meta-analysis examined the association between rupture-repair episodes and outcomes in three studies involving 148 clients.
Safran, Muran & Eubanks-Carter (2011), Repairing Alliance Ruptures (Psychotherapy)
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Why it matters
The authors proposed attending to difficulties in the therapeutic relationship as part of clinical work. Their review found an association between reported repair and outcomes in the studies examined.
In psychotherapy and counselling
The authors discuss withdrawal and confrontation as ways tensions may appear, and describe approaches to recognising and discussing difficulties in the therapeutic relationship.
Important context and scope
The association does not by itself prove that repair causes improvement. The initial analysis drew on three studies; a later 2018 meta-analysis included more studies, but does not establish that a particular repair strategy works for every person or therapy. Published in the APA Task Force special issue of Psychotherapy, Vol. 48, No. 1, in March 2011.
Date type
Clinical study or review
Sources
- Safran, Muran & Eubanks-Carter (2011), Repairing Alliance Ruptures (Psychotherapy)(primary or catalogue record)
- Eubanks, Muran & Safran (2018) updated meta-analysis in Psychotherapy(scholarly or historical account)
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Gerhard Andersson and colleagues synthesise evidence comparing guided internet-delivered CBT with face-to-face CBT
In 2014, Gerhard Andersson and colleagues reviewed 13 randomised studies comparing guided internet-delivered cognitive behavioural therapy (CBT) with face-to-face CBT for psychiatric and physical conditions. The studies included 1,053 adults.
Andersson et al. (2014): Guided internet-based versus face-to-face CBT, full review
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Why it matters
The review brought together direct comparisons between the two formats. Across the included studies, the pooled difference in primary symptom outcomes immediately after treatment was close to zero; this average does not establish equivalence for every condition or person.
In psychotherapy and counselling
The studies compared internet-delivered CBT with therapist contact against individual or group face-to-face CBT. The review assessed symptoms of the condition targeted by each study.
Important context and scope
The 2014 authors noted that few studies addressed each condition and did not analyse long-term effects. A 2018 update included 20 studies with 1,418 participants and called for larger studies. A 2023 update of 31 randomised trials found similar pooled effects across adult conditions. These averages do not predict outcomes for every person or condition. Published in World Psychiatry in October 2014.
Date type
Clinical study or review
Sources
- Andersson et al. (2014): Guided internet-based versus face-to-face CBT, full review(primary or catalogue record)
- Carlbring et al. (2018): Updated comparison of internet-based and face-to-face CBT, abstract(scholarly or historical account)
- Hedman-Lagerlöf et al. (2023): Updated comparison of therapist-supported internet-based and face-to-face CBT, abstract(scholarly or historical account)
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Bessel van der Kolk publishes The Body Keeps the Score
Psychiatrist Bessel van der Kolk published The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma in 2014. The book discusses traumatic stress and presents a range of approaches, including neurofeedback, meditation, drama and yoga.
Penguin Random House: The Body Keeps the Score, publication and publisher description
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Why it matters
The book reached a wide readership and helped bring discussion of trauma and treatment approaches to a broader audience.
In psychotherapy and counselling
Van der Kolk discusses bodily experience alongside memory, emotion and relationships. The book presents clinical interpretations and treatment approaches; its descriptions alone do not establish the effectiveness of each intervention.
Important context and scope
In a 2025 commentary, psychiatrist Michael Scheeringa questioned some of the book’s neurobiological and treatment claims, including whether the cited evidence establishes causation or superiority of particular treatments. This is a published critical perspective, not a systematic review or a verdict on every claim in the book. First published by Viking Penguin in September 2014.
Date type
Publication year
Sources
- Penguin Random House: The Body Keeps the Score, publication and publisher description(primary or catalogue record)
- Scheeringa (2025): Evaluating evidence behind popular trauma narratives (BJPsych Bulletin commentary)(scholarly or historical account)
- Van der Kolk (1994): The Body Keeps the Score: Memory and the Evolving Psychobiology of Posttraumatic Stress(primary or catalogue record)
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Dixon Chibanda and colleagues publish the JAMA trial of Zimbabwe's Friendship Bench
In 2016, Dixon Chibanda and colleagues reported a cluster-randomised trial of the Friendship Bench in 24 primary care clinics in Harare, Zimbabwe. Trained lay health workers delivered problem-solving therapy; an additional peer-support programme was optional.
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Why it matters
At six months, participants in the intervention group had lower measured symptoms of common mental disorders and depression than those receiving enhanced usual care.
In psychotherapy and counselling
The intervention used locally developed Shona concepts alongside a structured problem-solving approach. Participants could also join a peer-support group.
Important context and scope
The trial included 573 adults who screened positive for common mental disorders; most participants were women. Results relate to this intervention and setting, and the reported follow-up lasted six months. Cluster randomised clinical trial published in JAMA in December 2016; the programme began in Mbare, Harare in 2006.
Date type
Clinical study or review
Sources
- Chibanda et al. (2016), Effect of a Primary Care-Based Psychological Intervention on Symptoms of Common Mental Disorders in Zimbabwe (JAMA)(primary or catalogue record)
- PubMed: Friendship Bench randomised clinical trial and abstract (2016)(primary or catalogue record)
- Friendship Bench Zimbabwe official organisation(institutional record)
- (link to this entry)
World Health Organization publishes Problem Management Plus (PM+) for scalable psychological support
In 2016 the World Health Organization published Problem Management Plus (PM+): Individual Psychological Help for Adults Impaired by Distress in Communities Exposed to Adversity. Designed as a brief five-session transdiagnostic intervention, PM+ was created to be delivered by trained and supervised non-specialist helpers in low-resource and humanitarian settings.
World Health Organization: Problem Management Plus (PM+) manual
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Why it matters
PM+ operationalised the global mental health shift toward task-sharing, demonstrating in randomised trials in Pakistan and Kenya that brief, culturally adaptable psychological interventions could substantially reduce distress where few specialist psychiatrists or psychotherapists exist.
In psychotherapy and counselling
The protocol integrates four practical strategies: stress management through slow breathing, structured problem-solving for practical difficulties, behavioural activation ('Get Going, Keep Doing'), and strengthening social support networks.
Important context and scope
PM+ was designed for mild-to-moderate transdiagnostic distress rather than severe psychosis or acute suicide risk, which require specialist referral pathways within broader health systems. Published by the World Health Organization in 2016 as part of its mhGAP scalable psychological interventions series.
Date type
Publication year
Sources
- World Health Organization: Problem Management Plus (PM+) manual(primary or catalogue record)
- Bryant et al. (2017) randomised trial of PM+ in Kenya in PLOS Medicine(scholarly or historical account)
- (link to this entry)
Vikram Patel and colleagues publish the Healthy Activity Program (HAP) trial for depression in India
In a randomised trial at ten primary health centres in Goa, India, Vikram Patel and colleagues compared enhanced usual care plus the Healthy Activity Program (HAP) with enhanced usual care alone. The six- to eight-session programme was delivered by trained lay counsellors to adults with moderately severe to severe depressive symptoms.
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Why it matters
At three months, participants offered HAP alongside enhanced usual care had lower average symptom severity and a higher proportion met the study’s remission threshold than those offered enhanced usual care alone. The findings apply to the comparison and population studied, not to every setting or individual.
In psychotherapy and counselling
Counsellors were trained and supervised. The programme used behavioural activation, problem-solving and pictorial materials; delivery could take place at the health centre or at home, with telephone sessions when needed.
Important context and scope
A 12-month follow-up reported sustained differences in outcomes and estimated cost-effectiveness in the Goa study setting. The economic estimates depend on costs, outcomes and decision thresholds used in that study; they do not establish savings or effectiveness across all low- and middle-income settings. Published in The Lancet in January 2017 (online December 2016).
Date type
Clinical study or review
Sources
- Patel et al. (2017), The Healthy Activity Program (HAP), a lay counsellor-delivered brief psychological treatment for severe depression, in primary care in India (The Lancet)(primary or catalogue record)
- Sangath: PREMIUM and Healthy Activity Program resources(institutional record)
- Weobong et al. (2017): 12-month follow-up and economic analysis of the HAP trial(scholarly or historical account)
- (link to this entry)
BACP implements its revised Ethical Framework for the Counselling Professions
The British Association for Counselling and Psychotherapy (BACP) brought its revised Ethical Framework for the Counselling Professions into effect on 1 July 2018. It set out commitments to clients, ethical values and principles, and good practice for BACP members.
BACP: Ethical Framework for the Counselling Professions (2018 edition)
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Why it matters
The 2018 framework described the ethical standards expected of BACP members, including responsibilities concerning client relationships, confidentiality, supervision and accountability.
In psychotherapy and counselling
The 2018 document listed six core principles: being trustworthy, autonomy, beneficence, non-maleficence, justice and self-respect. It described them as resources for ethical decision-making alongside its values and good-practice commitments.
Important context and scope
BACP members have been required to work to the 2026 Ethical Framework since 3 November 2026. The 2018 framework remains relevant to some accreditation applications under BACP’s transitional arrangements; readers should consult the current guidance. Implemented by the British Association for Counselling and Psychotherapy on 1 July 2018.
Date type
Institutional or policy milestone
Sources
- BACP: Ethical Framework for the Counselling Professions (2018 edition)(primary or catalogue record)
- BACP: Ethical Framework for the Counselling Professions (2026 framework and transition)(primary or catalogue record)
- (link to this entry)
British Psychological Society Division of Clinical Psychology publishes the Power Threat Meaning Framework
Led by clinical psychologists Lucy Johnstone and Mary Boyle alongside service-user campaigners including Jacqui Dillon, the British Psychological Society's Division of Clinical Psychology published the Power Threat Meaning Framework (PTMF) in January 2018. The document proposed a non-diagnostic alternative to psychiatric classification systems such as DSM and ICD.
British Psychological Society: The Power Threat Meaning Framework
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Why it matters
PTMF offered a systematic synthesis connecting social inequalities, trauma, and power relations with emotional distress, moving clinical discourse from 'What is wrong with you?' to 'What has happened to you?'
In psychotherapy and counselling
Collaborative formulation explores four core questions: how power has operated in a person's life, what kinds of threat this posed, what meaning the person made of those situations, and what learned 'threat responses' (often labelled as symptoms) the person had to use to survive.
Important context and scope
Published as a conceptual resource rather than official BPS policy across all divisions, PTMF generated intense debate: welcomed by many trauma-informed, narrative, and survivor groups while criticised by some psychiatrists and researchers who valued diagnostic categories for medical communication and epidemiological research. Published by the British Psychological Society Division of Clinical Psychology in January 2018.
Date type
Publication year
Sources
- British Psychological Society: The Power Threat Meaning Framework(primary or catalogue record)
- Johnstone & Boyle (2018), The Power Threat Meaning Framework: An Alternative Nondiagnostic Conceptual System (Journal of Humanistic Psychology)(scholarly or historical account)
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A third APA task force examines therapy relationships and responsiveness
The third Interdivisional APA Task Force on Evidence-Based Relationships and Responsiveness reviewed research on therapy relationships and adaptations to individual clients. Its work appeared in journal issues in 2018 and two Oxford University Press volumes in 2019: John C. Norcross and Michael J. Lambert edited the first volume; Norcross and Bruce E. Wampold edited the second.
Norcross and Lambert (2018): Psychotherapy relationships that work III, PubMed abstract
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Why it matters
The task force brought together meta-analyses of relationship elements and research on adapting therapy to the person. Its authors reported associations between relationship measures and outcomes, and assessed the evidence for different forms of responsiveness.
In psychotherapy and counselling
The relationship review considered elements such as alliance, empathy, group cohesion, positive regard and client feedback. The responsiveness volume considered characteristics including client preferences, cultural context and spirituality.
Important context and scope
Norcross and Lambert noted that much of the relationship research was correlational, making causal interpretation difficult, and that most studies reviewed were published in English and conducted in Western developed countries. Earlier task force findings appeared in a 2001 journal issue and a 2002 book, followed by a second edition and journal issue in 2011. Task Force conclusions published in Psychotherapy in late 2018 and as two Oxford University Press volumes in 2019.
Date type
Publication year
Sources
- Norcross and Lambert (2018): Psychotherapy relationships that work III, PubMed abstract(scholarly or historical account)
- Norcross and Lambert (2018): Psychotherapy relationships that work III, full text(scholarly or historical account)
- Norcross and Wampold (2018): A new therapy for each patient, PubMed abstract(scholarly or historical account)
- Oxford Academic: Psychotherapy Relationships That Work, Volume 1, edited by Norcross and Lambert (2019)(primary or catalogue record)
- Oxford Academic: Psychotherapy Relationships That Work, Volume 2, edited by Norcross and Wampold (2019)(primary or catalogue record)
Related
- (link to this entry)
Mental health professionals expand remote care during the COVID-19 pandemic
During the COVID-19 pandemic, many mental health professionals moved to or increased remote consultations. A 2020 survey of 1,206 clinicians in 100 countries found telephone and video were the most common telehealth methods among respondents.
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Why it matters
The change raised questions about training, privacy, access and the therapeutic relationship when care is delivered at a distance.
In psychotherapy and counselling
Remote work requires attention to the practical and ethical conditions of care. A BACP framework describes competences for working online and by telephone, including contracting and safeguarding.
Important context and scope
The international survey measured clinicians’ reported use and perceptions; it was not a random sample of all practitioners and did not establish equivalent outcomes for every treatment or setting. Access, training and concerns varied across respondents. A survey conducted in June and July 2020 was published in 2022.
Date type
Historical or conference event
Sources
- Montoya and colleagues: International survey of telehealth use among mental health professionals (2022)(scholarly or historical account)
- BACP and Open University: Online and Phone Therapy competency framework(institutional record)
- Simpson and colleagues: Videotherapy and therapeutic alliance in the age of COVID-19 (2021)(scholarly or historical account)
- (link to this entry)
Pim Cuijpers and colleagues publish large-scale network meta-analyses of psychotherapies and pharmacotherapies for depression
Pim Cuijpers and colleagues published two network meta-analyses of adult depression treatments. The 2020 analysis compared psychotherapy, medication and their combination; the 2021 analysis compared types of psychotherapy with each other and control conditions.
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Why it matters
In the 2020 analysis, combined treatment had higher response rates at the end of treatment than either treatment alone. In the 2021 analysis, most psychotherapy types did not differ significantly from each other, although non-directive supportive counselling had lower response rates than the other therapies.
In psychotherapy and counselling
The authors noted that preferences and access can inform choices between therapies. Results describe groups in trials and do not establish which treatment will work best for an individual.
Important context and scope
The 2020 authors considered the 6-to-12-month comparisons preliminary because treatments and follow-up varied, and called for more research on longer-term effects. Trial quality and the types of comparison also limit interpretation. Published in World Psychiatry in 2020 and 2021; the analyses covered 101 and 331 randomised trials respectively.
Date type
Clinical study or review
Sources
- Cuijpers et al. (2020), A network meta-analysis of the effects of psychotherapies, pharmacotherapies and their combination in the treatment of adult depression (World Psychiatry)(primary or catalogue record)
- Cuijpers et al. (2021), Psychotherapies for depression: a network meta-analysis covering efficacy, acceptability and long-term outcomes (World Psychiatry)(primary or catalogue record)
- (link to this entry)
NICE publishes updated Depression in Adults guideline (NG222) emphasising patient choice across psychological therapies
In June 2022 the National Institute for Health and Care Excellence (NICE) published its updated guideline Depression in adults: treatment and management (NG222), replacing the 2009 guideline (CG90). Following sustained consultation with therapy bodies and service users, NG222 placed shared decision-making and patient choice across a menu of evidence-based psychological therapies ahead of routine antidepressant prescribing for less severe depression.
NICE Guideline NG222: Depression in adults: treatment and management
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Why it matters
The guideline marked a policy shift in the UK away from a rigid single-treatment hierarchy toward structured patient choice across cognitive-behavioural, behavioural activation, interpersonal, mindfulness-based, counselling for depression, and short-term psychodynamic therapies, while also introducing guidance on safe antidepressant withdrawal.
In psychotherapy and counselling
Clinicians are expected to discuss the format, duration, and focus of available psychological options alongside the person's clinical needs, cultural context, and personal preferences before starting treatment.
Important context and scope
A coalition of psychotherapy, counselling, and service-user organisations had formally challenged earlier 2017-2018 drafts of the guideline over methodological weighting of long-term outcomes and client preference, shaping the final 2022 recommendations. NICE Guideline NG222 published on 29 June 2022, following five years of stakeholder consultation and NICE's Shared Decision Making guideline (NG197, 2021).
Date type
Institutional or policy milestone
Sources
- NICE Guideline NG222: Depression in adults: treatment and management(primary or catalogue record)
- NICE Guideline NG197: Shared decision making(institutional record)
- (link to this entry)
WHO publishes the World Mental Health Report: Transforming Mental Health for All
In June 2022 the World Health Organization published its flagship World Mental Health Report: Transforming Mental Health for All, its largest global review since 2001. The report called on governments to shift investment away from custodial psychiatric institutions toward community-based mental health networks, scalable psychological interventions, and action on social determinants of distress.
WHO: World Mental Health Report: Transforming Mental Health for All (2022)
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Why it matters
The report elevated psychological and psychosocial interventions, human rights, and lived-experience leadership as central pillars of global public health policy following the COVID-19 pandemic.
In psychotherapy and counselling
It endorsed a tiered system combining multisectoral promotion and prevention, task-shared brief psychological interventions in primary care and community settings, and accessible specialist psychotherapy integrated into general healthcare.
Important context and scope
While setting an ambitious international benchmark, the report noted that median government mental health spending remained around 2% of health budgets globally, leaving huge disparities in access to psychological care. Published by the World Health Organization on 17 June 2022.
Date type
Publication year
Sources
- WHO: World Mental Health Report: Transforming Mental Health for All (2022)(primary or catalogue record)
- WHO Mental Health Action Plan 2013-2030(institutional record)
- (link to this entry)
NHS England rebrands IAPT as NHS Talking Therapies for anxiety and depression
In January 2023 NHS England formally renamed the Improving Access to Psychological Therapies (IAPT) programme as 'NHS Talking Therapies, for anxiety and depression'. The rebrand followed extensive public and clinical consultation designed to replace technical acronym jargon with accessible, plain-English naming across all local services in England.
NHS England: NHS Talking Therapies, for anxiety and depression
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Why it matters
Fifteen years after its 2008 launch, the service had become a permanent fixture of the British healthcare landscape, treating over 1.2 million adults annually and publishing open national recovery datasets.
In psychotherapy and counselling
Alongside the rebrand, services continued expanding employment support advisers, long-term physical health condition pathways, and training in NICE-recommended modalities beyond CBT, including person-centred experiential counselling for depression, IPT, EMDR, and brief dynamic interpersonal therapy.
Important context and scope
The rebrand standardised naming across dozens of local NHS trusts that had previously used inconsistent local brand names, while continuing to use the established IAPT clinical governance and outcome monitoring architecture. National rebrand announced by NHS England in January 2023 following public consultation.
Date type
Institutional or policy milestone
Sources
- NHS England: NHS Talking Therapies, for anxiety and depression(primary or catalogue record)
- National Collaborating Centre for Mental Health: The NHS Talking Therapies Manual(institutional record)
- (link to this entry)
Psychologists examine AI use and ethics in clinical practice
In its 2024 Practitioner Pulse Survey, the American Psychological Association reported that some psychologists used artificial intelligence for work such as writing, summarising or note-taking. The survey described reported use, not evidence that these tools improve clinical outcomes.
American Psychological Association: 2024 Practitioner Pulse Survey
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Why it matters
Generative AI raised questions about confidentiality, accuracy, bias and professional accountability in psychological practice.
In psychotherapy and counselling
The APA published ethical guidance for health service psychologists in 2025. It discusses informed consent, data privacy, critical evaluation of AI-generated content and continued professional oversight. Applicable legal and professional requirements vary by jurisdiction and use.
Important context and scope
The 2024 survey and 2025 guidance are distinct documents. The survey is not a measure of every therapist’s practice, and the guidance addresses health service psychologists rather than setting a universal rule for all practitioners. The APA survey covers 2024; its ethical guidance was created in 2025.
Date type
Institutional or policy milestone
Sources