Saving Talk Therapy
How Health Insurers, Big Pharma, and Slanted Science Are Ruining Good Mental Health Care
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Narrated by:
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J. D. Jackson
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By:
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Enrico Gnaulati
About this listen
A hard-hitting critique of how managed care and the selective use of science to privilege quick-fix therapies have undermined in-depth psychotherapy—to the detriment of patients and practitioners
In recent decades there has been a decline in the quality and availability of psychotherapy in America that has gone largely unnoticed—even though rates of anxiety, depression, and suicide are on the rise. In Saving Talk Therapy, veteran psychologist Dr. Enrico Gnaulati presents evocative case studies from his practice to remind patients and therapists alike how and why traditional talk therapy works and, using cutting-edge research findings, unpacks the problematic incentives in our health-care system and in academic psychology that explain its decline.
Beginning with a discussion of the historical development of talk therapy, Gnaulati goes on to dissect the factors that have eroded it. Psychotropic drugs, if no longer thought of as a magical cure, are still overprescribed and shunt health-care dollars to drug companies. Managed-care companies and mental health "carve outs" send these same dollars to administrators and slash payments to therapists, driving many talented ones away and overburdening those who remain in the system. Drawing back the curtains on cognitive behavioral therapy (CBT)—a short-term, goal-oriented form of psychotherapy that is preferred in the managed-care world—Gnaulati shows that, while it might prove effective in the research lab, those findings don't readily apply to people's complex emotional problems. Gnaulati also casts a spotlight on how CBT's favored status in graduate programs prevents trainee therapists from acquiring the relationship skills necessary to caringly and carefully treat patients.
Saving Talk Therapy is a passionate and deeply researched case for in-depth, personally transformative psychotherapy that incorporates the benefits of evidence-based practice and psychotropic drugs without over-relying on them.
©2018 Enrico Gnaulati (P)2018 Random House AudioListeners also enjoyed...
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Story
It is the tenth anniversary since the first publication of Daniel Goleman's groundbreaking bestseller, Emotional Intelligence, which maps the territory where IQ meets EQ, where we apply what we know to how we live. Spending over a year on the New York Times bestseller list, Emotional Intelligence provided the evidence for what many successful people already knew: being smart isn't just a matter of mastering facts; it's a matter of mastering your own emotions and understanding the emotions of the people around you.
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Good info, hard to listen sometimes
- By Stephanie on 04-16-03
By: Daniel Goleman
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Emotional First Aid
- Practical Strategies for Treating Failure, Rejection, Guilt, and Other Everyday Psychological Injuries
- By: Guy Winch Ph.D.
- Narrated by: Guy Winch Ph.D.
- Length: 9 hrs and 5 mins
- Unabridged
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Explaining the long-term fallout that can result from seemingly minor emotional and psychological injuries, Dr. Winch offers concrete, easy-to-use exercises backed up by hard cutting-edge science to aid in recovery. He uses relatable anecdotes about real patients he has treated over the years and often gives us a much needed dose of humor as well.
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insightful and delightful
- By IngleSpanish.laugh.n.learn on 11-02-13
By: Guy Winch Ph.D.
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The Depths
- The Evolutionary Origins of the Depression Epidemic
- By: Jonathan Rottenberg
- Narrated by: Walter Dixon
- Length: 4 hrs and 27 mins
- Unabridged
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Nearly every depressed person is assured by doctors, well-meaning friends and family, the media, and ubiquitous advertisements that the underlying problem is a chemical imbalance. Such a simple defect should be fixable, yet despite all of the resources that have been devoted to finding a pharmacological solution, depression remains stubbornly widespread. Why are we losing this fight?
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Great read for understanding
- By Adam on 02-04-15
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Suspicious Minds
- How Culture Shapes Madness
- By: Joel Gold, Ian Gold
- Narrated by: Joel Gold, Ian Gold
- Length: 9 hrs and 51 mins
- Unabridged
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Mr. A. was admitted to Dr. Joel Gold’s inpatient unit at Bellevue Hospital in 2002. He was, he said, being filmed constantly, and his life was being broadcast around the world "like The Truman Show" - the 1998 film depicting a man who is unknowingly living out his life as the star of a popular soap opera. Over the next few years, Gold saw a number of patients suffering from what he and his brother, Dr. Ian Gold, began calling the "Truman Show Delusion," launching them on a quest to understand the nature of this particular phenomenon and the nature of madness itself.
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Intriguing
- By L. K. on 04-18-16
By: Joel Gold, and others
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Too Soon Old, Too Late Smart
- 30 True Things You Need to Know Now
- By: Gordon Livingston
- Narrated by: James Jenner
- Length: 4 hrs and 35 mins
- Unabridged
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Full of things we may know but have not articulated to ourselves, Too Soon Old, Too Late Smart is a gentle and generous alternative to the trial-and-error learning that makes wisdom such an expensive commodity. For everyone who feels a sense of urgency that the clock ticks and still we aren't the person we'd like to be, it offers solace, guidance, and hope.
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This guy is a straight shooter
- By Julia on 11-13-05
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Unbroken Brain
- A Revolutionary New Way of Understanding Addiction
- By: Maia Szalavitz
- Narrated by: Marisa Vitali
- Length: 12 hrs and 35 mins
- Unabridged
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Challenging both the idea of the addict's "broken brain" and the notion of a simple "addictive personality", Unbroken Brain offers a radical and groundbreaking new perspective, arguing that addiction is a learning disorder, and shows how seeing the condition this way can untangle our current debates over treatment, prevention, and policy.
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Not what I expected
- By Jennifer Sader on 08-28-16
By: Maia Szalavitz
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Clean
- Overcoming Addiction and Ending America’s Greatest Tragedy
- By: David Sheff
- Narrated by: Jeff Cummings
- Length: 13 hrs and 30 mins
- Unabridged
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Addiction is a preventable, treatable disease, not a moral failing. As with other illnesses, the approaches most likely to work are based on science - not on faith, tradition, contrition, or wishful thinking. These facts are the foundation of Clean, a myth-shattering look at drug abuse by the author of Beautiful Boy. Based on the latest research in psychology, neuroscience, and medicine, Clean is a leap beyond the traditional approaches to prevention and treatment of addiction.
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Unbearable narration
- By John on 09-10-14
By: David Sheff
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Prodependence
- Moving Beyond Codependency
- By: Robert Weiss
- Narrated by: Corey Gagne
- Length: 4 hrs and 35 mins
- Unabridged
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In Prodependence, Weiss presents a research-based social and psychological understanding of human interdependence, accepting and even celebrating human interdependency in ways that are healthy and life-affirming for each person.
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Great content but horrible voice
- By Amazon Customer on 03-23-21
By: Robert Weiss
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Transcendence
- Healing and Transformation Through Transcendental Meditation
- By: Norman E. Rosenthal
- Narrated by: Gildart Jackson
- Length: 8 hrs and 4 mins
- Unabridged
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Norman E. Rosenthal, M.D., a 20-year researcher at the National Institute of Mental Health and the celebrated psychiatrist who pioneered the study and treatment of Season Affective Disorder (SAD), brings us the most important work on Transcendental Meditation since the Maharishi Mahesh Yogi's Science of Being and Art of Living - and one of our generation's most significant books on achieving greater physical and mental health and wellness.
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Inspirational yet "Informercional"
- By James on 05-24-13
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Recover to Live
- Kick Any Habit, Manage Any Addiction: Your Self-Treatment Guide to Alcohol, Drugs, Eating Disorders, Gambling, Hoarding, Smoking, Sex, and Porn
- By: Christopher Kennedy Lawford
- Narrated by: Seth Michael Donsky
- Length: 13 hrs and 42 mins
- Unabridged
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From New York Times bestselling author of Symptoms of Withdrawal and Moments of Clarity Christopher Kennedy Lawford comes a book that will save lives. For most of his early life, Christopher Kennedy Lawford battled life-threatening drug and alcohol addictions. Now in recovery for more than 25 years, he works to effect change and raise global awareness of addiction in nonprofit, private, and government circles, serving as the goodwill ambassador for drug dependence treatment and care for the United Nations.
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I didn't know I was a workaholic
- By wh on 06-17-13
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The Body Keeps the Score
- Brain, Mind, and Body in the Healing of Trauma
- By: Bessel van der Kolk M.D.
- Narrated by: Sean Pratt
- Length: 16 hrs and 15 mins
- Unabridged
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Trauma is a fact of life. Veterans and their families deal with the painful aftermath of combat; one in five Americans has been molested; one in four grew up with alcoholics; one in three couples have engaged in physical violence. Dr. Bessel van der Kolk, one of the world’s foremost experts on trauma, has spent more than three decades working with survivors. In The Body Keeps the Score, he uses recent scientific advances to show how trauma literally reshapes both body and brain, compromising sufferers’ capacities for pleasure, engagement, self-control, and trust.
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Overall Worthwhile, Lingers Too Long in the Why
- By LittleBeadsOfMercury on 04-07-21
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Manufacturing Depression
- The Secret History of a Modern Disease
- By: Gary Greenberg
- Narrated by: Kirby Heyborne
- Length: 14 hrs and 10 mins
- Unabridged
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Am I happy enough? This has been a pivotal question since America's inception. "Am I not happy enough because I am depressed?" is a more recent version. Psychotherapist Gary Greenberg shows how depression has been manufactured---not as an illness but as an idea about our suffering, its source, and its relief. He challenges us to look at depression in a new way.
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Modern Gonzo Tour de Force
- By S. Frank on 11-12-11
By: Gary Greenberg
What listeners say about Saving Talk Therapy
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- I research everything
- 10-20-23
Feels like I feel about therapy
This book is primarily for other therapists, and expresses the pent up frustrations that many therapist may have with changes in the field, now often referred to the “industry” of therapy. Capitalization, managed care, Phrama, joint commission of hospital accreditation, automation, internet, social media, therapy apps, and soon to be artificial intelligence
all pose a threat to the essential elements of therapy and the therapeutic relationship. The author make his case for “ old school” therapy, it’s a shame the the younger generations won’t know what a degraded “product” they are getting when they could be getting a transforming process.
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