The system we have termed synergistic therapy may have raised concerns as to whether any one therapist can be sufficiently skilled, not only in employing a wide variety of therapeutic approaches, but also to synthesize them and to plan their sequence. As the senior author was asked at a conference some years ago: "Can a highly competent behavioral therapist employ cognitive techniques with any measure of efficacy; and can he prove able, when necessary, to function as an insightful intrapsychic therapist? Can we find people who are strongly self-actualizing in their orientation who can, at other times, be cognitively confronting?" Is there any wisdom in selecting different modalities in treating a patient if the therapist has not been trained diversely or is not particularly competent in more than one ore two therapeutic modalities?
It is our belief that the majority of therapists have the ability to break out of their single-minded or loosely eclectic frameworks, to overcome their prior limitations, and to acquire a solid working knowledge of diverse treatment modalities. Developing a measure of expertise with the widest possible range of modalities is highly likely to increase treatment efficacy with a therapist's primary goal of his or her professional career, that of helping patients and clients overcome their mental health difficulties.
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