Four taboos that may limit the success of psychotherapy

Painful though it may be, it must be accepted as fact that psychotherapy has a lower success rate than it should. Whatever questions we therapists raise about the validity of research in psychotherapy, whatever the problems in defining success, whatever the arguments about therapeutic outcome studies, we are stuck with a great deal of evidence which indicates that between one-third and two-thirds of patients do not benefit from treatment (Bergin, 1971; Eysenck, 1952, 1966; Garfield et al., 1971). In contrast, behavior modifiers and those using physical treatments such as psychosurgery claim rates of improvement and success which sometimes exceed 90 percent (Baily et al., 1973; Hunter-Brown, 1972; Paul, 1965; Rachman, 1971). This paper examines four current practices which may contribute to our failure. These practices are linked to taboos and examined with a view toward understanding both the functions they serve and the limits they impose on therapeutic effectiveness.