Twenty units, in order
A full survey of the field, from what psychotherapy is through every major system to the comparative conclusions — and four units on what a course written before 2020 does not cover.
Praxical.Psych is organised as a twenty-unit sequence. The first sixteen map onto the standard survey of the field — what psychotherapy is, how it is studied, and each of the major systems in turn. The last four go where survey courses usually stop: comparative conclusions, the future of the field, and the two areas of practice that a course written before 2020 does not cover.
The units are designed to be read in order, because the arguments accumulate: the evidence unit changes how you read every system that follows it, and the comparative unit does not work until you have the systems to compare. Reading out of order is entirely possible and slightly worse.
How each unit is built
- A reading — the argument of the unit, with the contested points marked as contested
- The systems, topics, cases and instruments that belong to it
- A session to run in the simulator, wherever the unit has a modality attached
- Questions to take to a seminar, a supervisor, or an argument with yourself
- 1
Defining psychotherapy, and comparing the psychotherapies
Before any system, the prior question: what makes something psychotherapy rather than advice, friendship, education or medicine — and how can approaches with incompatible premises be compared at all?
Chapter 1Sessions 9/9–9/145 items - 2
The history of psychotherapy, and its omissions
From the moral treatment movement through Freud, behaviourism, the humanistic reaction, the cognitive revolution and the evidence-based practice movement — and the parts of that history the field has been slow to tell.
Sessions 9/16–9/182 items - 3
The research base I: what counts as evidence
Empirically supported treatments, evidence-based practice, and practice-based evidence — three related ideas that are frequently confused, and the methodological machinery underneath them.
Sessions 9/21–9/257 items - 4
The research base II: what actually works
The dodo bird verdict, the contextual model, therapist effects, deterioration, and routine outcome monitoring — the findings that unsettle every school equally.
Sessions 9/23–9/257 items - 5
Psychoanalytic therapies
Unconscious motivation, defense, transference, resistance — and the four psychologies the tradition became.
Chapter 2Sessions 9/28–10/27 items - 6
Psychodynamic therapies
Adler, Horney and Sullivan replaced drive with relationship; Malan, Luborsky, Davanloo and their successors made the result brief enough to test.
Chapter 3Sessions 10/9–10/196 items - 7
Existential therapies
Beyond the syllabusDeath, freedom, isolation and meaninglessness — and the clinical question of when anxiety is the correct response.
Chapter 43 items - 8
Person-centred therapies
Six conditions, stated as necessary and sufficient, tested for sixty years, and falsified in a way that vindicated most of what they contained.
Chapter 5Sessions 10/21–10/265 items - 9
Experiential therapies
Gestalt supplied the methods; emotion-focused therapy tested them and found out which parts work.
Chapter 6Sessions 10/28–10/303 items - 10
Interpersonal therapies
Sullivan’s interpersonal field, the circumplex and complementarity, Benjamin’s reconstructive therapy, and IPT — the most deliverable evidence-based treatment in the world.
Chapter 7Sessions 11/4–11/134 items - 11
Exposure therapies
Two-factor theory, safety behaviours, and the shift from habituation to inhibitory learning — plus the therapist avoidance that keeps this treatment from patients who need it.
Chapter 8Sessions 11/16–11/206 items - 12
Behaviour therapies
Functional analysis, contingencies, behavioural activation — and the finding that the simplest component of cognitive therapy carried much of its effect.
Chapter 9Sessions 11/16–11/184 items - 13
Cognitive therapies
Beck and Ellis, automatic thoughts and core beliefs, collaborative empiricism — and the mediation evidence that has never quite arrived.
Chapter 10Sessions 11/23–11/307 items - 14
Third-wave therapies
Beyond the syllabusACT, DBT, MBCT and compassion-focused therapy — behavioural at the root, contextual in method, and the answer to what cognitive therapy could not reach.
Chapter 118 items - 15
Systemic therapies
Beyond the syllabusCircular causality, structure, attempted solutions, and the feminist critique that reshaped the field.
Chapter 126 items - 16
Gender-informed and multicultural therapies
Minority stress, cultural humility, the WEIRD problem, and the single most damaging error available to a therapist.
Chapters 13 & 14Sessions 12/9–12/115 items - 17
Positive psychology and solution-focused therapies
Beyond the syllabusThe two-continua model, well-being therapy, and a brief therapy that declines to discuss the problem at all.
Chapter 154 items - 18
Integrative therapies
Four routes to integration, the transtheoretical model, and the discipline that separates integration from drift.
Chapter 16Sessions 12/4–12/74 items - 19
Altered states: psychedelic, MDMA- and ketamine-assisted therapies
Beyond the syllabusSet and setting, preparation and integration, and a regulatory decision that turned on methodology rather than on enthusiasm.
5 items - 20
Comparative conclusions and the future
Where the systems genuinely disagree, where they merely use different words, what the field looks like in twenty years, and what your own model of change actually is.
Chapters 17 & 18Session 12/149 items