title: In defense of listening.
abstract: This paper makes a case for listening and its role in establishing and maintaining meaningful psychotherapeutic relationships. Further, it examines those factors that have contributed to the devaluation and current decline of listening in mental health care. These factors include the abuses of managed care, the marketing and misuse of psychotropic medications, the growth of brief, manualized, empirically supported treatments (ESTs), and the lack of appreciation for unconscious processes and countertransference in the appeal, development and delivery of these interventions.
authors.affiliation: Department of Pediatrics, University of Nevada School of Medicine, Reno, Nevada 89509, USA. sgraybar@unr.edu
authors.forename: Steven R
authors.initials: SR
authors.lastname: Graybar
authors.forename: Leah M
authors.initials: LM
authors.lastname: Leonard
mesh_terms: D003379:Countertransference; D006801:Humans; D008329:Managed Care Programs; D008370:Manuals as Topic; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D011369:Professional-Patient Relations; D013811:Psychotherapeutic Processes; D011613:Psychotherapy / Q000379:methods* / Q000639:trends; D011614:Psychotherapy, Brief; D011619:Psychotropic Drugs / Q000627:therapeutic use
chemical_list: D011619:Psychotropic Drugs