Concept

Psychotherapy

Overview

Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Numerous types of psychotherapy have been designed either for individual adults, families, or children and adolescents. Some types of psychotherapy are considered evidence-based for treating diagnosed mental disorders; other types have been criticized as pseudoscience. However, at least to some extent, psychotherapies are supported by neuroscience, tend to have longer-lasting effects than pharmacotherapies, and can improve the effects of pharmacotherapies, including those involving psychedelics.

There are hundreds of psychotherapy techniques, some being minor variations; others are based on very different conceptions of psychology. Most approaches involve one-to-one sessions, between the client and therapist, but some are conducted with groups, including couples and families.

Psychotherapists may be mental health professionals such as psychiatrists, psychologists, mental health nurses, clinical social workers, marriage and family therapists, or licensed professional counselors. Psychotherapists may also come from a variety of other backgrounds, and depending on the jurisdiction may be legally regulated, voluntarily regulated or unregulated (and the term itself may be protected or not).

It has shown general efficacy across a range of conditions, although its efficacy varies by individual and condition. While large-scale reviews support its benefits, debates continue over the best methods for evaluating outcomes, including the use of randomized controlled trials versus individualized approaches. A 2022 umbrella review of 102 meta-analyses found that effect sizes for both psychotherapies and medications were generally small, leading researchers to recommend a paradigm shift in mental health research. Although many forms of therapy differ in technique, they often produce similar outcomes, leading to theories that common factors—such as the therapeutic relationship—are key drivers of efficacy. Challenges include high dropout rates, limited understanding of mechanisms of change, potential adverse effects, and concerns about therapist adherence to treatment fidelity. Critics have raised questions about psychotherapy's scientific basis, cultural assumptions, and power dynamics, while others argue it is underutilized compared to pharmacological treatments.

Overview adapted from Wikipedia (CC BY-SA 4.0; see the article history for authors).

In the original texts

Passages from public-domain books where Psychotherapy is discussed.

I was unable to give those indications to the medical reader of the book which would enable him to perform such a treatment. But surely there were other causes of a general nature. To many physicians psychotherapy even today appears as a product of modern mysticism, and in comparison to our physico-chemical remedies the application of which is based on physiological insight, psychotherapy appears quite unscientific…
Sigmund Freud, Selected papers on hysteria and other psychoneuroses
names the idea; a chapter is titled for it; states what it is
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The similarity between the procedure of Gradiva and the analytic method of psychotherapy is, however, not limited to these two points, making the repressed conscious, and the concurrence of explanation and cure. It extends itself to what proves the essential of the whole change, the awakening of the emotions.
Sigmund Freud, Delusion and Dream
states what it is; names the idea; opens on it
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I mean _mechanical activity_. It is indisputable that a suffering existence can be thereby considerably alleviated. This fact is called to-day by the somewhat ignoble title of the "Blessing of work." The alleviation consists in the attention of the sufferer being absolutely diverted from suffering, in the incessant monopoly of the consciousness by action, so that consequently there is little room left for…
Friedrich Wilhelm Nietzsche, The Genealogy of Morals The Complete Works, Volume Thirteen, edited by Dr. Oscar Levy.
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Those precepts which are called moral are in reality directed against individuals, and do not by any means make for the happiness of such individuals. The relationship of these precepts to the "happiness and well-being of mankind" is equally slight, for it is quite impossible to assign a definite conception to these words, and still less can they be employed as guiding stars on the dark sea of moral aspirations. It…
Friedrich Wilhelm Nietzsche, The Dawn of Day
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A medical treatment that is to be effective can only be built up on the pathogenesis of a disease. The psycho-pathogenesis of the war neurosis, (and no intelligent man any longer doubts its psychic origin), obviously can be elucidated only by means of psycho-analysis. It is intelligible that a hospital regime necessitating the simultaneous treatment of a large number of cases and calling for rapid curative results…
Sándor Ferenczi, Psycho-Analysis and the War Neuroses
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Psychotherapy

Overview

In the original texts

Philosophers who discussed Psychotherapy

Related ideas

Opposing perspectives

Place in the tradition