For the 4th edition of Counseling and Psychotherapies in Context and Practice we added an amazing new author. I’ve introduced him on this blog before, but here’s his official bio for the new textbook:
Bryan Cochran, PhD., is a clinical psychologist, professor, and director of clinical training for the PhD program in clinical psychology at the University of Montana. His research areas of interest are LGBTIQ+ health and substance use treatment. He is the co-author of dozens of articles and book chapters on these issues, and 23 years into his academic career, has enjoyed being involved with this textbook project as a way of expanding his thinking and his knowledge of counseling theories and lenses. He doesn’t currently have a blog like John and Rita do but undoubtedly feels the pressure to do so every time he reads their musings on life and on their work. He works with clients in a clinical role using a variety of perspectives that you’ve read about in this text. While not at work, he loves hiking, swimming in Flathead Lake, hunting thrift and antique stores for mid-century treasures, and doing home renovations.
Working with Bryan has been nothing short of fabulous. . .in so many ways. Today, I’m featuring his introduction to the all-new Chapter 2, titled, Viewing Counseling and Psychotherapy Theories Through Contemporary Lenses. Here you go!
**********************************
LENSES, THEORIES, AND METHODS, OH MY!
Take a seat. We’d like to start this chapter with an eye (vision) examination. Or, if you prefer, think of this as an ear (hearing) exam. It’s both … and more. This chapter is a perception check.
Lenses clarify and distort. They provide more brightness or less brightness, an array of colors, and more clarity or more distortion. In this chapter, we’re not prescribing corrective lenses. If you’re familiar with an eye exam, think of the optometrist comparing lenses and repeatedly asking, “Which is clearer?” Your “vision” as a psychotherapist is as unique as your personal history and fingerprint.
This process—offering up different lenses for improving your perceptual acuity in counseling and psychotherapy—is far slower and more complex than an eye examination. But the analogy carries truth. As you try on and experiment with different lenses from this chapter, you may see your clients and their distress more accurately. You and your clients will benefit.
Lenses are different from theories. It may seem confusing, but our aim is to create a distinction that illuminates, rather than conflates, these concepts. Most therapy approaches in this book align with a particular theoretical perspective; behavioral psychotherapy is linked to theories of operant and classical conditioning. Psychoanalysis is deeply rooted in theories regarding the interplay of different mental structures, or psychodynamics. However, there’s no reason you can’t put on a queer theory lens when doing cognitive therapy, where you help a client to identify maladaptive thinking errors and discuss how those thoughts are likely to come about in a heteronormative society (one in which heterosexuality is the dominant paradigm for understanding relationships and family structures, and other configurations are seen as outside that norm). You can use lenses, such as critical race theory, queer theory, or intersectionality, to deepen your application of psychotherapy theories and tailor your treatment to a given client’s identities and needs.
New therapists often are frustrated by the need “to pick” a particular theoretical perspective, as if doing so means you’re entering an exclusive relationship with that choice. Like romantic partners, though, you’re unlikely to resonate with every aspect of every theoretical perspective. Unlike with a romantic partner (unless you’re setting yourself up for a series of arguments), you can analyze theoretical perspectives through various lenses to separate the parts of the theories that are most useful from those that are less useful.
So, what do we mean by a lens, in comparison to a theory? Lenses transcend disciplines—they often emerge outside of psychology but can be applied to psychological theories. Whereas a theory might tell you what to do as a therapist—what to assess, how to intervene—a lens informs how you go about doing it. Because a lens transforms how you view the world, you might adopt (or already have adopted!) a lens without being aware of it. Since one of the key principles of counseling is to understand what biases we bring into the therapeutic process, spending time talking about key lenses in a chapter new to this edition seemed like a good idea to us.
As you adapt a particular lens for viewing a counseling theory, it may be tempting to throw out the history and background of that theory because it doesn’t stand the test of time. A good example of this is the waves of critiques that have been leveled against Freudian psychoanalysis. While there are few current theorists who would say young women suffer from castration anxiety or that the Oedipal complex is a major influence on young men, the idea that some of the determinants of our behavior operate outside of our consciousness remains robust, supported by empirical research and lived experience. We believe it’s possible to hold onto both a lens and a theory at the same time. Let’s spend some time exploring some different lenses for viewing counseling and therapy so you can further develop your sense of who you might be as an emerging clinician.
John Sommers-Flanagan 