Expanding the Limits of Individual and Family Therapies: A Critical Realist Approach

Author(s) : David Pocock

Expanding the Limits of Individual and Family Therapies: A Critical Realist Approach

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This book invites individual therapists to think systemically (including issues of social justice) and family therapists to explore a deeper understanding of the individual in contexts, including the domain of the unconscious.

Using a critical realist framework, it promotes multiple perspectives—often novel combinations from dissimilar psychotherapy traditions—to expand holistic understanding and provide a richer variety of resources to bring to co-constructed therapeutic encounters.

It uses a critical examination of the often-unspoken philosophical underpinnings of psychotherapy practices to re-vision a range of theory and practice considerations—theory choice, the role of science, knowing and not-knowing, emotion in the system, power and autonomy, collaboration and change, and sameness and otherness.

All the preceding elements of the book are then brought together in the clinical topics of triangulation, aggressive out-of-control behaviour, and self-harm.

Numerous brief case vignettes and longer case examples ensure that theory is always grounded in practice.

Reviews and Endorsements

David Pocock has always been one of the most original thinkers in the field of family therapy. It may be hard to say if David Pocock is psychoanalytic or systemic. As he writes in the introduction, he is both and more. Deeply grounded in a critical realist philosophy, Pocock considers therapeutic work with aggression, self-harm, and suicidality. He reflects on emotions and the therapeutic alliance. He considers triangles within a psychoanalytic frame, as well as in a systemic frame. And so on. I feel strangely at home in Pocock’s rich world of ideas. This is a book that can refine your thinking and inspire your practice. I warmly recommend it.
Peter Rober, Professor in Clinical Psychology at the Institute for Family and Sexuality Studies, Faculty of Medicine, University of Leuven, Belgium, and Director of the Centre of Marital and Family Therapy at UPC KU Leuven

David Pocock has created a masterful and comprehensive book that is a must-read for psychoanalysts, humanistic psychotherapists and systemic therapists interested in expanding their collection of ideas and experiences in ways that might widen possibilities and enhance their thinking and their work. Using the frame of a critical realist philosophy, he artfully offers multiple theories and practices from which to draw in any given circumstance. His language is easily accessible, as he travels back and forward in time, describing the evolution of theory and practice while artfully weaving together rich personal as well as clinical examples to illustrate his points. Pocock’s clarity, insight, scholarship, and the wisdom he has garnered over a long, joyful, and fulfilling career will be invaluable for psychoanalytic, humanistic, and systemic clinicians and, indeed, for all readers.
Susan Lord, Ph.D., LICSW Clinical Associate Professor Emerita at the University of New Hampshire, Taos Institute Associate, private practice in York, Maine, USA

Table of Contents


1. Introduction
2. What Is Real? What Is Knowledge?
3. Pluralism
4. Knowing and Not-Knowing
5. Theory Choice
6. Emotion in the System
7. Collaboration and Change
8. Sameness and Otherness
9. Who to See, and Other Choices
10. Triangles
11. Aggressive, Out-of-Control Behaviour
12. Self-Harm and Suicidality
13. Critical Realism: Why Bother?

About the Author(s)

David Pocock is Head of Family Therapy at the Child and Family Consultation Service in Swindon, UK, and a visiting lecturer to the Bristol University Diploma /M.Sc. Family Therapy training. He is a current assessor for the Journal of Family Therapy and past member of the Editorial Board and previous moderator for the AFT/JFT internet discussion forum. He is a psychoanalytic psychotherapist in independent practice and a member of the Severnside Institute for Psychotherapy where he currently chairs the Study Day Group. His published work ranges across systems theory, psychoanalysis, and the philosophical underpinnings of psychotherapy.

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