Psychological treatments, like most forms of therapy, have been developing and adapting for centuries. In recent years the best treatment for depression, as well as a host of other psychiatric disorders, has being centered on a combination of medication and cognitive-behavioral therapy (CBT). The behavior therapies largely replaced psychoanalytic theory. The transition from psychoanalysis was not smooth, and as an attempt to ridicule psychoanalytic ideas, some notorious behavior therapists used to train people with mental illness to perform simple actions and then they would watch with amusement as psychoanalytically trained colleagues concocted creative but often bizarre symbolic interpretations of behaviors that had just been created.
We may now be on the cusp another revolution in therapy that could ultimately relegate CBT to the history books, rather in the way that CBT did to psychoanalysis. This new approach has sprung directly from the Buddhist traditions, and revolves around "mindfulness and acceptance". In the Buddhist worldview, each moment is complete by itself, and the world is perfect as it is; That being so, the focus is on acceptance, validation and tolerance, instead of change, and experience rather than experiment as the way to understand the world.
For many patients it feels profoundly liberating to be able to see that thoughts are just thoughts and that they are not "you" or "reality." This realization can free an individual from the distorted reality that they often create and allow for more clarity and a greater sense of control in life.
This idea that the solution to suffering is to increase acceptance of the here and now, and to decrease the craving and attachment that inevitably keep one clinging to a past that has already changed, is quite different from behavior therapy's emphasis on developing skills for attaining one's goals.
But the notion that suffering results from things not being the way one strongly wants them to be, or insists they should be, is very compatible with cognitive-behavioral therapies. The work of Albert Ellis, who is still active in his nineties, is arguably the clearest and most consistent presentation of this point of view.
The ideas in this book are fresh, novel, interesting and controversial. Some of the suggestion will be of great help to some people. Yet two problems remain for most people, and these are motivation to change and resistance to change. Without attention to those twin demons, progress can be very difficult.
For anyone interested in personal growth and development and an easy introduction to a whole new approach to therapy, this book is highly recommended.