By Jerold R. Gold

Author Jerold Gold studies the development that has been made within the box of integrative psychotherapy. the writer develops a different narrative-based framework during which clinicians can synthesize various psychotherapies into an built-in conceptual process and technical procedure. An ongoing case instance illustrates the framework and its key recommendations. furthermore, chapters study the contributions of psychodynamic, humanistic, cognitive-behavioral, and integrative treatments to the advance of vital psychotherapeutic ideas.

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Client-centered and Gestalt therapists probably would not disagree with these last ideas, but they would also stress the role of learning and of interpersonal interaction in the etiology of psychopathology. Anxiety is seen by client-centered therapists (Rice & Greenberg, 1992; Rogers, 1959) as resulting from a conflict between the Theories of Personality and Psychopathology 29 need to preserve a learned image of the self and any experience that is incompatible with that image. Learned self-images (the "ideal self" referred to by Rogers, 1959) result from repeated evaluations of the person by parents and other significant persons during childhood.

The collection of interpersonal schemas that are unique to each person reflects and structures the individual's unique view of reality and her or his place and role within that reality. If these interpersonal schemas are more heavily skewed toward grim, dangerous, or difficult scenarios, the person is more likely to develop psychological problems. TI:oubling interpersonal schemas are manifested clinically by repetitive patterns or interpersonal behavior, through affective disturbances, and by faulty, negative modes of thinking and of processing information.

The narratives that are implicated in psychological dysfunctions may be described as "broken," distorted, fragmentary, or inappropriate to the person's immediate and sociocultural circumstances. Narrative difficulties may occur consciously or unwittingly at any or all levels of psychological life: social, behavioral, moral, cognitive, experiential, and motivational. Pathology inducing narratives are organized around a portrayal of a self that has lost control of life, and that is vulnerable, despised, impaired, or distorted in some other major way.

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