Postmodern Therapy What Corey describes as "postmodern" therapy is, in reality, largely a series of evolutionary changes. Recalling how evolution works -- in which organisms change form ultimately as an adaptive mechanism -- might be useful here, insofar as many of these "postmodern" approaches seem adaptive in terms of the actual climate of opinion concerning psychotherapy and its medical utility. The chief example that I am thinking of here is "solution-focused brief therapy."

The notion of "solution-focused brief therapy" would have caused Sigmund Freud to spin in his grave, considering Freud devoted an entire book, entitled Analysis Terminable and Interminable, to the question of whether psychotherapy should ideally last forever. However the widespread cultural rejection of the Freudian paradigm is, perhaps, one reason why the notion of long-term Freudian analysis has come to be replaced with the fast food approach. But the chief reason appears to be adaptive: increasingly health care plans and HMOs...

For the patient who finds therapy necessary, it is encouraged to pay out of pocket for additional sessions, which many patients are simply unable or unwilling to do. This is why I describe the new direction of "solution-focused brief therapy" as an evolutionary change: resources are no longer sufficient to support the Freudian dinosaur, so therapy evolves to take advantage of what resources are there. Previous forms of therapy were willing to last for years in order to explore the deepest roots of a client's behavior and thought: with this new fast-food approach, the assumption is that insurance will cover eight sessions only, so therefore a problem should be soluble in eight sessions.
This is clearly a way in which therapy reflects changing societal values and practices, but I am not entirely convinced the change is advantageous in itself, rather than a necessity based on market pressures. I think the objection is pretty obvious: a client who comes in…