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╇ i
COMPREHENSIVE
TEXTBOOK OF
PSYCHOTHERAPY
Theory and Practice
S e c o n d E di t i o n
EDITED BY
ANDRÉS J. CONSOLI
LARRY E. BEUTLER
BRUCE BONGAR
1
iv
1
Oxford University Press is a department of the University of Oxford. It furthers
the University’s objective of excellence in research, scholarship, and education
by publishing worldwide. Oxford is a registered trade mark of Oxford University
Press in the UK and certain other countries.
1 3 5 7 9 8 6 4 2
Printed by Sheridan Books, Inc., United States of America
v
To Jamie, Jana, Kelly, Gail, and Ian, who are always my heroes,
and, of course to Lady, Jojo, and Chase, who gave me their all—LEB
Contents
viii Contents
11. Systemic Therapies in Historical 19. Psychotherapy With Older Adults: Theory
Perspective 153 and Practice 284
Harlene Anderson Adriana Hyams
Forrest Scogin
12. Systemic Therapies in Practice: Family
Consultation for Change-Resistant 20. Psychotherapy With Women: Theory
Health and Behavior Problems: and Practice of Feminist Therapy 299
A Systemic-Strategic Approach 170 Melba J. T. Vasquez
Michael J. Rohrbaugh Elisa Vasquez
Varda Shoham
21. Psychotherapy With Men: Theory
13. Integrative Psychotherapies in Historical and Practice 315
Perspective 188 Christopher T. H. Liang
John C. Norcross Carin Molenaar
Marvin R. Goldfried
Barrett E. Zimmerman 22. Psychotherapy With Lesbian, Gay,
and Bisexual Clients: Theory and
14. Integrative and Eclectic Therapies Practice 330
in Practice 205 Peter Goldblum
Larry E. Beutler Samantha Pflum
Andrés J. Consoli Matthew Skinta
Samarea Lenore R. Wyatt Evans
Joshua M. Sheltzer Kimberly Balsam
Contents ix
26. Psychotherapy With Military Personnel 30. The Training and Development
and Veterans: Theory and Practice 394 of Psychotherapists: A Life-Span
Uri Kugel Perspective 462
David Giannini Andrés J. Consoli
Victoria Kendrick Héctor Fernández Álvarez
Morgan Banks Sergi Corbella
Larry James
Bruce Bongar 31. Ethics and Legal Matters
in Psychotherapy 480
27. Psychotherapy With People Exposed Kasie L. Hummel
to Mass Casualty Events: Theory Benjamin Bizar-Stanton
and Practice 409 Wendy Packman
Lisa M. Brown Gerald P. Koocher
Larry E. Beutler
Jennifer H. Patterson 32. The Modern Psychotherapist and
Bruce Bongar the Future of Psychotherapy 497
Lori Holleran Robert L. Russell
Rainey Temkin
28. Psychotherapy in Clinical
Emergencies: Theory and Practice 426 Index 513
Danielle Spangler
Lori Holleran
Bruce Bongar
Over 100 years have passed since Freud’s talking cure guidelines are neither easily nor directly derived from
dramatically changed the shape of our world. The past theoretical treatises. If the richness of theoretical devel-
century has witnessed the development of numerous opments is to have an impact on the lives of our patients
modifications of Freud’s psychoanalysis, along with hun- and to advance the mission of health care, these matters
dreds of new theories and clinical models—and at least must be translatable to practical applications that are dis-
as many books that describe these theories and models. tinctive and focused. The value of training practitioners
These diversities have often been profound and have in various theories must be proven by evidence of dis-
produced a field that is filled with vitality as well as con- tinctive levels of benefit or differential outcomes when
troversy. Unfortunately, it has become the bane of psy- applied to different populations and problems. This
chotherapy that the richness of theoretical diversity has fact has been recognized in the recent development of
never been matched at the level of practice. Although manuals or guidebooks, developments that have arisen
theoretical constructs are varied and elaborate, leading directly from the evolution of psychotherapy research.
one to believe that the adoption of a particular theoretical Furthermore, when compared to psychotherapy
framework will lead to a discriminating method of prac- practice, psychotherapy research is a relatively recent
tice, the usual observation has been that therapists from derivation. Applications of scientific methods to vali-
different schools do similar things with similar results. dating the efficacy and to understanding the processes
At present, the variability of our clinical practice of psychotherapy are now in only their fifth decade.
appears to be more dependent on each therapist’s For most of this time, this research has had the im-
level of experience and on the setting in which the in- portant but relatively unstimulating task of testing the
terventions are applied than on any particular theoret- belief that psychotherapy is an effective way to alter
ical model that is presumably guiding the process. In emotional distress and disorders. However, in the past
a time of consumer advocate groups, managed health two decades increasing research attention has been
care, and the specter of national health care, this paid to translating theoretical differences into distinc-
has led to a popular assumption that psychotherapy tive psychotherapy practices. The result has been the
is psychotherapy is psychotherapy—that theoretical development of psychotherapy manuals, along with
models, practitioners, and the population on which measures by which to assess a given therapist’s com-
each model is applied are all interchangeable. pliance and skill in applying a chosen theory. These
As if to perpetuate such a belief, textbooks on psy- manuals provide guidelines for practice and direct
chotherapeutic theories have traditionally devoted only the therapist in the selection of theory-consistent pro-
small sections of each chapter to reviewing research cedures that are designed to effect improvement in
findings and practical applications. Thus, practical the patient’s life. Although the stated goals of these
xii
manuals are to facilitate research that tests the relative practitioners who are seeking to apply theories, learn
efficacy of different theories and extends our knowl- new skills, and achieve advanced proficiency.
edge of which patients can be most effectively treated The authors of the chapters in Part I are distinguished
by each model, manuals also have revitalized psycho- contributors to theory and research, and each was se-
therapy training. These manuals have accomplished lected because of his or her contributions to knowledge
this task by providing clear goals, methods of appli- in a specific theoretical area or therapeutic philosophy.
cation, and standards by which one can determine Part II of this book is comprised of a series of chap-
and compare therapists’ levels of proficiency and skill. ters on psychotherapeutic applications to special
With the pending development of national health populations and circumstances. We have included
care and the challenges posed by consumer advocate chapters on the treatment of women, members of
groups, there has never been a greater necessity of in- ethnic and minority groups, children and adoles-
tegrating the theory, practice, and science of psycho- cents, older adults, and people who are in crises.
therapy than there is at present. These approaches are not accompanied by separate
This book is not just a book of theories. It is a book treatment manuals because of the broad focus of the
of theories and psychotherapy manuals. It is designed to topics. The concepts presented are designed to cut
serve the needs of a broad audience—from undergradu- across theoretical approaches. The authors of these
ate students who are taking their first course in psycho- chapters were selected because of their breadth of
therapy to graduate students and practitioners who are experience and knowledge, and because each has
trying to apply these principles in practice. The first made significant contributions to research and prac-
chapter by Orlinsky and Howard sets the stage for the tice within the area of their presentation.
scope of chapters presented by placing psychotherapy, Part III is designed to provide an extension and
psychotherapy research, and psychotherapy practice integration of the material presented in the earlier
within a historical context. The chapters in Part I rep- chapters. The authors who contributed to this part
resent major theoretical approaches in which standard were selected because of the breadth of their perspec-
manuals have either been developed or are in the pro- tives and their wisdom in the broad domain of science
cess of development. Psychodynamic psychotherapy, and practice. Although research implications, train-
behavior therapy, experiential and existential therapies, ing methods and considerations, and professional
cognitive therapy, group therapy, systems therapy, and issues are addressed in each part as applied to each
integrative-eclectic therapy were chosen to represent specific theory or topic, the contributions in this sec-
the major themes and models in the field. Each of these tion focus on cross-theoretical issues. In this spirit, the
theoretical approaches is represented in this book by final chapter provides an overview of the field with a
two chapters. The first chapter on each theory presents view toward the future. This chapter aptly caps the
the historical developments, variations of the model, presentation and brings the historical reviews and the
and major theoretical concepts of the theory. This his- contemporary practices into focus.
torical chapter also provides an overview and selective We wish to thank the authors of the chapters in this
review of the research that is available on the efficacy volume. We have enjoyed working with them and ap-
of the therapeutic model. These historical and theoreti- preciate their willingness to comply with deadlines, tol-
cal chapters will be of greatest interest to beginning stu- erate our pressure, and let us critique their ideas. They
dents or practitioners who wish to refresh their memory were congenial, forgiving, and prompt, making our jobs
about an alternative viewpoint to their own. much easier than expected and by far easier than has
The second chapter on each theory serves as a been our experience with any other edited volume.
mini-manual for applying one of the general theoreti- We also thank Ms. Lynn Peterson, Drs. Ray William
cal models to practice. This latter chapter defines the London and Julia Shiang, Captain Robert Bigler, and
assumptions that are extracted from the broad theo- Ms. Peggy Goodale for their persistence, assistance, and
retical framework and outlines distinguishing charac- support. Most of all, we have enjoyed coming to know
teristics of the format, length, and therapeutic proce- one another through this process. We enjoyed ourselves.
dures utilized. This chapter also defines for whom the August 1994
approach is considered to be most usefully applied, B. B.
the limitations of the approach, and requirements of Marina Del Rey, California
the model for training and research. This set of chap- L. E. B.
ters will be of most interest to graduate students and Santa Barbara, California
xiii
Acknowledgments
We deeply thank each and every member of the siz- her enduring support and his children for modeling
able, international community of authors who con- the creativity and wisdom that have served him as a
tributed to and ultimately made this textbook pos- psychotherapist. Bruce would like to thank his wife,
sible. Their dedication to the task, their adherence to Karen, and their son, Brandon, for their steadfast love
the outline provided, and their openness to editorial and support. Bruce would also like to add his per-
feedback are all most appreciated and have strength- sonal thanks to Sarah Harrington and Andrea Zekus
ened the overall value of the textbook. We would like of Oxford University Press for their amazing support
to express our appreciation to Sarah Harrington and and patience for this complex project; and also to ac-
Andrea Zekus from Oxford University Press for their knowledge the vision and unflagging support of our
indefatigable support and assistance. Andrés would colleague, Joan Bossert of Oxford University Press, for
like to thank his partner and colleague Melissa, his not only this book but for the creation of the Oxford
sons Julián and Benjamín, his parents Nicolás and clinical psychology series. Finally, Bruce would like
Lidia, for their companionship, support, and inspira- to acknowledge the brilliance, dedication, and com-
tion, Joshua Sheltzer and Ana Romero Morales for mitment of Andrés Consoli to this work and to Larry
their editorial assistance, and Larry Beutler for his Beutler, his role model as the quintessential scientist-
precious mentorship that has been ongoing since practitioner clinical psychologist.
1991. Larry would like to thank his wife, Jamie, for
xiv
xv
Andrés J. Consoli, PhD, has been a faculty member contributions to the advancement of psychology in
in the Department of Counseling, Clinical, and the Americas, an award granted by the Interamerican
School Psychology at the University of California, Society of Psychology every two years to only two psy-
Santa Barbara since 2013. Dr. Consoli was born chologists. Dr. Consoli’s professional and research
and raised in Buenos Aires, Argentina, where he re- interests involve transnational collaborations, program
ceived a licenciatura degree in clinical psychology evaluation and community-based participatory action
at the Universidad de Belgrano (1985). He earned a research, multicultural supervision, psychotherapy
master’s (1991) and doctorate in counseling psychol- integration and training, systematic treatment selec-
ogy at UCSB (1994), and he received postdoctoral tion, ethics and values in psychotherapy, access and
training in behavioral medicine in the Department utilization of mental health services within a social
of Psychiatry and Behavioral Sciences at Stanford justice framework, and the development of a bilin-
University School of Medicine (1994–1996). Prior to gual (English/Spanish) academic and mental health
joining UCSB, Dr. Consoli was professor and associ- workforce.
ate chair of the Department of Counseling, College
Larry E. Beutler, PhD, is William McInnes Distin
of Health and Social Sciences, at San Francisco State
guished Professor Emeritus of Clinical Psychology,
University (1996–2013). He is a visiting professor at the
Palo Alto University, and Professor Emeritus,
Universidad del Valle in Guatemala (2004–present) in
University of California, Santa Barbara. Dr. Beutler
their master’s and doctoral programs and a licensed
received his PhD from the University of Nebraska
psychologist in California. Dr. Consoli has served
and subsequently served on the faculties of Duke
as president of the National Latina/o Psychological
University Medical Center, Stephen F. Austin
Association (2014), as member- at-
large of APA’s
State University, Baylor College of Medicine, the
Division 52: International Psychology (2011–2013), as
University of Arizona Health Sciences Center, and
president of the Interamerican Society of Psychology
the University of California at Santa Barbara. He
(2007–2009), and as president of the Western
is the past director of the National Center for the
Association of Counselor Education and Supervision
Psychology of Terrorism and the continuing direc-
(2001). He has served in the Council of National
tor of the Institute for the Study of Equine Assisted
Psychology Associations for the Advancement of
Change at Palo Alto University (PAU).
Ethnic Minority Interests (CNPAAEMI) (2014–2016),
chairing it in 2016. In 2015, Dr. Consoli received the Bruce Bongar, PhD, ABPP, FAPM, CPsychol,
Interamerican Psychologist Award for distinguished is Calvin Distinguished Professor of Psychology at
xvi
Palo Alto University and visiting professor of psychia- Health. Dr. Bongar is past president of the Section
try and behavioral sciences at Stanford University. on Clinical Crises and Emergencies of the Division
Dr. Bongar received his PhD from the University of Clinical Psychology of the American Psychological
of Southern California and served his internship in Association, a diplomate of the American Board of
clinical community psychology with the Los Angeles Professional Psychology, a fellow of the Divisions of
County Department of Mental Health. For over 30 Clinical Psychology (Div. 12), Psychology and the
years, Dr. Bongar maintained a small practice spe- Law (Div. 41), and Psychotherapy (Div. 29) of the
cializing in psychotherapy, consultation, and supervi- American Psychological Association, a fellow of the
sion in working with the difficult and life-threatening American Psychological Society and of the Academy
patient. Past clinical appointments include service of Psychosomatic Medicine, and a chartered psychol-
as a senior clinical psychologist with the Division ogist of the British Psychological Society. His research
of Psychiatry, Children’s Hospital of Los Angeles, and published work reflects his long-standing interest
and work as a clinical/ community mental health in the wide-ranging complexities of therapeutic in-
psychologist on the psychiatric emergency team terventions with difficult patients in general, and in
of the Los Angeles County Department of Mental suicide and life-threatening behaviors in particular.
xvii
Contributors
Héctor Fernández Álvarez, PhD, Aiglé Foundation, Benjamin Bizar- Stanton, JD, Department of
Buenos Aires, Argentina Clinical Psychology, Palo Alto University
Harlene Anderson, PhD, Houston Galveston Bruce Bongar, PhD, ABPP, FAPM, Department
Institute and The Taos Institute of Clinical Psychology, Palo Alto University and
Department of Psychiatry and Behavioral Sciences,
Kimberly Balsam, PhD, Center for LGBTQ Stanford University School of Medicine
Evidence-Based Research (CLEAR), Palo Alto
University Lisa M. Brown, PhD, ABPP, Trauma Program,
Department of Clinical Psychology, Palo Alto
Morgan Banks, PhD, United States Army University
Alinne Z. Barrera, PhD, Department of Clinical Joyce Chu, PhD, Diversity and Community Mental
Psychology, Palo Alto University Health, Palo Alto University
Guillermo Bernal, PhD, Institute for Psychological Andrés J. Consoli, PhD, Department of Counseling,
Research, University of Puerto Rico, Rio Piedras Clinical, and School Psychology, Gevirtz Graduate
Campus (UPR-RP), San Juan, Puerto Rico School of Education, University of California, Santa
Barbara
Ephi J. Betan, PhD, Clinical Psychology Program,
Georgia School of Professional Psychology, Argosy Sergi Corbella, PhD, Facultat de Psicologia,
University/Atlanta Ciències de l'Educació i de l'Esport Blanquerna,
Universitat Ramon Llull, Barcelona, Spain
Larry E. Beutler, PhD, ABPP, Department of
Clinical Psychology, Palo Alto University Erika A. Crawford, MA, Department of Psychology,
Temple University
Jeffrey L. Binder, PhD, ABPP, Center for Time-
Limited Dynamic Psychotherapy, Nashville, Kevin Delucio, MA, Department of Counseling,
Tennessee Clinical, and School Psychology, Gevirtz Graduate
xviii
xviii Contributors
School of Education, University of California, Santa Elana R. Kagan, MA, Department of Psychology,
Barbara Temple University
Jeremy Doughan, PsyD, Department of Psychiatry, Alex R. Kelman, MS, Department of Psychology,
University of California, San Francisco and San Palo Alto University
Francisco VA Medical Center
Philip C. Kendall, PhD, Department of Psychology,
Robert Elliott, PhD, School of Psychological Temple University
Sciences and Health, University of Strathclyde
Glasgow, Scotland, United Kingdom Victoria Kendrick, MA, Department of Clinical
Psychology, Palo Alto University
R. Wyatt Evans, MS, Center for LGBTQ Evidence-
Based Research (CLEAR), Palo Alto University Gerald P. Koocher, PhD, ABPP, College of Science
and Health, DePaul University
David Giannini, MA, Department of Clinical
Psychology, Palo Alto University Orah T. Krug, PhD, Existential-Humanistic Institute
San Francisco, California and Department of
Jerry Gold, PhD, The Derner Institute, Adelphi Psychology, Saybrook University, San Francisco,
University, Garden City, New York California
Peter Goldblum, PhD, Center for LGBTQ Uri Kugel, PhD, Department of Clinical
Evidence-Based Research (CLEAR), Department of Psychology, Palo Alto University
Clinical Psychology, Palo Alto University
Lucas S. LaFreniere, BA, Department of Psychology,
Marvin R. Goldfried, PhD, Clinical Psychology, Pennsylvania State University
Stony Brook University
Amy Leino, PhD, Department of Clinical
Keishalee Gómez-Arroyo, PhD candidate, Depart Psychology, Palo Alto University
ment of Psychiatry, University of Puerto Rico Medical
School Samarea Lenore, MS, Department of Clinical
Psychology, Palo Alto University
Leslie S. Greenberg, PhD, Department of Psychology,
York University, North York, Toronto, Canada Christopher T. H. Liang, PhD, Department
of Education and Human Services, College of
Alexandra L. Hoff, MA, Department of Psychology, Education Lehigh University
Temple University
Paulo P. P. Machado, PhD, Psychotherapy and
Lori Holleran, MS, Department of Clinical Psychopathology Research Unit, CIPsi, School of
Psychology, Palo Alto University Psychology, University of Minho, Portugal
Kasie L. Hummel, MA, MS, Department of Rogelio J. Mercado, MA, Department of Psychology,
Clinical Psychology, Palo Alto University Temple University
Adriana Hyams, MA, PhD candidate, Department Carin Molenaar, MEd, PhD candidate,
of Psychology, University of Alabama Department of Education and Human Services,
College of Education Lehigh University
Larry James, PhD, United States Army
xix
Contributors xix
Melissa L. Morgan Consoli, PhD, Department Varda Shoham,† PhD, Division of Adult
of Counseling, Clinical, and School Psychology, Translational Research and Treatment Development,
Gevirtz Graduate School of Education, University of National Institute of Mental Health, Bethesda, MD
California, Santa Barbara and Department of Psychology, University of Arizona
Michelle G. Newman, PhD, Department of Matthew Skinta, PhD, Center for LGBTQ
Psychology, Pennsylvania State University Evidence-Based Research (CLEAR), Palo Alto
University
John C. Norcross, PhD, ABPP, Department of
Psychology, University of Scranton Danielle Spangler, MA, Department of Clinical
Psychology, Palo Alto University
David E. Orlinsky, PhD, Department of Comparative
Human Development, University of Chicago Will D. Spaulding, PhD, Department of
Psychology, University of Nebraska—Lincoln
Wendy Packman, JD, PhD, Joint JD-PhD Program
in Psychology and Law, Palo Alto University Meagan L. Stanley, MS, Department of Clinical
Psychology, Palo Alto University
Jennifer H. Patterson, PhD, Veterans Health
Administration George Stricker, PhD, ABPP, American School
of Professional Psychology at Argosy University,
Samantha Pflum, MS, Center for LGBTQ Washington, DC
Evidence-Based Research (CLEAR), Palo Alto
University Scott Stuart, MD, Department of Psychiatry,
University of Iowa
Michael J. Rohrbaugh, PhD, School of Medicine
and Health Sciences, George Washington University, Stanley Sue, PhD, Department of Clinical
Washington, DC and Department of Psychology, Psychology, Palo Alto University
University of Arizona
Mary E. Sullivan, MSW, Department of
Robert L. Russell, PhD, Child and Family Psychology, University of Nebraska—Lincoln
Emphasis, Department of Clinical Psychology, Palo
Alto University Anna J. Swan, MA, Department of Psychology,
Temple University
J. Scott Rutan, PhD, Boston Institute for
Psychotherapy Rainey Temkin, MS, Department of Clinical
Psychology, Palo Alto University
Forrest Scogin, PhD, Department of Psychology,
University of Alabama Hui Qi Tong, PhD, Department of Psychiatry,
University of California, San Francisco and San
Joseph J. Shay, PhD, Private practice, Cambridge, Francisco VA Medical Center
Massachusetts
Elisa Vasquez, MA, PhD candidate, Department
Joshua M. Sheltzer, BA, Department of of Counseling, Clinical, and School Psychology,
Counseling, Clinical, and School Psychology, Gevirtz Graduate School of Education, University of
Gevirtz Graduate School of Education, University of California, Santa Barbara
California, Santa Barbara
xx Contributors
Melba J. T. Vasquez, PhD, Private practice, Austin, Oksana Yakushko, PhD, Clinical Psychology
Texas Program, Pacifica Graduate University
Amy Wenzel, PhD, ABPP, Department of Leila Zwelling, LSW, Department of Psychiatry,
Psychiatry, University of Pennsylvania School of University of California, San Francisco and San
Medicine, and Wenzel Consulting, LLC Francisco VA Medical Center
╇ xxi
Andrés J. Consoli
Larry E. Beutler
Bruce Bongar
Abstract
We discuss the contemporary landscape of psychotherapy, starting by honoring some of the com-
plexities surrounding its definition and identifying some of the current trends in psychotherapy.
We detail the structure of this textbook and provide specifics concerning the format that the
authors were asked to follow in developing their contributions. We address instructors and under-
score the strengths of the text, including its focus on history, theory, research, practice, and
diversity. We also address our readers, psychotherapists-in-training, practitioners, and supervisors
alike, offering our thoughts on how to make best use of this textbook. We conclude by sharing
our personal acknowledgments.
Human healing practices have ancient roots intervention components for the express purpose of
(Frank, 1961; Orlinsky, Chapter 2, this volume). singling out the specific principles of effective ther-
Contemporary psychotherapy is in the leading apy. Furthermore, the resolution on the Recognition
edge of that lineage. A well-established definition of Psychotherapy Effectiveness adopted as policy by
of psychotherapy describes it as “the informed and the American Psychological Association’s Council of
intentional application of clinical methods and inter- Representatives states that “psychotherapy (individ-
personal stances derived from established psychologi- ual, group, and couple/family) is a practice designed
cal principles for the purpose of assisting people to varyingly to provide symptom relief and personal-
modify their behaviors, cognitions, emotions, and/or ity change, reduce future symptomatic episodes,
other personal characteristics in directions that the enhance quality of life, promote adaptive function-
participants deem desirable” (Norcross, 1990, p. 218). ing in work/school and relationships, increase the
A more contemporary definition of psychotherapy de- likelihood of making healthy life choices, and offer
scribes it as “the therapeutic management, control, other benefits established by the collaboration be-
and adaptation of patient factors, therapist factors, tween client/patient and psychologist” (American
relationship factors, and technique factors that are as- Psychological Association [APA], 2013, p. 102).
sociated with benefit and helpful change” (Beutler, We would like to expand these three definitions
2009, p. 311). This definition emphasizes the active by emphasizing not only psychotherapy’s concern
integration of patient, therapist, relationship, and with human suffering and shortcomings but also
1
2
with human strengths and competencies. Practicing development, strains, ruptures, and repairs, may con-
psychotherapists readily acknowledge that clients stitute the focus of treatment. Moreover, successful
overcome their difficulties and get better over time psychotherapy is anchored on a mutually construed
through the harnessing of their strengths and compe- agreement on the goals and tasks of the treatment.
tencies while expanding their repertoire of thoughts, For such mutuality to be materialized in the psycho-
feelings, and actions. Moreover, as practiced today, therapy relationship, the cultural competence and
psychotherapy addresses disease and disorders as well humility of the psychotherapist are of utmost impor-
as health and well-being, and therefore it occupies a tance (APA, 2003).
central place among the health service professions. Though contemporary psychotherapists are
Interestingly, it has been demonstrated that “the re- trained in one of the many models of professional
sults of psychotherapy tend to last longer and be less identity including, but not limited to, scientist-
likely to require additional treatment courses than psy- practitioner, practitioner-scientist, practitioner-scholar,
chopharmacological treatments,” that “many people professional-scholar, or practitioner as a local scientist
prefer psychotherapy to pharmacological treatments (Consoli, Fernández-Á lvarez, & Corbella, Chapter
because of medication side effects,” and that “psy- 29, this volume), all of these models share a commit-
chotherapy reduces overall medical utilization and ment to evidence-based practice and practice-based
expense” (APA, 2013, pp. 102 and 103). Furthermore, evidence. And today, models must also grapple with
contemporary psychotherapy involves, at times, client- community-defined evidence (Martinez, Callejas, &
centered advocacy (CCA) from a social justice perspec- Hernandez, 2010). Psychotherapists within APA are
tive (i.e., the righting of a wrong). In California, as an urged to integrate “the best available research with
example, CCA is defined as “researching, identifying, clinical expertise in the context of patient character-
and accessing resources, or other activities, related istics, culture, and preferences” (APA Task Force on
to obtaining or providing services and supports for Evidence Based Practice, 2006, p. 273). Crosscutting
clients or groups of clients receiving psychotherapy” matters also shared by all training models emphasize
(California Business and Professions Code, Section the importance of cultural competence on the part
4980.34(h)). of psychotherapists and the need to adapt treatments
Psychotherapy has been shown to be highly effec- to make them culturally relevant (APA, 2003; Bernal,
tive. It has an average effect size of about .80, which Jiménez-Chafey, & Domenech Rodríguez, 2009).
is considered a large effect size in the behavioral While these evidence- based practice and
sciences, while “the average client receiving psycho- practice-based evidence components are fundamen-
therapy is better off than 79% of untreated clients” tal to the core of psychotherapy, it is often unclear
(Campbell, Norcross, Vasquez, & Kaslow, 2013, how empirical research and such indefinite factors
p. 98). The evolution of psychotherapy practice and as “clinical expertise” and preferences can either be
research underscores the importance of other fac- measured or balanced to produce an optimal mix. It
tors beyond diagnoses in explaining outcome and is also important to consider the theories that inform
designing treatment. Specifically, dimensions such the research and practices discussed in this textbook.
as clients’ general severity, chronicity, and complex- Before learning about specific theories, it is useful
ity of their problems; clients’ strengths such as resil- to first ask what a theory is. The APA Dictionary of
ience and resources; psychotherapists’ factors; and Psychology defines theory as “a principle or body of
relational and contextual factors must be intention- interrelated principles that purports to explain or
ally considered to facilitate better outcomes (Beutler, predict a number of interrelated phenomena.” In
2009; Wampold & Imel, 2015). Moreover, the inter- his book about theory and practice, Wampold (2012)
sectionality of psychotherapists’ factors and clients’ contextualizes this definition by offering this descrip-
dimensions such as racial/ethnic minority status is tion: “In psychotherapy, a theory is a set of principles
becoming an important focus of contemporary re- used to explain human thought and behavior, in-
search (Hayes, Owen, & Bieschke, 2015). cluding what causes people to change. In practice, a
Psychotherapy practice and research have demon- theory creates the goals of therapy and specifies how
strated the crucial role of the therapeutic alliance in to pursue them” (p. x). Ultimately, theory attempts
the acquisition of treatment gains and ends. In fact, to guide the clinician and client toward solutions to
the vicissitudes of the working alliance, such as its a problem by illuminating the causes and functions
╇ 3
Introduction 3
behind the issue at hand. Without any theoretical see Norcross, 2011); (5) the integration of biological,
conceptualization, the structure and rationale of neuroscience understandings of psychotherapy and
psychotherapy may be lost. As Wampold (2012) also its healing qualities in a manner that overcomes the
explained, “Without a guiding theory, we might treat traditional dichotomy between nature and nurture
the symptom without understanding the role of the and embraces their mutuality; and (6) the integra-
individual” (p. ix). Whether a researcher is design- tion of diversity and cultural considerations into psy-
ing a new study or a clinician is seeing a new client, chotherapy in an effort to determine how cultural
theory is the backbone of understanding humans and factors such as race and ethnicity operate within
their behavior, and it is integral to the ideas presented psychotherapy. These trends have influenced sig-
in this textbook. We hope that this discussion about nificantly the second edition of this textbook and the
theory will help the reader absorb the chapters of this content articulated by the authors within.
textbook with a better understanding of the structure The overall structure of this textbook includes
behind the different models, practices, and research three parts. Part I focuses on Models of Psychotherapy,
presented in each section. Part II addresses Psychotherapy by Modalities and
Populations, and Part III covers Research Methods
and Randomized Clinical Trials, Professional Issues,
P S YC H O T H E R A P Y T WO D E C A D E S L AT E R and New Directions in Psychotherapy. Specifically,
Part I begins with an exposition of the basic structural
While this second edition of the Comprehensive features shared by modern psychotherapies beyond
Textbook of Psychotherapy preserves the overall common factors theory and is followed by chapters
structure of the first edition by addressing the fun- arranged in pairs, each one honoring the theory and
damentals of psychotherapy, almost all the chapters practice subtitle of this textbook. The first chapter
are unique and expressly written for this new edition. of each pair addresses the historical and theoretical
Moreover, the chapters’ contents capture important perspective of one of the six main clusters of psy-
changes in the field in the last 20 years since the first chotherapy models (i.e., psychodynamic, cognitive-
edition was published (Bongar & Beutler, 1995). behavioral, existential-humanistic-experiential, inter-
What are the contemporary trends in psychother- personal, systemic, and integrative therapies), and it
apy? Gelso (2011), who from 2004 through 2010 was is followed by a second chapter that elaborates on the
the editor of Psychotherapy, the flagship journal of specific application of the model (i.e., time-╉limited
APA’s Division 29: Society for the Advancement of dynamic psychotherapy, Beckian cognitive-╉behavioral
Psychotherapy, identified six main trends in the field therapy, emotion-╉focused therapy, interpersonal psy-
from the vantage point of his editorship and accord- chotherapy with depressed adults, family consulta-
ing to the manuscripts submitted to the journal. In tion, and systematic treatment selection), anchored
all, the trends, as Gelso sees them, are (1) the increas- by a comprehensive vignette. This second chapter, in
ing integration of techniques and the therapeutic re- each case, is designed to serve as a brief introduction
lationship that transcends the historical dichotomy to a specific, extant, manual-╉based therapy.
between these two perspectives in psychotherapy Part II addresses Psychotherapy by Modalities
while acknowledging their unique contributions; and Populations, and each chapter within Part II ar-
(2) the increasing focus on the integration of theo- ticulates theoretical, scientific, and practical aspects
retical orientations to the point where integrative has of a given modality in psychotherapy (i.e., group
become the more common theoretical orientation therapy, family therapy, electronic based therapy) or
among psychotherapists; (3) the increasing efforts when working with a specific population (i.e., psy-
at research-╉
practice integration through research-╉ chotherapy with children and adolescents; women;
practice networks, which are overcoming the histori- men; lesbian, gay, and bisexual clients; racial/╉ethnic
cal animosities between practitioners and research- minority groups; immigrants and refugees; clients in
ers by emphasizing evaluation, accountability, and the schizophrenia spectrum; military personnel and
clinical relevance; (4) the increases in integrative, veterans; people exposed to mass casualty events;
quantitative reviews that cover ever more specific and clients in clinical emergencies). As in Part I,
a topic within psychotherapy (e.g., the different, each chapter’s content in Part II is illustrated by an
specific ingredients in psychotherapy relationships; extensive vignette that poignantly underscores the
4
Introduction 5
clients to fit into the procrustean bed made of one constructs such as motivation and learning and how
such construct known well by a given therapist. It they interact to shape human experience? How am
is incumbent upon us all to become imbued in all I using them to conceptualize clients’ strengths and
six of the constructs advanced by the psychotherapy difficulties? How are such principles honored and
models. Needless to say, it is equally important to reflected in my strategies, interventions, and tech-
recognize that these constructs are a major part niques? Finally, what are the strengths and areas for
of each psychotherapy model yet not their entire growth of my current and ongoing synthesis?
contribution. As detailed earlier, Part I is followed by Part II,
We sought to distinguish a theoretical model where Psychotherapy by Modalities and Populations
from the “application” of a model, the latter being is highlighted, detailing theoretical, scientific, and
the specific, concrete use of a model. An application practice aspects of each. Specifically, group therapy,
typically is not a rendering of a “new theory,” but the family therapy, and electronic-based therapy are the
translation into practice of one already in existence. three modalities addressed in Part II, while psycho-
This distinction is reflected in Part I by a leading therapy with children and adolescents; women; men;
chapter that addresses the history and main thrust of lesbian, gay, and bisexual clients; racial/ethnic mi-
a given model (e.g., psychodynamic, Gold & Stricker, nority groups; immigrants and refugees; clients in
Chapter 3, this volume), which is then followed by the schizophrenic spectrum; military personnel and
a specific application of that model, that is, an ap- veterans; people exposed to mass casualty events;
proach (e.g., time- limited dynamic psychotherapy, and clients in clinical emergencies are the popula-
Betan & Binder, Chapter 4, this volume). All chapters tions discussed in Part II. Each chapter is properly
describing an application are properly illustrated by anchored by an extensive case illustration. To facili-
an extensive vignette. tate the teaching and learning processes as well as to
By structuring Part I in the way that we have, allow comparisons across chapters, we required the
we wanted to overcome the pull to count ap- authors to adhere to an outline (available from the
proaches that has characterized the presentation first coeditor). Finally, Part III addresses scientific,
of psychotherapy theories in many texts, reaching training, legal, and ethical matters in psychotherapy
three dozens in 1959 (Harper, 1959), slightly over and closes the book with a chapter on psychotherapy’s
a hundred in the 1970s (Parloff, 1976), to several future.
hundreds in the 1980s (Karasu, 1986), and into the Throughout this textbook and congruent with
thousands in the new millennium (Lebow, 2012, contemporary psychotherapy, we have emphasized
citing Garfield, 2006). The counting of approaches research and diversity. We requested that authors dis-
is not only misleading, it misses the zeitgeist of cuss the research on efficacy and effectiveness sup-
contemporary psychotherapy with its emphasis on porting the model, approach, or modality they repre-
principles of human change and the stability pro- sent. Similarly, we asked authors to discuss how their
cesses that are harnessed to redress human suffer- model, approach, or modality addresses diversity mat-
ing and affirm human strengths in an integrative ters pertaining to age, gender, gender identity, sexual
manner. Equally misleading, if not outright danger- orientation, race, ethnicity, culture, national origin,
ous, is the encouragement of the development of a religion, (dis)ability, and socioeconomic status. As
theory by each psychotherapist-in-training. While coeditors, we were struck with how facile it was for
such assignment in a theory course can be facilita- some authors to write about such matters while others
tive to the process of appreciating one’s own level seemed to have sizable difficulties articulating how
of development as it pertains to acquiring theoreti- their approaches dealt with such topics.
cal knowledge, it can also subtly communicate the As instructors ourselves, we believe other instruc-
notion that every personal theory is equally valid tors will appreciate the pedagogical value of starting
and useful. We encourage instructors to consider every chapter with a summary and keywords, of in-
inviting their psychotherapists-in-training to reflect cluding resources in each chapter above and beyond
on their own process of synthesizing their exist- those in the reference list itself, and of ending every
ing knowledge based on the organizing principles single chapter with detailed conclusions and key
we have detailed herein. In other words, and for points as well as review questions. We are eager to
example: What is my current understanding of receive your feedback on this textbook, and we would
6
be most appreciative if you were to take the time to are used in practice and which appear to fit the real-╉
send it to us (CTP2ndEd@gmail.com). life demands with which you are most familiar. We
hope that these components will enrich the reader’s
experience and lead to a better understanding of
FOR OUR R E A DER S psychotherapy.
Remember the popular saying: “The mind is
Coming to know and appreciate the material in an like a parachute, it only works when open.” We
entire comprehensive textbook of psychotherapy can invite you to cultivate your openness to a range of
seem like an arduous task; however, it is important to ideas because we believe that flexibility and a broad
remember that each of the theories and approaches latitude of acceptance are important qualities in a
discussed in this book is intended to provide insight psychotherapist, together with courage and persis-
to a way of understanding the complex nature of tence. Psychotherapy training and the journey of
psychotherapy. It is not uncommon for students and becoming a psychotherapist are life-╉transforming
practitioners alike to question their understanding phenomena. As recommended by Kottler (2004),
of the human condition, the best way to help some- keep your significant others informed about your
one, or the development of mental health problems. journey and process, share it with them to mini-
Because of these expected doubts, uncertainties, mize the chances of misunderstanding as encoun-
and confusion, we offer a few suggestions and help- tered by the liberated prisoner in Plato’s allegory
ful components that we hope will aid readers along of the cave. Again, seek your significant others’
the way through their journey of understanding and take on the matters you are studying, and most im-
discovery. portant, grow your social support network to help
First, after completing a chapter, it may help to you not only survive this “impossible profession”
reflect (i.e., introspect) on how the ideas might be ap- (Malcom, 1981) but also to achieve mastery and ac-
plicable in your personal life as well as in the areas of tually thrive in it.
research and practice. Then, you may find it helpful
to discuss these ideas with peers (i.e., “interspect;”
Consoli, 2015). Furthermore, if you have the op- R EV IE W QU EST IONS
portunity and, with proper supervision, apply some
of the theories and approaches discussed in this text- 1. What is your current understanding of how
book with clients of your own, and see how they work psychotherapy works?
for you and for your clients. Many of the theories may 2. What do you find exciting about being a psycho-
seem to contradict each other; however, to the degree therapist, and what do you find most challenging?
that current research has compared approaches head 3. In seeing yourself as a cultural being, what
to head, none of the predominant methods have been values, beliefs, and attitudes are most likely to
found consistently to be superior to any of the others, influence your work as a psychotherapist?
except in very specific, narrow circumstances. A sum- 4. Who are the clients with whom you are most
mary of these circumstances and their exceptions is effective, and who are the clients you find most
contained in each of the chapters on specific ap- challenging?
proaches under the heading of “Research on Efficacy 5. How do you think your current knowledge and
and Effectiveness.” It may serve the reader best to beliefs about psychotherapy are going to inter-
take in the material, keep an open mind, apply newly act with new knowledge gained from reading
learned theories and techniques to real-╉life situations, this textbook?
and then decide how the ideas in these chapters can
be best utilized and understood.
This textbook attempts to assist you in your jour- R ESOURCES
ney of becoming a practitioner, researcher, or super- American Psychological Association video series.
visor by using a clear, parallel structure that is easy Multicultural counseling, Psychotherapy in six ses-
to follow. Additionally, there are case studies that sions, Specific treatments for specific populations,
illustrate each theory as it is actively applied that Systems of psychotherapy. Available from http://╉
will help you understand how the various theories www.apa.org/╉pubs/╉videos/╉index.aspx.
Another random document with
no related content on Scribd:
But there were with him the son of the thousand-man and his
equerry, and they pressed him and said: “Go, O Prince, back to
Russia, if the Lord will deliver you!” But the time was not propitious.
As we said before, the Pólovtses returned from Pereyáslavl, and
Ígor’s advisers said to him: “You harbour a proud thought and one
that is not pleasing to God; you do not intend to take the man and
run with him, but why do you not consider that the Pólovtses will
return from the war, and we have heard that they will slay all the
princes and all the Russians, and there will be no glory for you, and
you will lose your life.” Prince Ígor took their advice to heart, being
afraid of the return of the Pólovtses, and bethought himself of flight.
He was not able to run away either in daytime or at night, for the
guards watched him, but he found an opportune time at the setting of
the sun. And Ígor sent his equerry to Lavór, saying: “Cross on the
other side of the Tor with a led horse,” for he intended to fly to Russia
with Lavór. At that time the Pólovtses were drunk with kumys; and it
was towards evening when his equerry came back and told him that
Lavór was waiting for him. Ígor arose frightened and trembling, and
bowed before the image of the Lord and the honourable cross, and
said: “Lord, knower of hearts! If Thou, Master, wilt save me,
unworthy one,”—and he took the cross and the image, lifted the
tent’s side, and crawled out. His guards were gambling and feasting,
for they thought that the Prince was asleep. He arrived at the river,
waded across, and mounted the horse; thus they both rode by the
tents.
This deliverance the Lord granted on a Friday, in the evening. He
then walked eleven days to the town of Donéts, and thence he went
to his Nóvgorod, and they were much rejoiced. From Nóvgorod he
went to his brother Yarosláv in Chernígov, to ask for help in the
Posémie. Yarosláv was glad to see him, and promised him aid. Ígor
travelled thence to Kíev to Grand Prince Svyatosláv, and Svyatosláv
was glad to see him, as was also Rúrik.
FOOTNOTES:
[19] For notes consult the Word of Ígor’s Armament (p. 80 et
sqq.).
[20] A Finnish tribe.
[21] Town in the country of the Vyátiches.
[22] The country along the river Sem.
The Word of Ígor’s Armament. (End of XII.
century.)
No other production of Russian antiquity has roused so
much interest in Russia and abroad as this version of Ígor’s
expedition by an unknown poet of the end of the twelfth
century. Thirty-five translations into modern Russian,
numerous translations into Little-Russian, Polish, Bohemian,
Servian, Bulgarian, Hungarian, German, French, witness to
the enormous popularity this production has attained. The
historical background of the poem is found in the recital from
the Kíev Chronicle, which is given on pp. 71-80. The disasters
which befell Ígor and his army are probably told with better
effect in that prosaic version; but the superior value of the
Word lies in its being a precious relic of the popular poetry of
the end of the twelfth century, such as no other nation can
boast of. The Nibelungenlied and the Chanson de Roland are
chiefly productions of a literary character, while the Word
bears every evidence of representing the untutored labour of
a popular bard.
Who the author was, when he lived, for whom he sang, are
all unanswered questions, but from internal evidence we
glean that he sang for his contemporaries while Ígor was still
alive. From his apostrophe to Yarosláv Osmomýsl, who died
in 1187, we may infer that the poem was written before that
year, and it is not unlikely, from his vivid description of the
battle at the Kayála, that he was an eye-witness of the
expedition which took place in 1185. From the absence of
biblical references it is generally assumed that the author was
not a member of the clerical profession. Here, however,
various difficulties arise. It is quite incomprehensible why
there should be so many references to pagan divinities at a
time when Christianity had been deep-rooted in Russia for
fully two centuries; why, except for the evident imitation of
many passages in the Zadónshchina, there should be no
reference to the poem by any medieval writer, and why only
one copy of so remarkable a work should have been
preserved. If this poem came so very near being lost to
posterity, how many other remarkable productions of that
early period have disappeared? It is not at all impossible that
there existed an extensive popular poetry, of which only the
barest traces have come down to us. This suspicion is
strengthened by the emphatic mention by the author of the
Word of a poet Boyán who had lived before his days.
A copy of the poem was discovered by Count A. I. Músin-
Púshkin, Procurator-General of the Holy Synod, in 1795. He it
was who in rummaging St. Petersburg bookstalls had
discovered the manuscript of Néstor’s Chronicle. From a
monk he procured a collection of eight pieces, the fifth of
which was this poem. He published the Word, as this poem is
called in the manuscript, in 1800, with a modern Russian
translation. The manuscript itself was burnt in the Moscow
conflagration of 1812. The poem has since been edited a
countless number of times, and equally large is the mass of
critical essays to explain the many dark and corrupt places of
what now must pass for the original. When we consider that
there are not less than six versions of the Word in French, it
seems strange that it is now first rendered into English in its
entirety. There is an imperfect translation of a small part of it
in H. H. Munro’s The Rise of the Russian Empire, Boston and
London, 1900.
II
Then Ígor looked up to the bright sun, and saw that he had
covered in darkness[30] all his warriors. And Ígor spoke to his
druzhína: “O brothers and druzhína! It is better to be cut to pieces
than to be made a captive! Let us, O brothers, mount our swift
horses that we may behold the beautiful Don!”
A strong desire filled the Prince’s soul to drink from the great Don,
and his eagerness blinded him to the evil omen.
“For I wish,” he said, “to break the spear on the border of the
Pólovts land together with you, sons of Russia! I want to lay down
my head, and drink with my helmet from the Don!”
O Boyán, nightingale of ancient time! It were for you to spell this
army, soaring like a nightingale over the tree of thought, flying like an
eagle below the clouds, stringing together words for the deeds of
that time, racing over Troyán’s[31] footsteps over fields to the
mountains. You ought to have sung a song to Ígor, his grandson:
“Not a storm has driven the falcons over the broad fields: flocks of
crows hasten to the great Don.”... Or you might have sung thus,
inspired Boyán, grandson of Velés[32]:
“The horses neigh beyond the Sulá[33]; glory resounds in Kíev;
trumpets blare in Nóvgorod[34]; the standards are at Putívl[35]; Ígor
waits for his beloved brother Vsévolod. And Vsévolod, the Grim
Aurochs, spoke to him: “My only brother, my only light, glorious Ígor,
we are both sons of Svyatosláv! Saddle, O brother, your swift steeds,
for mine are ready for you, having been saddled in advance at
Kursk! My Kurians are tried warriors, nurtured by the sound of
trumpets, rocked in helmets, fed at the point of the spear. The roads
are known to them; the ravines are familiar to them; their bows are
drawn; their quivers open, their swords—whetted. They race over
the fields like grey wolves, seeking honour for themselves, and glory
for their Prince.”
III
Then Prince Ígor stepped into the golden stirrup and galloped over
the clear field. The sun barred his way in darkness; night groaning
with the cries of birds awoke him; beasts howled, and Div[36] called
in the top of a tree, sending the news to the unknown land, to the
Vólga, the Sea border,[37] the Sulá country, Surózh[38] and Korsún,
[39] and to you, idol of Tmútorokan![40] But the Pólovtses hastened
by untrodden roads to the great Don; the carts creaked at midnight,
like swans let loose.
Ígor leads his soldiers to the Don: the birds in the thicket forbode
his misfortune; the wolves bristle up and howl a storm in the
mountain clefts; the eagles screech and call the beasts to a feast of
bones; the foxes bark for the crimson shields. O Russian land, you
are already beyond the mound![41] Night is long and murky; the
dawn withholds the light; mist covers the fields; the nightingale’s
song is silent; the cawing of the crows is heard. The Russians bar
the long fields with their crimson shields, seeking honour for
themselves and glory for the Prince.
IV
Early in the morning, on the Friday, they crushed the pagan
Pólovts host, and, spreading like arrows over the field, seized fair
Pólovts maidens, and with them gold and gold-worked stuffs and
costly velvet; with cloaks and coats and Pólovts lace they bridged
their way over bogs and muddy places. A red flag, white pennon, red
panache, silver cross-beam, for the brave son of Svyatosláv!...[42]
Olég’s valiant brood has flown afar and dreams in the field! They
thought not to offend the falcon, gerfalcon, nor you, black raven,
pagan Pólovts! But Gza ran like a grey wolf, with Konchák[43] in his
track, to the great Don.
Very early the next morning a bloody dawn announces the day.
Black clouds come from the sea and try to veil four suns,[44] while
blue lightnings quiver through them. There is to be a mighty thunder,
and the rain is to go down in arrows by the great Don! There spears
will be broken; there swords will be blunted against Pólovts helmets
on the Kayála,[45] by the great Don. O Russian land, you are already
beyond the mound!
Behold the winds, Stribóg’s[46] grandchildren, blow arrows from
the sea on Ígor’s valiant army. The earth groans, the rivers flow
turbid; dust covers the fields; the banners whisper. The Pólovtses
come from the Don, and from the sea, and from all sides: the
Russian army recedes. The devil’s children fill the field with their
cries, but the brave Russians line it with their crimson bucklers.
Grim Aurochs Vsévolod! You stand in the van; you pour arrows on
the warriors; you thunder with steel swords against their helmets.
Wherever you, Aurochs, lead, gleaming with your golden helmet,
there fall the heads of the pagan Pólovtses, their Avar[47] helmets
cloven by your tempered swords, Grim Aurochs Vsévolod! What
wound does he brook, O brothers, having forgotten his honours and
manner of life, and Chernígov town, his paternal golden throne, and
the caresses of his sweetheart, Glyeb’s fair daughter,[48] and the
habits and customs of his home?
VI
Troyán’s age is past, gone are the years of Yarosláv; past are the
expeditions of Olég,[49] the son of Svyatosláv. That Olég had
fostered discord with his sword, and had sowed arrows over the
land. In Tmútorokan city he stepped into the golden stirrup. Great
Yarosláv, that was, heard the tocsin,[50] and Vsévolod’s son Vladímir
closed his ears all the days at Chernígov.[51] But Glory brought
Borís,[52] the son of Vyachesláv, before the judgment seat and
bedded him, brave young prince, on the green feather grass of the
steppe, through Olég’s offence....
Then, in the days of Olég Gorislávich,[53] feuds were sown and
grew, and Dazhbóg’s[54] grandchildren perished, and the years of
men were shortened by the discord of the princes. In those days the
warriors rarely walked behind the plough in the Russian land, but the
ravens croaked as they divided the dead bodies, and crows
chattered, flying to the banquet. Such were the wars and expeditions
then, but the like of this war was never known.
VII
From early morning until evening, from evening until daylight fly
tempered arrows, thunder the swords against the helmets, resound
the steel spears in a strange field, within the country of the
Pólovtses. The black earth beneath the hoofs was sown with bones,
and watered with blood, and a harvest of sorrow went up in the
Russian land.
What noise is that, what din, so early in the morning before dawn?
Ígor leads his army; he is sorry for his beloved brother Vsévolod.
They fought a day, they fought another[55]; upon the third at noon fell
the standards of Ígor. The brothers separated on the bank of the
swift Kayála. Here there was not enough of bloody wine; here the
brave Russians ended the feast: they gave their host their fill to
drink, and themselves fell for the Russian land. The grass withered
from sorrow, and the trees in anguish bent down to the earth.[56]
VIII
IX
The city walls were silent, and merriment was dead. Svyatosláv
saw a troubled dream: “In Kíev on the mount you enveloped me last
night,” he said, “in a black shroud on a bed of yew; they poured out
to me blue wine mixed with bitterness; from empty quivers they
showered large gems upon my lap, and tried to comfort me. Already
are there boards without a cross beam in my hall of gold, and all
night have the devilish crows been cawing.”[64] ...
The boyárs spoke to the Prince: “Prince, sorrow has enthralled
your mind. Two falcons flew from their paternal throne of gold to find
the city of Tmútorokan, and anxious to drink from the Don with their
helmets. The falcons’ wings have been clipped by the pagan swords,
and they have been enmeshed in iron fetters. On the third day it was
dark: two suns were dimmed,[65] two red torches went out, and with
them two young moons, Olég[66] and Svyatosláv, were shrouded in
darkness. On Kayála river darkness veiled the day: the Pólovtses
had invaded the Russian land, like a litter of lynxes.... Fair Gothic[67]
maidens sing upon the shore of the blue sea, tinkling with the
Russian gold: they sing the times of Bus, recall Sharokán’s[68]
revenge. But we, your druzhína, are anxious for the feast.”
Then great Svyatosláv uttered golden words, mingled with tears:
“Oh, my nephews, Ígor and Vsévolod! Too early did you begin to
strike the land of the Pólovtses with your swords, and to seek glory
for yourselves. You were vanquished ingloriously, for ingloriously
have you spilled the blood of the pagans! Your brave hearts are
forged with hard steel and tempered in daring exploits. See what you
have done with my silvery hair! I no longer see with me my mighty,
warlike brother Izyasláv with his Chernígov druzhína.... They
overwhelmed their enemies with dirks, not bearing bucklers, but
raising a warcry and resounding the glory of their forefathers. But
you spoke: ‘We alone will vanquish! Let us ourselves gain the future
glory, and share the glory of our fathers!’ Why should not an old man
feel young again? When the falcon is moulting, he drives the birds
far away, and allows not his nest to be hurt. But alas, the princes will
not aid me! My years have turned to nothing. At Rim[69] they cry
under the swords of the Pólovtses, and Vladímir[70] groans under his
wounds. Bitterness and sorrow has befallen the son of Glyeb!”
Grand Prince Vsévolod![71] Fly from afar not only in thought, but
come to protect your paternal throne: for you could dry up the
Vólga[72] with your oars, and empty the Don with your helmets. If you
were here, a Pólovts slave-girl would be worth a dime, and a man-
slave—half a rouble.[73] And you know, together with the brave sons
of Glyeb, how to hurl the Greek fire on land.
You, Grim Aurochs Rúrik and David![74] Did not your golden
helmets swim in blood? Did not your valiant druzhína bellow like
aurochses, when they were wounded by tempered swords in a
strange field? Put your feet, O lords, into your golden stirrups to
avenge the insult to the Russian land, the wounds of Ígor, the valiant
son of Svyatosláv!
Yarosláv Osmomýsl of Gálich![75] You sit high upon your throne
wrought of gold, propping with your iron-clad army the Carpathian
mountains, barring the king’s path, closing the gates of the Danube,
hurling missiles higher than the clouds, sitting in judgment as far as
the Danube. Your thunders pass over the land, and you hold the key
to the gates of Kíev; sitting on your paternal throne, you slay the
sultans in their lands. Slay, O lord, Konchák, the pagan villain, to
avenge the Russian land, the wounds of Ígor, the valiant son of
Svyatosláv!
And you, valiant Román[76] and Mstisláv! A brave thought carries
you into action.[77] You fly high in your onslaught, like a falcon
circling in the air, about to swoop down upon the birds. You wear iron
hauberks under Latin helmets, and the earth has trembled from you
in many a pagan land: the Lithuanians, Yatvyágans, Deremélans and
Pólovtses threw down their warclubs and bent their heads under
those tempered swords. But now, O Prince, Ígor’s sun is dimmed,—
the tree, alas, has shed its leaves. Along the Ros[78] and the Sulá
the Pólovtses have sacked the towns, but Ígor’s brave army will rise
no more. The Don calls you, O Prince, and the other princes to
victory!
Olég’s sons have hastened to the war. Íngvar and Vsévolod,[79]
and the three sons of Mstisláv,[80] a mighty winged brood! Not by the
lot of war have you acquired power. Of what good are your golden
helmets, and Polish warclubs and shields? Bar the enemy’s way with
your sharp arrows, to avenge the Russian land, the wounds of Ígor,
the valiant son of Svyatosláv!
XI
XII
XIII
XIV
FOOTNOTES: