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Journal of Humanistic Psychology
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The Medical Model in Psychotherapy

Its Limitations and Failures

David N. Elkins

Pepperdine University, davidnelkins{at}hotmail.com

This article discusses the limitations and failures of the medical model in psychotherapy. Specifically, the article shows that (a) the medical model does not accurately describe what actually occurs in psychotherapy; (b) the model continues to dominate the field not because of its accuracy but because of its questionable ties with medicine, science, and the health insurance industry; (c) the model obscures the fact that psychotherapy is an interpersonal process, not a medical procedure; and (d) the model fails to account for the fact that the vast majority of clients use psychotherapy for support, guidance, and personal growth instead of treatment for mental illness. Implications of this analysis are presented.

Key Words: medical model • mental illness • diagnosis • psychotherapy

This version was published on January 1, 2009

Journal of Humanistic Psychology, Vol. 49, No. 1, 66-84 (2009)
DOI: 10.1177/0022167807307901


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