This article appraises selected issues and developments in the field of psychotherapy over the past 40 years. Among the developments discussed are the increased participation of clinical psychologists in the area of psychotherapy, the increased popularity of psychotherapy, the declining influence of psychoanalysis and related views and the emergence of behavioral and cognitive therapies, and the recent emphasis on efficacy and accountability in psychotherapy. It is also noted that in spite of the emergence of a large number of diverse psychotherapies, no significant breakthroughs in the field have occurred.Psychotherapy is a much broader and more complex field at the present time than it was in the early 1940s, and many areas within it are of potential interest. In considering whether to discuss broad trends and developments or to focus on one specific problem or research area, I decided finally to focus on a few developments and issues that appear to me to be of some importance.
Clinical Psychology and PsychotherapyOne clearly discernible development has been the noticeable increase and involvement of psychologists in the area of psychotherapy. One wonders how both clinical psychology and the field of psychotherapy would have developed had there been no Second World War. In the late 1930s, clinical psychology was a rather small and undistinguished specialty, and psychotherapy was not a major activity of clinical psychologists. In fact, a survey by Louttit in 1939 of the professional activities of 111 psychologists employed in child guidance clinics indicated that psychotherapy was only the sixth most frequent activity of these psychologists, less