This book serves as an excellent introduction to the theory and practice of Compassion-Focused Therapy (CFT), a model of psychotherapy based in Professor Paul Gilbert's Compassionate Mind model. This model, rooted in evolutionary psychology, affective neuroscience, and social psychology, makes a major theoretical contribution toward understanding psychological difficulties and helping people to change how they relate to them. The book,is divided into two sections, the first providing an excellent overview of the theoretical model underlying CFT, and the second providing a nice set of techniques to be used in the therapy.
In the spirit of full disclosure, I should say that I am far from being an unbiased reviewer. I am currently using compassion-focused therapy in both individual and group therapy formats, and am authoring a book applying the model to working with anger. The group (focused on anger) is currently being conducted in a medium-security correctional facility, and I cannot over-emphasize the effectiveness of this model in terms of its benefit to the men I'm working with. In a prison environment, these men are actively using the combination of the purposeful cultivation of compassion and contemporary psychological techniques to transform their lives. It is profound. This model is already a well-respected and increasingly used therapy in the UK, and it deserves to be much more well known here in the United States and elsewhere. I've also used it with excellent results with individual psychotherapy cases involving depression and anxiety in non-correctional settings.
For a more complete description of the Compassionate Mind model, please see my review of Gilbert's "The Compassionate Mind." I will say here, however, that CFT is not a stand-alone therapy model, not another therapy to be added to the growing list of empirically supported treatments (although it is supported by an evolving literature base). Rather, it provides a model for understanding psychological distress that is intensely pragmatic, theoretically sound, based in good science...and which is entirely compatible with most other effective treatment models. The model on which it is based provides patients with a way of understanding their suffering that is non-shaming and non-blaming, and in doing so helps patients approach their difficulties head-on using any number of techniques. I have found it to be the single most effective approach for working with experiential avoidance that I have ever encountered. Because of this, Gilbert's approach helps to magnify the effectiveness of a wide variety of therapeutic strategies by increasing the patient's ability to relate to their suffering in helpful ways and to utilize the techniques effectively. CFT makes heavy use of mindfulness training and includes techniques specifically designed to take advantage of what we know about contemporary affective neuroscience, particularly with regard to Oxytocin and the neuroscience of affiliation.
Specifically with regard to this book, in my opinion it is the perfect introduction to CFT. Organized in a number of relatively short, pithy chapters, it presents the model's fairly detailed theoretical foundation in bite-sized chunks, perfect for experienced clinicians and graduate students alike. I highly recommend it for any clinicians who work with patients struggling with affective difficulties, particularly those who utilize mindfulness approaches, ACT, DBT, and other CBT models. I'm planning to use it as a text in a seminar. And at $14, you can get it for the price of a few cups of coffee. Highly recommended.