The Essence of Healing

This is the journey of a thoughtful, excellent therapist, a curious mind with a persistent devotion to the quest for what makes psychotherapy work.

Across models from the mid-1950s to the present, Dr. Mones’ observation that the underlying effective methods adhere to what he calls ‘The Functional Hypothesis,’ i.e., that troublesome behaviors and feelings are to be appreciated as adaptations/survival strategies to our environments. This is a non-pathology approach that helps clients connect to and nurture their vulnerable parts.

Through reporting his own journey Dr. Mones helps us understand what is necessary to heal our and our clients’ wounds and create internal safety.

I’m grateful to Art Mones for writing the book that he wanted to read. He has written the book I have wanted to read for years. Through the quest to find the therapeutic approach that is most efficacious to lift clients out of their pain and trauma, Mones’ MetaModel centers on Internal Family Systems that joins other approaches that view psychological symptoms not as pathology but, placed in multiple contexts, as well-intentioned, adaptive attempts to survive. As the client is held in an accepting and compassionate therapeutic relationship, with Second Order interventions, their symptoms lose their grip on mind and body and health is restored. Journeying on this quest for the essence of healing, the reader is guided by the mastery of Mones’ vast professional experience and is held in his compassion, wisdom, boldness, gentleness and generosity.

Art Mones' book reads as part memoir, and part primer well-suited for therapists in training, early career clinicians, and seasoned therapists seeking to expand their practice effectiveness with diverse populations in mental and emotional distress.

Art's expansion of Internal Family Systems theory reminds me of the old real estate marketing promo: "Location, location, location". Dr. Mones studies, observes and sensitively uses his unique integrated model of healing trauma within human contexts; the field of lived experience, drawing the necessary clinical material from past into present life; individual, family and couple contexts are the major sub-fields in his study.

His humanistically inspired quest is to generate a renewed, informed therapist use of self, and this central motive takes the reader on his personal and clinical journey. His non-pathologizing meta-model includes the study of how patients endure and cope with past or current pain and suffering by "going on being" (W.W. Winnicott). His chapters take the reader through many of the established psychiatric, and manualized remedies, often short term, that foster "first" order change and symptom relief. Second order, or deeper lasting internal and interpersonal improvements, are at the center of his examination of psychotherapy theories, training, and practice. While giving major contributors to the field of mental health, and psychotherapy their due, Dr. Mones advances the knowledge base for practice in several ways: First he resists reifying his training, preferring a humble examination of his and other's subjectivity when repeating what they "know"; leaving doubt, uncertainty, and not assuming objective truth, as his scientific ethic.

Sections one, two and three connect the fields of study that provide the revisions that lead the reader to the essence of healing, and the limitations of other models in use, when defining what is the ailment to be treated, or in determining healing potential. Humility and experiencing vulnerability in the therapist and his clients are illustrated by vivid clinical vignettes with children, couples and families. The power of the examined self comes through regularly in the chapters, when healing is most difficult. Curiosity in this reviewer's experience, is a major therapeutic tool, but accessing it can become blocked by insecurities, guilt, or inhibition. Reclaiming or discovering therapeutic curiosity is dependent on the courage of the therapist and their supervisor. Dr. Mones refers to the influence of his mentors and consultants in his quest for a Meta-model. Additional material on the supervisor's role in teaching this model could be the basis for a future book. I recommend this book for its clarity, the thorough examination of contextual contributions to client system's survival tools, including dysfunctional behaviors, and interpersonal relationships, cultural inheritances, and transformational potentials. Most important are the reminders of what goes into the "loving" heart of a capable therapist.