title: Madison, Wisconsin

text: According to the American Community Survey estimates for 2016-2020, the median income for a household in the city was $67,565, and the median income for a family was $96,502. Male full-time workers had a median income of $56,618 versus $48,760 for female workers. The per capita income for the city was $39,595. About 6.0% of families and 16.4% of the population were below the poverty line, including 11.3% of those under age 18 and 6.4% of those age 65 or over. Of the population age 25 and over, 95.9% were high school graduates or higher and 58.5% had a bachelor's degree or higher.


title: Madison, Wisconsin

text: As of the census of 2010, there were 233,209 people, 102,516 households, and 47,824 families residing in the city. The population density was . There were 108,843 housing units at an average density of . The racial makeup of the city was 78.9 percent white, 7.3 percent black, 0.4 percent American Indian, 7.4 percent Asian, 2.9 percent other races, and 3.1 from two or more races. Hispanic or Latino of any race were 6.8 percent of the population.


title: Madison, Wisconsin

text: There were 102,516 households, of which 22.2% had children under the age of 18 living with them, 35.1% were married couples living together, 8.4% had a female householder with no husband present, 3.2% had a male householder with no wife present, and 53.3% were non-families. 36.2% of all households were made up of individuals, and 7.5% had someone living alone who was 65 years of age or older. The average household size was 2.17 and the average family size was 2.87.


title: Madison, Wisconsin

text: The median age in the city was 30.9 years. 17.5 percent of residents were under the age of 18; 19.6% were between the ages of 18 and 24; 31.4% were from 25 to 44; 21.9% were from 45 to 64; and 9.6% were 65 years of age or older. The gender makeup of the city was 49.2% male and 50.8% female.


title: Madison, Wisconsin

text: Madison is the larger principal city of the Madison-Janesville-Beloit, WI CSA, a Combined Statistical Area that includes the Madison metropolitan area (Columbia, Dane, Green and Iowa counties), the Janesville-Beloit metropolitan area (Rock County), and the Baraboo micropolitan area (Sauk County). As of the 2020 census, the Madison MSA had a population of 680,796 and the Madison CSA had a population of 910,246.


title: Madison, Wisconsin

text: Madison is the episcopal see for the Roman Catholic Diocese of Madison. Saint Raphael's Cathedral, damaged by arson in 2005 and demolished in 2008, was the mother church of the diocese. The steeple and spire survived and have been preserved with the intention they could be incorporated in the structure of a replacement building.


title: Madison, Wisconsin

text: The Wisconsin Evangelical Lutheran Synod has three churches in Madison: Eastside Lutheran Church, Our Redeemer Lutheran Church, and Wisconsin Lutheran Chapel.


title: Madison, Wisconsin

text: The Evangelical Lutheran Synod has three churches in Madison: Grace Lutheran Church, Holy Cross Lutheran Church, and Our Saviour's Lutheran Church.


title: Madison, Wisconsin

text: Bethel Lutheran Church of the Evangelical Church in America, in downtown Madison, is one of the largest Lutheran congregations in the country.


title: Madison, Wisconsin

text: Most American Christian movements are represented in the city, including mainline denominations, evangelical, charismatic and fully independent churches, including an LDS stake. The city also has multiple Sikh Gurdwaras, Hindu temples, three mosques and several synagogues, a community center serving the Baháʼí Faith, a Quaker Meeting House, and a Unity Church congregation.


title: Madison, Wisconsin

text: The nation's third largest congregation of Unitarian Universalists, the First Unitarian Society of Madison, makes its home in the historic Unitarian Meeting House, designed by one of its members, Frank Lloyd Wright.


title: Madison, Wisconsin

text: Madison is home to the Freedom from Religion Foundation, a non-profit organization that promotes the separation of church and state.


title: Madison, Wisconsin

text: There were 53 homicides reported by Madison Police from 2000 to 2009. The highest total was 10 in 2008. Police reported 28 murders from 2010 to 2015, with the highest year being 7 murders in 2011.


title: Madison, Wisconsin

text: As of late 2018, the two largest employers in the Madison Metropolitan Area were the University of Wisconsin-Madison, and Epic Systems. The Wisconsin state government and the University of Wisconsin Hospital and Clinics remain the two major state employers. Madison's economy today is evolving from a government-based economy to a consumer services and high-tech base, particularly in the health, biotech, and advertising sectors. Beginning in the early 1990s, the city experienced a steady economic boom and has been less affected by recession than other areas of the state. Underpinning the boom is the development of high-tech companies, many fostered by UW–Madison working with local businesses and entrepreneurs to transfer the results of academic research into real-world applications, especially bio-tech applications.


title: Madison, Wisconsin

text: Many businesses are attracted to Madison's skill base, taking advantage of the area's high level of education. 48.2% of Madison's population over the age of 25 holds at least a bachelor's degree. "Forbes" magazine reported in 2004 that Madison had the highest percentage of individuals holding Ph.D.s in the United States. Madison was also named in a number of "Forbes" 'Ten Best Cities' lists several times in the early 21st century.


title: Madison, Wisconsin

text: As Madison is the State Capital of Wisconsin, it is home to many Wisconsin state agencies and bureaus. Madison also contains the University of Wisconsin-Madison, a research institution that employs 22,365 faculty and staff.


title: Madison, Wisconsin

text: The University of Wisconsin Hospital and Clinics is an important regional teaching hospital and regional trauma center, with strengths in transplant medicine, oncology, digestive disorders, and endocrinology. Other Madison hospitals include St. Mary's Hospital, Meriter Hospital, and the VA Medical Center.


title: Madison, Wisconsin

text: The Madison metropolitan area is home to companies such as Spectrum Brands (formerly Rayovac), Trek, Alliant Energy, the Credit Union National Association (CUNA), MGE Energy, EatStreet, and Sub-Zero & Wolf Appliance. Insurance companies based in Madison include American Family Insurance, CUNA Mutual Group, and National Guardian Life. Technology companies in Madison include Broadjam, Zendesk, Full Compass Systems, Raven Software, and TDS Telecom.


title: Madison, Wisconsin

text: Some economic growth in Madison is driven by biotech and health information technology. Biotech firms include Panvera (now part of Invitrogen), Exact Sciences, Promega, and Arrowhead Pharmaceuticals among others. The contract research organization Covance is a major employer in the city. Madison's community hackerspaces/makerspaces are Sector67, which serves inventors and entrepreneurs, and The Bodgery, which serves hobbyists, artists, and tinkerers. Start up incubators and connectors include StartingBlock, gener8tor and University Research Park. Epic Systems was based in Madison from 1979 to 2005, when it moved to a larger campus in the nearby Madison suburb of Verona. Other firms include Nordic, Forward Health, and Forte Research Systems.


title: Madison, Wisconsin

text: Oscar Mayer was a Madison fixture for decades, and was a family business for many years before being sold to Kraft Foods. "The Onion" satirical newspaper, as well as the pizza chains Rocky Rococo and the Glass Nickel Pizza Company, originated in Madison.


title: Madison, Wisconsin

text: Madison is home to unique foods such as the large spring-rolls sold from the food carts on the Capital Square and State Street, particularly in warmer months. Other foods that are unique to the area are cheese curds, served either fried with dipping sauce, such as ranch dressing, or "squeaky" (not cooked, so called because of the squeaking sound they often make against the teeth when chewed), usually served without dipping sauce. Another popular food is hot and spicy cheese bread, made by some Madison bakeries and available at farmer's markets around the city.


title: Madison, Wisconsin

text: On Saturday mornings in the summer, the Dane County Farmers' Market is held around the Capitol Square, the largest producer-only farmers' market in the country. A smaller version of this market is held on Martin Luther King Boulevard on Wednesdays during the summer. In late fall, this market moves indoors, first as the Holiday Market at the Monona Terrace. Later it becomes the Late Winter Market at the Madison Senior Center. This market attracts numerous vendors who sell fresh produce, meat, cheese, and other products.


title: Madison, Wisconsin

text: Some restaurants in Madison follow the general Wisconsin supper club practice of restaurants serving "Friday fish fry, Saturday prime rib special, Sunday chicken dinner special."


title: Madison, Wisconsin

text: The Great Taste of the Midwest craft beer festival, established in 1987 and the second-longest-running such event in North America, is held the second Saturday in August. The highly coveted tickets sell out within an hour of going on sale in May.


title: Madison, Wisconsin

text: Madison's architectural landmarks reflect a wide range of styles, from the densest cluster of Native American effigy mounds in the United States to the Beaux-Arts Wisconsin State Capitol, the Renaissance Revival University of Wisconsin Memorial Union and the Overture Center for the Arts, designed by postmodern architect César Pelli. Madison is home to eight buildings designed by influential Wisconsin-born modern architect Frank Lloyd Wright, more than any other city outside of the Chicago metropolitan area. Wright, who spent much of his childhood in Madison and studied briefly at the University of Wisconsin–Madison, was based at Taliesin in nearby Spring Green for most of his career. His designs in Madison include Monona Terrace, the city's lakefront convention center, as well as Wright's first Usonian house, the Herbert and Katherine Jacobs First House, which is a UNESCO World Heritage Site.


title: Madison, Wisconsin

text: The height of Madison's skyline is limited by a state law that restricts building heights in the downtown area. All buildings within one mile (1.6 km) of the Wisconsin State Capitol have to be less than above sea level to preserve the view of the building in most areas of the city. The Wisconsin State Capitol dome was modeled after the dome of the U.S. Capitol, and was erected on the high point of the isthmus. Capitol Square is located in Madison's urban core.


title: Madison, Wisconsin

text: The Harold C. Bradley House in the University Heights neighborhood was designed collaboratively by Louis H. Sullivan and George Grant Elmslie in 1908–1910, and now serves as the Sigma Phi Society chapter house.


title: Madison, Wisconsin

text: The Overture Center for the Arts, opened 2004, and the adjacent Madison Museum of Contemporary Art, opened 2006, on State Street near the capitol were designed by architect César Pelli. Within the Overture Center are Overture Hall, Capitol Theater, and The Playhouse. Its modernist style, with simple expanses of glass framed by stone, was designed to complement nearby historic building facades.


title: Madison, Wisconsin

text: The architectural firm Claude and Starck designed over 175 Madison buildings, and many are still standing, including Breese Stevens Field, Doty School (now condominiums), and many private residences.


title: Madison, Wisconsin

text: Architecture on the University of Wisconsin campus includes many buildings designed or supervised by the firm J. T. W. Jennings, such as the Dairy Barn and Agricultural Hall, or by architect Arthur Peabody, such as the Memorial Union and Carillon Tower. Several campus buildings erected in the 1960s followed the brutalist architectural style. In 2005, the university embarked on a major redevelopment at the east end of its campus. The plan called for the razing of nearly a dozen 1950s to 1970s vintage buildings; the construction of new dormitories, administration, and classroom buildings; as well as the development of a new pedestrian mall extending to Lake Mendota. The campus now includes 12- to 14-story buildings.


title: Madison, Wisconsin

text: Much of the city's nightlife is centralized to the downtown area which includes a variety of bars, restaurants, and performance venues. State Street and the surrounding area are popular with tourists and University of Wisconsin-Madison students. Venues in the Capital Square neighborhood are popular with local young professionals and provide many happy hour specials. Another center of nightlife is the Williamson (Willy) Street Neighborhood. Madison is also home to a number of nightclubs, gay bars and live music venues. The Mifflin Street Block Party and the Freakfest Halloween Party also attract thousands of partygoers.


title: Madison, Wisconsin

text: Several venues offer live music nightly, spreading from the historic Barrymore Theatre and High Noon Saloon on the east side to small coffee houses and wine bars. The biggest headliners sometimes perform at the Orpheum Theatre, the Overture Center, Breese Stevens Field, the Alliant Energy Center, or the UW Theatre on campus. Other major rock and pop venues include the Majestic Theatre, the Sylvee, and The Bartell. During the summer, the Memorial Union Terrace on the University of Wisconsin campus, offers live music five nights a week. The Union is located on the shores of Lake Mendota.


title: Madison, Wisconsin

text: Concerts on the Square is a weekly Madison tradition during the summer. On Wednesday evenings, the Wisconsin Chamber Orchestra performs free concerts on the capitol's lawn, and people come to listen to the music while picnicking on the grass.


title: Madison, Wisconsin

text: The Madison Scouts Drum and Bugle Corps has provided youth aged 16–22 opportunities to perform across North America every summer since 1938. The University of Wisconsin Marching Band is a local marching band.


title: Madison, Wisconsin

text: Madison has a lively independent rock scene, and local independent record labels include Crustacean Records, Science of Sound, Kind Turkey Records, and Art Paul Schlosser Inc. A Dr. Demento and weekly live karaoke favorite is The Gomers, who have a Madison Mayoral Proclamation named after them. They have performed with fellow Wisconsin residents Les Paul and Steve Miller.


title: Madison, Wisconsin

text: Madison is also home to other nationally known artists such as Paul Kowert of Punch Brothers, Mama Digdown's Brass Band, Clyde Stubblefield of Funky Drummer and James Brown fame, and musicians Roscoe Mitchell, Richard Davis, Ben Sidran, Sexy Ester and the Pretty Mama Sisters, Reptile Palace Orchestra, Ted Park, DJ Pain 1, Killdozer, Zola Jesus, VO5, Caustic, PHOX, Masked Intruder, and Lou & Peter Berryman, among others. The band Garbage formed in Madison in 1994, and has sold 17 million albums.


title: Madison, Wisconsin

text: In the summer Madison hosts many music festivals, including the Waterfront Festival, the Willy St. Fair, Atwood Summerfest, the Isthmus Jazz Festival, the Orton Park Festival, 94.1 WJJO's Band Camp, Greekfest, the WORT Block Party and the Sugar Maple Traditional Music Festival, and the Madison World Music Festival sponsored by the Wisconsin Union Theater (held at the Memorial Union Terrace and at the Willy St. Fair in September). Past festivals include the Madison Pop Festival and Forward Music Festival (2009–2010.) One of the latest additions is the Fête de Marquette, taking place around Bastille Day at various east side locations. This new festival celebrates French music, with a focus on Cajun influences. Madison also hosts an annual electronic music festival, Reverence, and the Folk Ball, a world music and Folk dance festival held annually in January. Madison is home to the LBGTQA festival, Fruit Fest, celebrating queer culture and LGBT allies. Madison also plays host to the National Women's Music Festival. UW-Madison also hosts the annual music and arts festival, Revelry, on campus at the Memorial Union each spring. The festival is put on by students for students as an end of the year celebration on campus.


title: Madison, Wisconsin

text: Art museums include the UW–Madison's Chazen Museum of Art (formerly the Elvehjem Museum), and the Madison Museum of Contemporary Art, which annually organizes the Art Fair on the Square. Madison also has independent art studios, galleries, and arts organizations, with events such as Art Fair Off the Square. Other museums include Wisconsin Historical Museum (run by the Wisconsin Historical Society), the Wisconsin Veterans Museum, and the Madison Children's Museum.


title: Madison, Wisconsin

text: The Madison Opera, the Madison Symphony Orchestra, Forward Theater Company, the Wisconsin Chamber Orchestra, and the Madison Ballet are some of the professional resident companies of the Overture Center for the Arts. The city is also home to a number of smaller performing arts organizations, including a group of theater companies that present in the Bartell Theatre, a former movie palace renovated into live theater spaces, and Opera for the Young, an opera company that performs for elementary school students across the Midwest. Music Theatre of Madison is a professional musical theater company that performs new and lesser-known musicals in a variety of venues. The Wisconsin Union Theater (a 1,300-seat theater) is home to seasonal attractions and is the main stage for Four Seasons Theatre, a community theater company specializing in musical theater, and other groups. The Young Shakespeare Players, a theater group for young people, performs uncut Shakespeare and George B. Shaw plays.


title: Madison, Wisconsin

text: Community-based theater groups include Children's Theatre of Madison, Strollers Theatre, Madison Theatre Guild, the Mercury Players, and Broom Street Theater (which is no longer on Broom Street).


title: Madison, Wisconsin

text: Madison has one comedy club, the Comedy Club on State (which has hosted the Madison's Funniest Comic competition every year since 2010), owned by the Paras family. Madison has other options for more alternative humor, featuring several improv groups, such as Atlas Improv Company, Monkey Business Institute, and open mic nights.


title: Madison, Wisconsin

text: Madison is home to a large entertainment industry archive at the Wisconsin Center for Film and Theater Research, part of the Wisconsin Historical Society.


title: Madison, Wisconsin

text: The Madison metro area has a higher percentage of gay couples than any other city in the area outside of Chicago and Minneapolis.


title: Madison, Wisconsin

text: Madison was host to Rhythm and Booms, a large fireworks celebration coordinated to music. It began with a fly-over by F-16s from the local Wisconsin Air National Guard. This celebration was the largest fireworks display in the Midwest in length, number of shells fired, and the size of its annual budget. Effective 2015, the event location was changed to downtown and renamed Shake The Lake.


title: Madison, Wisconsin

text: There are several cooperative organizations in the Madison area, ranging from grocery stores (such as the Willy Street Cooperative) to housing co-ops (such as Madison Community Cooperative and Nottingham Housing Cooperative) to worker cooperatives (including an engineering firm, a wholesale organic bakery and a cab company).


title: Madison, Wisconsin

text: Every April, the Wisconsin Film Festival is held in Madison. This five-day event features films from a variety of genres shown in theaters across the city. The University of Wisconsin–Madison Arts Institute sponsors the Film Festival.


title: Madison, Wisconsin

text: Madison is known for its unique official bird. In 2009, the Madison Common Council voted to name the plastic pink flamingo as the official city bird.


title: Madison, Wisconsin

text: Madison is known for having its athletics fan base centered on the University of Wisconsin-Madison. In 2003, "Sports Illustrated" identified the city as one of the "best college sports towns" in the nation. In 2019, Sports Illustrated named Madison the greatest college football town in the nation.


title: Madison, Wisconsin

text: The UW–Madison teams play their home-field sporting events in venues in and around Madison. The Wisconsin Badgers football team plays at Camp Randall Stadium where crowds of as many as 83,000 have attended games. The Wisconsin Badgers men's basketball and Wisconsin Badgers men's ice hockey teams play at the Kohl Center. Construction on the $76 million arena was completed in 1997. The Wisconsin Badgers women's ice hockey team plays at the LaBahn Arena. Some events are played at the county-owned Alliant Energy Center (formerly Dane County Memorial Coliseum) and the University-owned Wisconsin Field House.


title: Madison, Wisconsin

text: In 2014, the Madison Capitols made their return to the Madison area following 19 years of dormancy. The Capitols play their home games at Bob Suter's Capitol Ice Arena following three years at Alliant Energy Center.


title: Madison, Wisconsin

text: On May 17, 2018, it was announced that Forward Madison FC would become Madison's first professional soccer team, which plays at the historic Breese Stevens Field.


title: Madison, Wisconsin

text: Madison is home to the Madison Mallards, a college wood-bat summer baseball league team in the Northwoods League. They play in Warner Park on the city's north side from June to August.


title: Madison, Wisconsin

text: The Madison Muskies, a Class A, Midwest League affiliate of the Oakland A's, left town in 1993 after 11 seasons. The Madison Hatters, another Class A, Midwest League team, played in Madison for only the 1994 season. The Madison Black Wolf, an independent Northern League franchise lasted five seasons (1996–2000), before decamping for Lincoln, Nebraska.


title: Madison, Wisconsin

text: Madison has of park space, which is 13.5% of the city's total area. The city has 12.7 parks per 10,000 residents – more than any other city. Parks in the city include James Madison Park, which has views of Lake Mendota; Frank W. Hoyt Park, which is listed on the National Register of Historic Places; Garner Park, where the Madison Opera holds an "Opera in the Park" event; and Warner Park, which is home to the stadium for the Madison Mallards baseball team.


title: Madison, Wisconsin

text: During the winter months, sports enthusiasts enjoy ice-boating, ice skating, ice hockey, ice fishing, cross-country skiing, and snowkiting. During the rest of the year, outdoor recreation includes sailing on the local lakes, bicycling, and hiking.


title: Madison, Wisconsin

text: Madison is known for its extensive biking infrastructure, with numerous bike paths and bike lanes throughout the city. Several of these bike paths connect to state trails, such as the Capital City State Trail, Military Ridge State Trail, and Badger State Trail. In addition to these bike paths, most city streets have designated bike lanes or are designated as bicycle boulevards, which give high priority to bicyclists. In 2015 Madison was awarded platinum level Bicycle Friendly Community designation from the League of American Bicyclists, one of only five cities in the US to receive this (highest) level.


title: Madison, Wisconsin

text: Madison has an active amateur sports scene, with ultimate, endurance sports, and soccer being common pastimes.


title: Madison, Wisconsin

text: Madison has several active ultimate disc leagues organized through the nonprofit Madison Ultimate Frisbee Association. In 2013, the Madison Radicals, a professional ultimate frisbee team, debuted in the city.


title: Madison, Wisconsin

text: Madison is home to several endurance sports racing events, such as the Crazylegs Classic, the CrossFit Games, Paddle and Portage, the Mad City Marathon, and Ironman Wisconsin, which attracts over 45,000 spectators.


title: Madison, Wisconsin

text: The Wisconsin Rugby Club, the 1998 and 2013 USA Rugby Division II National Champions, and the Wisconsin Women's Rugby Football Club are the state's only Division I women's rugby team. All Madison rugby teams play within the Wisconsin Rugby Football Union—the Midwest Rugby Union and USA Rugby.


title: Madison, Wisconsin

text: The Madison Curling Club was founded in 1921. Team Spatola of the Madison Curling Club won the 2014 Women's US National Championship. Team members are: Nina Spatola, Becca Hamilton, Tara Peterson, Sophie Brorson.


title: Madison, Wisconsin

text: Madison's Gaelic sports club hosts a hurling team organized as The Hurling Club of Madison and a Gaelic football club with men's and women's teams.


title: Madison, Wisconsin

text: The roller derby league, Madison Roller Derby, was formed in Madison in 2004 and is a member of the Women's Flat Track Derby Association. Madison is also home to Wisconsin United Roller Derby, a member league of the Men's Roller Derby Association.


title: Madison, Wisconsin

text: The adult women's ice hockey teams (Thunder, Lightning, Freeze, UW–B and C teams) play in the Women's Central Hockey League.


title: Madison, Wisconsin

text: The Blackhawk Ski Club, formed in 1947, provides ski jumping, cross country skiing and alpine skiing. The club's programs have produced several Olympic ski jumpers, two Olympic ski jumping coaches and one Olympic ski jumping director. The club had the first Nordic ski facility with lighted night jumping.


title: Madison, Wisconsin

text: As of 2017, the CrossFit Games have been held at the Alliant Energy Center. After seven years at the StubHub Center in Carson, California, the Games moved to Madison for an initial three-year contract. CrossFit chose the multi-building entertainment venue, which encompasses , after posting a national request for proposals.


title: Madison, Wisconsin

text: City voters have supported the Democratic Party in national elections in the last half-century, and a liberal and progressive majority is generally elected to the city council. Detractors often refer to Madison as "77 square miles surrounded by reality", a phrase coined by former Wisconsin Republican governor Lee S. Dreyfus, while campaigning in 1978. In 2013, there was a motion in the city council to turn Dreyfus' humor into the official city "punchline," but it was voted down by the city council.


title: Madison, Wisconsin

text: The city's voters are generally much more liberal than voters in the rest of Wisconsin. For example, 76% of Madison voters voted against a 2006 state constitutional amendment to ban gay marriage, even though the ban passed statewide with 59% of the vote.


title: Madison, Wisconsin

text: In 1992, a local third party, Progressive Dane, was founded. City policies supported in the Progressive Dane platform have included an inclusionary zoning ordinance, later abandoned by the mayor and a majority of the city council, and a city minimum wage. The party holds several seats on the Madison City Council and Dane County Board of Supervisors, and is aligned variously with the Democratic and Green parties.


title: Madison, Wisconsin

text: Madison has a mayor-council system of government. Madison's city council, known as the Common Council, consists of 20 members, one from each district. The mayor is elected in a citywide vote.


title: Madison, Wisconsin

text: Madison is the heart of in the United States House of Representatives, represented by Mark Pocan (D). Melissa Agard (D) and Kelda Roys (D) represent Madison in the Wisconsin State Senate, and Jimmy P. Anderson (D), Samba Baldeh (D), Francesca Hong (D), Sheila Stubbs (D), and Lisa Subeck (D) represent Madison in the Wisconsin State Assembly.


title: Madison, Wisconsin

text: Ron Johnson (R) and Tammy Baldwin (D) represent Madison, and all of Wisconsin, in the United States Senate. Baldwin is a Madison resident; she represented the 2nd from 1999 to 2013 before handing it to Pocan.


title: Madison, Wisconsin

text: The Madison Metropolitan School District serves the city while a variety of other districts serve the surrounding area. With an enrollment of approximately 25,000 students in 46 schools, it is the second largest school district in Wisconsin behind the Milwaukee School District. The five public high schools are Vel Phillips Memorial, Madison West, Madison East, La Follette, and Malcolm Shabazz City High School, an alternative school.


title: Madison, Wisconsin

text: Among private church-related high schools are Abundant Life Christian School, Edgewood High School, near the Edgewood College campus, and St. Ambrose Academy, a Catholic school offering grades 6 through 12. Madison Country Day School is a private high school with no religious affiliation.


title: Madison, Wisconsin

text: The city is home to the University of Wisconsin–Madison, Edgewood College and Madison Area Technical College, giving the city a post-secondary student population of nearly 55,000. The University of Wisconsin accounts for the vast majority of students, with an enrollment of roughly 44,000, of whom 31,750 are undergraduates.


title: Madison, Wisconsin

text: Additional degree programs are available through satellite campuses of Cardinal Stritch University, Concordia University-Wisconsin, Globe University, Lakeland College, the University of Phoenix, and Upper Iowa University. Madison also has a non-credit learning community with multiple programs and many private businesses also offering classes.


title: Madison, Wisconsin

text: Madison is home to an extensive and varied number of print publications, reflecting the city's role as the state capital and its diverse political, cultural and academic population. The "Wisconsin State Journal" (weekday circulation: ~95,000; Sundays: ~155,000) is published in the mornings, while its sister publication, "The Capital Times" (Thursday supplement to the Journal) is published online daily, with two printed editions a week. Though jointly operated under the name Capital Newspapers, the "Journal" is owned by the national chain Lee Enterprises, and the "Times" is independently owned. "Wisconsin State Journal" is the descendant of the "Wisconsin Express", a paper founded in the Wisconsin Territory in 1839. "The Capital Times" was founded in 1917 by William T. Evjue, a business manager for the "State Journal" who disagreed with that paper's editorial criticisms of Wisconsin Republican Senator Robert M. La Follette, Sr. for his opposition to U.S. entry into World War I.


title: Madison, Wisconsin

text: The free weekly alternative newspaper "Isthmus" (weekly circulation: ~65,000) was founded in Madison in 1976. "The Onion", a satirical weekly, was founded in Madison in 1988 and published from there until it moved to New York in 2001. Two student newspapers are published during the academic year, "The Daily Cardinal" (Mon–Fri circulation: ~10,000) and "The Badger Herald" (Mon–Fri circulation: ~16,000). Other specialty print publications focus on local music, politics and sports, including "The Capital City Hues", "The Madison Times", "Madison Magazine", "The Simpson Street Free Press", "Umoja Magazine", and fantasy-sports web site RotoWire.com. Local community blogs include Althouse and dane101.


title: Madison, Wisconsin

text: Madison is associated with "Fighting Bob" La Follette and the Progressive movement. La Follette's magazine, "The Progressive", founded in 1909, is still published in Madison. It is a far left-wing periodical that may be best known for the attempt of the U.S. government in 1979 to suppress one of its articles before publication. The magazine eventually prevailed in the landmark First Amendment case, "United States v. The Progressive, Inc." During the 1970s, there were two radical weeklies published in Madison, known as "TakeOver" and "Free for All", as well as a Madison edition of the "Bugle-American" underground newspaper.


title: Madison, Wisconsin

text: Madison has three large media companies that own the majority of the commercial radio stations within the market. These companies consist of iHeartMedia, Entercom Communications, and Mid-West Family Broadcasting as well as other smaller broadcasters. Madison is home to Mid-West Family Broadcasting, which is an independently owned broadcasting company that originated and is headquartered in Madison. Mid-West Family owns radio stations throughout the state and the Midwest.


title: Madison, Wisconsin

text: Madison hosts two volunteer-operated and community-oriented radio stations, WORT and WSUM. WORT Community Radio (89.9 FM), founded in 1975, is one of the oldest volunteer-powered radio stations in the United States. A listener-sponsored community radio station, WORT offers locally produced diverse music and talk programming. WSUM (91.7 FM) is a free-form student radio station programmed and operated almost entirely by students.


title: Madison, Wisconsin

text: Madison's Wisconsin Public Radio station, WHA, was one of the first radio stations in the nation to begin broadcasting. Public radio programs that originate at the WPR studios include "Michael Feldman's Whad'Ya Know?", "Zorba Pastor On Your Health", "To the Best of Our Knowledge","Calling All Pets", and the longest running radio program in America, "Chapter a Day".


title: Madison, Wisconsin

text: WXJ-87 is the NOAA Weather Radio All Hazards station on Madison's west side, with broadcasts originating from the National Weather Service in Sullivan, Wisconsin.


title: Madison, Wisconsin

text: Madison has six commercial stations, two public television stations and two religious stations. The commercial stations consist of WISC-TV "News 3 Now" (CBS), WMTV "NBC 15" (NBC), WKOW-TV "27 News" (ABC), WMSN-TV "FOX 47" (Fox), WIFS "Wisconsin's 57" (Ion) and WZCK-LD. Religious stations consist of WMWD-LD (Daystar) and W23BW-D (3ABN). Madison has two public television stations: WHA-TV, which is owned by the University of Wisconsin–Extension and airs throughout the state with the exception of Milwaukee, and Madison City Channel, which is owned and operated by the City of Madison covering city governmental affairs.


title: Madison, Wisconsin

text: Madison is served by the Dane County Regional Airport, which serves nearly 2.2 million passengers annually. Most major general aviation operations take place at Morey Field in Middleton from Madison's city center. Madison Metro operates bus routes throughout the city and to some neighboring suburbs. Madison has four taxicab companies (Union, Badger, Madison, and Green), and several companies provide specialized transit for individuals with disabilities. Several carsharing services are also available in Madison, including Community Car, a locally owned company, and U-Haul subsidiary Uhaul Car Share.


title: Madison, Wisconsin

text: Starting from the last decades of the 20th century, Madison has been among the leading cities for bicycling as a form of transportation, with about 3% of working residents pedaling on their journey to work. The share of Madison workers who bicycled to work increased to 5.3% by 2014. The 2016 survey by American Community Survey indicated that 65.7% of working Madison residents commuted by driving alone, 6.7% carpooled, 8.6% used public transportation, and 8.5% walked. About 6% used all other forms of transportation, including bicycles, motorcycles, and taxis. About 4.5% worked at home. According to Walk Score, Madison has an overall 48 out of 100 in walkability, making it a "largely car dependent city", and a 65 out of 100 for bicycling. However, the State-Langdon and Downtown areas scored significantly higher, 94 and 93 for walkability, and 87 and 89 for biking, respectively.


title: Madison, Wisconsin

text: In 2015, 11.2% of Madison households were without a car, which was unchanged in 2016. The national average was 8.7% in 2016. Madison averaged 1.5 cars per household in 2016, compared to a national average of 1.8 per household.


title: Madison, Wisconsin

text: Passenger train service between Madison and Chicago on the "Sioux" and the "Varsity" was provided by the Chicago, Milwaukee, St. Paul and Pacific Railroad (Milwaukee Road) until 1971. The Chicago and North Western Railway also provided service to the east side of Madison, ending in 1965. A high-speed rail route from Chicago through Milwaukee and Madison to Minneapolis–Saint Paul, Minnesota, was proposed as part of the Midwest Regional Rail Initiative. Funding for the railway connecting Madison to Milwaukee was approved in January 2010, but then Governor-elect Scott Walker's opposition to the project led the Federal Railroad Administration to retract the $810 million in funding and reallocate it to projects in other states. Plans to establish Amtrak service within the city of Madison were revived in 2021, pending federal legislative action, Madison is again slated to receive a rail link to Chicago via Milwaukee, likely with an expansion of the Hiawatha Service. Longer-term plans include a connection to the Twin Cities, potentially via Eau Claire; however, this has not been officially established at this time. The city is served by the Columbus Amtrak station to the northeast with once daily trains to Chicago, Portland, OR and Seattle, WA and stops in between via the Empire Builder route. While located outside of the city proper, the station is listed on Amtrak timetables as Madison's official stop in addition to thruway bus services within the city.


title: Madison, Wisconsin

text: Railroad freight services are provided to Madison by the Wisconsin and Southern Railroad (WSOR) and the Canadian Pacific Railway (CP) under its legal trading alias, the Soo Line Railroad.


title: Madison, Wisconsin

text: In addition to public transportation, regional buses connect Madison to Milwaukee, Chicago, Minneapolis–Saint Paul, and many other communities. Badger Bus, which connects Madison and Milwaukee, runs several trips daily. Greyhound Lines, a nationwide bus company, serves Madison on its Chicago, Milwaukee, and Minneapolis–Saint Paul route. Van Galder Bus Company, a subsidiary of Coach USA, provides transportation through Rockford to Chicago—stopping at Union Station, O'Hare Airport, and Midway Airport. Jefferson Lines provides transportation to Minneapolis–Saint Paul via La Crosse. Megabus provides limited-stop service to Chicago and Minneapolis–Saint Paul. Lamers Bus Lines has once-daily trips from Madison to Wausau, Dubuque, and Green Bay.


title: Madison, Wisconsin

text: Interstate 39 (I-39), I-90 and I-94 run along the far east side of the city, connecting to Janesville to the south, Milwaukee to the east, and to Portage, La Crosse, Eau Claire, and Wausau heading north and northwest.


title: Madison, Wisconsin

text: U.S. Highway 151 (US 151) runs through downtown and serves as the main thoroughfare through the northeast (as Washington Avenue) and south-central parts (as Park Street) of the city, connecting Madison with Dubuque, Iowa to the southwest and Fond du Lac and Manitowoc to the northeast.


title: Madison, Wisconsin

text: US 12, frequently referred to by locals as the Beltline, is a six- to eight-lane freeway serving the south and west sides of Madison and is the main link from the western suburb of Middleton to Cambridge. Southeast of the area, US 12 connects to Lake Geneva, and going northwest, it heads to Wisconsin Dells.


title: Madison, Wisconsin

text: US 18 is also a component highway of the Beltine, continuing south along US 151 and east towards Waukesha and Milwaukee.


title: Madison, Wisconsin

text: The Madison Police Department is the law enforcement agency in the city led by Police Chief Shon Barnes. The department has six districts: Central, East, North, South, West and Midtown District


title: Madison, Wisconsin

text: The Madison Police Department was criticized for absolving Officer Steve Heimsness of any wrongdoing in the November 2012 shooting death of an unarmed man, Paul Heenan. The department's actions resulted in community protests, including demands that the shooting be examined and reviewed by an independent investigative body. WisconsinWatch.org called into question the MPD's facts and findings, stating that the use of deadly force by Heimsness was unwarranted. There were calls for an examination of the Madison Police Department's rules of engagement and due process for officers who use lethal force in the line of duty.


title: Madison, Wisconsin

text: Community criticism of the department's practices resurfaced after MPD officer Matt Kenny shot Tony Robinson, an unarmed man. The shooting was particularly controversial given the context of the ongoing Black Lives Matter movement. Due to new Wisconsin state legislation that addresses the mechanisms under which officer-on-civilian violence is handled by state prosecutors, proceedings were handed over to a special unit of the Wisconsin Department of Justice in Madison. On March 27, 2015, the state concluded its investigation and gave its findings to Ismael Ozanne, the district attorney of Dane County. On May 12, 2015, Ozanne determined that the shooting was justified self-defense.


title: Madison, Wisconsin

text: The Madison Fire Department (MFD) provides fire protection and emergency medical services to the city. The MFD operates out of 14 fire stations, with a fleet of 12 engines, 5 ladders, 2 rescue squads, 2 hazmat units, a lake rescue team, and 9 ambulances. The MFD also provides mutual aid to surrounding communities.


title: Psychotherapy

text: Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Numerous types of psychotherapy have been designed either for individual adults, families, or children and adolescents. Certain types of psychotherapy are considered evidence-based for treating some diagnosed mental disorders; other types have been criticized as pseudoscience.


title: Psychotherapy

text: There are hundreds of psychotherapy techniques, some being minor variations; others are based on very different conceptions of psychology. Most involve one-to-one sessions, between the client and therapist, but some are conducted with groups, including families.


title: Psychotherapy

text: Psychotherapists may be mental health professionals such as psychiatrists, psychologists, mental health nurses, clinical social workers, marriage and family therapists, or professional counselors. Psychotherapists may also come from a variety of other backgrounds, and depending on the jurisdiction may be legally regulated, voluntarily regulated or unregulated (and the term itself may be protected or not).


title: Psychotherapy

text: The term "psychotherapy" is derived from Ancient Greek "" ( meaning "breath; spirit; soul") and "therapeia" ( "healing; medical treatment"). The "Oxford English Dictionary" defines it as "The treatment of disorders of the mind or personality by psychological means...", however, in earlier use it denoted the treatment of disease through hypnotic suggestion. Psychotherapy is often dubbed as a "talking therapy" or "talk therapy", particularly for a general audience, though not all forms of psychotherapy rely on verbal communication. Children or adults who do not engage in verbal communication (or not in the usual way) are not excluded from psychotherapy; indeed some types are designed for such cases.


title: Psychotherapy

text: The American Psychological Association adopted a resolution on the effectiveness of psychotherapy in 2012 based on a definition developed by American psychologist John C. Norcross: "Psychotherapy is the informed and intentional application of clinical methods and interpersonal stances derived from established psychological principles for the purpose of assisting people to modify their behaviors, cognitions, emotions, and/or other personal characteristics in directions that the participants deem desirable". Influential editions of a work by psychiatrist Jerome Frank defined psychotherapy as a healing relationship using socially authorized methods in a series of contacts primarily involving words, acts and rituals—which Frank regarded as forms of persuasion and rhetoric. Historically, psychotherapy has sometimes meant "interpretative" (i.e. Freudian) methods, namely psychoanalysis, in contrast with other methods to treat psychiatric disorders such as behavior modification.


title: Psychotherapy

text: Some definitions of counseling overlap with psychotherapy (particularly in non-directive client-centered approaches), or counseling may refer to guidance for everyday problems in specific areas, typically for shorter durations with a less medical or "professional" focus. Somatotherapy refers to the use of physical changes as injuries and illnesses, and sociotherapy to the use of a person's social environment to effect therapeutic change. Psychotherapy may address spirituality as a significant part of someone's mental / psychological life, and some forms are derived from spiritual philosophies, but practices based on treating the spiritual as a separate dimension are not necessarily considered as traditional or 'legitimate' forms of psychotherapy.


title: Psychotherapy

text: Psychotherapy may be delivered in person (one on one, or with couples, or in groups), over the phone, via telephone counseling, or via the internet. There have also been developments in computer-assisted therapy, such as virtual reality therapy for behavioral exposure, multimedia programs to each cognitive techniques, and handheld devices for improved monitoring or putting ideas into practice.


title: Psychotherapy

text: The Australian Victoria state Government's Health Agency has awarded no mental health app with scores greater than 3 stars out of 5 for effectiveness. One reason for this is that online cognitive behavioural therapy programs have poor "adherence" compared to face-to-face programs. That means that many users do not "stick to" the program as prescribed. They may uninstall the app or skip days, for instance.


title: Psychotherapy

text: Most forms of psychotherapy use spoken conversation. Some also use various other forms of communication such as the written word, artwork, drama, narrative story or music. Psychotherapy with children and their parents often involves play, dramatization (i.e. role-play), and drawing, with a co-constructed narrative from these non-verbal and displaced modes of interacting.


title: Psychotherapy

text: Psychotherapists traditionally may be mental health professionals like psychologists and psychiatrists; professionals from other backgrounds (family therapists, social workers, nurses, etc.) who have trained in a specific psychotherapy; or (in some cases) academic or scientifically trained professionals.


title: Psychotherapy

text: Psychiatrists are trained first as physicians, and as such they may prescribe prescription medication; and specialist psychiatric training begins after medical school in psychiatric residencies: however, their specialty is in mental disorders or forms of mental illness. Clinical psychologists have specialist doctoral degrees in psychology with some clinical and research components. Other clinical practitioners, social workers, mental health counselors, pastoral counselors, and nurses with a specialization in mental health, also often conduct psychotherapy. Many of the wide variety of psychotherapy training programs and institutional settings are multi-professional. In most countries, psychotherapy training is completed at a postgraduate level, often at a master's degree (or doctoral) level, over four years, with significant supervised practice and clinical placements. Mental health professionals that choose to specialize in psychotherapeutic work also require a program of continuing professional education after basic professional training.


title: Psychotherapy

text: A listing of the extensive professional competencies of a European psychotherapist was developed by the European Association of Psychotherapy (EAP) in 2013.


title: Psychotherapy

text: As sensitive and deeply personal topics are often discussed during psychotherapy, therapists are expected, and usually legally bound, to respect client or patient confidentiality. The critical importance of client confidentiality—and the limited circumstances in which it may need to be broken for the protection of clients or others—is enshrined in the regulatory psychotherapeutic organizations' codes of ethical practice. Examples of when it is typically accepted to break confidentiality include when the therapist has knowledge that a child or elder is being physically abused; when there is a direct, clear and imminent threat of serious physical harm to self or to a specific individual.


title: Psychotherapy

text: As of 2015, there are still a lot of variations between different European countries about the regulation and delivery of psychotherapy. Several countries have no regulation of the practice or no protection of the title. Some have a system of voluntary registration, with independent professional organizations, while other countries attempt to restrict the practice of psychotherapy to 'mental health professionals' (psychologists and psychiatrists) with state-certified training. The titles that are protected also vary. The European Association for Psychotherapy (EAP) established the 1990 Strasbourg Declaration on Psychotherapy, which is dedicated to establishing an independent profession of psychotherapy in Europe, with pan-European standards. The EAP has already made significant contacts with the European Union & European Commission towards this end.


title: Psychotherapy

text: Given that the European Union has a primary policy about the free movement of labor within Europe, European legislation can overrule national regulations that are, in essence, forms of restrictive practices.


title: Psychotherapy

text: In Germany, the practice of psychotherapy for adults is restricted to qualified psychologists and physicians (including psychiatrists) who have completed several years of specialist practical training and certification in psychotherapy. As psychoanalysis, psychodynamic therapy, and cognitive behavioral therapy meet the requirements of German health insurance companies, mental health professionals regularly opt for one of these three specializations in their postgraduate training. For psychologists, this includes three years of full-time practical training (4,200 hours), encompassing a year-long internship at an accredited psychiatric institution, six months of clinical work at an outpatient facility, 600 hours of supervised psychotherapy in an outpatient setting, and at least 600 hours of theoretical seminars. Social workers may complete the specialist training for child and teenage clients. Similarly in Italy, the practice of psychotherapy is restricted to graduates in psychology or medicine who have completed four years of recognised specialist training. Sweden has a similar restriction on the title "psychotherapist", which may only be used by professionals who have gone through a post-graduate training in psychotherapy and then applied for a licence, issued by the National Board of Health and Welfare.


title: Psychotherapy

text: Legislation in France restricts the use of the title "psychotherapist" to professionals on the National Register of Psychotherapists, which requires a training in clinical psychopathology and a period of internship which is only open to physicians or titulars of a master's degree in psychology or psychoanalysis.


title: Psychotherapy

text: In the United Kingdom, the government and Health and Care Professions Council considered mandatory legal registration but decided that it was best left to professional bodies to regulate themselves, so the Professional Standards Authority for Health and Social Care (PSA) launched an Accredited Voluntary Registers scheme. Counseling and psychotherapy are not protected titles in the United Kingdom. Counsellors and psychotherapists who have trained and qualify to a certain standard (usually a level 4 Diploma) can apply to be members of the professional bodies who are listed on the PSA Accredited Registers.


title: Psychotherapy

text: In some states, counselors or therapists must be licensed to use certain words and titles on self-identification or advertising. In some other states, the restrictions on practice are more closely associated with the charging of fees. Licensing and regulation are performed by various states. Presentation of practice as licensed, but without such a license, is generally illegal. Without a license, for example, a practitioner cannot bill insurance companies. Information about state licensure is provided by the American Psychological Association.


title: Psychotherapy

text: In addition to state laws, the American Psychological Association requires its members to adhere to its published "Ethical Principles of Psychologists and Code of Conduct". The American Board of Professional Psychology examines and certifies "psychologists who demonstrate competence in approved specialty areas in professional psychology".


title: Psychotherapy

text: Regulation of psychotherapy is in the jurisdiction of, and varies among, the provinces and territories.


title: Psychotherapy

text: In Quebec, psychotherapy is a regulated activity which is restricted to psychologists, medical doctors, and holders of a psychotherapy permit issued by the Ordre des psychologues du Québec, the Quebec order of psychologists. Members of certain specified professions, including social workers, couple and family therapists, occupational therapists, guidance counsellors, criminologists, sexologists, psychoeducators, and registered nurses may obtain a psychotherapy permit by completing certain educational and practice requirements; their professional oversight is provided by their own professional orders. Some other professionals who were practising psychotherapy before the current system came into force continue to hold psychotherapy permits alone.


title: Psychotherapy

text: On 1 July 2019, Ontario's Missing Persons Act came into effect, with the purpose of giving police more power to investigate missing persons. It allows police to require (as opposed to permit) health professionals, including pyschotherapists, to share otherwise confidential documents about their client, if there is reason to believe their client is missing. Some have expressed concern that this legislation undermines psychotherapy confidentiality and could be abused maliciously by police, while others have praised the act for how it respects privacy and includes checks and balances.


title: Psychotherapy

text: Psychotherapy can be said to have been practiced through the ages, as medics, philosophers, spiritual practitioners and people in general used psychological methods to heal others.


title: Psychotherapy

text: In the Western tradition, by the 19th century, a moral treatment movement (then meaning morale or mental) developed based on non-invasive non-restraint therapetic methods. Another influential movement was started by Franz Mesmer (1734–1815) and his student Armand-Marie-Jacques de Chastenet, Marquis of Puységur (1751–1825). Called Mesmerism or animal magnetism, it would have a strong influence on the rise of dynamic psychology and psychiatry as well as theories about hypnosis. In 1853, Walter Cooper Dendy introduced the term "psycho-therapeia" regarding how physicians might influence the mental states of patients and thus their bodily ailments, for example by creating opposing emotions to promote mental balance. Daniel Hack Tuke cited the term and wrote about "psycho-therapeutics" in 1872, in which he also proposed making a science of animal magnetism. Hippolyte Bernheim and colleagues in the "Nancy School" developed the concept of "psychotherapy" in the sense of using the mind to heal the body through hypnotism, yet further. Charles Lloyd Tuckey's 1889 work, "Psycho-therapeutics, or Treatment by Hypnotism and Suggestion" popularized the work of the Nancy School in English. Also in 1889 a clinic used the word in its title for the first time, when Frederik van Eeden and Albert Willem van Renterghem in Amsterdam renamed theirs "Clinique de Psycho-thérapeutique Suggestive" after visiting Nancy. During this time, travelling stage hypnosis became popular, and such activities added to the scientific controversies around the use of hypnosis in medicine. Also in 1892, at the second congress of experimental psychology, van Eeden attempted to take the credit for the term psychotherapy and to distance the term from hypnosis. In 1896, the German journal Zeitschrift für Hypnotismus, Suggestionstherapie, Suggestionslehre und verwandte psychologische Forschungen changed its name to Zeitschrift für Hypnotismus, Psychotherapie sowie andere psychophysiologische und psychopathologische Forschungen, which is probably the first journal to use the term. Thus psychotherapy initially meant "the treatment of disease by psychic or hypnotic influence, or by suggestion".


title: Psychotherapy

text: Sigmund Freud visited the Nancy School and his early neurological practice involved the use of hypnotism. However following the work of his mentor Josef Breuer—in particular a case where symptoms appeared partially resolved by what the patient, Bertha Pappenheim, dubbed a "talking cure"—Freud began focusing on conditions that appeared to have psychological causes originating in childhood experiences and the unconscious mind. He went on to develop techniques such as free association, dream interpretation, transference and analysis of the id, ego and superego. His popular reputation as the father of psychotherapy was established by his use of the distinct term "psychoanalysis", tied to an overarching system of theories and methods, and by the effective work of his followers in rewriting history. Many theorists, including Alfred Adler, Carl Jung, Karen Horney, Anna Freud, Otto Rank, Erik Erikson, Melanie Klein and Heinz Kohut, built upon Freud's fundamental ideas and often developed their own systems of psychotherapy. These were all later categorized as "psychodynamic", meaning anything that involved the psyche's conscious/unconscious influence on external relationships and the self. Sessions tended to number into the hundreds over several years.


title: Psychotherapy

text: Behaviorism developed in the 1920s, and behavior modification as a therapy became popularized in the 1950s and 1960s. Notable contributors were Joseph Wolpe in South Africa, M.B. Shapiro and Hans Eysenck in Britain, and John B. Watson and B.F. Skinner in the United States. Behavioral therapy approaches relied on principles of operant conditioning, classical conditioning and social learning theory to bring about therapeutic change in observable symptoms. The approach became commonly used for phobias, as well as other disorders.


title: Psychotherapy

text: Some therapeutic approaches developed out of the European school of existential philosophy. Concerned mainly with the individual's ability to develop and preserve a sense of meaning and purpose throughout life, major contributors to the field (e.g., Irvin Yalom, Rollo May) and Europe (Viktor Frankl, Ludwig Binswanger, Medard Boss, R.D.Laing, Emmy van Deurzen) attempted to create therapies sensitive to common "life crises" springing from the essential bleakness of human self-awareness, previously accessible only through the complex writings of existential philosophers (e.g., Søren Kierkegaard, Jean-Paul Sartre, Gabriel Marcel, Martin Heidegger, Friedrich Nietzsche). The uniqueness of the patient-therapist relationship thus also forms a vehicle for therapeutic inquiry. A related body of thought in psychotherapy started in the 1950s with Carl Rogers. Based also on the works of Abraham Maslow and his hierarchy of human needs, Rogers brought person-centered psychotherapy into mainstream focus. The primary requirement was that the client receive three core "conditions" from his counselor or therapist: unconditional positive regard, sometimes described as "prizing" the client's humanity; congruence [authenticity/genuineness/transparency]; and empathic understanding. This type of interaction was thought to enable clients to fully experience and express themselves, and thus develop according to their innate potential. Others developed the approach, like Fritz and Laura Perls in the creation of Gestalt therapy, as well as Marshall Rosenberg, founder of Nonviolent Communication, and Eric Berne, founder of transactional analysis. Later these fields of psychotherapy would become what is known as humanistic psychotherapy today. Self-help groups and books became widespread.


title: Psychotherapy

text: During the 1950s, Albert Ellis originated rational emotive behavior therapy (REBT). Independently a few years later, psychiatrist Aaron T. Beck developed a form of psychotherapy known as cognitive therapy. Both of these included relatively short, structured and present-focused techniques aimed at identifying and changing a person's beliefs, appraisals and reaction-patterns, by contrast with the more long-lasting insight-based approach of psychodynamic or humanistic therapies. Beck's approach used primarily the socratic method, and links have been drawn between ancient stoic philosophy and these cognitive therapies.


title: Psychotherapy

text: Cognitive and behavioral therapy approaches were increasingly combined and grouped under the umbrella term cognitive behavioral therapy (CBT) in the 1970s. Many approaches within CBT are oriented towards active/directive yet collaborative empiricism (a form of reality-testing), and assessing and modifying core beliefs and dysfunctional schemas. These approaches gained widespread acceptance as a primary treatment for numerous disorders. A "third wave" of cognitive and behavioral therapies developed, including acceptance and commitment therapy and dialectical behavior therapy, which expanded the concepts to other disorders and/or added novel components and mindfulness exercises. However the "third wave" concept has been criticized as not essentially different from other therapies and having roots in earlier ones as well. Counseling methods developed include solution-focused therapy and systemic coaching.


title: Psychotherapy

text: Postmodern psychotherapies such as narrative therapy and coherence therapy do not impose definitions of mental health and illness, but rather see the goal of therapy as something constructed by the client and therapist in a social context. Systemic therapy also developed, which focuses on family and group dynamics—and transpersonal psychology, which focuses on the spiritual facet of human experience. Other orientations developed in the last three decades include feminist therapy, brief therapy, somatic psychology, expressive therapy, applied positive psychology and the human givens approach. A survey of over 2,500 US therapists in 2006 revealed the most utilized models of therapy and the ten most influential therapists of the previous quarter-century.


title: Psychotherapy

text: There are hundreds of psychotherapy approaches or schools of thought. By 1980 there were more than 250; by 1996 more than 450; and at the start of the 21st century there were over a thousand different named psychotherapies—some being minor variations while others are based on very different conceptions of psychology, ethics (how to live) or technique. In practice therapy is often not of one pure type but draws from a number of perspectives and schools—known as an integrative or eclectic approach. The importance of the therapeutic relationship, also known as therapeutic alliance, between client and therapist is often regarded as crucial to psychotherapy. Common factors theory addresses this and other core aspects thought to be responsible for effective psychotherapy.


title: Psychotherapy

text: Sigmund Freud (1856–1939), a Viennese neurologist who studied with Jean-Martin Charcot in 1885, is often considered the father of modern psychotherapy. His methods included analyzing his patient's dreams in search of important hidden insights into their unconscious minds. Other major elements of his methods, which changed throughout the years, included identification of childhood sexuality, the role of anxiety as a manifestation of inner conflict, the differentiation of parts of the psyche (id, ego, superego), transference and countertransference (the patient's projections onto the therapist, and the therapist's emotional responses to that). Some of his concepts were too broad to be amenable to empirical testing and invalidation, and he was critiqued for this by Jaspers. Numerous major figures elaborated and refined Freud's therapeutic techniques including Melanie Klein, Donald Winnicott, and others. Since the 1960s, however, the use of Freudian-based analysis for the treatment of mental disorders has declined substantially. Different types of psychotherapy have been created along with the advent of clinical trials to test them scientifically. These incorporate subjective treatments (after Beck), behavioral treatments (after Skinner and Wolpe) and additional time-constrained and centered structures, for example, interpersonal psychotherapy. In youth issue and in schizophrenia, the systems of family treatment hold esteem. A portion of the thoughts emerging from therapy are presently pervasive and some are a piece of the tool set of ordinary clinical practice. They are not just medications, they additionally help to understand complex conduct.


title: Psychotherapy

text: Therapy may address specific forms of diagnosable mental illness, or everyday problems in managing or maintaining interpersonal relationships or meeting personal goals. A course of therapy may happen before, during or after pharmacotherapy (e.g. taking psychiatric medication).


title: Psychotherapy

text: Psychotherapies are categorized in several different ways. A distinction can be made between those based on a medical model and those based on a humanistic model. In the medical model, the client is seen as unwell and the therapist employs their skill to help the client back to health. The extensive use of the DSM-IV, the diagnostic and statistical manual of mental disorders in the United States is an example of a medically exclusive model. The humanistic or non-medical model in contrast strives to depathologise the human condition. The therapist attempts to create a relational environment conducive to experiential learning and help build the client's confidence in their own natural process resulting in a deeper understanding of themselves. The therapist may see themselves as a facilitator/helper.


title: Psychotherapy

text: Another distinction is between individual one-to-one therapy sessions, and group psychotherapy, including couples therapy and family therapy.


title: Psychotherapy

text: Therapies are sometimes classified according to their duration; a small number of sessions over a few weeks or months may be classified as brief therapy (or short-term therapy), others, where regular sessions take place for years, may be classified as long-term.


title: Psychotherapy

text: Some practitioners distinguish between more "uncovering" (or "depth") approaches and more "supportive" psychotherapy. Uncovering psychotherapy emphasizes facilitating the client's insight into the roots of their difficulties. The best-known example is classical psychoanalysis. Supportive psychotherapy by contrast stresses strengthening the client's coping mechanisms and often providing encouragement and advice, as well as reality-testing and limit-setting where necessary. Depending on the client's issues and situation, a more supportive or more uncovering approach may be optimal.


title: Psychotherapy

text: These psychotherapies, also known as "experiential", are based on humanistic psychology and emerged in reaction to both behaviorism and psychoanalysis, being dubbed the "third force". They are primarily concerned with the human development and needs of the individual, with an emphasis on subjective meaning, a rejection of determinism, and a concern for positive growth rather than pathology. Some posit an inherent human capacity to maximize potential, "the self-actualizing tendency"; the task of therapy is to create a relational environment where this tendency might flourish. Humanistic psychology can, in turn, be rooted in existentialism—the belief that human beings can only find meaning by creating it. This is the goal of existential therapy. Existential therapy is in turn philosophically associated with phenomenology.


title: Psychotherapy

text: Person-centered therapy, also known as client-centered, focuses on the therapist showing openness, empathy and "unconditional positive regard", to help clients express and develop their own self.


title: Psychotherapy

text: Humanistic Psychodrama (HPD) is based on the human image of humanistic psychology. So all rules and methods follow the axioms of humanistic psychology. The HPD sees itself as development-oriented psychotherapy and has completely moved away from the psychoanalytic catharsis theory.


title: Psychotherapy

text: Self-awareness and self-realization are essential aspects in the therapeutic process. Subjective experiences, feelings and thoughts and one's own experiences are the starting point for a change or reorientation in experience and behavior in the direction of more self-acceptance and satisfaction. Dealing with the biography of the individual is closely related to the sociometry of the group.


title: Psychotherapy

text: Gestalt therapy, originally called "concentration therapy", is an existential/experiential form that facilitates awareness in the various contexts of life, by moving from talking about relatively remote situations to action and direct current experience. Derived from various influences, including an overhaul of psychoanalysis, it stands on top of essentially four load-bearing theoretical walls: phenomenological method, dialogical relationship, field-theoretical strategies, and experimental freedom.


title: Psychotherapy

text: A briefer form of humanistic therapy is the human givens approach, introduced in 199899. It is a solution-focused intervention based on identifying emotional needs—such as for security, autonomy and social connection—and using various educational and psychological methods to help people meet those needs more fully or appropriately.


title: Psychotherapy

text: Insight-oriented psychotherapies focus on revealing or interpreting unconscious processes. Most commonly referring to psychodynamic therapy, of which psychoanalysis is the oldest and most intensive form, these applications of depth psychology encourage the verbalization of all the patient's thoughts, including free associations, fantasies, and dreams, from which the analyst formulates the nature of the past and present unconscious conflicts which are causing the patient's symptoms and character problems.


title: Psychotherapy

text: There are six main schools of psychoanalysis, which all influenced psychodynamic theory: Freudian, ego psychology, object relations theory, self psychology, interpersonal psychoanalysis, and relational psychoanalysis. Techniques for analytic group therapy have also developed.


title: Psychotherapy

text: Behavior therapies use behavioral techniques, including applied behavior analysis (also known as behavior modification), to change maladaptive patterns of behavior to improve emotional responses, cognitions, and interactions with others. Functional analytic psychotherapy is one form of this approach. By nature, behavioral therapies are empirical (data-driven), contextual (focused on the environment and context), functional (interested in the effect or consequence a behavior ultimately has), probabilistic (viewing behavior as statistically predictable), monistic (rejecting mind-body dualism and treating the person as a unit), and relational (analyzing bidirectional interactions).


title: Psychotherapy

text: Cognitive therapy focuses directly on changing the thoughts, in order to improve the emotions and behaviors.


title: Psychotherapy

text: Cognitive behavioral therapy attempts to combine the above two approaches, focused on the construction and reconstruction of people's cognitions, emotions and behaviors. Generally in CBT, the therapist, through a wide array of modalities, helps clients assess, recognize and deal with problematic and dysfunctional ways of thinking, emoting and behaving.


title: Psychotherapy

text: The concept of "third wave" psychotherapies reflects an influence of Eastern philosophy in clinical psychology, incorporating principles such as meditation into interventions such as mindfulness-based cognitive therapy, acceptance and commitment therapy, and dialectical behavior therapy for borderline personality disorder.


title: Psychotherapy

text: Interpersonal psychotherapy (IPT) is a relatively brief form of psychotherapy (deriving from both CBT and psychodynamic approaches) that has been increasingly studied and endorsed by guidelines for some conditions. It focuses on the links between mood and social circumstances, helping to build social skills and social support. It aims to foster adaptation to current interpersonal roles and situations.


title: Psychotherapy

text: Exposure and response prevention (ERP) is primarily deployed by therapists in the treatment of OCD. The American Psychiatric Association (APA) state that CBT drawing primarily on behavioral techniques (such as ERP) has the "strongest evidence base" among psychosocial interventions. By confronting feared scenarios (i.e., exposure) and refraining from performing rituals (i.e., responsive prevention), patients may gradually feel less distress in confronting feared stimuli, while also feeling less inclination to use rituals to relieve that distress. Typically, ERP is delivered in "hierarchical fashion", meaning patients confront increasingly anxiety-provoking stimuli as they progress through a course of treatment.


title: Psychotherapy

text: Other types include reality therapy/choice theory, multimodal therapy, and therapies for specific disorders including PTSD therapies such as cognitive processing therapy and EMDR; substance abuse therapies such as relapse prevention and contingency management; and co-occurring disorders therapies such as Seeking Safety.


title: Psychotherapy

text: Systemic therapy seeks to address people not just individually, as is often the focus of other forms of therapy, but in relationship, dealing with the interactions of groups, their patterns and dynamics (includes family therapy and marriage counseling). Community psychology is a type of systemic psychology.


title: Psychotherapy

text: The term group therapy was first used around 1920 by Jacob L. Moreno, whose main contribution was the development of psychodrama, in which groups were used as both cast and audience for the exploration of individual problems by reenactment under the direction of the leader. The more analytic and exploratory use of groups in both hospital and out-patient settings was pioneered by a few European psychoanalysts who emigrated to the US, such as Paul Schilder, who treated severely neurotic and mildly psychotic out-patients in small groups at Bellevue Hospital, New York. The power of groups was most influentially demonstrated in Britain during the Second World War, when several psychoanalysts and psychiatrists proved the value of group methods for officer selection in the War Office Selection Boards. A chance to run an Army psychiatric unit on group lines was then given to several of these pioneers, notably Wilfred Bion and Rickman, followed by S. H. Foulkes, Main, and Bridger. The Northfield Hospital in Birmingham gave its name to what came to be called the two "Northfield Experiments", which provided the impetus for the development since the war of both social therapy, that is, the therapeutic community movement, and the use of small groups for the treatment of neurotic and personality disorders. Today group therapy is used in clinical settings and in private practice settings.


title: Psychotherapy

text: Expressive psychotherapy is a form of therapy that utilizes artistic expression (via improvisational, compositional, re-creative, and receptive experiences) as its core means of treating clients. Expressive psychotherapists use the different disciplines of the creative arts as therapeutic interventions. This includes the modalities dance therapy, drama therapy, art therapy, music therapy, writing therapy, among others. This may include techniques such as affect labeling. Expressive psychotherapists believe that often the most effective way of treating a client is through the expression of imagination in creative work and integrating and processing what issues are raised in the act.


title: Psychotherapy

text: Also known as post-structuralist or constructivist. Narrative therapy gives attention to each person's "dominant story" through therapeutic conversations, which also may involve exploring unhelpful ideas and how they came to prominence. Possible social and cultural influences may be explored if the client deems it helpful. Coherence therapy posits multiple levels of mental constructs that create symptoms as a way to strive for self-protection or self-realization. Feminist therapy does not accept that there is one single or correct way of looking at reality and therefore is considered a postmodernist approach.


title: Psychotherapy

text: Transpersonal psychology addresses the client in the context of a spiritual understanding of consciousness. Positive psychotherapy (PPT) (since 1968) is a method in the field of humanistic and psychodynamic psychotherapy and is based on a positive image of humans, with a health-promoting, resource-oriented and conflict-centered approach.


title: Psychotherapy

text: Hypnotherapy is undertaken while a subject is in a state of hypnosis. Hypnotherapy is often applied in order to modify a subject's behavior, emotional content, and attitudes, as well as a wide range of conditions including: dysfunctional habits, anxiety, stress-related illness, pain management, and personal development.


title: Psychotherapy

text: Psychedelic therapy are therapeutic practices involving psychedelic drugs, such as LSD, psilocybin, DMT, and MDMA. In psychedelic therapy, in contrast to conventional psychiatric medication taken by the patient regularly or as needed, patients generally remain in an extended psychotherapy session during the acute psychedelic activity with additional sessions both before and after in order to help integrate experiences with the psychedelics. Psychedelic therapy has been compared with the shamanic healing rituals of indigenous people. Researchers identified two main differences: the first is the shamanic belief that multiple realities exist and can be explored through altered states of consciousness, and second the belief that spirits encountered in dreams and visions are real. The charitable initiative Founders Pledge has written a research report on cost-effective giving opportunities for funding psychedelic-assisted mental health treatments.


title: Psychotherapy

text: Body psychotherapy, part of the field of somatic psychology, focuses on the link between the mind and the body and tries to access deeper levels of the psyche through greater awareness of the physical body and emotions. There are various "body-oriented" approaches, such as Reichian (Wilhelm Reich) character-analytic vegetotherapy and orgonomy; neo-Reichian bioenergetic analysis; somatic experiencing; integrative body psychotherapy; Ron Kurtz's Hakomi psychotherapy; sensorimotor psychotherapy; Biosynthesis psychotherapy; and Biodynamic psychotherapy. These approaches are not to be confused with body work or body-therapies that seek to improve primarily physical health through direct work (touch and manipulation) on the body, rather than through directly psychological methods.


title: Psychotherapy

text: Some non-Western indigenous therapies have been developed. In African countries this includes harmony restoration therapy, meseron therapy and systemic therapies based on the Ubuntu philosophy.


title: Psychotherapy

text: Integrative psychotherapy is an attempt to combine ideas and strategies from more than one theoretical approach. These approaches include mixing core beliefs and combining proven techniques. Forms of integrative psychotherapy include multimodal therapy, the transtheoretical model, cyclical psychodynamics, systematic treatment selection, cognitive analytic therapy, internal family systems model, multitheoretical psychotherapy and conceptual interaction. In practice, most experienced psychotherapists develop their own integrative approach over time.


title: Psychotherapy

text: Psychotherapy needs to be adapted to meet the developmental needs of children. Depending on age, it is generally held to be one part of an effective strategy to help the needs of a child within the family setting. Child psychotherapy training programs necessarily include courses in human development. Since children often do not have the ability to articulate thoughts and feelings, psychotherapists will use a variety of media such as musical instruments, sand and toys, crayons, paint, clay, puppets, bibliocounseling (books), or board games. The use of play therapy is often rooted in psychodynamic theory, but other approaches also exist.


title: Psychotherapy

text: In addition to therapy for the child, sometimes instead of it, children may benefit if their parents work with a therapist, take parenting classes, attend grief counseling, or take other action to resolve stressful situations that affect the child. Parent management training is a highly effective form of psychotherapy that teaches parenting skills to reduce their child's behavior problems.


title: Psychotherapy

text: In many cases a different psychotherapist will work with the care taker of the child, while a colleague works with the child. Therefore, contemporary thinking on working with the younger age group has leaned towards working with parent and child simultaneously, as well as individually as needed.


title: Psychotherapy

text: Research on computer-supported and computer-based interventions has increased significantly over the course of the last two decades. The following applications frequently have been investigated:


title: Psychotherapy

text: There is considerable controversy about whether, or when, psychotherapy efficacy is best evaluated by randomized controlled trials or more individualized idiographic methods.


title: Psychotherapy

text: One issue with trials is what to use as a placebo treatment group or non-treatment control group. Often, this group includes patients on a waiting list, or those receiving some kind of regular non-specific contact or support. Researchers must consider how best to match the use of inert tablets or sham treatments in placebo-controlled studies in pharmaceutical trials. Several interpretations and differing assumptions and language remain. Another issue is the attempt to standardize and manualize therapies and link them to specific symptoms of diagnostic categories, making them more amenable to research. Some report that this may reduce efficacy or gloss over individual needs. Fonagy and Roth's opinion is that the benefits of the evidence-based approach outweighs the difficulties.


title: Psychotherapy

text: There are several formal frameworks for evaluating whether a psychotherapist is a good fit for a patient. One example is the Scarsdale Psychotherapy Self-Evaluation (SPSE). However, some scales, such as the SPS, elicit information specific to certain schools of psychotherapy alone (e.g. the superego).


title: Psychotherapy

text: Many psychotherapists believe that the nuances of psychotherapy cannot be captured by questionnaire-style observation, and prefer to rely on their own clinical experiences and conceptual arguments to support the type of treatment they practice. Psychodynamic therapists increasingly believe that evidence-based approaches are appropriate to their methods and assumptions, and have increasingly accepted the challenge to implement evidence-based approaches in their methods.


title: Psychotherapy

text: A pioneer in investigating the results of different psychological therapies was psychologist Hans Eysenck, who argued that psychotherapy does not produce any improvement in patients. He held that behavior therapy is the only effective one. However, it was revealed that Eysenck (who died in 1997) falsified data in his studies about this subject, fabricating data that would indicate that behavioral therapy enables achievements that are impossible to believe. Fourteen of his papers were retracted by journals in 2020, and journals issued 64 statements of concern about publications by him. Rod Buchanan, a biographer of Eysenck, has argued that 87 publications by Eysenck should be retracted.


title: Psychotherapy

text: Large-scale international reviews of scientific studies have concluded that psychotherapy is effective for numerous conditions.


title: Psychotherapy

text: One line of research consistently finds that supposedly different forms of psychotherapy show similar effectiveness. According to The Handbook of Counseling Psychology: "Meta-analyses of psychotherapy studies have consistently demonstrated that there are no substantial differences in outcomes among treatments". The handbook states that there is "little evidence to suggest that any one psychological therapy consistently outperforms any other for any specific psychological disorders. This is sometimes called the Dodo bird verdict after a scene/section in Alice in Wonderland where every competitor in a race was called a winner and is given prizes".


title: Psychotherapy

text: Further analyses seek to identify the factors that the psychotherapies have in common that seem to account for this, known as common factors theory; for example the quality of the therapeutic relationship, interpretation of problem, and the confrontation of painful emotions.


title: Psychotherapy

text: Outcome studies have been critiqued for being too removed from real-world practice in that they use carefully selected therapists who have been extensively trained and monitored, and patients who may be non-representative of typical patients by virtue of strict inclusionary/exclusionary criteria. Such concerns impact the replication of research results and the ability to generalize from them to practicing therapists.


title: Psychotherapy

text: However, specific therapies have been tested for use with specific disorders, and regulatory organizations in both the UK and US make recommendations for different conditions.


title: Psychotherapy

text: The Helsinki Psychotherapy Study was one of several large long-term clinical trials of psychotherapies that have taken place. Anxious and depressed patients in two short-term therapies (solution-focused and brief psychodynamic) improved faster, but five years long-term psychotherapy and psychoanalysis gave greater benefits. Several patient and therapist factors appear to predict suitability for different psychotherapies.


title: Psychotherapy

text: Meta-analyses have established that cognitive behavioural therapy (CBT) and psychodynamic psychotherapy are equally effective in treating depression.


title: Psychotherapy

text: A 2014 meta analysis over 11,000 patients reveals that Interpersonal Psychotherapy (IPT) is of comparable effectiveness to CBT for depression but is inferior to the latter for eating disorders. For children and adolescents, interpersonal psychotherapy and CBT are the best methods according to a 2014 meta analysis of almost 4000 patients.


title: Psychotherapy

text: It is not yet understood how psychotherapies can succeed in treating mental illnesses. Different therapeutic approaches may be associated with particular theories about what needs to change in a person for a successful therapeutic outcome.


title: Psychotherapy

text: In general, processes of emotional arousal and memory have long been held to play an important role. One theory combining these aspects proposes that permanent change occurs to the extent that the neuropsychological mechanism of memory reconsolidation is triggered and is able to incorporate new emotional experiences.


title: Psychotherapy

text: Patient adherence to a course of psychotherapy—continuing to attend sessions or complete tasks—is a major issue.


title: Psychotherapy

text: The dropout level—early termination—ranges from around 30% to 60%, depending partly on how it is defined. The range is lower for research settings for various reasons, such as the selection of clients and how they are inducted. Early termination is associated on average with various demographic and clinical characteristics of clients, therapists and treatment interactions. The high level of dropout has raised some criticism about the relevance and efficacy of psychotherapy.


title: Psychotherapy

text: Most psychologists use between-session tasks in their general therapy work, and cognitive behavioral therapies in particular use and see them as an "active ingredient". It is not clear how often clients do not complete them, but it is thought to be a pervasive phenomenon.


title: Psychotherapy

text: From the other side, the adherence of therapists to therapy protocols and techniques—known as "treatment integrity" or "fidelity"—has also been studied, with complex mixed results. In general, however, it is a hallmark of evidence-based psychotherapy to use fidelity monitoring as part of therapy outcome trials and ongoing quality assurance in clinical implementation.


title: Psychotherapy

text: Research on adverse effects of psychotherapy has been limited, yet worsening of symptoms may be expected to occur in 3% to 15% of patients, with variability across patient and therapist characteristics. Potential problems include deterioration of symptoms or developing new symptoms, strains in other relationships, social stigma, and therapy dependence. Some techniques or therapists may carry more risks than others, and some client characteristics may make them more vulnerable. Side-effects from properly conducted therapy should be distinguished from harms caused by malpractice.


title: Psychotherapy

text: Some critics are skeptical of the healing power of psychotherapeutic relationships. Some dismiss psychotherapy altogether in the sense of a scientific discipline requiring professional practitioners, instead favoring either nonprofessional help or biomedical treatments. Others have pointed out ways in which the values and techniques of therapists can be harmful as well as helpful to clients (or indirectly to other people in a client's life).


title: Psychotherapy

text: Many resources available to a person experiencing emotional distress—the friendly support of friends, peers, family members, clergy contacts, personal reading, healthy exercise, research, and independent coping—all present considerable value. Critics note that humans have been dealing with crises, navigating severe social problems and finding solutions to life problems long before the advent of psychotherapy.


title: Psychotherapy

text: On the other hand, some argue psychotherapy is under-utilized and under-researched by contemporary psychiatry despite offering more promise than stagnant medication development. In 2015, the US National Institute of Mental Health allocated only 5.4% of its budget to new clinical trials of psychotherapies (medication trials are largely funded by pharmaceutical companies), despite plentiful evidence they can work and that patients are more likely to prefer them.


title: Psychotherapy

text: Some Christians, such as theologian Thomas C. Oden, have argued that successful therapeutic relationships, based on true acceptance of the client as a human being without contingency, require a theological assumption, an ontological acceptance of God.


title: Psychotherapy

text: Further critiques have emerged from feminist, constructionist and discourse-analytical sources. Key to these is the issue of power. In this regard there is a concern that clients are persuaded—both inside and outside the consulting room—to understand themselves and their difficulties in ways that are consistent with therapeutic ideas. This means that alternative ideas (e.g., feminist, economic, spiritual) are sometimes implicitly undermined. Critics suggest that we idealize the situation when we think of therapy only as a helping relationship—arguing instead that it is fundamentally a political practice, in that some cultural ideas and practices are supported while others are undermined or disqualified, and that while it is seldom intended, the therapist–client relationship always participates in society's power relations and political dynamics. A noted academic who espoused this criticism was Michel Foucault.


title: Rafael Leão

text: Rafael Alexandre da Conceição Leão (; born 10 June 1999) is a Portuguese professional footballer who plays as a forward for club AC Milan and the Portugal national team.


title: Rafael Leão

text: Graduating from Sporting CP youth system, Leão made his first-team debut in 2018, winning the 2017–18 Taça da Liga, before unilaterally terminating his contract, following an incident within the club. Shortly after, he joined for Ligue 1 side Lille on a free transfer. AC Milan signed him in 2019 for a reported fee of €35 million. In his third season at the club, he helped the team win the 2021–22 Serie A, which ended the club's 11-year league title drought. He was also voted Serie A Most Valuable Player and was listed among the 30-man shortlist for the Ballon d'Or.


title: Rafael Leão

text: Leão is a former Portugal youth international, representing his country at various youth levels, being part of the under-17 team that won the 2016 European Championship. He made his senior international debut in 2021.


title: Rafael Leão

text: Born in Almada, Setúbal District, to Angolan parents, Leão joined Sporting CP's youth system at the age of 9 after a brief spell in Amora. On 21 May 2017, still a junior, he made his senior debut with the reserves, coming on as a second-half substitute and scoring in a 1–1 away draw against Braga B.


title: Rafael Leão

text: Courtesy of manager Jorge Jesus, Leão first appeared in the Primeira Liga with the first team on 11 February 2018, replacing Bryan Ruiz for the last 21 minutes of the 2–0 home win over Feirense. On 2 March, having taken the place of injured Seydou Doumbia late into the first half, he equalised for the visitors a few minutes after taking the pitch but in a 2–1 away loss to Porto– in the process, he became the club's youngest-ever scorer against that opposition.


title: Rafael Leão

text: On 14 June 2018, Leão unilaterally terminated his contract with the "Leões", citing an incident where players and staff had been attacked by fans during training.


title: Rafael Leão

text: On 8 August 2018, Leão joined French club Lille on a free transfer, signing a five-year deal. Sporting CP would later dispute Lille's deal to sign the player, deeming the transfer "unacceptable", filling a complaint with FIFA and claiming the €45 million of his release clause. At the beginning of September 2018, Leão wanted to terminate his contract with the club, after his transfer was not approved by the Ligue de Football Professionnel (LFP), due to sanctions imposed by the Direction Nationale du Contrôle de Gestion (DNCG), following Lille's financial difficulties. After being convinced by his representative to stay at Lille, the DNCG validated Lille's pending contracts, including the contract of Leão.


title: Rafael Leão

text: Leão made his competitive debut on 30 September 2018, replacing Loïc Rémy in the 78th minute, in a 3–0 home win over Marseille. He scored his first Ligue 1 goal in only his second appearance, playing 67 minutes and helping the hosts defeat Caen in a 1–0 victory. On 1 February 2019, he scored his sixth goal of the season and made an assist to Nicolas Pépé, his first for the club, in a 4–0 home win over Nice.


title: Rafael Leão

text: During his spell, Leão scored a total of eight goals in 26 competitive games, being mainly used as a striker by Lille coach Christophe Galtier, and shared teams with compatriots José Fonte, Rui Fonte, Edgar Ié and Xeka, as they finished as runners-up in a brilliant 2018–19 Ligue 1 season.


title: Rafael Leão

text: On 1 August 2019, Leão signed a five-year contract at AC Milan for a fee of €35 million plus a 20% sell-on clause. He made his Serie A debut on 25 August, replacing Samu Castillejo in 75th-minute in a 1–0 away defeat to Udinese. Leão scored his first goal of the club, as a late consolation in a 1–3 home loss to Fiorentina on 29 September. On 19 March 2020, the Court of Arbitration for Sport (CAS) condemned Leão to pay €16.5 million to Sporting CP for his unilateral breach of contract. On 7 July 2020, Leão scored a goal against league-leaders Juventus, to help Milan to a 4–2 win, after being down by two goals. At the end of the season, he had scored six goals in 31 league matches, helping Milan to a sixth-place finish and a 10-match unbeaten streak.


title: Rafael Leão

text: At the beginning of the following season, on 4 October 2020, Leão scored a brace in a 3–0 home victory at San Siro against Spezia. On 29 October, he scored his first goal in European competitions, in a 3–0 home group stage victory in the UEFA Europa League against Sparta Prague. He scored the fastest goal in the history of Serie A and in Europe's top-five leagues, after six seconds on 20 December at Sassuolo; the match ended 2–1 for his team.


title: Rafael Leão

text: On 3 January 2021, he scored the second goal against Benevento in eventual 2–0 away win, becoming the second youngest foreign player (21 years and 207 days) to score more than ten goals for Milan in Serie A, after Alexandre Pato (19 years and 19 days).


title: Rafael Leão

text: At the start of the 2021–22 season, on 29 August, Leão scored the first goal from a shot outside the box, in a 4–1 home victory against Cagliari at San Siro. On 15 September, on in his UEFA Champions League debut, he provided an assist for Ante Rebić in a 3–2 away defeat to Liverpool; and on 28 September, he scored his first goal in the competition in a 2–1 home loss against Atlético Madrid.