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Common Factors in Psychotherapy

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There are not significant differences for most therapies with most ... Behavioral flooding, biofeedback, etc. Psychodynamic exploration of past, transference ... – PowerPoint PPT presentation

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Title: Common Factors in Psychotherapy


1
Common Factors in Psychotherapy
  • Online Reading

2
Different Approaches
  • How much do they differ in how well they work?
  • There are not significant differences for most
    therapies with most basic problems/ diagnoses.
    When compared head-to-head, most seem to work
    moderately well.
  • Some disagreement on this issue.
  • See Consumer Reports Study to answer this
    question more thoroughly.

3
What accounts for the variance?
  • If differences in therapy techniques are minimal
    in terms of overall effect, what accounts for
    whether someone gets better or worse?
  • In other words, what does affect the therapy
    process?

4
Therapy Technique
  • Accounts for only about 15 of the variance in
    outcome
  • This includes things such as
  • Behavioralflooding, biofeedback, etc.
  • Psychodynamicexploration of past, transference
  • Existentialfocus on death, isolation, meaning

5
External Variables
  • Accounts for about 40 of variance
  • Clients social context
  • Family support
  • Social support
  • Living situation
  • Clients individual factors
  • Intelligence
  • Motivation
  • Resilience

6
Common Factors
  • What do all therapies have in common that may
    make all forms of therapy helpful?
  • These things are often called Common Factors.

7
Relationship Variables
  • Account for about 30 of outcome variance
  • Warmth
  • Empathy
  • Support
  • Encouragement
  • Connection
  • Genuineness

8
Placebo Effect
  • Accounts for about 15 of variance
  • Placebo effect isnt fake effect. Instead,
    it taps into the fact that, when we think
    something will help, it often does? Why?
  • HOPE!! Maybe things can be different.
  • Finally doing something, trying to make a change

9
Other Research
  • Has suggested that, for some specific diagnoses
    or with some specific populations, there may be
    differences in outcome based on technique
  • E.g., behavioral approaches such as systematic
    desensitization may be more effective for
    specific phobias.
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