Integrative Perspective

1
Integrative Perspective

• Chapter 15

2
Approaches to Integration

• Technical Eclecticism
• Theoretical Integration
• Commons Factors Approach
• Assimilative Integration

3
Technical Eclecticism

• Collection of techniques
• No connection between conceptual foundation and
  interventions

4
Theoretical Integration

• Conceptual framework that synthesizes aspects of
  several theories
• Selection of interventions tied to conceptual
  framework

5
Common Factors Approach

• Non-Specific Factors
• Therapeutic alliance
• Opportunity for catharsis
• Practice new behaviors
• Instillation of hope

6
Assimilative Integration

• Grounded in one theoretical orientation
• Selectively incorporate practices from other
  orientations

7
Morgan McMillan (1999) Model

• First Phase
• Assessment and Relation Building
• Objects Relation Theory
• Hear client's story grasp their phenomenological
  world establish rapport
• Provide supportive holding environment
• Explore clients feelings and thought patterns
  about past and present circumstances
• (behavior chapter)

8
Morgan McMillan (1999) Model

• Second Phase
• Insight Early Relations -Present Issues
• Experiential and Cognitive Approaches
• Acknowledge and express painful memories,
  feelings and thoughts
• Cognitive restructuring in perceptions of self
  and others
• Acquire more adaptive ways of feeling, thinking
  and coping

9
Morgan McMillan (1999) Model

• Third Phase
• Promoting Change
• Behavioral Approach
• Homework Assignments
• Assertiveness Training
• Self-Management Program

10
Morgan McMillan (1999) Integrative Model

• Second Phase
• Insight Early Relations -Present Issues
• Experiential and Cognitive Approaches
• Acknowledge and express painful memories,
  feelings and thoughts
• Cognitive restructuring in perceptions of self
  and others
• Acquire more adaptive ways of feeling, thinking
  and coping

11
Theories and Therapeutic Process

• Therapeutic Goals
• Specific General
• Symptom resolution vs. problem solving
• Therapists Function and Role
• Time Orientation
• Structured- Non-structured
• Didactic - Collaborative
• Process - Content

12
Theories and Therapeutic Process

• Clients Experience in Therapy
• Responsibility for Change
• Active - passive
• Therapist Client Relationship
• Client Diagnosis
• Treatment Preference
• Stage of Change
• Contextual Issues

13
Contextual Issues

• Race
• Ethnicity
• Social Class
• Religion
• Gender
• Feminist Therapy
• Gender Orientation