The common core of therapy
 The common core of therapy

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The common core of therapy

Across mental health and behavioural problems, ‘Dodo bird’ findings that bona fide therapies have similar effects have turned attention to the ‘common factors’ they share rather than how they differ. A collection specially catalogued to explore this important issue starting with the analyses most recently added or updated, totalling today 80 documents.

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REVIEW 2018 HTM file
A meta-analysis of the association between patients’ early perception of treatment credibility and their posttreatment outcomes

Review commissioned by the American Psychological Association suggests therapists should incorporate strategies to enhance the credibility of treatment when explaining its rationale and throughout therapy. The more a treatment ‘makes sense’ to a patient, the better outcomes tend to be.

REVIEW 2018 HTM file
Meta-analyses of the relation of goal consensus and collaboration to psychotherapy outcome

Research findings amalgamated for the American Psychological Association show that outcomes are substantially better the more clients and therapists agree on goals and methods and form collaborative working relationships to implement those agreements. The findings support engaging patients as partners in setting treatment goals and methods.

REVIEW 2018 HTM file
Psychotherapy relationships that work III

[Consultation draft subject to amendment and correction.] Research findings amalgamated in 16 reviews for an American Psychological Association task force led them to authoritatively assess many dimensions of the client–psychotherapist relationship as important determinants of patients’ progress. “The relationship can heal,” is the overall conclusion – one likely to be highly relevant to recovery from addiction.

REVIEW 2018 HTM file
Therapist and client emotional expression and psychotherapy outcomes: a meta-analysis

Research findings amalgamated for the American Psychological Association show that the outcomes of psychotherapy are substantially and significantly better the more the therapist or especially the client display emotional arousal during therapy – though among substance use clients, focusing on emotions has not been universally helpful.

REVIEW 2018 HTM file
Collecting and delivering progress feedback: a meta-analysis of routine outcome monitoring

Findings amalgamated for the American Psychological Association show that outcomes usually improve when therapists are provided with real-time feedback from the client on their progress and on factors affecting it such as the client–therapist relationship. Especially among clients (including substance use clients) who would otherwise deteriorate or not improve, these systems are among the most effective ways available to services to improve outcomes.

REVIEW 2018 HTM file
Congruence/genuineness: a meta-analysis

Amalgamation of research findings for the American Psychological Association finds that in the (mainly Western) cultures where these studies have been done, outcomes improve the more therapists are seen as genuine by their clients and relating to them human to human rather than as an authority figure.

REVIEW 2018 HTM file
Meta-analysis of the prospective relation between alliance and outcome in child and adolescent psychotherapy

Amalgamation of research findings for the American Psychological Association finds that the relationship between therapists and young clients and their parents matters nearly as much as for adults. Practice recommendations will aid counsellors, therapists and mental health teams in their work with young substance users.

REVIEW 2018 HTM file
Therapist self-disclosure and immediacy: a qualitative meta-analysis

It’s a dilemma for all therapists and counsellors – how much to disclose about yourself. Another difficult decision is when to directly confront what is happening and being felt then and there in therapy. A review for the American Psychological Association finds that positive reactions generally follow these therapist interventions, but they can also backfire. Guidance is offered on when to try them.

REVIEW 2018 HTM file
The alliance in adult psychotherapy: a meta-analytic synthesis

Comprehensive review for the American Psychological Association concludes that the working relationship between clients and their counsellors or therapists is one of the largest and most consistent determinants of outcomes. Practice recommendations aim to help practitioners foster strong relationships.

REVIEW 2018 HTM file
Alliance rupture repair: a meta-analysis

Amalgamation of research findings commissioned by the American Psychological Association raises the intriguing possibility that experiencing the resolution of breakdowns or tensions (‘ruptures’) in the therapist–client relationship promotes client welfare even more than relationships with no ruptures. Evidence-based tips are given to help therapists resolve ruptures.


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