Integrative Psychotherapies

Norcross, Beutler

WHAT treatment, by WHOM, is most effective for THIS individual with THAT specific problem and under WHICH set of circumstances!

Basic Concepts
Technical Eclecticism: seeks to improve our ability to select the best treatment techniques or procedures for the person and the problem. Theoretical Integration:two or more therapies are integrated with the hope that the result will be better that the constituent therapies alone.

Common Factors: seeks to identify core ingredients shared by different therapies, with the eventual goal of creating more parsimonious and efficacious treatment based on those commonalities. Assimilative Integration:entails a firm grounding in one system of psychotherapy, but with a willingness to selectively incorporate practices and views from others.

Integrative Psychotherapy

Treatment selection is derived from outcome research. Embraces the potential contributions of multiple systems of psychotherapy. Treatment selection is predicated on multiple diagnostic and nondiagnostic client dimensions. The aim is to offer treatment methods and relationship stances.

Other Systems Single-school psychotherapies

Their creation is more rational than empirical. They tend to favor the strong personal opinions of their originators. They recommend their treatment for virtually every patient and problem they encounter. They lergely consist of descriptions of psychopathology and personality rather then of mechanisms that promote change.

Psychotherapy

Clinical Assessment (BASIC ID) Five Patient Characteristics

Diagnosis Stages of Change
Precontemplation Contemplation Preparation Action Maintenance

Coping Style (externalizing vs. internalizing) Reactance Level Patient Preferences

Process of Psychotherapy
Therapeutic Relationship Treatment Planning

Treatment Setting Treatment Format Treatment Intensity Pharmacotherapy Strategies and techniques Relapse Prevention

Change Processes

Consciousness Raising Self-reeveluation Emotional arousal Social Liberation Self-liberation Counterconditioning Environmental Control Contingency Management Helping Relationships