Clients in psychotherapy: contribution to therapeutic outcome
AbstractIn this paper the empirical evidence pointing that customers are primarily responsible for the results is reviewed. Two types of data are presented: (a) those which demonstrate that people successfully face problems without help: studies on resilience, spontaneous recovery, self-help or placebo effect; and (b) those which show that the users of a psychotherapy are active agents throughout the therapeutic process. Finally, suggestions are made on how to adapt the therapeutic practices to this new vision.
Baldwin, S. A., & Imel, Z. E. (2013). Therapist effects. Findings and methods. In M. Lambert (Ed.), Bergin and Garfield's Handbook of Psychotherapy and Behavior Change (6Th ed., pp. 219-257). New York: Wiley.
Benedetti, F. (2013). Placebo and the new physiology of the doctor-patient relationship. Physiological Reviews, 93(3), 1207-1246. doi: 10.1152/physrev.00043.2012
Benedetti, F., Arduino, C., Costa, S., Vighetti, S., Tarenzi, L., Rainero, I., & Asteggiano, G. (2006). Loss of expectation-related mechanisms in Alzheimer's disease makes analgesic therapies less effective. Pain, 121(1-2), 133-144. doi: http://dx.doi.org/10.1016/j.pain.2005.12.016
Bohart, A. C., & Greaves, A. L. (2013). The client in psychoterapy. In M. Lambert (Ed.), Bergin and Garfield's Handbook of Psychotherapy and Behavior Change. (6th ed., pp. 219-257). New York: Wiley.
Bohart, A. C., & Tallman, K. (1999). How clients make therapy work: The process of active self-healing. Washington, DC: American Psychological Association.
Bohart, A. C., & Tallman, K. (2010). Clients: The neglected common factor in psychotherapy. In B. Duncan, S. Miller, B. Wampold y M. Hubble (Eds), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 83-111). Washington, DC: American Psychological Association.
Calhoun, L. G., & Tedeschi, R. G. (2006). The foundations of posttraumatic growth: An expanded framework. In L. Calhoun y R. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 1-23). Mahwah, NJ: Erlbaum.
Constantino, M. J., Arnkoff, D. B., Glass, C. R., Ametrano, R. M., & Smith, J. Z. (2011). Expectations. Journal of Clinical Psychology, 67(2), 184-192. doi: http://dx.doi.org/10.1002/jclp.20754
Cuijpers, P., Donker, T., van Straten, A., Li, J., & Andersson, G. (2010). Is guided self-help as effective as face-to-face psychotherapy for depression and anxiety disorders? A systematic review and meta-analysis of comparative outcome studies. Psychological Medicine, 40(12), 1943-1957. doi: 10.1017/s0033291710000772
Duncan, B. L. (2010). On becoming a better therapist. Washington, D.C: American Psychological Association.
Duncan, B. L., & Miller, S. D. (2000). The heroic client: Doing client-directed, outcome-informed therapy. San Francisco, CA: Jossey-Bass.
Elliott, R., Bohart, A. C., Watson, J. C., & Greenberg, L. S. (2011). Empathy. In J.C. Norcross (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed., pp.132-152). New York, NY: Oxford University Press.
Elliott, R., Shapiro, D. A., Firth Cozens, J., Stiles, W. B., Hardy, G. E., Llewelyn, S. P., & Margison, F. R. (1994). Comprehensive process analysis of insight events in cognitive-behavioral and psychodynamic-interpersonal psychotherapies. Journal of Counseling Psychology, 41(4), 449-463.
Farber, B. A., & Doolin, E. M. (2011). Positive regard and affirmation. In J.C. Norcross (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed., pp.168-186). New York, NY: Oxford University Press.
Frank, J. D. (1973). Persuasion and healing: a comparative study of psychotherapy. Baltimore: Johns Hopkins University Press.
Grissom, R. J. (1996). The magical number .7 ± .2: Meta-meta-analysis of the probability of superior outcome in comparisons involving therapy, placebo, and control. Journal of Consulting and Clinical Psychology, 64, 973-982.
Hartmann, A., Orlinsky, D., Weber, S., Sandholz, A., & Zeeck, A. (2010). Session and intersession experience related to treatment outcome in bulimia nervosa. Psychotherapy, 47(3), 355-370. doi: 10.1037/a0021166
Hayes, J. A., & Wall, T. N. (1998). What influences clinicians ' responsibility attrubutions ? The role of problem type, theoretical orientation, and cliente attribution. Journal of Social and Clinical Psychology, 17(1), 69-74.
Horvarth, A. O., Del Re, A. C, Flückinger, C., & Symonds, D. (2011). Alliance in individual Psychotherapy. In J.C. Norcross (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed., pp. 25-69). New York, NY: Oxford University Press.
Howard, K. I., Kopta, S. M., Krause, M. S., & Orlinsky, D. E. (1986). The dose-effect relationship in psychotherapy. American Psychologist, 41, 159-164.
Kaptchuk, T. J., Kelley, J. M., Conboy, L. A., Davis, R. B., Kerr, C. E., Jacobson, E. E., . . . Lembo, A. J. (2008). Components of placebo effect: randomised controlled trial in patients with irritable bowel syndrome. BMJ, 336(7651), 999-1003.
Kazantzis, N., Whittington, C., & Dattilio, F. (2010). Meta-analysis of homework effects in cognitive and behavioral therapy: A replication and extension. Clinical Psychology: Science and Practice, 17(2), 144-156.
Kirsch, I. (2005). Placebo psychotherapy: Synonym or oxymoron? Journal of Clinical Psychology, 61(7), 791-791-803.
Kirsch, I. (2010). The Emperor's New Drugs: Exploding the Antidepressant Myth. New York: Basic Books.
Kirsch, I., Deacon, B. J., Huedo-Medina, T. B., Scoboria, A., Moore, T. J., & Johnson, B. T. (2008). Initial severity and antidepressant benefits: a meta-analysis of data submitted to the Food and Drug Administration. PLoS Medicine / Public Library of Science, 5(2), e45.
Kolden, G. G., Klein, M. H., Wang, Ch., & Austin, S.B. (2011). Congru-ence/Genuineness. In J.C. Norcross (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed., pp.187-202). New York, NY: Oxford University Press.
Lambert, M. J. (2010). “Yes, it is time for clinicians to routinely monitor treatment outcome”. In B. Duncan, S. Miller, B. Wampold y M. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 239-266). Washington, DC: American Psychological Association.
Lambert, M. J., Shapiro, D. A., & Bergin, A. E. (1986). The effectiveness of psychotherapy. In S. Garfield y A. Bergin (Eds.), Handbook of psychotherapy and behavior change (3rd ed., pp. 157-212). New York: Wiley.
Lawson, D. M. (1994). Identifying pretreatment change. Journal of Counseling & Development, 72, 244-248.
Levitt, H. M., Butler, M., & Hill, T. (2006). What Clients Find Helpful in Psychotherapy: Developing Principles for Facilitating Moment-to-Moment Change. Journal of Counseling Psychology, 53(3), 314-314.
Levitt, H. M., & Piazza-Bonin, E. (2011). Therapists' and clients' significant experiences underlying psychotherapy discourse. Psychotherapy Research, 21(1), 70-85. doi: http://dx.doi.org/10.1080/10503307.2010.518634
Mackrill, T. (2008). Exploring psychotherapy clients' independent strategies for change while in therapy. British Journal of Guidance & Counselling, 36(4), 441-453. doi: http://dx.doi.org/10.1080/03069880802343837
Masten, A. S., & Narayan, A. J. (2012). Child Development in the Context of Disaster, War, and Terrorism: Pathways of Risk and Resilience. Annual Review of Psychology, 63, 227.
Menchola, M., Arkowitz, H. S., & Burke, B. L. (2007). Efficacy of Self-Administered Treatments for Depression and Anxiety. Professional Psychology: Research and Practice, 38(4), 421-429. doi: 10.1037/0735-7028.38.4.421
Miller, W. R., & Carroll, K. M. (2006). Drawing the scene together: Ten principles, ten recommendations. In W. Miller y K. Carroll (Eds.), Rethinking substance abuse: What the science shows, and what we should do about it (pp. 293-312). New York: Guilford Press.
Norcross, J. C. (2006). Integrating self-help into psychotherapy: 16 practical suggestions. Professional Psychology: Research and Practice, 37, 683-693.
Norcross, J. C., & Wampold, B. E. (2011). Evidence-based therapy relationships: Research conclusions and clinical practices. In J.C. Norcross (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed., pp. 423-430). New York, NY: Oxford University Press.
Orlinsky, D. E., & Ronnestad, M. H. (2005). How psychotherapist develop. A estudy of therapeutic work and professional growth. Washington, D.C.: American Psychological Association.
Orlinsky, D. E., Ronnestad, M. H., & Willutzki, U. (2004). Fifty years of psychotherapy process-outcome research: Continuity and change. In M. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (5th ed., pp. 307-390). New York: Wiley.
Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2003). Predictors of posttraumatic stress disorder and symptoms in adults: A meta- analysis. Psychological Bulletin, 129, 52-71.
Philips, B., Werbart, A., Wennberg, P., & Schubert, J. (2007). Young adults' ideas of cure prior to psychoanalytic psychotherapy. Journal of Clinical Psychology, 63(3), 213-232. doi: http://dx.doi.org/10.1002/jclp.20342
Rennie, D. L. (1994). Clients' deference in psychotherapy. Journal of Counseling Psychology, 41(4), 427-437. doi: 10.1037//0022-022.214.171.1247
Rennie, D. L. (2000). Aspects of the client's conscious control of the psychotherapeutic process. Journal of Psychotherapy Integration, 10(2), 151-167. doi: http://dx.doi.org/10.1023/A:1009496116174
Skodol, A. E., Bender, D. S., Pagano, M. E., Shea, M. T., Yen, S., Sanislow, C. A., … Gunderson, J. G. (2007). Positive childhood experiences: Resilience and recovery from personality disorder in early adulthood. Journal of Clinical Psychiatry, 68(7), 1102-1108.
Swift, J. K., Callahan, J. L., & Vollmer, B. M. (2011). Preferences. Journal of Clinical Psychology, 67(2), 155-165. doi: 10.1002/jclp.20759
Tedeschi, J. T., & Felson, R. B. (1994). Violence, aggression, and coercive actions. Washington, DC: American Psychological Association.
Tyron, G. S., & Winograd, G. (2011). Goal consensus and collaboration. In J.C. Norcross (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed., pp.153-167). New York, NY: Oxford University Press.
Vaillant, G. E. (1993). The wisdom of the ego. Cambrigde, MA: Harvard University Press,
Wall, T. N. y Hayes, J. A. (2000). Depressed Clients' attributions of responsibility for the causes of and solutions to their problems. Journal of Counseling & Development, 78(1), 81-86. doi: 10.1002/j.1556-6676.2000.tb02563
Wampold, B. E. (2001). The great psychotherapy debate: models, methods, and findings. Mahwah, N.J.: L. Erlbaum Associates.
Werner, E., & Smith, R. (1989). Vulnerable but invincible. New York: Adams Bannister Cox Pubs.
Whiteford, H. A., Harris, M. G., McKeon, G., Baxter, A., Pennell, C., Barendregt, J. J., & Wang, J. (2013). Estimating remission from untreated major depression: a systematic review and meta-analysis. Psychological Medicine, 43, 1569-1585.
Zolkoski, S. M., & Bullock, L. M. (2012). Resilience in children and youth: A review. Children and Youth Services Review, 34(12), 2295-2303.
Zuroff, D. C., Koestner, R., Moskowitz, D. S., McBride, C., Marshall, M., & Bagby, R. (2007). Autonomous motivation for therapy: A new common factor in brief treatments for depression. Psychotherapy Research, 17(2), 137.
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