Once Upon A Time ...
TI & CTI Blog
In our clinical practice and training programs, we use a highly structured and directive treatment approach. The reason for this is that you (the therapist) are the professional, and your client is contracting you for services so that s/he can achieve his/her treatment-related goals. You are supposed to be the one with the expertise to deliver the service effectively and efficiently.
This is n ...
The medical model has historically been promoted as the foundation of the psychotherapy approach, despite being a poor fit for psychotherapy (Wampold, 2010). In medicine one can actually provide a specific treatment for a properly diagnosed disorder and thereby effect a cure. However, mental health diagnoses are largely behaviorally defined rather than based on underlying dynamics or etiology ...Read More
Much has been made of the importance of non-specific factors (such as empathy, therapeutic alliance, etc.) to therapy outcome, and rightly so: therapists who use the common factors get better outcomes (Duncan, Miller, Wampold, & Hubble, 2010). However, that does not mean that only the common factors matter. For example, it’s well established that the trauma-specific treatments actually do tre ...Read More
When I call therapists in other locations to check them out for a referral, I briefly describe the case and ask what their approach would be. Quite a number of these therapists have said something like, “I mainly focus on the relationship, since that’s where the healing comes from.” In a recent survey I saw a number of similar comments. One question focused on choice of technique in a particu ...Read More