Effective ingredients in psychotherapy: Prediction of outcome from process variables.

Gomes-Schwartz, Beverly

doi:10.1037/0022-006x.46.5.1023

Cited by 236 publications

(222 citation statements)

References 27 publications

(33 reference statements)

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“…The therapeutic alliance has been studied as a therapeutic relationship construct in the child literature in 10 process-to-outcome studies, the first of which was conducted over a decade ago (Colson et al, 1991). This domain has been explored much more extensively and earlier in the adult mental health treatment literature, with the first adult therapeutic alliance to outcome study dating back to Gomes-Schwartz (1978). As in the adult literature (Horvath & Bedi, 2002), the therapeutic alliance with children has been defined several different ways.…”

Section: Therapeutic Alliance With the Youth Clientmentioning

confidence: 99%

A Theoretical Model of Common Process Factors in Youth and Family Therapy

Karver

Handelsman

Fields

et al. 2005

Ment Health Serv Res

181

172

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Recently there has been an increasing emphasis in the youth and family mental health treatment literature on the use of empirically supported treatments (ESTs). In contrast there has been scant attention paid to more universal aspects of the therapy process that may have even greater impact upon therapy outcomes. It is likely that the success of the techniques proposed by ESTs may depend on the presence of common process factors. In this article, the authors explore the status of common process factors research in the youth and family therapy literature, and propose a theoretical model linking specific therapeutic relationship variables and treatment outcomes for children and adolescents. This model is intended to guide synthesis of the empirical evidence for common process factors in youth and family treatment and to stimulate future research on common process factors.

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Section: Therapeutic Alliance With the Youth Clientmentioning

confidence: 99%

A Theoretical Model of Common Process Factors in Youth and Family Therapy

Karver

Handelsman

Fields

et al. 2005

Ment Health Serv Res

181

172

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“…Some studies have found that low levels of directiveness are beneficial to treatment (Lorr, 1965;Mintz et.al., 1971). Other studies (Andrews, 1976;Beutler et.al., 1980;Bergin, 1971;Foreman & Marmar, 1984;Gomes-Schwartz, 1978;Grigg & Goldstein, 1957;Hill et.al., 1983) have found that more directive therapists obtain better outcomes. Other studies have obtained nonsignificant or zero-order effects (Ashby et.al., 1957;Cooley & Lajoy, 1980;Goin et.al., 1965;Luborsky et.al., 1980).…”

mentioning

confidence: 99%

Differences between more and less effective psychotherapists: A study of select therapist variables.

Lafferty¹,

Beutler²,

Crago³

1989

Journal of Consulting and Clinical Psychology

137

109

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This study examined differences between more and less effective trainee psychotherapists. Therapists were assigned to one of two groups depending on whether the preponderance of their patients' changes in symptomatology indicated more or less improvement over the course of therapy. Therapist variables included emotional adjustment, relationship skills, eliciting patient involvement, credibility, directiveness, and theoretical orientation. Less effective therapists were revealed to have lower levels of empathic understanding, to rate their patients as more involved in treatment, and to rate themselves as more supportive than the more effective therapists. Less effective therapists also valued comfort and stimulation significantly more and valued intellectual goals significantly less than did more effective therapists.

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“…Gomes-Schwartz (1978) suggested that there are varying definitions of effective ingredients in psychotherapy. For example, client-centered therapy emphasizes the curative powers of a positive human relationship, while psychodynamic theory suggests that a good relationship is not sufficient to induce an enduring personality change.…”

Section: Theoretical Phase: Literature Reviewmentioning

confidence: 99%

Therapeutic Alliance: A Concept for the Childbearing Season

Doherty

2009

j perinat educ

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This analysis was conducted to describe the concept of therapeutic alliance and its appropriateness for health-care provider-client interactions during the childbearing season. The concept has been defined in other disciplines. A universal definition suggested a merging of efforts directed toward health. A simple and concise definition evolved, which is applicable to the childbearing season as well as to health-care encounters across the life span. This definition states: Therapeutic alliance is a process within a health-care provider-client interaction that is initiated by an identified need for positive client health-care behaviors, whereby both parties work together toward this goal with consideration of the client's current health status and developmental stage within the life span.

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Effective ingredients in psychotherapy: Prediction of outcome from process variables.

Cited by 236 publications

References 27 publications

A Theoretical Model of Common Process Factors in Youth and Family Therapy

A Theoretical Model of Common Process Factors in Youth and Family Therapy

Differences between more and less effective psychotherapists: A study of select therapist variables.

Therapeutic Alliance: A Concept for the Childbearing Season

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