By Windy Dryden
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Publish 12 months be aware: First released December 1st 1996
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Extra info for Research in Counselling and Psychotherapy: Practical Applications
Sample text
These studies focused on ways to enhance the therapeutic relationship and associated therapeutic processes, constituting an effort to identify ways in which the problems of incompatible matches could be overcome by the therapist. , 1972a; Beutler, Johnson, Neville, Workman & Elkins, 1973; Lafferty, Beutler & Crago, 1989). Collectively, the research in this area (see reviews by Beutler 1979b, 198 1 ; Beutler, Clarkin, Crago & Bergan, 1991) consistently revealed that: (1) effective therapy was accompanied by convergence of patient beliefs and values on those of the therapist; and (2) the amount of attitude/value convergence was predicted by a complex pattern of initial similarities and differences between patients and therapists, with outcome being most strongly associated with levels of initial attitude/value differences.
1 994). Finding the way from process to outcome: Blind alleys and unmarked trails. L. ), Psychotherapy research: Assessing and redirecting the tradition (pp. 36-64). New York: Guilford. A. (1 995). Therapist contributions to psychotherapeutic assimilation: An alternative to the drug metaphor. British Journal of Medical Psychology, 68, 1 - 1 3. M. (1991). Taking a closer look: Psychotherapy research at Miami University. E. Beutler & M. ), Psychotherapy research: An international review of programmatic studies (pp.
At a tactical level, the assimilation model draws attention to the process of psychotherapeutic change, specifically, to (a) problem domains within the broader presenting picture and (b) developmental features of the change process (systematic stages of assimilation). This provides a basis for a 'process diagnosis' (cf. Greenberg, Rice & Elliott, 1993). Some problems are more easily talked about than others, and this may reflect their differing levels of assimilation. Informed by the model, a clinician might identify the client's currently central problematic experience and informally assess its stage of assimilation.
