The Client Is the Most Important Common Factor: Clients' Self-Healing Capacities and Psychotherapy

I first briefly review the dodo bird verdict and suggest that we should be responding to it by looking for a new way to conceptualize how therapy works. Then I describe the dominant medical or treatment model of psychotherapy and how it puts the client in the position of a dependent variable who is operated on by supposedly potent therapeutic techniques. Next I argue that the data do not fit with this model. An alternative model is that the client is the most important common factor and that it is clients' self-healing capacities which make therapy work. I then argue that therapy has two phases—the involvement phase and the learning phase—and that the involvement phase is the most important. I next review the five learning opportunities provided by therapy. Finally, I argue that a relational model of therapy focused on consultation, collaboration, and dialogue is better than a treatment model.     

A meditation on the nature of self‐healing and personality change in psychotherapy based on Gendlin's theory of experiencing

Abstract

From a humanistic point of view psychotherapy is a creative transformational process in which therapists assist clients’ intrinsic self‐healing tendencies. However the nature of the self‐healing process is poorly understood. I briefly consider two theories of self‐healing, Rogers’ self‐actualization theory and dialectical theory, but focus on Gendlin's theory of experiencing as providing a more complete explanation. I consider the fundamentally implicational nature of change and portray personal change as “paradigm evolution” rather than paradigm revolution. I conclude with an examination of the self‐healing process in therapies that provide minimal prosthetic assistance to the client: client‐centered therapy, eye movement desensitization and reprocessing, and focusing‐oriented therapy. I conclude that the self‐healing/self‐change process occurs when intellectual, “top‐down” cognitive and self‐critical activity is interrupted, and when clients adopt a receptive, listening attitude towards inner experience.     

How Does the Relationship Facilitate Productive Client Thinking?

My thesis is: a) that the primary client activity that facilitates change is their productive thinking, b) that one key way the therapeutic relationship is helpful is that it facilitates this kind of activity, and c) that if we look at the therapist–client dyad as a group, then we can further understand how the therapy dialogue facilitates productive client thinking through recent ideas about socially shared cognition.     

Effects of paraprofessional training on one aspect of generalized interpersonal effectiveness

American Journal of Community Psychology -     

Response to Comment by Carere-Comes

Carere-Comas is concerned that I have elevated the client as a hero. I point out that what I really am arguing for is a paradigm shift from therapy as treatment to therapy as mutual, intelligent collaboration. I also discuss what it means to say that the client knows what he or she wants and needs. Finally I discuss the idea that it is the client who makes therapy happen.