The Client Is the Most Important Common Factor: Clients' Self-Healing Capacities and Psychotherapy |
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Authors: | Arthur C. Bohart |
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Affiliation: | (1) Department of Psychology 350, California State University Dominguez Hills, Carson, California, 90747 |
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Abstract: | 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. |
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Keywords: | self-healing medical model common factors therapy as learning |
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