Posted by jay on October 7, 2003, at 9:51:46
In reply to Re: confused about what is good...may trigger*****, posted by Dinah on October 7, 2003, at 9:07:08
> > The research shows that therapist theoretical orientation has little to do with therapy outcome. The biggest indicator of therapy success is the client's perception of the therapeutic relationship.
> >
> > I'll try to look up some of the latest outcome research if I get some time. It's really very interesting. But if you were to sum up a large body of research, the most simple description of the outcome is that old view (Rogers was it?) that the relationship is everything.
>
> You might look for:
>
> Lambert, Shapiro & Bergin, 1986
>
> Miller et al, 1997
>
> And I was incorrect. Client factors account for the biggest variable in change.
Hey, no problem! This type of debate is very important. I don't want to come off as a know-it-all (sorry if I am), but am just posting things that I have found helped, and even let me help others as a (former) counsellor. I've got tons of books on therapeutic talking techniques, but I also worked in the field for a long time which took my head out of the text and into the real world. I *empathetically* state that I learn't mostly from my clients then a text book.It's slowly helped me, and I'd like to share with others, and I also do realize there are many who benefit from things that I haven't used with others or myself. I am a *very* open guy.
The main thing that bothers me is people seeing the same therapist for ten years, making that individual quite rich. Brief-Treatment/Person-Centered isn't just go through a few days then kick them out the door. It often focuses on crisis situations, and the same techniques can be used if the client returns. The goal planning again is in a state of flux..meaning things can change a fair bit over time.
I make it sound simple, but it is actually fairly complex. The reason it is used is not only because of it's proven efficacy, but because when dealing with everyone from homeless, detox, to mental health, the model is powerful bringing about fairly quick changes...small as they may be. If I counselled someone in a 28 day rehab program, there are many, many pressures to get their life back in order, and to prepare them for the 'real world'. Using classic psychoanalysis would be very irresponsible, kind of like fitting a car without brakes and tires.
So, I hope that makes sense. I am putting together a 'portfolio' for Doc Bob on the counselling process, and I really could use your guys feedback and contributions. I've noted that reference you gave...thanx Dinah.
Please take care,
Sincerely,
Jay
poster:jay
thread:265278
URL: http://www.dr-bob.org/babble/psycho/20030925/msgs/266305.html