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Lecture 7

Psychology 46-333 Lecture 7: Notes on Treatment and Remediation

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Kenneth Hart

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Lecture 7 on Treatment and Remediation General (Basic) Issues in Treatment 1. Why does treatment work? (assumes treatment does work) 2. Clinical psychologists (therapists) focus on dyadic treatment rather than group treatment  Clients seek therapies because they are troubled by their self-concept (concept of who we are; our identity)  they are alienated from their true identity  Humanistic, psychodynamic, cognitive therapists care about what you think about yourself; behavioural therapists don't care Focus on Overarching Issues  "pan-treatment" issues vs. Treat-specific  General questions about psychotherapy (Treatment)  Issue #1: "how and why does treatment work?" (discussed in class)  Issue #2: "Does treatment really help?" (discussed in textbook)  Issue #3: Why would different treatments be equally effective? (discussed in textbook) o "common factors" explanation  they work because they have common factors ("active ingredients") o All effective therapies share in common the same fundamental elements o Vs. therapy technique o Examples of "common factors"  Therapeutic relationship ("alliance")  Hope  Attention  Aka "non-specific factors"  Aspects of treatment, clients, therapists, and the relationship between the client and the therapist Two Major Models (aka theoretical framework)  Frank's Model  Lambert & Ogles' model  Norcross's review of the evidence base (evidence/science based) Jerome Frank's Common Factors Model  Popularized his model in 1970s  It assumes: o A demoralized client (poor functioning) o A distressed client o A client who is unable to resolve their problem unaided, by themselves o Client seeks help from a professional who provides healing services o Common factors include:  Socially sanctioned healing setting  Provision of a believable rationale for pathology and for healing  Provision of a healing ritual o **therapy tend to be less effective if one of these factors is missing Healing, according to Frank's Model, consists of:  Restoration of morale, hope (a sense of self-efficacy, beliefs that there will be success in the future)  Improved morale and hope consist of "common factors" Hope (aka Frank's "Morale")  Some view this as
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