Aspects of Therapy 04/16/2014
Intentional Behavior Change
Little/no recognition of a problem.
Danielle: I have no problem (Lots of troubled history)
Starting to really consider changing
Making a commitment to change, and starting to prepare for change
Doesn’t guarantee that you’ll get to action.
You have to prevent relapse
High risk situations
What client factors best predict tx effectiveness?
severity of symptoms
readiness for change (DiClemente article)
The next best predictors:
client’s ongoing expectation of success
client has specific goals
active motivation and participation
Therapists What matters?
Not much effect
Some studies have shown a slight advantage for women (Not very prominent)
Some have a slight advantage for a slightly older therapist
Personal experience with the problem?
No, except when the client perceives it as important to the alliance.
Experience as a therapist?
No, most gains are early on
Most therapists still perceive themselves as better over time.
They do become more confident over time.
Generally speaking, no
Some universal personality style?
Not that researchers can find
Must be able to build an alliance
A very directive style? (Telling people what to do)
Facilitative interpersonal skills?
YES, this is important and predictive of effectiveness
Does Therapy work?
Internal Validity: The degree to which we have confidence that the IV was what caused the change in the
Not using random assignment is a threat to internal validity
Lack of an appropriate placebo is a threat to internal validity