{"title":"Outcome Research on Psychotherapy Integration","authors":"James F. Boswell, M. Newman, L. McGinn","doi":"10.1093/MED-PSYCH/9780190690465.003.0019","DOIUrl":"https://doi.org/10.1093/MED-PSYCH/9780190690465.003.0019","url":null,"abstract":"Integrative psychotherapies have received increased empirical attention in recent decades, and a number of these treatments have been examined and tested in treatment outcome studies. In this chapter, the authors review and summarize the current state of outcome research on integrative therapies. Such treatments are placed into broad categories based on their foundational pathway to integration, including assimilative, theoretical, and technical eclecticism, as well as whether or not they have been designed to target a specific diagnosis or problem. Many integrative therapies have garnered substantial research support (four or more randomized controlled trials). Empirical support for some treatments continues to accumulate, while other treatments that were previously identified as promising have received limited attention in the past decade. Broad conclusions regarding the state of integrative therapy outcome research are offered, along with future directions.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128268065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Training and Supervision in Psychotherapy Integration","authors":"J. Norcross, M. Finnerty","doi":"10.1093/MED-PSYCH/9780190690465.003.0018","DOIUrl":"https://doi.org/10.1093/MED-PSYCH/9780190690465.003.0018","url":null,"abstract":"This chapter considers training and supervision in psychotherapy integration. The authors begin by identifying an ideal educational sequence for psychotherapists and then discuss training in light of the four principal routes of integration—technical eclecticism, theoretical integration, common factors, and assimilative integration—whose training objectives and sequence differ somewhat. Next, the chapter addresses questions regarding the centrality of personal therapy and the necessity of research training in the preparation of integrative therapists. The authors review integrative supervision, specifically seven of its distinctive practices. The chapter concludes with a discussion of organizational strategies for promoting psychotherapy integration and some future directions for integrative training in mental health.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115330434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Principle-Based Approach to Psychotherapy Integration","authors":"Catherine F Eubanks, M. Goldfried","doi":"10.1093/MED-PSYCH/9780190690465.003.0004","DOIUrl":"https://doi.org/10.1093/MED-PSYCH/9780190690465.003.0004","url":null,"abstract":"A principle-based approach to integration provides a framework for identifying common change processes that may exist among different theoretical orientations. This chapter identifies five change principles that are common across orientations and are supported by outcome research: fostering the patient’s hope, positive expectations, and motivation; facilitating the therapeutic alliance; increasing the patient’s awareness and insight; encouraging corrective experiences; and emphasizing ongoing reality testing. By focusing on these change principles, therapists have the flexibility to select a variety of techniques that are responsive to the client’s individual needs and preferences. The chapter also provides examples of techniques that support each principle and illustrates principle-based psychotherapy with a case example. The authors concludes by reviewing the research evidence and suggesting future directions for this approach.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"261 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122088762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrative Psychotherapy for Generalized Anxiety Disorder","authors":"H. Westra, Michael J. Constantino","doi":"10.1093/MED-PSYCH/9780190690465.003.0013","DOIUrl":"https://doi.org/10.1093/MED-PSYCH/9780190690465.003.0013","url":null,"abstract":"This chapter describes an integrative therapy for generalized anxiety disorder (GAD) that responsively assimilates motivational interviewing (MI) into cognitive-behavioral therapy (CBT). MI is a person-centered method that helps clients increase their intrinsic drive to change by identifying and working through their intrapsychic ambivalence about or interpersonal resistance to change, which are common negative process markers for clients with GAD. The MI spirit can also facilitate CBT outside of these markers by forestalling such processes that, even in small doses, correlate with poor outcomes. The authors also present assessment methods (especially for the markers of change ambivalence and resistance); summarize the application and structure of MI interventions; describe the processes of change, therapeutic relationship, and core techniques in MI + CBT; consider diversity elements; and provide a case example. The chapter concludes by reviewing the outcome research for this integrative therapy and by highlighting future practice, research, and training directions.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127066601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Future Directions in Psychotherapy Integration","authors":"Catherine F Eubanks, M. Goldfried, J. Norcross","doi":"10.1093/MED-PSYCH/9780190690465.003.0022","DOIUrl":"https://doi.org/10.1093/MED-PSYCH/9780190690465.003.0022","url":null,"abstract":"Psychotherapy integration has become a well-established and influential movement in mental health. In this chapter, the authors explore where psychotherapy integration may be headed in the areas of theory, practice, research, and training, and as a formal movement. The authors hope to advance discussion about future directions that seem particularly promising. As an indication of therapeutic flexibility, the authors believe that the most valuable aspects of integration may prove to be (1) the enthusiastic, open-minded stance of the integrative therapist who (2) is willing to change his or her approach in order to be responsive to a patient’s needs.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122426159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating Self-Help and Psychotherapy","authors":"Amanda Edwards-Stewart, J. Norcross","doi":"10.1093/MED-PSYCH/9780190690465.003.0017","DOIUrl":"https://doi.org/10.1093/MED-PSYCH/9780190690465.003.0017","url":null,"abstract":"Psychotherapy integration typically refers to the synthesis of diverse methods and schools of psychotherapy. This chapter expands that definition to consider the combination of psychotherapy with self-help materials. Clinicians frequently desire to integrate self-help into psychotherapy but question how and what to do with clients. The authors address types of self-help resources, their effectiveness with and without psychotherapy, and ways to seamlessly integrate them into formal treatment. The chapter considers a variety of self-help (e.g., self-help books, websites, mobile apps, commercial films). The clinician’s behavior can significantly enhance the effectiveness of recommended self-help and can produce a broader integration of effective change methods.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132919475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrative Psychotherapy with Children","authors":"Athena A. Drewes, John W. Seymour","doi":"10.1093/MED-PSYCH/9780190690465.003.0016","DOIUrl":"https://doi.org/10.1093/MED-PSYCH/9780190690465.003.0016","url":null,"abstract":"Children’s psychological disorders are complex and multidetermined, compounded by emerging cognitive styles, self-concepts, developmental trajectories, and environmental considerations that result in unique clinical demands. Consequently, child psychotherapy requires a broader conceptualization and individualized treatment. This chapter examines psychotherapy integration in working with children. The use of integrative treatments is central to children, although it is neither clearly identified nor well developed in research or practice. The authors examine assimilative, theoretical, and technical integration as well as common factors in treating children. A case example, a review of outcome research, and forecasts of future directions conclude the chapter.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134332226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integration of Common Factors and Specific Ingredients","authors":"B. Wampold, P. Ulvenes","doi":"10.1093/MED-PSYCH/9780190690465.003.0003","DOIUrl":"https://doi.org/10.1093/MED-PSYCH/9780190690465.003.0003","url":null,"abstract":"This chapter presents the theoretical framework and research evidence of the contextual model, which integrates common factors and specific ingredients in psychotherapy. In working with clients, the specific ingredients and common factors of various therapy approaches are not mutually exclusive but work together to make psychotherapy effective. The benefits of psychotherapy accrue through three pathways: the real relationship, expectations created through explanation for distress and a cogent treatment plan, and the specific actions enacted in treatment. It is suggested that the outcome of psychotherapy can be improved by the deliberate practice of particular skills that characterize effective therapists. The chapter concludes with case examples, diversity considerations, and future directions.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128425215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"International Themes in Psychotherapy Integration","authors":"B. Gomez, Shigeru Iwakabe, A. Vaz","doi":"10.1093/MED-PSYCH/9780190690465.003.0021","DOIUrl":"https://doi.org/10.1093/MED-PSYCH/9780190690465.003.0021","url":null,"abstract":"Interest in psychotherapy integration has steadily expanded over the past decades, reaching most continents of the world and more mental health professionals than ever. Nevertheless, a country’s cultural and historical background significantly influences the nurturance or hindrance of integrative endeavors. This chapter seeks to explicate the current climate of psychotherapy integration in different continents and specific countries. With the aid of local integrative scholars, brief descriptions are presented on integrative practice, training, and research, as well as on cultural and sociopolitical issues that have shaped this movement’s impact around the world.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114541434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assimilative Psychodynamic Psychotherapy","authors":"G. Stricker, J. Gold","doi":"10.1093/med-psych/9780190690465.003.0010","DOIUrl":"https://doi.org/10.1093/med-psych/9780190690465.003.0010","url":null,"abstract":"Assimilative psychodynamic psychotherapy maintains a relational psychodynamic focus and methodology but assimilates interventions from other orientations seamlessly when it might help to facilitate treatment for the patient. In order to understand the potential value of these interventions drawn from other orientations, accommodation is necessary. This is done by means of an expanded three-tier model. The importance of the therapeutic relationship, particularly with regard to providing a corrective emotional experience, and the value of self-understanding is stressed. An illustrative case is presented, research summarizing the equivalent efficacy of psychodynamic psychotherapy is presented, and directions for future development are suggested.","PeriodicalId":137747,"journal":{"name":"Handbook of Psychotherapy Integration","volume":"153 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114513269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}