Integration of Common Factors and Specific Ingredients

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.