Although the therapy relationship has long been recognized as an essential factor in the change process, there has been disagreement concerning whether the relationship is itself curative or rather supports the bene fi ts of speci fi c therapeutic techniques. To advance and clarify this conversation, this article conceptualizes the therapy relationship as both a mediator and/or moderator of change that can be used strategically in accord with case formulation for treatment goals. We begin with a brief overview of the relevant literature on the therapy relationship versus technique and the role of the therapy relationship as mediator or moderator across theoretical orientations. We then suggest an integrative framework by which clinicians and psychotherapy researchers may conceptualize the therapeutic relationship based on case conceptualization, where the requirements in each case and not theoretical orientation should determine the therapist ’ s use of the therapy relationship. Finally, we discuss implications for psychotherapy research and practice. Public Health Significance Statement This article discusses the role of the therapist – client relationship in promoting positive treatment outcomes. We review debates about the importance of the therapy relationship versus speci fi c therapeutic techniques and describe how different types of psychotherapy frame the relationship. We argue that it is essential for psychotherapy practitioners and researchers to develop a fl exible view of how to use the therapeutic relationship with regard to speci fi c clinical problems and relevant evidence-based techniques.
{"title":"Conceptualizing the therapeutic relationship: Mediator or moderator of change?","authors":"Ellora Vilkin, T. Sullivan, M. Goldfried","doi":"10.1037/int0000278","DOIUrl":"https://doi.org/10.1037/int0000278","url":null,"abstract":"Although the therapy relationship has long been recognized as an essential factor in the change process, there has been disagreement concerning whether the relationship is itself curative or rather supports the bene fi ts of speci fi c therapeutic techniques. To advance and clarify this conversation, this article conceptualizes the therapy relationship as both a mediator and/or moderator of change that can be used strategically in accord with case formulation for treatment goals. We begin with a brief overview of the relevant literature on the therapy relationship versus technique and the role of the therapy relationship as mediator or moderator across theoretical orientations. We then suggest an integrative framework by which clinicians and psychotherapy researchers may conceptualize the therapeutic relationship based on case conceptualization, where the requirements in each case and not theoretical orientation should determine the therapist ’ s use of the therapy relationship. Finally, we discuss implications for psychotherapy research and practice. Public Health Significance Statement This article discusses the role of the therapist – client relationship in promoting positive treatment outcomes. We review debates about the importance of the therapy relationship versus speci fi c therapeutic techniques and describe how different types of psychotherapy frame the relationship. We argue that it is essential for psychotherapy practitioners and researchers to develop a fl exible view of how to use the therapeutic relationship with regard to speci fi c clinical problems and relevant evidence-based techniques.","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":"1 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58500580","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":"Pragmatic applications for therapeutic engagement with marginalized men: An intersectional exploration of two emerging adult African American male clients.","authors":"Christopher S. Reigeluth, Billy Johnson","doi":"10.1037/int0000280","DOIUrl":"https://doi.org/10.1037/int0000280","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41955662","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":"An integral analysis of the etiology and treatment of schizophrenia: Integrated pluralism in research and clinical practice.","authors":"Oliver Boxell, Andre Marquis","doi":"10.1037/int0000277","DOIUrl":"https://doi.org/10.1037/int0000277","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48025865","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":"Effectiveness of cognitive analytic therapy for mixed anxiety and depression in the context of borderline traits: A quasi-experimental single case design evaluation.","authors":"Niall Power, S. Kellett, C. Gaskell","doi":"10.1037/int0000281","DOIUrl":"https://doi.org/10.1037/int0000281","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45666366","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":"Unconscious processes in psychoanalysis, CBT, and schema therapy.","authors":"Leo Mares","doi":"10.1037/int0000276","DOIUrl":"https://doi.org/10.1037/int0000276","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47321983","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}
N. Goldbach, A. Reif, Hanna Preuss, Mira Erhart, Kirsten Zabel, S. Windmann, V. Oertel
{"title":"A randomized trial of group therapy for resource activation for patients with affective disorder.","authors":"N. Goldbach, A. Reif, Hanna Preuss, Mira Erhart, Kirsten Zabel, S. Windmann, V. Oertel","doi":"10.1037/int0000274","DOIUrl":"https://doi.org/10.1037/int0000274","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44925408","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}
Tracy A. Prout, G. Goodman, Hyewon Chung, Ariel Sherman
{"title":"Psychotherapy process in regulation focused psychotherapy for children.","authors":"Tracy A. Prout, G. Goodman, Hyewon Chung, Ariel Sherman","doi":"10.1037/int0000275","DOIUrl":"https://doi.org/10.1037/int0000275","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44411372","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":"Collisions and collusions with new norms: Renegotiating time and space in a pre-pandemic digital era.","authors":"Leora Trub, Matthew Berler, Danielle Magaldi","doi":"10.1037/int0000272","DOIUrl":"https://doi.org/10.1037/int0000272","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46811766","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":"Session adherence to prototypical psychotherapy process as a correlate of outcome in a naturalistic study of child mentalization-informed psychodynamic play therapy.","authors":"G. Goodman, S. Halfon","doi":"10.1037/int0000229","DOIUrl":"https://doi.org/10.1037/int0000229","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49494296","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}
Sarah Knox, Mackenzie T. Goertz, T. Mak, K. Pinto-Coelho, C. Hill
{"title":"Immediacy in supervision: Supervisees’ perspectives on positive and negative events.","authors":"Sarah Knox, Mackenzie T. Goertz, T. Mak, K. Pinto-Coelho, C. Hill","doi":"10.1037/int0000270","DOIUrl":"https://doi.org/10.1037/int0000270","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43240461","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}
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