The Three Waves Of Psychotherapy

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The Three Waves ofPsychotherapyBill O’Hanlonwww.billohanlon.com

Psychotherapy OutcomeResearchRoughly two-thirds of a group of neuroticpatients will recover or improve to amarked extent within about two years of theonset of their illness, whether they aretreated by means of psychotherapy or notEysenck, Hans (1952). “The Effects of Psychotherapy: An Evaluation,” Journal of ConsultingPsychology, 16:319-324.

Psychotherapy OutcomeResearch2/3 of people who seek therapy areimprovedvs.1/3 of people who don’t seek therapyLambert, M. J. (1992) “Implications of outcome research for psychotherapy integration.” In J. C.Norcross & M. R. Goldfried (Eds.), Handbook of psychotherapy integration. (pp. 94-129). New York:Basic Books.

Common FactorsContribution to Positive Outcome15%15%40%30%Client factorsTherapy relationshipPlacebo/positive expectancyTheory/technique

The Three Waves ofPsychotherapyThe First Wave

The Three Waves ofPsychotherapyThe First WavePast-Oriented

The Three Waves ofPsychotherapyThe First WaveDisease-OrientedPathologyDeficits

The Three Waves ofPsychotherapyThe First WavePast causesTrauma

The Three Waves ofPsychotherapyThe First WaveTherapistas the expert

The Three Waves ofPsychotherapyThe First WaveTheory-driven

The Three Waves ofPsychotherapyThe First WavePsychoanalysisPsychodynamicFamily of origin workGenetic/biochemical

The Three Waves ofPsychotherapyThe Second Wave

The Three Waves ofPsychotherapyThe Second WavePresent-oriented

The Three Waves ofPsychotherapyThe Second WaveCurrent causesor maintenance

The Three Waves ofPsychotherapyThe Second WaveProblem-oriented

The Three Waves ofPsychotherapyThe Second WaveTherapist asexpert

The Three Waves ofPsychotherapyThe Second WaveTheory-driven

The Three Waves ofPsychotherapyThe Second DR/energy therapies

3 Trends in Therapy

3 Trends in TherapyTherapists bring their own biases(cultural, gender, racial, class, sexualorientation and theory biases) so wenever see the problem as it is

3 Trends in Therapy Biased observations There is a move away frompathology and illness towardshealth, wellness and strengths

3 Trends in Therapy Biased observations Health, wellness and strengths There is a call for collaborationand mutuality in psychotherapy

3 Trends in Therapy Biased observations Health, wellness and strengths Collaboration and mutuality inpsychotherapy

The Three Waves ofPsychotherapyThe Third Wave

The Three Waves ofPsychotherapyThe Third WavePresent toward the futureNot oriented to causesSolution-orientedResources/competence

The Three Waves ofPsychotherapyThe Third WaveCollaborativeClient and therapist asexpertsIndividualized, ratherthan theory-based

The Three Waves ofPsychotherapyThe Third WaveSolution-focusedNarrativeCollaborative languagesystemsNeurological plasticityPossibility therapy

The Three Waves ofPsychotherapyThe client and the qualityof their participation intherapy is the single mostimportant contributor totherapeutic successInvolve the client as muchas possible in clarifyingthe problem/concern, thedesired outcome

The Three Waves ofPsychotherapyCab DriverTherapy

Be collaborative and curious Be willing to be taught Tell stories Detach from preferred models, theoriesand methods Be authentic, human and vulnerable Be willing not to know

Treat clients as experts In their problem experience and suffering About their concerns and hopes fortreatment About what is helpful or unhelpful About what they are motivated awayfrom and toward (energy) About their abilities and competence

Co-creating goals andtreatment directions What brings you here? What are you most concerned about? If someone else suggested you come,what were they concerned about and whydid you decide to come? Do you agree with their concern?

Co-creating goals andtreatment directions How would you know we are makingprogress? How would you know you have gottenwhat you came for? How would you know that we aresuccessful in our work together?

Finding exceptions andsolutions Can you remember a time when youhandled this problem in the best way? Was there a time that you can recall whenthe problem would have been expected tooccur but didn’t? When have you solved really difficultproblems before? How did you do that?

Finding exceptions andsolutions What advice would you give someoneelse who is dealing with this problem? Have you ever know anyone else whohas solved this problem or something likeit? Where do you feel the most competent orgood about what you do or know?

Bill O’Hanlon 223 N. Guadalupe, #278, Santa Fe, NM 87501, USA PossiBill@aol.com www.billohanlon.com www.getyourbookwritten.com www.paidpublicspeaker.com www.thewebwhisperers.com

Psychotherapy Outcome Research 2/3 of people who seek therapy are improved vs. 1/3 of people who don’t seek therapy Lambert, M. J. (1992) “Implications of outcome research for psychotherapy integration.” In J. C. Norcross & M. R. Goldfried (Eds.), Handbook of psychotherapy integration. (pp. 94-129). New York: Basic Books.

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