Theory and Practice of Counseling and Psychotherapy TENTH EDITION Gerald Corey Cengage Learning

An Integrative Perspective Chapter 15 An Integrative Perspective

Psychotherapy Integration Pulling techniques from many sources without a sound rationale results in syncretistic confusion The majority of psychotherapists prefer some form of integration, which is expected to increase in popularity during the next decade The ultimate goal of integration is to enhance the efficiency and applicability of psychotherapy Theory and Practice of Counseling and Psychotherapy - Chapter 15(1)

Approaches to Integration (slide 1 of 4) Technical integration: Selecting the best treatment techniques for the person and the problem without necessarily subscribing to the theoretical positions that spawned them One of the best-known forms of technical integration is technical eclecticism, the basis of multimodal therapy Theory and Practice of Counseling and Psychotherapy - Chapter 15(2)

Approaches to Integration (slide 2 of 4) Theoretical integration: A conceptual or theoretical creation beyond a mere blending of techniques Emphasizes integrating the underlying theories of therapy along with techniques from each Examples of this form of integration are dialectical behavior therapy (DBT), acceptance and commitment therapy (ACT), and emotion-focused therapy (EFT) Theory and Practice of Counseling and Psychotherapy - Chapter 15(3)

Approaches to Integration (slide 3 of 4) Assimilative integration: An approach is grounded in a particular school of psychotherapy, yet selectively incorporates practices from other therapeutic approaches An example of this form of integration is mindfulness-based cognitive therapy (MBCT) Theory and Practice of Counseling and Psychotherapy - Chapter 15(4)

Approaches to Integration (slide 4 of 4) Common factors approach: Emphasizes common elements across different theoretical systems Common factors are more important in accounting for therapeutic outcomes than the unique factors that differentiate one theory from another Among the approaches to psychotherapy integration, the common factors approach has the strongest empirical support Theory and Practice of Counseling and Psychotherapy - Chapter 15(5)

Integration of Multicultural Issues in Counseling Current theories can and should be expanded to incorporate a multicultural dimension Practitioners need to tailor their theory and practice to fit the unique needs of the client Practitioners should be aware of their own and their clients’ worldviews, and use culturally appropriate interventions Theory and Practice of Counseling and Psychotherapy - Chapter 15(6)

Integration of Spirituality and Religion in Counseling Spiritual and religious matters are therapeutically relevant and ethically appropriate to discuss in counseling Spiritually informed therapy is a form of multicultural therapy Clients in crisis may find a source of comfort, support, and strength in drawing upon their spiritual resources Theory and Practice of Counseling and Psychotherapy - Chapter 15(7)

Feedback-Informed Treatment FIT is designed to evaluate and to improve the quality and effectiveness of counseling services FIT is an evidence-based practice that monitors client change and identifies modifications needed to enhance therapy The Outcome Rating Scale (ORS) and Session Rating Scale (SRS) are used to measure client progress and to rate the quality of the therapeutic relationship Theory and Practice of Counseling and Psychotherapy - Chapter 15(8)