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Three modes of psychotherapy and their requisite core skills

Lundh, Lars-Gunnar LU (2019) In Counselling and Psychotherapy Research 19(4). p.399-408
Abstract
The field of psychotherapy suffers from the lack of an integrative meta-perspective on the large variety of existing psychotherapies and on the therapeutic skills involved. In the present paper, it is suggested that the development of a more comprehensive view of this field may be facilitated if we differentiate between three modes of psychotherapy, which require different therapeutic core skills: (a) an educational mode, which requires teaching skills; (b) a reparative mode, which requires analytic-conceptualising skills to identify some kind of disordered functioning, in combination with specific relational-technical skills to repair this dysfunction; and (c) a developmental mode, which involves engaging in a therapeutic relationship... (More)
The field of psychotherapy suffers from the lack of an integrative meta-perspective on the large variety of existing psychotherapies and on the therapeutic skills involved. In the present paper, it is suggested that the development of a more comprehensive view of this field may be facilitated if we differentiate between three modes of psychotherapy, which require different therapeutic core skills: (a) an educational mode, which requires teaching skills; (b) a reparative mode, which requires analytic-conceptualising skills to identify some kind of disordered functioning, in combination with specific relational-technical skills to repair this dysfunction; and (c) a developmental mode, which involves engaging in a therapeutic relationship with patients to facilitate their personal growth, and which requires non-directivity skills. In addition, some therapeutic skills (e.g., awareness and communication skills) may be more or less important in all modes of treatment. Concrete manifestations of the three different modes of psychotherapy are discussed in terms of five different theoretical perspectives on psychotherapy: the common factors, the humanistic-experiential mindfulness cognitive-behavioural (CBT) and psychodynamic perspective. The common factors model is criticised as being insufficient in several respects. Finally, it is argued that if personal therapeutic skills are essential to the effects of psychotherapy, then empirical research on psychotherapy needs to be re-oriented towards a person-oriented study of therapist skills in action, in the context of a study of the interaction between therapist and patient. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Counselling and Psychotherapy Research
volume
19
issue
4
pages
399 - 408
publisher
Wiley
external identifiers
  • scopus:85067668057
ISSN
1746-1405
DOI
10.1002/capr.12244
language
English
LU publication?
yes
id
55f35f22-efef-4caa-8db0-58de3a53f87b
date added to LUP
2019-06-05 20:47:10
date last changed
2022-03-10 17:11:05
@article{55f35f22-efef-4caa-8db0-58de3a53f87b,
  abstract     = {{The field of psychotherapy suffers from the lack of an integrative meta-perspective on the large variety of existing psychotherapies and on the therapeutic skills involved. In the present paper, it is suggested that the development of a more comprehensive view of this field may be facilitated if we differentiate between three modes of psychotherapy, which require different therapeutic core skills: (a) an educational mode, which requires teaching skills; (b) a reparative mode, which requires analytic-conceptualising skills to identify some kind of disordered functioning, in combination with specific relational-technical skills to repair this dysfunction; and (c) a developmental mode, which involves engaging in a therapeutic relationship with patients to facilitate their personal growth, and which requires non-directivity skills. In addition, some therapeutic skills (e.g., awareness and communication skills) may be more or less important in all modes of treatment. Concrete manifestations of the three different modes of psychotherapy are discussed in terms of five different theoretical perspectives on psychotherapy: the common factors, the humanistic-experiential mindfulness cognitive-behavioural (CBT) and psychodynamic perspective. The common factors model is criticised as being insufficient in several respects. Finally, it is argued that if personal therapeutic skills are essential to the effects of psychotherapy, then empirical research on psychotherapy needs to be re-oriented towards a person-oriented study of therapist skills in action, in the context of a study of the interaction between therapist and patient.}},
  author       = {{Lundh, Lars-Gunnar}},
  issn         = {{1746-1405}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{399--408}},
  publisher    = {{Wiley}},
  series       = {{Counselling and Psychotherapy Research}},
  title        = {{Three modes of psychotherapy and their requisite core skills}},
  url          = {{http://dx.doi.org/10.1002/capr.12244}},
  doi          = {{10.1002/capr.12244}},
  volume       = {{19}},
  year         = {{2019}},
}