Search This Blog

Tuesday, 4 October 2011

Why Client Choice Determines Psychotherapy Outcomes

Placebos have long been seen as an irritating confounding factor in medical research that needs to be controlled. It's therapeutic sister "Non-specific effects" in the psychotherapy field has also been relegated to a factor to be controlled in recent years. And yet, there is considerable research highlighting the substantial role such factors play over and above specific therapeutic effects. Recent research by Professor Michael Hyland at Plymouth University suggests a mechanism behind non-specific effects which has big practical implications for therapists. Put briefly he has discovered that one of the key mechanisms within placebo is the degree to which the proposed "therapy" is explained or perceived in ways which are consistent with client values and goals. This is independent of whether the client actually believes the "therapy" will work. This has big implications. Firstly it explains the discrepancy that often occurs between RCT therapy results and "on-the-ground" therapeutic effectiveness. Secondly, it suggests that client choice of the therapy they use will have a big impact on outcome. I am much more likely to choose a therapy (as a client) that is presented or perceived as being more consistent with my values. It equally suggests that therapists' statements such as " the client isn't very psychologically minded" or " Mandated clients don't change" or "Clients need to be socialised into the therapeutic model" MAY in fact have a more than a grain of truth in them, even if the phrasing isn't quite right!

1 comment:

  1. Thanks for great information you write it very clean. I am very lucky to get this tips from you

    psychotherapist nyc


About this Blog

This is our first attempt to join the exciting world of blogging and bring to you all the fresh and hot news about the world of psychology and, of course, about your favourite training company. This is our new enterprise and we are finding our way in this mysterious world of blogging cautiously (but surely...) :-)
We are hoping to move our popular SDS Delegate Debate into this blogging format in the future and looking forward to lively discussions here with you. We are planning to start with publishing already existing SDS Delegate Debates — with comments received from you. Then we'll move to the current news as well as will run new delegate debates there.
Feel free to leave comments to any of the posts — whether they are old debates, the news or new debates. As you can guess — every blogger loves his readers and LIVES for the comments. :-) We are just the same. You don’t need to register in order to be able to comment. You can leave your feedback as “Anonymous”, however, may we ask you to sign you name (or nick) at the end of your comment (even if you are commenting without logging in) so that we know how to address you.
Another useful tool that SDS Blog provides us with is availability of Polls that enable us to find out your views about various subjects. Polls are located on the left panel of the page and updated regularly. Please feel free to vote. You can see the results of each poll by clicking the button "Results".
If you wish to register — nothing can be easier — you just open a Google account — most of you, surely, already use one.
Your comments are read by SDS Consultants regularly and — in many cases — replied to.
The blog is moderated — mainly to protect you and other readers from spam and irrelevant comments.
All posts are tagged — hopefully it'll help you to find your way around there.
Wish us luck and please join the list of our followers.
There was an error in this gadget