Common Factors of Change in Couple Therapy

Common Factors of Change in Couple Therapy
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DOI:
10.1016/j.beth.2011.01.009
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发表时间:
2012-03-01
期刊:
影响因子:
3.7
通讯作者:
Sprenkle, Douglas H.
Sprenkle, Douglas H.
中科院分区:
心理学2区
文献类型:
--
作者:
Davis, Sean D.;Lebow, Jay L.;Sprenkle, Douglas H.

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虽然从元分析研究中可以清楚地看出,夫妻治疗效果很好,但夫妻治疗是如何起作用的却不太清楚。将变化归因于某一特定模型的独特成分的努力一直未能奏效,这导致许多研究人员认为,变化是由贯穿不同治疗方法和环境的共同因素造成的。本文的目的是为夫妻治疗中的几个共同因素提供一个基于经验的案例,并讨论共同因素夫妻治疗范式的临床,培训和研究意义。还讨论了模型驱动范式和公共因素范式之间的关键区别,并提出了一种适度的公共因素方法,作为极端公共因素方法的更有用的替代方法。
Though it is clear from meta-analytic research that couple therapy works well, it is less clear how couple therapy works. Efforts to attribute change to the unique ingredients of a particular model have consistently turned up short, leading many researchers to suggest that change is due to common factors that run through different treatment approaches and settings. The purpose of this article is to provide an empirically based case for several common factors in couple therapy, and discuss clinical, training, and research implications for a common factors couple therapy paradigm. Critical distinctions between model-driven and common factors paradigms are also discussed, and a moderate common factors approach is proposed as a more useful alternative to an extreme common factors approach.