Abstract
Presently, MFT training programs teach MFT models in a way that emphasizes differences over similarities (Karam et al. in J Marital Fam Ther, 2015. doi:10.1111/jmft.12096; Sprenkle and Blow in J Marital Fam Ther 30:113–129, 2004a. doi:10.1111/j.1752-0606.2004.tb01228.x, in J Marital Fam Ther 30:151–157, b. doi:10.1111/j.1752-0606.2004.tb01230.x; Sprenkle et al. in Common factors in couple and family therapy: the overlooked foundation for effective practice. Guilford Press, New York, 2009). Although teaching a variety of models and their distinctiveness is vital, doing so may create a competitive rather than integrative relationship between models (Karam et al. 2015). While Karam et al. 2015 encourage the inclusion of common factors in MFT training, we expand their justification for the importance of doing so We also explain conceptual and practical ways to include common factors in MFT training. Common factors instruction can fulfill multiple purposes: (a) create a sense of cohesiveness for programs which need to teach breadth of topics that can seem unrelated, (b) help prepare practitioners who need to learn many models well but will likely adopt an integrative approach, (c) align with basic skills training, (d) align with process research, and (e) enhance the richness of individual models. For each of these purposes, we provide an example of a classroom activity. We conclude with a unifying example of how one student may learn the common-factors perspective and weave it into her reflective practices as an MFT student.
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References
Angus, L., & Kagan, F. (2007). Empathic relational bonds and personal agency in psychotherapy: Implications for psychotherapy supervision, practice, and research. Psychotherapy: Theory, Research, Practice, Training, 44, 371–377. doi:10.1037/0033-3204.44.4.371.
Barth, F. D. (2014). Putting it all together: An integrative approach to psychotherapy with eating disorders. Psychoanalytic Social Work, 21(1–2), 19–39. doi:10.1080/15228878.2013.865245.
Bischoff, R. J., Reisbig, A. M. J., Springer, P. R., Schultz, S., Robinson, W. D., & Olson, M. (2014). Succeeding in rural mental health practice: Being sensitive to culture by fitting in and collaborating. Contemporary Family Therapy, 36, 1–16. doi:10.1007/s10591-013-9287-x.
Blow, A. J., Davis, S. D., & Sprenkle, D. H. (2012). Therapist worldview matching: Not as important as matching to clients. Journal of Marital and Family Therapy, 38, 13–17. doi:10.1111/j.1752-0606.2012.00311.x.
Blow, A., Morrison, N., Tamaren, K., Wright, K., Schaafsma, M., & Nadaud, A. (2009). Change processes in couple therapy: An intensive case analysis of one couple using a common factors lens. Journal of Marital and Family Therapy, 35, 350–368. doi:10.1111/j.1752-0606.2009.00122.x.
Blow, A. J., & Sprenkle, D. H. (2001). Common factors across theories of MFT: A modified delphi study. Journal of Marital and Family Therapy, 27, 385. doi:10.1111/j.1752-0606.2001.tb00333.x.
Blow, A. J., Sprenkle, D. H., & Davis, S. D. (2007). Is who delivers the treatment more important than the treatment itself? The role of the therapist in common factors. Journal of Marital and Family Therapy, 33, 298–317. doi:10.1111/j.1752-0606.2007.00029.x.
Bohart, A. C. (2000). Introduction to the special issue. Journal of Psychotherapy Integration, 10, 119–126. doi:10.1023/A:1009482715265.
Boswell, J. F., & Castonguay, L. G. (2007). Psychotherapy training: Suggestions for core ingredients and future research. Psychotherapy: Theory, Research, Practice. Psychotherapy: Theory, Research, Practice, Training, 44(4), 378–383. doi:10.1037/0033-3204.44.4.378.
Bradley, P. D., Bergen, L. P., Ginter, E. J., Williams, L. M., & Scalise, J. J. (2010). A survey of North American marriage and family practitioners: A role delineation study. The American Journal of Family Therapy, 38, 281–291. doi:10.1080/01926187.2010.493119.
Castonguay, L. G. (2000). A common factors approach to psychotherapy training. Journal of Psychotherapy Integration, 10, 263–282. doi:10.1037/0033-3204.43.3.271.
Castonguay, L. G., & Beutler, L. E. (2006). Principles of therapeutic change that work. New York: Oxford University Press.
Clark, P., & Kimberly, C. (2014). Impact of fees among low-income clients in a training clinic. Contemporary Family Therapy, 36, 363–368. doi:10.1007/s10591-014-9303-9.
Cornille, T. A., McWey, L. M., Nelson, T. S., & Hernandez West, S. (2003). How do master’s level marriage and family therapy students view their basic therapy skills? An examination of generic and theory specific clinical approaches to family therapy. Contemporary Family Therapy, 26, 41–61. doi:10.1023/A:1022506004673.
D’Aniello, C. (2013). Contemporary MFT models' alignment with relational common factors. Contemporary Family Therapy, 35, 673–683. doi:10.1007/s10591-013-9260-8.
D’Aniello, C. (2015). Common factors as a road map to MFT model integration: Implications for training therapists. Contemporary Family Therapy, 37, 176–182. doi:10.1007/s10591-015-9338-6.
Davis, S. D., Lebow, J. L., & Sprenkle, D. H. (2011). Common factors of change in couple therapy. Behavior Therapy, 43, 36–48. doi:10.1016/j.beth.2011.01.009.
Davis, S. D., & Piercy, F. P. (2007a). What clients of couple therapy model developers and their former students say about change, part I: Model-dependent common factors across three models. Journal of Marital and Family Therapy, 33, 318–343. doi:10.1111/j.1752-0606.2007.00030.x.
Davis, S. D., & Piercy, F. P. (2007b). What clients of couple therapy model developers and their former students say about change, part II: Model-dependent common factors across three models. Journal of Marital and Family Therapy, 33, 344–363. doi:10.1111/j.1752-0606.2007.00031.x.
Duncan, B. L., Hubble, M. A., & Miller, S. D. (1996). Escape from Babel: Toward a unifying language for psychotherapy practice. New York: W. W. Norton & Company.
Duncan, B. L., Miller, S. D., Sparks, J. A., Claud, D. A., Reynolds, L. R., Brown, J., & Johnson, L. D. (2003). The session rating scale: Preliminary psychometric properties of a “working” alliance measure. Journal of Brief Therapy, 3, 3–12.
Duncan, B. L., Miller, S. D., Wampold, B. E., & Hubble, M. A. (Eds.). (2009). The heart and soul of change: Delivering what works in therapy (2nd ed.). Washington, DC: American Psychological Association.
Epstein, N. B., Curtis, D. S., Edwards, E., Young, J. L., & Zheng, L. (2014). Therapy with families in China: Cultural factors influencing the therapeutic alliance and therapy goals. Contemporary Family Therapy, 36, 201–212. doi:10.1007/s10591-014-9302-x.
Fife, S. T., Whiting, J. B., Bradford, K., & Davis, S. D. (2014). The therapeutic pyramid: A common factors synthesis of techniques, alliance and way of being. Journal of Marital and Family Therapy, 40, 20–33. doi:10.111/jmft.12041.
Flaskas, C. (2014). Teaching and learning theory for family therapy practice: On the art and craft of balancing. Australian and New Zealand Journal of Family Therapy, 34, 283–293. doi:10.1002/anzf.1030.
Gordon, R. (2012). Where oh where are the clients? The use of client factors in counseling psychology. Counseling Psychology Review, 27(4), 8–17. ISSN: 02696975.
Guregard, S., & Seikkula, J. (2014). Establishing therapeutic dialogue with refugee families. Contemporary Family Therapy, 36, 41–57. doi:10.1007/s10591-013-9263-5.
Harmon, C., Hawkins, E. J., Lambert, M. J., Slade, K., & Whipple, J. S. (2005). Improving outcomes for poorly responding clients: The use of clinical support tools and feedback to clients. Journal of Clinical Psychology, 61, 175–185. doi:10.1002/jclp.20109.
Hubble, M. A., Duncan, B. L., & Miller, S. D. (1999). The heart & soul of change: What works in therapy. Washington, DC: American Psychological Association. doi:10.1037/11132-000.
Johnson, L. D., Miller, S. D., & Duncan, B. L. (2000). The session rating scale 3.0. Chicago, IL: Author. Retrieved from http://www.scottdmiller.com/performance-metrics/.
Karam, E. A., Blow, A. J., Sprenkle, D. H., & Davis, S. D. (2015). Strengthening the systemic ties that bind: Integrating common factors into marriage and family therapy curricula. Journal of Marital and Family Therapy. doi: 10.1111/jmft.12096. Retrieved on November 20, 2014 from http://onlinelibrary.wiley.com/doi/10.1111/jmft.12096/pdf.
Kneer, M., Bartle-Hering, S., McDowell, T., Adkins, K., Delaney, R. O., Gangamma, R., et al. (2011). The impact of initial factors on therapeutic alliance in individual and couples therapy. Journal of Marriage and Family Therapy, 37, 182–199. doi:10.1111/j.1752-0606.2009.00176.x.
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.
Lambert, M. J. (2005). Early response in psychotherapy: Further evidence for the importance of common factors rather than “placebo effects”. Journal of Clinical Psychology, 61, 855–869. doi:10.1002/jclp.20130.
Lambert, M. J., Harmon, C., Slade, K., Whipple, J. L., & Hawkins, E. J. (2005). Providing feedback to psychotherapists on their patents’ progress: Clinical results and practice suggestions. Journal of Clinical Psychology, 61, 165–174. doi:10.1002/jclp.20113.
Lambert, M. J., & Ogles, B. M. (2004). The efficacy and effectiveness of psychotherapy. In M. J. Lambert (Ed.), Berginand Garfield’s handbook of psychotherapy and behavior change (5th ed., pp. 139–193). New York: Wiley.
Lebow, J. (1987). Developing a personal integration in family therapy: Principles for model construction and practice. Journal of Marital and Family Therapy, 13, 1–14. doi:10.1111/j.1752-0606.1987.tb00678.x.
Lebow, J. (1997). The integrative revolution in couple and family therapy. Family Process, 36, 1–17. doi:10.1111/j.1545-5300.1997.00001.x.
Lebow, J. (2008). Twenty-first century psychotherapies: Contemporary approaches to theory and practice. Hoboken: Wiley.
Lebow, J. (2013). Couple and family therapy: An integrative map of the territory. Washington, DC: American Psychological Association.
Miller, S. D. & Duncan, B. L. (2000). The outcome rating scale. Chicago, IL: Author. Retrieved from http://www.scottdmiller.com/performance-metrics/.
Miller, S. D., Duncan, B. L., Brown, J., Sparks, J. A., & Claud, D. A. (2003). The outcome rating scale: A preliminary study of the reliability, validity, and feasibility of a brief visual analog measure. Journal of Brief Therapy, 2(2), 91–100.
Mirecki, R. M., & Chou, J. L. (2013). A multicultural application of attachment theory with immigrant families: Contextual and developmental applications. Contemporary Family Therapy, 35, 508–515. doi:10.1007/s10591-012-9210-x.
Murray, S. B. (2014). A case of strategic couples therapy in adult anorexia nervosa: The importance of symptoms in context. Contemporary Family Therapy, 36, 392–397. doi:10.1007/s10591-014-9301-y.
Nelson, T. S., Chenail, R. J., Alexander, J. F., Crane, D. R., Johnson, S. M., & Schwallie, L. (2007). The development of core competencies for the practice of marriage and family therapy. Journal of Marital and Family Therapy, 33, 417–438. doi:10.1111/j.1752-0606.2007.00042.x.
Nelson, T. S., & Prior, D. (2003). Theory of change projects in MFT programs. Contemporary Family Therapy, 25, 133–151. doi:10.1023/A:1023691532108.
Nichols, W. C. (2012). A family therapist for life: Observations and options. Contemporary Family Therapy, 34, 443–451. doi:10.1007/s10591-012-9212-8.
Norcross, J. (2005). The psychotherapist’s own psychotherapy: Educating and developing psychologists. American Psychologist, 60(8), 840–850. doi:10.1037/0003-066X.60.8.840.
Oka, M., & Whiting, J. (2013). Bridging the clinician/researcher gap with systemic research: The case for process research, dyadic and sequential analysis. Journal of Marital and Family Therapy, 39, 17–27. doi:10.1111/j.1752-0606.2012.00339.x.
Perkins, S. N. (2010). Influential client factors: Understanding and organizing therapists' perceptions of client factors that influence reported outcome of therapy. Retrieved from ProQuest (DP19299).
Piercy, F. P., & Sprenkle, D. H. (1988). Family therapy theory-building questions. Journal of Marital and Family Therapy, 14, 307–309. doi:10.1111/j.1752-0606.1988.tb00750.x.
Pinsof, W. M., & Lebow, J. (2005). Family psychology: The art of the science. New York: Oxford University Press.
Pinsof, W. M., & Wynne, L. C. (2000). Toward progress research: Closing the gap between family therapy practice and research. Journal of Marital and Family Therapy, 26, 1–8. doi:10.1111/j.1752-0606.2000.tb00270.x.
Shadish, W. R., & Baldwin, S. A. (2003). Meta-analysis of mft interventions. Journal of Marital and Family Therapy, 29(4), 547–570. doi:10.1111/j.1752-0606.2003.tb01694.x.
Shadish, W. R., Ragsdale, K., Glaser, R. R., & Montgomery, L. M. (1995). The efficacy and effectiveness of marital and family therapy: A perspective from meta-analysis. Journal of Marital and Family Therapy, 21, 345–360. doi:10.1111/j.1752-0606.1995.tb00170.x.
Simon, G. M. (2006). The heart of the matter: A proposal for placing the self of the therapist at the center of family therapy research and training. Family Process, 45, 331–344. doi:10.1111/j.1545-5300.2006.00174.x.
Smith, M. L., & Glass, G. V. (1977). Meta-analysis of psychotherapy outcome studies. American Psychologist, 32, 752–760. doi:10.1037/0003-066X.32.9.752.
Sprenkle, D. H., & Blow, A. J. (2004a). Common factors and our sacred models. Journal of Marital and Family Therapy, 30, 113–129. doi:10.1111/j.1752-0606.2004.tb01228.x.
Sprenkle, D. H., & Blow, A. J. (2004b). Common factors are not islands- they work through models: A response to Sexton, Ridley, and Kleiner. Journal of Marital and Family Therapy, 30, 151–157. doi:10.1111/j.1752-0606.2004.tb01230.x.
Sprenkle, D. H., Blow, A. J., & Dickey, M. H. (1999). Common factors and other non-technique variables in MFT. In M. A. Hubble, B. L. Duncan, & S. D. Miller (Eds.), The heart and soul of change: What works in therapy (pp. 329–360). Washington, DC: American Psychological Association.
Sprenkle, D. H., Davis, S. D., & Lebow, J. L. (2009). Common factors in couple and family therapy: The overlooked foundation for effective practice. New York: Guilford Press.
Taibbi, R. (1996). Doing family therapy: Craft and creativity in clinical practice. New York: Guilford Press.
Tallman, K., & Bohart, A. C. (1999). The client as a common factor: Clients as self-healers. In M. A. Hubble, B. L. Duncan, & S. D. Miller (Eds.), The heart and soul of change: What works in therapy (pp. 91–131). Washington, DC: American Psychological Association.
Thomas, M. L. (2006). The contributing factors of change in a therapeutic process. Contemporary Family Therapy, 28, 201–210. doi:10.1007/s10591-006-9000-4.
Turns, B. A., Nalbone, D. P., Hertlein, K. M., & Wetchler, J. L. (2014). Perceptions of program enhancers and stressors by marriage and family therapy students and faculty. Contemporary Family Therapy, 36, 507–517. doi:10.1007/s10591-014-9313-7.
Vaughn, M. J. (2004). Creating ‘‘maneuvering room’’: A grounded theory of language and influence in marriage and family therapy. Contemporary Family Therapy, 26, 425–445. doi:10.1007/s10591-004-0645-6.
Wampold, B. E. (2001). The great psychotherapy debate: Models, methods and findings. Mahwah: Erlbaum.
Wampold, B. E., Mondin, G. W., Moody, M., Stich, F., Benson, K., & Ahn, H. (1997). A meta-analysis of outcome studies comparing bona fide psychotherapies: Empirically, “all must have prizes”. Psychological Bulletin, 122, 203–215. doi:10.1037/0033-2909.122.3.203.
White, M., & Epston, D. (1990). Narrative means to therapeutic ends. New York: Norton.
Woolfe, R., & Palmer, S. (2000). Integrative and eclectic counseling and psychotherapy. Thousand Oaks: SAGE Publications.
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D’Aniello, C., Perkins, S.N. Common Factors Come Alive: Practical Strategies for Implementing Common Factors in MFT Training. Contemp Fam Ther 38, 233–244 (2016). https://doi.org/10.1007/s10591-016-9377-7
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DOI: https://doi.org/10.1007/s10591-016-9377-7
Keywords
- Common factors
- Clinical training
- Marriage and family therapy