Norcross and Wampold article

Question 1

Point 1

Answer 1

Psychotherapy relationship makes contributions to patient outcome independent of type of treatmen

Question 2

Point 2

Answer 2

Therapy relationship accounts for client improvement more than method

Question 3

Point 3

Answer 3

Guidelines for treatment should address therapist behaviour that promotes therapy relationship

Question 4

Point 4

Answer 4

Best treatment wo including relationship and responsiveness are misleading

Question 5

Point 5

Answer 5

Adapting relationship to patient characteristics enhances effectivness

Question 6

Point 6

Answer 6

Acts in concert with methods, characteristics and qualities determine effectiveness.

Question 7

Important effective methods

Answer 7

Culture
Religion/spirituality
Patient preferences
Reactance level
Stages of change
Coping style
Attachment style
Sexual orientation
Gender identity

Question 8

4 don’ts

Answer 8

Procrustean bed: Avoid crimes of Procrustes (cut long limbs of patients to fit the one size iron bed). Adapt to client, not other way around

Singularity: No single matching protocol. Tailoring needed

Cultural arrogance: Impositions of therapists cultural beliefs. Let client lead

Flexibility without fidelity; Research supports adaptation, but also recommends fidelity to treatments found effective. Balance it.