Psychotherapeutic Subjectivities Conclusion (original) (raw)
The present dissertation is a qualitative inquiry into the differences in experiences of change in distinct, or even contrary, modalities of psychotherapy—Psychoanalysis (PSA)/Psychodynamic Psychotherapy (PDT) and Cognitive-Behavioral Therapy (CBT). As such, the investigation speaks to the actual effects of a given therapeutic approach in the words and narratives of the patients/analysands/clients. The very intention of such research crosses a number of theoretic debates within clinical psychology that have dogged the therapeutic field and show no signs of abatement any time soon. This research aimed to apply the results derived from empirical data regarding the above psychotherapy modalities to the question of Specific Factors vs. Common Factors and attempted to delineate the impact of interventions in what, as is shown below, must be understood in a Contextual model of psychotherapy that allows for a more nuanced consideration of differences in therapeutic relationships. What I conclude from my data indicates that a Contextual model, specifically that proposed by Butler and Strupp, supersedes the Specific Factors vs. Common Factors dichotomy in its explanatory value for understanding processes of therapeutic change.
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Psychoanalysis (PSA) and Cognitive-Behavioral Therapy (CBT): Technique-Oriented Psychotherapies?
Despite their different theoretical orientations and the many battles they have waged with each other over therapeutic hegemony, PSA/PDT and CBT, have often been considered similar regarding their perceived emphasis on the use of therapeutic techniques—as opposed to a focus on the therapeutic relationship—to precipitate changes, however different these techniques may be (Wampold & Imel, 2015).
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