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Specific and nonspecific factors in psychotherapy: A problematic paradigm for psychotherapy research.
Authors:Butler  Stephen F; Strupp  Hans H
Abstract:Discusses the specific/nonspecific hypothesis—a paradigm that has guided psychotherapy research for the last 3 decades—and suggests that underlying this hypothesis is the assumption that research can ultimately separate and assess the relative contributions to psychotherapeutic outcome of specific and nonspecific factors. This assumption, in turn, has held the promise that specific, active ingredients of psychotherapy could be identified. Categorical rejection of the specific/nonspecific hypothesis is advocated. It is suggested that the identity of psychotherapy with its interpersonal context must be acknowledged. In this way, the goal of psychotherapy research shifts from the search for active ingredients toward efforts to identify fundamental principles of human interaction that underlie the interpersonal conditions essential for therapeutic change. (63 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)
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