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Expanding the lens of evidence-based practice in psychotherapy: A common factors perspective.
Abstract
In this article, we examine the science and policy implications of the common factors perspective (CF; Frank & Frank, 1993; Wampold, 2007). As the empirically supported treatment (EST) approach, grounded in randomized controlled trials (RCTs), is the received view (see Baker, McFall, & Shoham, 2008; McHugh & Barlow, 2012), we make the case for the CF perspective as an additional evidence-based approach for understanding how therapy works, but also as a basis for improving the quality of mental health services. Finally, we argue that it is time to integrate the 2 perspectives, and we challenge the field to do so.
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“The therapeutic alliance (the affective bond between therapist and patient, and agreement on the tasks and goals of therapy) is the most widely studied common factor.46,52”
From A common factors perspective on mindfulness-based interventions (2022) · cites this paper as [46]
In the citing paper
“existing work only focuses on GenAI’s capacity to produce responses high in perceived empathy, one of the five key elements of the therapeutic process according to the common factor metatheory.”
From When ELIZA meets therapists: a Turing test for the heart and mind (2025) · cites this paper as [27]
In the citing paper
“The common factors metatheory describes how different therapeutic orientations produce similar results for clients, stipulating that successful therapies share at least five common “ingredients:” therapeutic alliance, empathy, expectations, cultural competence, and therapist effects [27, 28, 31–33].”
From When ELIZA meets therapists: a Turing test for the heart and mind (2025) · cites this paper as [27]
In the citing paper
“Given that common factors undergird and act as a mechanism for much of the evidence-based treatment literature [27, 28], and the direction and size of the effects, consulting with ChatGPT may be a way to improve declining or stagnating effect sizes within the evidence-based clinical psychological sciences [34, 35].”
From When ELIZA meets therapists: a Turing test for the heart and mind (2025) · cites this paper as [27]
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“Research suggests that peer support and the therapeutic alliance are also important factors in symptom reduction during gCBT (Laska et al ., 2014).”
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“The CF approach also highlights the importance of a therapeutic procedure or a healing ritual that promotes progressive behavior (6, 29, 30).”
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“By attentively listening and validating the voices of those affected by these disorders (Laska et al., 2014), therapists can tailor interventions that authentically address their needs and realities — without leaving aside and forgetting that a treatment intervention is often social exposure…”
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“Then, using a framework analysis method (Brunton et al., 2020), we developed an a priori codebook based on the common factors (Laska et al., 2014) as parent and child codes and the broad term “ art therapy factor ” as a parent code (see Table 1).”
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La urgencia de la evidencia en psicoterapia
Paredes-Rivera, A. (2016) · Interacciones Revista de Avances en Psicología · doi:10.24016/2016.v2n1.21 · Cited by 2
Brockmann, J., Kirsch, H., Dembler, K., König, D., de Vries, I., Wancke, C.-U., & Zabolitzki, M. (2017) · Psychoanalytic Psychotherapy · doi:10.1080/02668734.2016.1264454 · Cited by 2
Morrison, N. R., & Goodwin, B. J. (2017) · Journal of Psychotherapy Integration · doi:10.1037/int0000071 · Cited by 2
Leung, J. K. H. (2018) · Clinical Psychological Science · doi:10.1177/2167702618812732 · Cited by 2
Validity of the Czech Version of the Therapeutic Factors Inventory – Short Form (TFI-S)
Dubovská, E., Fürstová, J., Růžička, J., & Tavel, P. (2019) · International Journal of Group Psychotherapy · doi:10.1080/00207284.2019.1584527 · Cited by 2
“Although some researchers claim that debates about common factors have little bearing on science-based psychotherapeutic practice (Baker, McFall, & Shoham, 2008), we agree with their opponents who believe that further research on common factors is still needed and may provide important new insights into the psychother…”
BackgroundFrom Ethics to Ethos: An Expanded Agenda for Counsellor Training and Development
Schirmer, J. (2019) · Psychotherapy and Counselling Journal of Australia · doi:10.59158/001c.71110 · Cited by 2
MAGIC: a Proposed Model Based on Common Factors
Starreveld, A. (2021) · Integrative Psychological and Behavioral Science · doi:10.1007/s12124-020-09599-0 · Cited by 4
Rape survivors’ experiences of helpful and unhelpful counselling aspects.
Rooyen, V., & Victoria., M. (2018) · ResearchSpace (University of KwaZulu-Natal) · Cited by 2
The Role of Counselor Trainees' Co-Regulated Mindfulness: A Cluster-Randomized Controlled Study
Warwick, L. (2023) · doi:10.12794/metadc2137602 · Cited by 2
Narration True and False: Dialogical Self Theory in Psychotherapy
Kałowski, P. (2020) · Wydawnictwa Uniwersytetu Warszawskiego eBooks · doi:10.31338/uw.9788323542209.pp.189-204 · Cited by 1
Leveraging the Clinical Importance of the Therapist as a Person in Family Therapy
Middleton, J. C., Williams, S., & Ruglis, J. (2023) · International Journal of Systemic Therapy · doi:10.1080/2692398x.2023.2282205 · Cited by 1
“…been found to explain around 5% or so of the outcome variance, with estimates more or less than this figure, and to exceed treatment effects (S. A. Baldwin & Imel, 2013, as cited in Laska et al., 2014; Castonguay et al., 2013; Norcross & Lambert, 2019a; Wampold, 2001, 2019; Wampold & Imel, 2015).”
ResultSelinheimo, S., Gluschkoff, K., Kausto, J., Turunen, J., & Väänänen, A. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07140-4 · Cited by 1
Terapia do Esquema e Transtorno Depressivo: Uma revisão sistemática
Ribeiro, J., Cardoso, B. L. A., & Oliveira, M. D. S. (2025) · Revista Brasileira de Terapia Comportamental e Cognitiva · doi:10.31505/rbtcc.v27i1.1880 · Cited by 1
Psychotherapists’ self-protective attachment strategies
Giannotti, M., Crittenden, P. M., Landini, A., & Lambruschi, F. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1637760 · Cited by 1
“In contrast, treatment technique, psychotherapists’ theory training and demographics contribute only minimally (Baldwin and Imel, 2013; Hill and Castonguay, 2017; Laska et al., 2014; Wampold and Imel, 2015); the relation of psychotherapists’ attachment to treatment outcomes has not been tested.”
EFFECTIVENESS OF PSYCHOTHERAPY FOR YOUTH IN POVERTY
Kodet, J. (2016) · UKnowledge (University of Kentucky) · doi:10.13023/etd.2016.015 · Cited by 2
Moore, L., Carr, A., Hodgins, S., Duffy, D. J., & Rooney, B. (2017) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-017-9358-7 · Cited by 1
Metadata
- Authors
- Laska, K. M., Gurman, A. S., & Wampold, B. E.
- Affiliations
- Edith Nourse Rogers Memorial Veterans Hospital (US)
- Northwestern University (US)
- University of Wisconsin–Madison (US)
- ORCID
- Wampold, Bruce E.
- Venue
- Psychotherapy
- Published
- 2014
- Volume
- 51
- Issue
- 4
- Pages
- 467-481
- ISSN
- 0033-3204 (ISSN-L)
- 1939-1536
- OpenAlex
- W2327281039
- Semantic Scholar
- 6006f594d7a6fd3ad956dd7da833c59f1d33be41
- Cited by
- 443
- References
- 151
- Citations by year
- 2026: 15 · 2025: 27 · 2024: 30 · 2023: 24 · 2022: 30 · 2021: 34 · 2020: 47 · 2019: 51 · 2018: 37 · 2017: 53 · 2016: 44 · 2015: 36 · 2014: 15
- FWCI
- 34.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Keywords
- empirically supported treatments, evidence-based practice, psychotherapy outcome, randomized controlled trials, mental health care quality, treatment integration
- MeSH terms
- Mental Disorders, Humans, Psychotherapy, Evidence-Based Medicine, Empirical Research
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