Common factors aren’t so common: the common factors dilemma
Abstract
There is apparently little difference in the effectiveness of different kinds of psychotherapy. One explanation is that common factors cut across them. The major schools do not much attend to common factors, however, and it may be that outcome equivalence is due as much to common neglect of common factors as to their use. Five common factors are discussed: the therapeutic relationship, expectations, confronting problems, mastery, and attribution of outcome. Linear conceptions of causality seem to contribute to the problem of selective neglect of common factors, and it is suggested that reciprocal interaction may constitute a more viable way of understanding therapeutic processes. Although technical eclecticism and therapy integration have been proposed as potentially integrating the common factors, eclecticism lacks theoretical coherence, and viable integrations have yet to be offered, although statistical methods for testing them (causal modeling) may exist. To suggest what a productive integration could look like, a clinical example is connected metaphorically to a developmental model of attachment. Strategies for further research are also suggested.
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Weinberg discusses common factors including the therapeutic relationship, expectations of therapeutic success, confronting the problem, experience of mastery or control, and attribution of therapeutic success or failure to internal rather than external causes.
“For example, Weinberg (71) discusses such common factors as: (i) the therapeutic relationship between a therapist and a client/patient, (ii) expectations of therapeutic success, (iii) client’s confronting or facing the problem they struggle with, (iv) experience of mastery or control over the problematic issue, and (v) attribution of therapeutic success or failure to internal causes (e.g., changes”
From Waiting for a digital therapist: three challenges on the path to psychotherapy delivered by artificial intelligence (2023) · cites this paper as [71]
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Individual Psychotherapy and Behavior Therapy
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Common Factors in Psychotherapy
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PROBLEM MAINTENANCE IN FAMILY SYSTEMS: AN INTEGRATIVE MODEL*
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A Multidimensional Meta-Analysis of Psychotherapy for PTSD
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Mindfulness: A Proposed Common Factor
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Treatment Expectancy Affects the Outcome of Cognitive-Behavioral Interventions in Chronic Pain
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Mechanisms of change in interpersonal therapy (IPT)
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Grodniewicz, J. P., & Hohol, M. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1190084 · Cited by 100 · see citing works
“For example, Weinberg (71) discusses such common factors as: (i) the therapeutic relationship between a therapist and a client/patient, (ii) expectations of therapeutic success, (iii) client’s confronting or facing the problem they struggle with, (iv) experience of mastery or control over the problematic issue, and (v…”
BackgroundInfluentialCommon (Nonspecific) Factors in Psychotherapy
Huibers, M. J. H., & Cuijpers, P. (2015) · The Encyclopedia of Clinical Psychology · doi:10.1002/9781118625392.wbecp272 · Cited by 39 · see citing works
Gandarela, L., de A. Sampaio, T. P., Marçal, L., Burdmann, E. A., Neto, F. L., & Bernik, M. A. (2024) · Brain, Behavior, & Immunity - Health · doi:10.1016/j.bbih.2024.100779 · Cited by 6 · see citing works
“The presence of common and unspecific factors in all forms of psychotherapy (e.g. therapeutic alliance, patient expectancy, and therapeutic rituals) may be a possible explanation for supportive therapy ’ s efficacy (Weinberger, 1995).”
Background
- Authors
- Weinberger, J.
- Affiliations
- Adelphi University (US)
- Corresponding author
- Weinberger, Joel
- ORCID
- Weinberger, Joel
- Venue
- Clinical Psychology Science and Practice
- Published
- 1995
- Volume
- 2
- Issue
- 1
- Pages
- 45-69
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- OpenAlex
- W2078415908
- Cited by
- 206
- References
- 215
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 3 · 2020: 8 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 7 · 2015: 9 · 2014: 8 · 2013: 10 · 2012: 9
- FWCI
- 14.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Science and Practice (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Keywords
- common factors, psychotherapy outcome, therapeutic relationship, treatment expectations, mastery, outcome attribution, treatment integration, technical eclecticism, reciprocal interaction, attachment theory, psychotherapy effectiveness
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