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Cited by 215Psychotherapy Techniques and ApplicationsPsychoanalysis and Psychopathology ResearchCounseling, Therapy, and Family Dynamics

The specificity versus nonspecificity dilemma: toward identifying therapeutic change agents

Toksoz Byram Karasu·1986·American Journal of Psychiatry
DOI 10.1176/ajp.143.6.687
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Abstract

The author examines the specificity versus nonspecificity dilemma that characterizes the unresolved question of how psychotherapy works. He explores different meanings and arguments on both sides of the controversy and attempts to identify three therapeutic change agents that all schools of therapy share as the basis of their different techniques: affective experiencing, cognitive mastery, and behavioral regulation. The roles and functions of these agents are discussed with regard to their potential complementarity in clinical practice.

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Crossref · 10.1176/ajp.143.6.687

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  • Since Rosenzweig, different authors have suggested dozens of lists of common factors potentially responsible for making different therapies effective independently of specific techniques.

    “Since the publication of Rosenzweig (64), different authors suggested dozens of lists of common factors potentially responsible for making different therapies effective independently of what specific techniques they involve (65–70).”

    From Waiting for a digital therapist: three challenges on the path to psychotherapy delivered by artificial intelligence (2023) · cites this paper as [68]

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Authors
Karasu, T. B.
Corresponding author
Toksoz Byram Karasu
ORCID
Toksoz Byram Karasu
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
1986-06-01
Volume
143
Issue
6
Pages
687-695
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/ajp.143.6.687
OpenAlex
W1720566267
Cited by
215
References
45
Citations by year
2026: 1 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 8 · 2019: 4 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 6 · 2014: 10 · 2013: 4 · 2012: 6
FWCI
7.47
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (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
cognitive mastery, behavioral regulation, psychotherapeutic interventions
MeSH terms
Affect, Behavior, Mental Disorders, Cognition, Humans, Professional-Patient Relations, Psychological Theory, Psychotherapy

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