Principles-Based Counselling and Psychotherapy: A Method of Levels approach
Abstract
Many current approaches to the treatment of psychological problems focus on specific disorders and techniques that are purported to be effective and distinct. Recent advances in knowledge and theory, however, have called into question this approach. The conceptual framework of transdiagnostic, rather than disorder specific, processes is gaining traction. Alongside this has been the call to focus on evidence-based principles rather than evidence-based practices and techniques. The rationale behind this is that many apparently unique and innovative practices are usually the reflection of common underlying principles. This book describes three foundational principles that are key to understanding both the rise and the resolution of psychological distress. Principles-Based Counselling and Psychotherapy promotes a Method of Levels (MOL) approach to counselling and psychotherapy. Using clinical examples and vignettes to help practitioners implement a principles-based approach, this book describes three fundamental principles for effective therapeutic practice and their clinical implications. The first chapter of the book provides a rationale for the principles-based approach. The second chapter describes the three principles of control, conflict, and reorganisation and how they relate to each other from within a robust theory of physical and psychological functioning. The remainder of the book covers important aspects of psychological treatment such as the therapeutic relationship, appointment scheduling, and the change process from the application of these three principles. With important implications for all therapeutic approaches, Principles-Based Counselling and Psychotherapy will be an invaluable resource for psychotherapists, counsellors and clinical psychologists in practice and training. It provides clarity about their role, and a means for providing a resolution to psychological distress and improving the effectiveness of their practice.
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Control is a dynamic process whereby the perceived effects of one's own actions are monitored and adjusted, based on perceptual input, in a negative feedback loop, enabling an individual to match perceptual input to a desired reference value, and can be carried out automatically without conscious awareness.
“This process can be described as a dynamic process of control whereby the perceived effects of one’s own actions are monitored and adjusted, based on perceptual input, in a negative feedback loop (Powers, 1973).”
From The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness (2021) · cites this paper as Carey et al., 2015
Goal conflict can occur at times when either an individual's goals change or their life circumstances change so that their goals are no longer compatible.
“Goal conflict can occur at times in an individual’s life when either their goals change, or their life circumstances change so that their goals are no longer compatible (Powers, 1973; Mansell et al., 2012; Carey et al., 2015).”
From The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness (2021) · cites this paper as Carey et al., 2015
If the individual only focuses their attention on the level of the two conflicting goals, they may not reach a solution to their problem, and the resulting distress may increase their risk of suicide.
“However, if the individual only focuses their attention on the level of the two conflicting goals, they may not reach a solution to their problem (Carey, 2006; Mansell et al., 2012; Carey et al., 2015), and the resulting distress may increase their risk of suicide.”
From The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness (2021) · cites this paper as Carey et al., 2015
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“Method of levels (Carey 2006; Mansell et al. 2013; Carey et al. 2015) is a transdiagnostic cognitive therapy that directly applies the principles of perceptual control theory (PCT; Powers 2005) to the practice of psychotherapy.”
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Dealing with conflict: Reducing goal ambivalence using the best-possible-self intervention
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“An established therapeutic relationship allows the therapist and client to work together towards the aim of achieving the client’s set goals (Carey et al., 2015), and can be expressed in many ways, that is verbally and non- verbally (Paul & Charura, 2015).”
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“Following this assumption, change can happen anytime, can be long lasting or momentary and the best solution might not always occur first (Carey et al., 2015).”
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“Importantly, it has been proposed that the active ingredient of any effective psychological intervention involves this pattern of shifts and focus of awareness (Carey, 2011; Carey et al., 2015; Higginson et al., 2011; Mansell et al., 2012).”
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“If conflict persists and remains unresolved it can lead to psychological distress (Carey et al., 2015).”
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“Typical questions enquiring about disruptions include; what happened just then when you looked away/smiled? Whilst you’re pausing, can you talk about what you are thinking? What made you laugh just then? (Carey, 2008; Carey et al., 2015).”
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“…increased guilt, anger, frustration, and anxiety which negatively impacted their wellbeing. this has previously been reported in literature specifically in the area of Pct (carey et al., 2015) but also more recently in the context of social media use during covid (Brailovskaia et al., 2021).”
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“MOL aims to harness these three PCT principles – control, conflict, and reorganisation – and apply them to the practice of psychotherapy [14, 21, 22].”
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“Training and supervision will be guided by existing MOL treatment manuals [17, 28] and will focus on understanding the theoretical basis for MOL and the acquisition of core skills relating to the delivery of the intervention in clinical practice.”
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- Authors
- Carey, T. A., Mansell, W., & Tai, S. J.
- Affiliations
- University of Manchester (GB)
- Venue
- Routledge eBooks
- Publisher
- Routledge
- Published
- 2015-06-05
- OpenAlex
- W1565826239
- Cited by
- 37
- References
- 0
- Citations by year
- 2026: 2 · 2024: 3 · 2023: 3 · 2021: 6 · 2020: 6 · 2019: 10 · 2018: 1 · 2017: 4 · 2016: 2
- FWCI
- 2.33
- Type
- book
- Language
- en
- Open access
- closed
- Locations
- Routledge eBooks (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- psychotherapy, transdiagnostic mechanisms, psychological distress, control, conflict, restructuring, therapeutic relationship, appointment scheduling, change processes
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