By Douglas H. Sprenkle PhD, Sean D. Davis PhD, Jay L. Lebow PhD
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Extra resources for Common Factors in Couple and Family Therapy: The Overlooked Foundation for Effective Practice
5. “The therapist will have a more accurate understanding of the problem maintenance structure if key patients are directly involved in ongoing treatment” (Pinsof, 1995, p. 99). , 1999). While Pinsof qualifies these propositions—depending on variables like the type of family in therapy, the stage of treatment, and the types of issues being discussed—and he calls for a flexible approach that may emphasize the presence of different subsystems (and individuals alone) at certain times in treatment, nevertheless he clearly emphasizes including the “key players” at least some of the time.
From the defenders’ perspective, a better test of the impact of treatment factors would be to look at a more limited set of studies such as those comparing cognitive-behavioral treatments for treating anxiety disorders and other approaches. ” Examples that emerge from the treatment research in which certain treatments do appear to have unique effectiveness for certain problems as compared to other treatments include sex therapy for sexual disorders (McCarthy, 2002), family psychoeducational treatments for schizophrenia (Anderson, Hogarty, & Reiss, 1980), and cognitive-behavioral treatments for panic disorder (Barlow, Pincus, Heinrichs, & Choate, 2003), obsessive–compulsive disorder (Franklin & Foa, 2007), and simple phobias (Barlow, Allen, & Basden, 2007).
407) In spite of their differences, once again both sides in this debate seem united in the belief that the role of the therapist is to break up dysfunctional cycles. These debates will probably continue since they are rooted in controversies regarding how family problems begin, are maintained, and are best addressed. There is also little research on the extent to which direct conjoint participation adds to relationship conceptualization. Most comparisons are between conjoint and individual treatment modalities rather than between relationship conceptualization and individual conceptualization.