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A Theoretical Model of Common Process Factors in Youth and Family Therapy

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Mental Health Services Research

Abstract

Recently there has been an increasing emphasis in the youth and family mental health treatment literature on the use of empirically supported treatments (ESTs). In contrast there has been scant attention paid to more universal aspects of the therapy process that may have even greater impact upon therapy outcomes. It is likely that the success of the techniques proposed by ESTs may depend on the presence of common process factors. In this article, the authors explore the status of common process factors research in the youth and family therapy literature, and propose a theoretical model linking specific therapeutic relationship variables and treatment outcomes for children and adolescents. This model is intended to guide synthesis of the empirical evidence for common process factors in youth and family treatment and to stimulate future research on common process factors.

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References

  • Ackerman, S. J., & Hilsenroth, M. J. (2003). A review of the therapist characteristics and techniques positively impacting the therapeutic alliance. Clinical Psychology Review, 23(1), 1–33.

    Google Scholar 

  • Adelman, H. S., Kaser-Boyd, N., & Taylor, L. (1984). Children’s participation in consent to psychotherapy and their subsequent response to treatment. Journal of Clinical and Child Psychology, 13(2), 170–178.

    Google Scholar 

  • Arkowitz, H. (1995). Common factors or processes of change in psychotherapy? Clinical Psychology: Science and Practice, 2(1), 94–100.

    Google Scholar 

  • Armbruster, P., & Kazdin, A. E. (1994). Attrition in child psychotherapy. Advances in Clinical Child Psychology, 16, 81–108.

    Google Scholar 

  • Armelius, K., & Holmqvist, R. (2003). Staff members’ feelings toward psychiatric patients related to their own and the patient’s self-image and gender. Scandinavian Journal of Psychology, 44(2), 69–77.

    Google Scholar 

  • Atkinson, D. R., & Schwartz, R. (1984). Effect of discipline on counselor credibility and influence. Counseling and Values, 28, 54–62.

    Google Scholar 

  • Bandura, A., Caprara, G. V., Barbaranelli, C., Gerbino, M., & Pastorelli, C. (2003). Role of affective self-regulatory efficacy on diverse spheres of functioning. Child Development, 74(3), 769–782.

    Google Scholar 

  • Barrett, M. S., & Berman, J. S. (2001). Is psychotherapy more effective, when therapists, disclose information about themselves? Journal of Counseling and Clinical Psychology, 69(4), 597–603.

    Google Scholar 

  • Bellak, L., & Smith, M. B. (1956). An experimental exploration of the psychoanalytic process: Exemplification of a method. Psychoanalytic Quarterly, 25, 385–413.

    Google Scholar 

  • Bennum, I. (1989). Perceptions of the therapist in family therapy. Journal of Family Therapy, 11, 243–255.

    Google Scholar 

  • Berg, D. R. (1999). An examination of the relationship between process variables and outcome indicators in the therapeutic use of play with children. Unpublished Dissertation.

  • Bernier, A., & Dozier, M. (2002). The client-counselor match and the corrective emotional experience: Evidence from interpersonal and attachment research. Psychotherapy: Theory, Research, Practice, Training, 39(1), 32–43.

    Google Scholar 

  • Bernstein, B. L., & Figioli, S. W. (1983). Gender and credibility introduction effects on preceived counselor characteristics. Journal of Counseling Psychology, 30(4), 506–513.

    Google Scholar 

  • Beutler, L. E., Rocco, F., Moleiro, C. M., & Talebi, H. (2001). Resistance. Psychotherapy: Theory, Research, Practice, Training, 38(4), 431–436.

    Google Scholar 

  • Bickman, L., Andrade, A. R., Lambert, E. W., Doucette, A., Sapyta, J., & Boyd, A. S. (2004). Youth Therapeutic Alliance in Intensive Treatment Settings. Journal of Behavioral Health Services and Research, 31(2), 134–148.

    Google Scholar 

  • Bickman, L., Rosof-Williams, J., Salzer, M. S., Summerfelt, W. T., Noser, K., Wilson, S. J., et al. (2000). What information do clinicians value for monitoring adolescent client progress? Professional Psychology: Research and Practice, 31, 70–74.

    Google Scholar 

  • Bickman, L., Heflinger, C. A., Northrup, D., Sonnichsen, S., & Schilling, S. (1998). Long term outcomes of family caregiver empowerment. Journal of Child and Family Studies, 7(3), 269–282.

    Google Scholar 

  • Bohart, A. C. (2000). Paradigm clash: Empirically supported treatments versus empirically supported psychotherapy practice. Psychotherapy Research, 10, 488–493.

    Google Scholar 

  • Bohart, A. C., Elliot, R., Greenberg, L., & Watson, J. (2002). Empathy. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness of patients (pp. 89–108). New York: Oxford University Press.

    Google Scholar 

  • Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research and Practice, 16(3), 252–260.

    Google Scholar 

  • Braswell, L., Kendall, P. C., Braith, J., Carey, M. P., & Vye, C. S. (1985). “Involvement” in cognitive-behavioral therapy with children: Process and its relationship to outcome. Cognitive Therapy and Research, 9, 611–630.

    Google Scholar 

  • Burns, B. J., Hoagwood, K., & Mrazek, P. J. (1999). Effective treatment for mental disorders in children and adolescents. Clinical Child and Family Psychology Review, 2, 199–254.

    Google Scholar 

  • Carroll, K. M. (2001). Constrained, confounded and confused: why we really know so little about therapists in treatment outcome research. Addiction, 96, 203–206.

    Google Scholar 

  • Catherall, D. R. (1984). The Therapeutic Alliance in Individual, Couple, and Family Therapy. Doctoral Dissertation. Evanston, Illinois.

  • Chamberlain, P., Patterson, G., Reid, J., Kavanagh, K., & Forgatch, M. (1984). Observation of client resistance observation of client resistance. Behavior Therapy, 15, 144–155.

    Google Scholar 

  • Chambless, D. L. (1996). In defense of dissemination of empirically supported psychological interventions. American Psychological Association, 3, 230–235.

    Google Scholar 

  • Chambless, D. L., & Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7–18.

    Google Scholar 

  • Chorpita, B. F., Yim, L. M., Donkervoet, J. C., Arensdorf, A., Amundsen, M. J., McGee, C., et al. (2002). Toward large-scale implementation of empirically supported treatments for children: A review and observations by the Hawaii Empirical Basis to Services Task Force. Clinical Psychology: Science and Practice, 9, 165–190.

    Article  Google Scholar 

  • Clarke, G., Hops, H., Lewinsohn, P. M., Andrews, J., Seeley, J. R., & Williams, J. (1992). Cognitive-behavioral group treatment of adolescent depression: Prediction of outcome. Behavior Therapy, 23, 341–354.

    Google Scholar 

  • Clarkin, J. F., & Levy, K. N. (2004). Research on client variables in psychotherapy. In M. Lambert (Ed.), Handbook of psychotherapy and behavior change (5th ed.). New York: Wiley.

    Google Scholar 

  • Coatsworth, J. D., Santisteban, D. A., McBride, C. K., & Szapocznik, J. (2001). Brief strategic family therapy versus community control: Engagement, retention, and an exploration of the moderating role of adolescent symptom severity. Family Process, 40, 313–332.

    Google Scholar 

  • Colson, D. B., Cornsweet, C., Murphy, T., O’Malley, F., Hyland, P. S., McParland, M., et al. (1991). Perceived treatment difficulty and therapeutic alliance on an adolescent psychiatric hospital unit. American Journal of Orthopsychiatry, 61(2), 221-229.

    Google Scholar 

  • Connor-Smith, J. K., & Weisz, J. R. (2003). Applying treatment outcome research in clinical practice: Techniques for adapting interventions to the real world. Child and Adolescent Mental Health, 8, 3–10.

    Google Scholar 

  • Cormier, S., & Nurius, P. S. (2003). Interviewing and change strategies for helpers: Fundamental skills and cognitive-behavioral interventions (5th ed.). Pacific Grove, CA: Brooks/Cole.

    Google Scholar 

  • Crick, N. R., & Dodge, K. A. (1994). A review and reformulation of social information-processing mechanisms in children’s social adjustment. Psychological Bulletin, 115, 74–101.

    Article  Google Scholar 

  • DeVet, K. A., Kim, Y. J., Charlot-Swilley, D., & Ireys, H. T. (2003). The therapeutic relationship in child therapy: Perspectives of children and mothers. Journal of Clinical Child and Adolescent Psychology, 32, 277–283.

    Google Scholar 

  • DiGiuseppe, R., Linscott, J., & Jilton, R. (1996). The therapeutic alliance in adolescent psychotherapy. Applied and Preventive Psychology, 5, 85–100.

    Google Scholar 

  • Dube, J. E., & Normandin, L. (1999). The mental activities of trainee therapists of children and adolescents: The impact of personal psychotherapy on the listening process. Psychotherapy: Theory, Research, Practice, Training, 36(3), 216–228.

    Google Scholar 

  • Erez, A., & Isen, A. M. (2002). The influence of positive affect on the components of expectancy motivation. Journal of Applied Psychology, 87, 1055–1067.

    Google Scholar 

  • Farber, B. A., & Lane, J. S. (2002). Positive regard. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness of patients (pp. 175–194). New York: Oxford University Press.

    Google Scholar 

  • Fields, S., J. Handelsman, M. S.Karver, L. Bickman (March, 2004). Parental and Child Factors that Affect the Therapeutic Alliance. Paper presented at the 17th annual meeting of the Florida Mental Health Institute’s A System of Care for Children’s Mental Health: Expanding the Research Base, Tampa, FL.

  • Fogle, J. E. (1988). Client-therapist interaction and perceived therapeutic outcome. Doctoral Dissertation. University of North Texas.

  • Frank, J. D., Frank, J. B., & Cousins, N. (1993), Persuasion and Healing: A Comparative Study of Psychotherapy. Baltimore: The Johns Hopkins University Press.

    Google Scholar 

  • Freud, A. (1946). The psychoanalytic treatment of children. New York: International Universities Press.

    Google Scholar 

  • Gabel, S., & Bemporad, J. (1994). Variations in countertransference reactions in psychotherapy with children. American Journal of Psychotherapy, 48, 111–119.

    Google Scholar 

  • Garcia, J. A., & Weisz, J. R. (2002). When youth mental health care stops: therapeutic relationship problems and other reasons for ending youth outpatient treatment. Journal of Consulting and Clinical Psychology, 70(2), 439–443.

    Google Scholar 

  • Garfield, S. L. (1997). The therapist as a neglected variable in psychotherapy research. Clinical Psychology: Science and Practice, 4(1), 40–43.

    Google Scholar 

  • Gelso, C. J., & Carter, J. A. (1985). The relationship in counseling and psychotherapy: Components, consequences, and theoretical antecedents. Counseling Psychologist, 13(2), 155–243.

    Google Scholar 

  • Gomes-Schwartz, B. (1978). Effective Ingredients in Psychotherapy: Prediction of Outcome From Process Variables. Journal of Consulting and Clinical Psychology, 46(5), 1023–1035.

    Google Scholar 

  • Gorin, S. S. (1993). The prediction of child psychotherapy outcome: factors specific to treatment. Psychotherapy, 30(1), 152–158.

    Google Scholar 

  • Green, J. M. (1996). Engagement and empathy: A pilot study of the therapeutic alliance in outpatient child psychiatry. Child Psychology and Psychiatry Review, 1(4), 130–138.

    Google Scholar 

  • Green, R., & Herget, M. (1991). Outcomes of Systemic/Strategic Team Consultation: III. The Importance of Therapist Warmth and Active Structuring. Family Process, 30, 321–336.

    Google Scholar 

  • Haccoun, D. M., & Lavigueur, H. (1979). Effects of clinical experience and client emotion on the therapists’ responses. Journal of Consulting and Clinical Psychology, 47(1), 227–229.

    Google Scholar 

  • Hansen, J. C., Zimpfer, D. G., & Easterling, R. E. (1967). A study of the relationships in multiple counseling. The Journal of Educational Research, 60(10), 461–463.

    Google Scholar 

  • Hardy, G. E., Stiles, W. B., Barkham, M., & Startup, M. (1998). Therapist responsiveness to client interpersonal styles during time-limited treatments for depression. Journal of Consulting and Clinical Psychology, 66, 304–312.

    Google Scholar 

  • Hartley, D. L. (1969). Percieved Counselor Credibility as a Function of the Effects of Counseling Interaction. Journal of Counseling Psychology, 16(1), 63–68.

    Google Scholar 

  • Hatcher, R., & Barends, A. (1996). Patients’ view of the alliance in psychotherapy: Exploratory factor analysis of three alliance measures. Journal of Consulting and Clinical Psychology, 64, 1326–1336.

    Google Scholar 

  • Hill, C. E., & Knox, S. (2002). Self-disclosure. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapists’ contributions and responsiveness of patients (pp. 255–265). New York: Oxford University Press.

    Google Scholar 

  • Holmqvist, R. (1998). The influence of patient diagnosis and self-image on clinicians’ feelings. Journal of Nervous and Mental Disease, 186, 455–461.

    Google Scholar 

  • Horvath, A. O., & Bedi, R. P. (2002). The alliance. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapists’ contributions and responsiveness of patients (pp. 37–69). New York: Oxford University Press.

    Google Scholar 

  • Hoyt, W. T. (1996). Antecedents and effects of perceived therapist credibility: A meta-analysis. Journal of Counseling Psychology, 43, 430–447.

    Google Scholar 

  • Howe, P. A., & Silvern, L. E. (1981). Behavioral Observation of Children during Play Therapy: Preliminary Development of a Research Instrument. Journal of Personality Assessment, 45(2), 168–182.

    Google Scholar 

  • Huey, S. J. (1998). Therapy termination among black, Caucasian, and Latino children referred to community mental health clinics. Doctoral Dissertation. University of California.

  • Hutchings, J., Appleton, P., Smith, M., Lane, E., & Nash, S. (2002). Evaluation of two treatments for children with severe behaviour problems: Child behaviour and maternal mental health outcomes. Behavioural and Cognitive Psychology, 30, 279–295.

    Google Scholar 

  • Jackson-Gilfort, A., Liddle, H. A., Tejada, M. J., & Dakof, G. A. (2001). Facilitating Engagement of African American Male Adolescents in Family Therapy: A Cultural Theme Process Study. Journal of Black Psychology, 27(3), 321–340.

    Google Scholar 

  • Johnson, S. (2000). The therapeutic alliance with early adolescents: Introduction of an instrument. Unpublished doctoral dissertation. Temple University.

  • Johnson, L. N., & Wright, D. W. (2002). Revisiting Bordin’s Theory on the Therapeutic Alliance: Implications for Family Therapy. Contemporary Family Therapy, 24(2), 257-269.

    Google Scholar 

  • Joyce, A. S., Ogrodniczuk, J. S., Piper, W. E., & McCallum, M. (2003). The alliance as mediator of expectancy effects in short-term individual therapy. Journal of Consulting and Clinical Psychology, 71, 672–679.

    Google Scholar 

  • Kalman, T. P. (1983). An overview of patient satisfaction with psychiatric treatment. Hospital and Community Psychiatry, 34(1), 48–54.

    Google Scholar 

  • Karver, M. S., Lambert, W., & Bickman, L. (2003, March). Strength based assessment: The Vanderbilt Positive Functioning Index-Revised. Paper presented at the 16th annual meeting of the Florida Mental Health Institute’s A System of Care for Children’s Mental Health: Expanding the Research Base, Tampa, FL.

  • Karver, M. S., Handelsman, J., Fields, S., & Bickman, L. (2004). Meta- analysis of Common Process Factors in Youth and Family Therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature. Manuscript in preparation.

  • Kazdin, A. E. (1977). Assessing the clinical or applied importance of behavior change through social validation. Behavior Modification, 1, 427–451.

    Google Scholar 

  • Kazdin, A. E. (2000). Perceived barriers to treatment participation and treatment acceptability among antisocial children and their families. Journal of Child and Family Studies, 9(2), 157–174.

    Google Scholar 

  • Kazdin, A. E., & Wassell, G. (2000). Predictors of barriers to treatment and therapeutic change in outpatient therapy for antisocial children and their families. Mental Health Services Research, 2, 27–40.

    Google Scholar 

  • Keijsers, G. P. J., Schaap, C. P. D. R., & Hoogduin, C. A. L. (2000). The impact of interpersonal patient and therapist behavior on outcome in cognitive-behavior therapy. Behavior Modification, 24, 264–298.

    Google Scholar 

  • Keithly, L. J., Samples, S. J., & Strupp, H. H. (1980). Patient motivation as a predictor of process outcome in psychotherapy. Psychotherapy and Psychosomatics, 33, 87–97.

    Google Scholar 

  • Kendall, P. C., & Choudhury, M. S. (2003). Children and adolescents in cognitive-behavioral therapy: Some past efforts and current advances, and the challenges in our future. Cognitive Therapy and Research, 27, 89–104.

    Google Scholar 

  • Kiesler, D. J. (1996). Contemporary interpersonal theory and research: Personality, psychopathology and psychotherapy. New York: Wiley.

    Google Scholar 

  • Kirsch, I., & Henry, D. (1977). Extinction versus credibility in the desensitization of speech anxiety. Journal of Consulting and Clinical Psychology, 45(6), 1052–1059.

    Google Scholar 

  • Kirtner, W. L., & Carwright, D. S. (1958). Success and failure in client-centered therapy as a function of initial in-therapy behavior. Journal of Consulting Psychology, 22(5), 329–333.

    Google Scholar 

  • Lambert, M. J. (1992). Psychotherapy outcome research: Implications for integrative and eclectic therapists. In J. C. Norcross & M. R. Goldfried (Eds.), Handbook of psychotherapy integration (pp. 94–129). New York: Basic Books.

    Google Scholar 

  • Lambert, M. J., & Barley, D. E. (2002). Research summary on the therapeutic relationship and psychotherapy outcome. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness to patients (pp. 17–32). Oxford, England: Oxford University Press.

    Google Scholar 

  • Larson, L. M., Suzuki, L. A., Gillespie, K. N., Potenza, M. T., Bechtel, M. A., & Toulouse, A. L. (1992). Development and validation of the counseling self-estimate inventory. Journal of Counseling Psychology, 39(1), 105–120.

    Google Scholar 

  • Lee, D. Y., Hallberg, E. T., Jones, L., & Haase, R. F. (1980). Effects of counselor gender on perceived credibility. Journal of Counseling Psychology, 27, 71–75.

    Google Scholar 

  • Littrell, J. M., Caffrey, P., & Hopper, G. C. (1987). Counselor’s reputation: An important precounseling variable for adolescents. Journal of Counseling Psychology, 34, 228–231.

    Google Scholar 

  • Llewelyn, S., & Hardy, G. (2001). Process research in understanding and applying psychological therapies. British Journal of Clinical Psychology, 40(1), 1–21.

    Google Scholar 

  • Lonigan, C. J., Elbert, J. C., & Johnson, S. B. (1998). Empirically supported psychosocial interventions for children: an overview. Journal of Clinical Child Psychiatry 27, 138–145.

    Google Scholar 

  • Luk, E. S., Staiger, P., Mathai, J., Field, D., & Adler, R. (1998). Comparison of treatments of persistent conduct problems in primary school children: A preliminary evaluation of a modified cognitive-behavioural approach. Australian and New Zealand Journal of Psychiatry, 32, 379–386.

    Google Scholar 

  • McKay, M. M., Stoewe, J., McCadam, K., & Gonzales, J. (1998). Increasing access to child mental health services for urban children and their caregivers. Health and Social Work, 23, 9–15.

    Google Scholar 

  • Merriam-Webster’s collegiate dictionary (11th ed.). (2003). Springfield, MA: Merriam-Webster.

  • Meyer, B., Pilkonis, P. A., Krupnick, J. L., Egan, M. K., Simmens, S. J., & Sotsky, S. M. (2002). Treatment expectancies, patient alliance and outcome: Further analyses from the National Institute of Mental Health Treatment of Depression Collaborative Research Program. Journal of Consulting and Clinical Psychology, 70, 1051–1055.

    Google Scholar 

  • Milner, J. S. (2003). Social information processing in high-risk and physically abusive parents. Child Abuse and Neglect, 27, 7–20.

    Google Scholar 

  • Myrick, R. D. (1969). Effect of a Model on Verbal Behavior in Counseling. Journal of Counseling Psychology, 16(3), 185–190.

    Google Scholar 

  • Nelson, R. A., & Borkovec, T. D. (1989). Relationship of client participation to psychotherapy. Journal of Behavior Therapy and Experimental Psychiatry, 20, 155–162.

    Google Scholar 

  • Norcross, J. C. (2002). Empirically supported therapy relationship. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness of patients (pp. 3–16). New York: Oxford University Press.

    Google Scholar 

  • Nye, C. L., Zucker, R. A., & Fitzgerald, H. E. (1999). Early family-based intervention in the path to alcohol problems: Rationale and relationship between treatment process characteristics and child and parenting outcomes. Journal of Studies on Alcohol, 13(Suppl.), 10–21.

    Google Scholar 

  • Padesky, C. A., & Beck, A. T. (2003). Science and philosophy: Comparison of cognitive therapy and rational emotive behavior therapy. Journal of Cognitive Psychotherapy, 17(3), 211–224.

    Google Scholar 

  • Pinsof, W. M. (1995). Integrative problem-centered therapy: A synthesis of family, individual and biological therapies (Vol. XV). New York: Basic Books, p. 284.

    Google Scholar 

  • Rogers, C. R. (1951). Client centered therapy. Boston: Houghton Mifflin.

    Google Scholar 

  • Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality changes. Journal of Consulting Psychology, 21, 95–103.

    Google Scholar 

  • Rosenberger, E. W., & Hayes, J. A. (2002). Therapist as subject: A review of the empirical Countertransference literature. Journal of Counseling and Development, 80, 264–270.

    Google Scholar 

  • Rossberg, J. & Friis, S. (2003). Staff members’ emotional reactions to aggressive and suicidal behavior of inpatients. Psychiatric Services, 54(10), 1388–1394.

    Google Scholar 

  • Salzer, M. S., Nixon, C. T., Schut, J. A., Karver, M. S., & Bickman, L. (1997). Validating quality indicators: Quality as relationship between structure, process, and outcome. Evaluation Review, 21(3), 292–309.

    Google Scholar 

  • Sanderson, W. C. (2003). Why empirically supported psychological treatments are important. Behavior Modification. Special Issue: Empirically Supported Treatments, 27(3), 290–299.

    Google Scholar 

  • Sapyta, J. J., Karver, M. S., & Bickman, L. (1999). Therapeutic alliance: Significance in non-psychotherapy settings. In C. L. Liberton, C. Newman, K. Kutash, & R.M. Friedman (Eds.), 12th Annual Research Conference Proceedings, A System of Care for Children’s Mental Health: Expanding the Research Base (pp. 183–186). Tampa: University of South Florida Press.

    Google Scholar 

  • Sarlin, N. S. (1992). Working relationships in the treatment of adolescent inpatients: Early treatment predictors and associations with outcome. Doctoral Dissertation, Denver, CO, 233.

  • Scheel, M. J., Seaman, S., Roach, K., Mullin, T., & Blackwell-Mahoney, K. (1999). Client implementation of therapist recommendations predicted by client perception of fit, difficulty of implementation, and therapist influence. Journal of Counseling Psychology, 46(3), 308–316.

    Google Scholar 

  • Sexton, T. L., Ridley, C. R., & Kleiner, A. J. (2004). Beyond common factors: Multilevel-process models of therapeutic change in marriage and family therapy. Journal of Marital and Family Therapy, 30(2), 131–149.

    Google Scholar 

  • Shachner, S. E. (1995). Factors influencing countertransferential responses to latency-aged child psychotherapy patients. Unpublished doctoral dissertation, Columbia University.

  • Shirk, S. R. (1999). Developmental therapy. In W. K. Silverman & T. H. Pillendick (Eds.), Developmental issues in the clinical treatment of children (pp. 60–73). Needham Heights, MA: Allyn & Bacon.

    Google Scholar 

  • Shirk, S. R., & Karver, M. (2003). Prediction of treatment outcome from relationship variables in child and adolescent therapy: A meta-analytic review. Journal of Consulting & Clinical Psychology, 71, 452–464.

    Google Scholar 

  • Shirk, S. R., & Karver, M. (in press). Assessing the alliance in adolescent treatment: A clinical construct in search of a measure. In D. Castro-Blanco (Ed.), Treatment engagement with adolescents. Washington, DC: American Psychological Association Press.

  • Shirk, S. R., & Saiz, C. (1992). The therapeutic alliance in child therapy: Clinical, empirical, and developmental perspectives. Development and Psychopathology, 4, 713–728.

    Google Scholar 

  • Simoneau, H., & Bergeron, J. (2003). Factors affecting motivation during the first six weeks of treatment. Addictive Behaviors, 28(7), 1219–1241.

    Google Scholar 

  • Smith, E. C., & Grawe, K. (2003). What makes psychotherapy sessions productive? A new approach to bridging the gap between process research and practice. Clinical Psychology and Psychotherapy, 10(5), 275–285.

    Google Scholar 

  • Stein, D., Brent, D. A., Bridge, J., Kolko, D., Birmaher, B., & Baugher, M. (2001). Predictors of parent-rated credibility in a clinical psychotherapy trail for adolescent depression. The Journal of Psychotherapy Practice and Research, 10(1), 1–7.

    Google Scholar 

  • Stoolmiller, M., Duncan, T., Bank, L., & Patterson, G. (1993). Some problems and solutions in the study of change: significant patterns in client resistance. Journal of Consulting and Clinical Psychology, 61(6), 920–928.

    Google Scholar 

  • Strong, S. R. (1968). Counseling: An interpersonal influence process counseling: An interpersonal influence process. Journal of Counseling Psychology, 15(3), 215–224.

    Google Scholar 

  • Strupp, H. H., Chassan, J. B., & Ewing, J. A. (1966). Toward the longitudinal study of the psychotherapeutic process. Methods of Research in Psychotherapy.

  • Taylor, L., Adelman, H., & Kaser-Boyd, N. (1986). The Origin Climate Questionnaire as a tool for studying psychotherapeutic process. Journal of Child and Adolescent Psychotherapy, 3, 10–16.

    Google Scholar 

  • Thompson, B. J., & Hill, C. E. (1991). Therapist perceptions of client reactions. Journal of Counseling and Development, 69, 261–265.

    Google Scholar 

  • Tolan, P. H., Hanish, L. D., McKay, M. M., & Dickey, M. H. (2002). Evaluating process in child and family interventions: Aggression prevention as an example. American Psychological Association, 16(2), 220–236.

    Google Scholar 

  • Truax, C. B. (1961). The process of group psychotherapy: Relationship between hypothesized therapeutic conditions and intrapersonal exploration. Psychological Monographs, 75(7, Whole No. 511), 35.

    Google Scholar 

  • Truax, C. B., Altman, H., Wright, L., & Mitchell, K. M. (1973). Effects of therapeutic conditions in child therapy. Journal of Community Psychology, 1(3), 313–318.

    Google Scholar 

  • Truax, C. B., & Carkhuff, R. R. (1965). The experimental manipulation of therapeutic conditions. Journal of Consulting Psychology, 29, 119–124.

    Google Scholar 

  • Weerasekera, P., Linder, B., Greenberg, L., & Watson, J. (2001). The working alliance in client-centered and process-experiential therapy of depression. Psychotherapy Research, 11, 221–234.

    Google Scholar 

  • Weersing, V. R., & Weisz, J. R. (2002). Community treatment of depressed youth: Benchmarking usual care against CBT clinical trials. Journal of Consulting and Clinical Psychology, 70(2), 299–310.

    Google Scholar 

  • Weinberger, J. (2002). Short paper, large impact: Rosenweig’s influence on the common factors movement. Journal of Psychotherapy Integration, 12(1), 67–76.

    Google Scholar 

  • Weisz, J. R., & Hawley, K. M. (2002). Developmental factors in the treatment of adolescents. Journal of Consulting and Clinical Psychology, 70(1), 21–43.

    Google Scholar 

  • Weisz, J. R., & Jensen, P. S. (1999). Efficacy and effectiveness of child and adolescent psychotherapy and pharmacotherapy. Mental Health Services, 1, 125–157.

    Google Scholar 

  • Wester, S., Vogel, D., & Archer, J. (2004). Male restricted emotionality and counseling supervision. Journal of Counseling and Development, 82, 91–98.

    Google Scholar 

  • Williams, E. N. (2003). The Relationship between Momentary States of Therapist Self-Awareness and Perceptions of the Counseling Process. Journal of Contemporary Psychotherapy, 33(3), 177–186.

    Google Scholar 

  • Williams, E. N., Judge, A. B., Hill, C. E., & Hoffman, M. (1997). Experiences of novice therapists in prepracticum: Trainees,’ clients’, and supervisors perceptions of therapists’ personal reactions and management strategies. Journal of Counseling Psychology, 44, 390–399.

    Google Scholar 

  • Williams, E. N., Polster, D., Grizzard, B., Rockenbatjgh, J., & Judge, A. B. (2003). What happens when therapists feel bored or anxious: A qualitative study of distracting self-awareness and therapists’ management strategies. Journal of Contemporary Psychotherapy, 33, 5–18.

    Google Scholar 

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Correspondence to Marc S. Karver.

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Karver, M.S., Handelsman, J.B., Fields, S. et al. A Theoretical Model of Common Process Factors in Youth and Family Therapy. Ment Health Serv Res 7, 35–51 (2005). https://doi.org/10.1007/s11020-005-1964-4

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