Praxical.Psych

Integrative therapies

Combine approaches coherently, and know when specificity matters.

Chapter 16Sessions 12/4–12/7

What you should be able to do afterwards

  • 1Distinguish the four routes to integration
  • 2Match intervention to stage of change
  • 3Write an integrative formulation with explicit disconfirming conditions
  • 4Say when a specific protocol should not be diluted

The reading

Integration is the modal orientation among practising therapists, which makes teaching it properly a necessity rather than a specialism. The discipline is simple to state and hard to keep: name the model you are working in, justify every element you import, specify in advance what would trigger a change, and make sure the patient experiences one treatment rather than several.

What belongs to this unit

Questions to take away

For a seminar, a supervisor, or an argument with yourself.

  1. 1What is the difference between responsiveness and drift, observed from outside?
  2. 2Name a case where integration would be worse than a single well-delivered model.
  3. 3What would you need to know about yourself before calling yourself integrative?

Your notes

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Praxical.Psych is an educational tool. It teaches the theory, evidence base and clinical method of psychotherapy at the level of an advanced survey course, and it lets you rehearse a complete session in a simulator.

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