The Common Factors Model in Psychotherapy Outcomes

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The Common Factors Model suggests that extratherapeutic factors account for 40% of outcomes in psychotherapy, while the therapeutic relationship accounts for 30%, client qualities for 15%, and therapist techniques for 15%.

The four factors in the Common Factors Model are: extratherapeutic factors (40%), relationships (30%), optimism, motivation, capacities (15%), and skills, techniques (15%).

The principles of the Common Factors Model are that clients' situations can change for better or worse depending on external influences, relationships with case managers are complex but more trust and problem-solving leads to better outcomes, client and case manager beliefs are essential, and case manager skill is important with intrinsic links among all the factors.

The Common Factors Model

of Psychotherapy Outcomes

Jane F. Gilgun, Ph.D., LICSW


Professor
School of Social Work,
University of Minnesota, Twin Cities
[email protected]
September 2010
The Common Factors Model

 Extratherapeutic Factors (40%)

 Relationships (30%)

 Optimism, Motivation, Capacities (15%)

 Skills, techniques (15%)


Principles of the Model

 Clients’ situations change for the better/worse


depending upon external influences
 Relationships to case managers are complex,
but the more trust and problem-solving in
relationships, the better the outcomes
 Client and case managers beliefs essential
 Case manager skill important
 Intrinsic links among all four
Description of a Relationship Going
Well
 Notice the connections among the factors
Connections Between the Factors

 Model is unclear about how interconnected


the four factors are
Relationships

 Model does not state that access to clients


can be an issue
Client Motivation: An Example

 Model predicts client motivation a key factor


in good outcomes
External Influences

 Not anticipated by the model

 Medications

 Inability of case manager to influence


administration of medication
External Influences

 Schools
 Abetted by relationships
Selected References On Grounded Theory,
Analytic Induction, & Deductive Qualitative
Analysis
Gilgun, Jane F. (2005). Qualitative research and family psychology.
Journal of FamilyPsychology,19(1), 40-50.
Gilgun, Jane F. (2008). On being a sh*t: Unkind deeds and cover-
ups in everyday life. Morrissville, NC: Lulu.
Glaser, Barney & Anselm Strauss (1967). The discovery of
grounded theory. Chicago: Aldine.
Strauss, Anselm, & Juliet Corbin (Eds). (1997). Grounded theory in
practice. Thousand Oaks, CA: Sage.
Znaniecki, F. (1934). The method of sociology. New York: Farrar
& Rinehart.
References for Common Factors Model

Cameron, Mark, & Elizabeth King Keenan (2010). The common factors
model: Implications for transtheoretical clinical social work practice.
Social Work, 55(1), 63-73.
Drisko, James W. (2004). Common factors in psychotherapy outcome.
Families in Society, 85 (1), 81-90.
Frank, J. D., & Frank, J. B. (1991). Persuasion and healing: A
comparative study of psychotherapy (3 rd ed.). Baltimore, MD: Johns
Hopkins University Press.
Lambert, M. (1992). Implications of outcome research for psychotherapy
integration. In J. Norcross & J. Goldfried (Eds.), Handbook of
psychotherapy integration (pp. 94-129) NY: Basic.
Lambert, M. J., & Ogles, B. M. (2004). The efficacy and effectiveness of
psychotherapy. In S. L. Garfield & A. E. Bergen (Eds.), Handbook of
psychotherapy and behavior change (3 rd ed.). New York, NY: Wiley.
Maiter, Sarah, Sally Palmer, & Shehenaz Manji (2006).
Strengthening social worker-client relationships in child
protective services: Addressing power relationships and
“ruptured” relationships. Qualitative Social Work, 5(2),
167-186.
Miller, Scott D., Barry L. Duncan, and Mark A. Hubble
(2007). Outcome-informed clinical work. In John C.
Norcross & Marvin R. Goldfried (Eds.), Handbook of
psychotherapy integration (2nd ed.) (pp. 84-102). Oxford:
Oxford University Press.
Miller, Scott D., Barry L. Duncan, and Mark A. Hubble
(2007). Escape from Babel: Toward a unifying language
for psychotherapy research. New York: Norton
Perlman, Helen Harris (1957). Social casework: A problem-solving
process. Chicago: University of Chicago.
Rogers, Carl. (1961). On becoming a person. New York: Houghton
Mifflin.
Saggese, Michael L. (2005). Maximizing treatment effectiveness in
clinical practice: An outcome-informed, collaborative approach.
Families in Society, 86(4), 558-564.
Sprenkle, D. H., & Blow, A. J. (2004). Common factors and our sacred
models. Journal of Marital and Family Therapy, 30(2), 113-129.
Sprenkle, D. H., & Blow, A. J. (2004). Common factors are not
islands–-they work through models. Journal of Marital and Family
Therapy, 30(2), 113-129.
Saggese, M. L. (2005). Maximizing treatment effectiveness in clinical
practice: An outcome-informed, collaborative approach. Families in
Society, 86(4), 558-564.

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