A debate exists about whether the common factors or specific ingredients are critical to producing the benefits of psychotherapy. A model of the relationship, based on evolved human characteristics related to healing, is presented that integrates common factors and specific ingredients. After the initial bond is formed, the relationship involves three healing aspects: the real relationship, the creation of expectations, and participation in healthy actions.
AmanzioM.PolloA.MaggiG.BenedettiF. (2001). Response variability to analgesics: A role for non-specific activation of endogenous opioids. Pain, 90, 205-215.
2.
BanduraA. (1999). Self-efficacy: Toward a unifying theory of behavioral change. In BaumeisterR. F. (Ed.), The self in social psychology (pp. 285-298). New York: Psychology Press.
3.
BarlowD. H. (2004). Psychological treatments. American Psychologist, 59, 869-878.
4.
BaumeisterR. F. (2005). The cultural animal: Human nature, meaning, and social life. New York: Oxford University Press.
5.
BenedettiF. (2011). The patient’s brain: The neuroscience behind the doctor-patient relationship. New York: Oxford University Press.
6.
BeutlerL. E.HarwoodT. M.MichelsonA.SongX.HolmanJ. (2011). Reactance/resistance level. In NorcrossJ. C. (Ed.), Psychotherapy relationships that work (2nd ed., pp. 261-278). New York: Oxford University Press.
7.
BordinE. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research and Practice, 16, 252-260.
8.
BowlbyJ. (1969). Attachment and loss. Vol. 1: Attachment. New York: Basic Books.
9.
BowlbyJ. (1973). Attachment and loss, Vol. 2: Separation-anxiety and anger. New York: Basic Books.
10.
BowlbyJ. (1980). Attachment and loss, Vol. 3: Loss-sadness and depression. New York: Basic Books.
11.
BraatenE. B.OttoS.HandelsmanM. (1993). What do people want to know about psychotherapy?Psychotherapy, 30, 565-570.
12.
CabralR. R.SmithT. B. (2011). Racial/ethnic matching of clients and therapists in mental health services: A meta-analytic review of preferences, perceptions, and outcomes. Journal of Counseling Psychology, 58, 537-554.
13.
ConstantinoM. J.ArnkoffD. B.GlassC. R.AmetranoR. M.SmithJ. Z. (2011). Expectations. Journal of Clinical Psychology, 67, 184-192.
14.
de WaalF. B. M. (2008). Putting the altruism back into altruism: The evolution of empathy. Annual Review of Psychology, 59, 279-300.
15.
DowJ. (1986). Universal aspects of symbolic healing: A theoretical synthesis. American Anthropologist, 88, 56-69.
16.
ElliottR.BohartA. C.WatsonJ. C.GreenbergL. S. (2011). Empathy. Psychotherapy, 48, 43-49.
17.
EvansD. (2004). Placebo: Mind over matter in modern medicine. London: HarperCollins.
18.
FarberB. A.DoolinE. M. (2011). Positive regard. Psychotherapy, 48, 58-64.
19.
FlückigerC.Del ReA. C.WampoldB. E.SymondsD.HorvathA. O. (in press). How central is the alliance in psychotherapy? A multilevel longitudinal meta-analysis. Journal of Counseling Psychology.
20.
FowlerJ. H.ChristakisN. A. (2008). Dynamic spread of happiness in a large social network: Longitudinal analysis over 20 years in the Framingham Heart Study. British Medical Journal, 337, 2338-2361.
21.
FrankJ. D. (1961). Persuasion and healing: A comparative study of psychotherapy. Baltimore: Johns Hopkins University Press.
22.
FrankJ. D. (1973). Persuasion and healing (2nd ed.). Baltimore: Johns Hopkins University Press.
23.
FrankJ. D.FrankJ. B. (1991). Persuasion and healing: A comparative study of psychotherapy (3rd ed.). Baltimore: Johns Hopkins University Press.
24.
FuertesJ. N.MislowackA.BrownS.Gur-ArieS.WilkensonS.GelsoC. J. (2007). Correlates of the real relationship in psychotherapy: A study of dyads. Psychotherapy Research, 17, 423-430.
25.
GelsoC. J. (2002). Real relationship: The “something more” of psychotherapy. Journal of Contemporary Psychotherapy, 32, 35-40.
26.
GelsoC. J. (2009). The real relationship in a postmodern world: Theoretical and empirical explorations. Psychotherapy Research, 19, 253-264.
27.
GelsoC. J.CarterJ. A. (1994). Components of the psychotherapy relationship: Their interaction and unfolding during treatment. Journal of Counseling Psychology, 41, 296-306.
28.
GreenbergL. S.SafranJ. D. (1984). Integrating affect and cognition: A perspective on the process of therapeutic change. Cognitive Therapy and Research, 8, 559-578.
29.
GreenbergR. P.ConstantinoM. J.BruceN. (2006). Are patient expectations still relevant for psychotherapy process and outcome?Clinical Psychology Review, 26, 657-678.
30.
HayesT. J.TinsleyH. E. A. (1989). Identification of the latent dimensions of instruments that measure perceptions of and expectations about counseling. Journal of Counseling Psychology, 36, 492-500.
31.
HeppnerP. P.ClaibornC. D. (1989). Social influence research in counseling: A review and critique. Journal of Counseling Psychology, 36, 365-387.
32.
HorvathA.Del ReA. C.FlückigerC.SymondsD. (2011). The alliance in adult psychotherapy. Psychotherapy, 48, 9-16.
33.
KazantzisN.DeaneF. P.RonanK. R. (2000). Homework assignments in cognitive and behavioral therapy: A meta-analysis. Clinical Psychology: Science and Practice, 7, 189-202.
34.
KirmayerL. J. (2004). The cultural diversity of healing: Meaning, metaphor and mechanism. British Medical Bulletin, 69, 33-48.
35.
KirschI. (1990). Changing expectations: A key to effective psychotherapy. Pacific Grove, CA: Brooks/Cole.
36.
KirschI. (2009). The emperor’s new drugs: Exploding the antidepressant myth. London: Random House.
37.
LambertM. J.BarleyD. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy: Theory/Research/Practice/Training, 38, 357-361.
38.
LevineJ. D.GordonN. C.FieldsH. L. (1978). The mechanism of placebo analgesia. Lancet, 2, 654-657.
39.
LevyD. A.NailP. R. (1993). Contagion: A theoretical and empirical review and reconceptualization. Genetic, Social & General Psychology Monographs, 119, 235-285.
40.
LibermanB. L. (1978). The role of mastery in psychotherapy: Maintenance of improvement and prescriptive change. In FrankJ. D.Hoehn-SaricR.ImberS. D.LibermanB. L.StoneA. R. (Eds.), Effective ingredients of successful psychotherapy (pp. 35-72). Baltimore: Johns Hopkins University Press.
41.
Lo CocoG.GulloS.PrestanoC.GelsoC. J. (2011). Relation of the real relationship and the working alliance to the outcome of brief psychotherapy. Psychotherapy, 48, 1-9.
42.
MarmaroshC. L.GelsoC. J.MarkinR. D.MalleryC.ChoiJ.MajorsR. (2009). The real relationship in psychotherapy: Relationships to adult attachments, working alliance, transference, and therapy outcome. Journal of Counseling Psychology, 56, 337-350.
43.
McDonaghA.FriedmanM.McHugoG.FordJ.SenguptaA.MueserK. (2005). Randomized trial of cognitive-behavioral therapy for chronic posttraumatic stress disorder in adult female survivors of childhood sexual abuse. Journal of Consulting and Clinical Psychology, 73, 515-524.
44.
NorcrossJ. C. (Ed.). (2011). Psychotherapy relationships that work: Evidence-based responsiveness. New York: Oxford University Press.
45.
OrneM. T.WenderP. H. (1968). Anticipatory socialization for psychotherapy: Method and rationale. American Journal of Psychiatry, 124, 1202-1212.
46.
PainterC. F. (1913). The evolution of mental healing. The Boston Medical and Surgical Journal, 169, 605-611.
47.
PowersM. B.EmmelkampP. M. G. (2008). Virtual reality exposure therapy for anxiety disorders: A meta-analysis. Journal of Anxiety Disorders, 22, 561-569.
48.
PrestonS. D.de WaalF. B. M. (2002). Empathy: Its ultimate and proximate bases. Behavioral and Brain Sciences, 25, 1-72.
49.
ProchaskaJ. O.NorcrossJ. C. (2001). Stages of change. Psychotherapy: Theory, Research, Practice, Training, 38, 443-448.
50.
RyanR.LynchM.VansteenkisteM.DeciE. (2011). Motivation and autonomy in counseling, psychotherapy, and behavior change: A look at theory and practice. The Counseling Psychologist, 39, 193-260.
51.
ShapiroA. K.ShapiroE. (1997). The placebo: Is it much ado about nothing? In HarringtonA. (Ed.), The placebo effect: An interdisciplinary exploration (pp. 12-36). Cambridge, MA: Harvard University Press.
52.
ShedlerJ. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65, 98-109.
53.
SimpsonS. H.EurichD. T.MajumdarS. R.PadwalR. S.TsuyukiS. T.VarneyJ.. (2006). A meta-analysis of the association between adherence to drug therapy and mortality. British Medical Journal, 333, 15.
54.
TyronG.WinogradG. (2011). Goal consensus and collaboration. In NorcrossJ. C. (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (pp. 153-167). New York: Oxford University Press.
55.
UlvenesP. G.BerggrafL.HoffartA.StilesT. C.SvartbergM.McCulloughL.WampoldB. E. (in press). Different processes for different therapies: Therapist actions, therapeutic bond, and outcome. Psychotherapy.
56.
WallP. D. (1999). The placebo and the placebo response. In WallP. D.MelzackR. (Eds.), Textbook of pain (4th ed.). New York: Churchill Livingstone.
57.
WalshR. (2011). Lifestyle and mental health. American Psychologist, 66, 579-592.
58.
WampoldB. E. (2001). The great psychotherapy debate: Model, methods, and findings. Mahwah, NJ: Lawrence Erlbaum Associates.
59.
WampoldB. E. (2007). Psychotherapy: The humanistic (and effective) treatment. American Psychologist, 62, 857-873.
60.
WampoldB. E.BenishS. G.ImelZ. E.MillerS. D.LaskaK.Del ReA. C. . . .BudgeS. L. (2010). What works in the treatment of PTSD? A response to Ehlers et al. Clinical Psychology Review, 30, 269-276.
61.
WampoldB.ImelZ.BhatiK.Johnson-JenningsM. (2007). Insight as a common factor. In CastonguayL.HillC. (Eds.), Insight in psychotherapy (pp. 119-139). Washington, DC: American Psychological Association.
62.
WampoldB. E.ImelZ. E.MillerS. D. (2009). Barriers to the dissemination of empirically supported treatments: Matching messages to the evidence. The Behavior Therapist, 32, 144-155.
63.
WampoldB. E.WeinbergerJ. (in press). Critical thinking in the design of psychotherapy research. In AlarcónR. D.FrankJ. B. (Eds.), To persuade and to heal: A tribute to Jerome D. Frank. Baltimore: Johns Hopkins Press.
64.
WebbC. A.DeRubeisR. J.AmsterdamJ. D.SheltonR. C.HollonS. D.DimidjianS. (2011). Two aspects of the therapeutic alliance: Differential relations with depressive symptom change. Journal of Consulting and Clinical Psychology, 79, 279-283.
65.
WilliamsA. C. d. C. (2002). Facial expression of pain: An evolutionary account. Behavioral and Brain Sciences, 25, 439-488.
66.
WillisJ.TodorovA. (2006). First impressions: Making up your mind after a 100-ms exposure to a face. Psychological Science, 17, 592-598.
67.
WilsonE. O. (1978). On human nature. Cambridge, MA: Harvard University Press.