Integrative Therapy: A Practitioner's Guide Second Edition
Integrative Therapy A Practitioners Guide Second Edition

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The principal aim of this book is to provide an overview of the areas of study and skill needed by an integrative therapist, and to offer a framework for assessing therapeutic effectiveness in the training in any school or combination of schools. What we hope to convey in this book is not holy writ for an integrative model, but a framework for thinking about therapy that can include theories and ways of working from several different schools

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1 INTRODUCTION 1
The field of therapy 4
Obstacles to integration 5
An organic model 10
What is therapy? 12
What is research? 13
A brief overview of the book 14
From practice to theory 20
Theoretical understanding 21
2 DOES THERAPY WORK AND HOW? 23
A critical look at research methodology 25
New approaches to psychotherapy research:
Qualitative research 28
Does therapy work? 29
Differences between models: which type of therapy is most effective? 30
Common factors 31
How does therapy work? 33
Implications of research findings on therapy practice 42
Conclusions 43
Further reading on research 43
3 HUMAN DEVELOPMENT 45
What gets researched and how 47
How does change come about? 50
What influences development 52
Development of self and personal relationships 54
Theoretical explanations of research findings 58
Research in early development 60
The role of affect and empathy in early development 62
The trend to integration 64
4 A FRAMEWORK FOR INTEGRATIVE THERAPY PRACTICE 67
Introduction 67
Components of integrative therapy practice 70
Integrating therapy practice and research 78
Plumbing, poetry and policing: the ethics of
the therapeutic relationship 84
The integrative therapist: a reflective practitioner 89
5 WHY ARE WE HERE AND WHAT DO WE
HOPE TO ACHIEVE? 91
Common questions 91
Aims of therapy 92
Goals of therapy 92
Theoretical understanding 93
Comparisons between models: theory and goals 101
The working alliance: an integrative perspective 107
6 QUESTIONS OF TIME AND SPACE:
WHEN AND WHERE 111
Stages in therapy 112
Before therapy 112
The first meeting 115
The middle phase 121
Ending 121
Boundaries 123
Length of therapy and frequency of sessions 124
7 TOOLS OF THE TRADE 127
The viewing angle: doing and being 127
Generic skills every therapist needs 129
Model-specific interventions 130
Different methods in action 141
8 THERAPEUTIC RELATIONSHIP 145
Different models and the therapeutic relationship 146
Converging trends 158
Conclusions and implications for training 164
Integrative Therapy
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9 THERAPIST TRAINING 166
Theory: participative learning 167
Practice: experiential workshops 168
Student assessment 171
APPENDICES
1 Outline of an assessment procedure in cognitive
analytic therapy (CAT) 181
2 Participative learning: theory 185
3 Ethical codes and dilemmas (Chapter 4) 189
4 Why are we here and what do we hope to achieve? (Chapter 5) 192
5 Questions of time and space (Chapter 6) 196
6 Tools of the trade – therapeutic relationship (Chapters 7 and 8) 20

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