1. Integrative Perspective Chapter 15

2. Approaches to Integration • Technical Eclecticism • Theoretical Integration • Commons Factors Approach • Assimilative Integration

3. Technical Eclecticism • Collection of techniques • No connection between conceptual foundation and interventions

4. Theoretical Integration • Conceptual framework that synthesizes aspects of several theories • Selection of interventions tied to conceptual framework

5. Common Factors Approach • Non-Specific Factors • Therapeutic alliance • Opportunity for catharsis • Practice new behaviors • Instillation of hope

6. Assimilative Integration • Grounded in one theoretical orientation • Selectively incorporate practices from other orientations

7. Morgan & McMillan (1999) Model • First Phase Assessment and Relation Building • Objects Relation Theory • Hear client's story; grasp their phenomenological world; establish rapport • Provide supportive holding environment • Explore clients’ feelings and thought patterns about past and present circumstances • (behavior chapter)

8. Morgan & McMillan (1999) Model • Second Phase Insight: Early Relations -Present Issues • Experiential and Cognitive Approaches • Acknowledge and express painful memories, feelings and thoughts • Cognitive restructuring in perceptions of self and others • Acquire more adaptive ways of feeling, thinking and coping

9. Morgan & McMillan (1999) Model • Third Phase Promoting Change • Behavioral Approach • Homework Assignments • Assertiveness Training • Self-Management Program

10. Morgan & McMillan (1999) Integrative Model • Second Phase Insight: Early Relations -Present Issues • Experiential and Cognitive Approaches • Acknowledge and express painful memories, feelings and thoughts • Cognitive restructuring in perceptions of self and others • Acquire more adaptive ways of feeling, thinking and coping

11. Theories and Therapeutic Process • Therapeutic Goals • Specific – General • Symptom resolution vs. problem solving • Therapist’s Function and Role • Time Orientation • Structured- Non-structured • Didactic - Collaborative • Process - Content

12. Theories and Therapeutic Process • Client’s Experience in Therapy • Responsibility for Change • Active - passive • Therapist – Client Relationship • Client Diagnosis • Treatment Preference • Stage of Change • Contextual Issues

13. Contextual Issues • Race • Ethnicity • Social Class • Religion • Gender • Feminist Therapy • Gender Orientation