Mental health professionals have long debated what makes effective
psychotherapy work. Is it a specific treatment modality, or a set
of common factors such as a strong therapeutic relationship? In
this book, J. Scott Fraser argues that both perspectives are
correct. His transtheoretical, transdiagnostic framework identifies
the process of change that underlies all effective treatments.
 From this viewpoint, all client problems boil down to
negative, recurring cycles of thought and behavior. The goal of
psychotherapy is to disrupt or reverse those cycles. While
successful treatment requires common factors linked with specific
interventions, these components must be embedded in a therapeutic
rationale that implies a direction for treatment. There are many
possible “correct” rationales, so finding the one that best
fits the client and therapist is the task of treatment planning.
The book uses varied and compelling case examples, featuring
different client problems and treatments, to illustrate a common
process of change. Â Both philosophically rich and highly
practical, this book helps readers understand the complexity and
promise of psychotherapy. Â
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