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Open Forum   |    
Common Factors: Evidence-Based Practice and Recovery
Larry Davidson, Ph.D.; Kevin K. S. Chan, Ph.D.
Psychiatric Services 2014; doi: 10.1176/appi.ps.201300274
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Dr. Davidson is with the Department of Psychiatry, Yale University, New Haven, Connecticut (e-mail: larry.davidson@yale.edu). Dr. Chan is with the Department of Psychology, Chinese University of Hong Kong.

Copyright © 2014 by the American Psychiatric Association


The authors of this Open Forum argue that the evidence-based practice movement has not paid adequate attention to the wealth of evidence that supports a central role for the so-called common factors that constitute a therapeutic alliance between practitioner and patient. They also suggest that progress might be made in improving the quality of community-based care for persons with serious mental illnesses and addictions if training programs returned to an emphasis on helping practitioners develop the skills involved in cultivating trusting and empathic relationships with the people they serve. The authors draw connections between the skills needed for such relationships and the skills involved in providing recovery-oriented care and peer support, two recent developments that call for a reinvestment in basic relationship-building skills for all behavioral health practitioners.

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Kazdin  AE:  Treatment outcomes, common factors, and continued neglect of mechanisms of change.  Clinical Psychology: Science and Practice 12:184–188, 2005
Rosenzweig  S:  Some implicit common factors in diverse methods of psychotherapy.  American Journal of Orthopsychiatry 6:412–415, 1936
Lambert  MJ;  Barley  DE:  Research summary on the therapeutic relationship and psychotherapy outcome; in  Psychotherapy Relationships that Work: Therapists’ Contributions and Responsiveness to Patients . Edited by Norcross  JC.  New York,  Oxford University Press, 2012
McKay  KM;  Imel  ZE;  Wampold  BE:  Psychiatrist effects in the psychopharmacological treatment of depression.  Journal of Affective Disorders 92:287–290, 2006
[CrossRef] | [PubMed]
Wampold  BE:  Contextualizing psychotherapy as a healing practice: culture, history, and methods.  Applied and Preventive Psychology 10:69–86, 2001
Davidson  L;  Drake  RE;  Schmutte  T  et al:  Oil and water or oil and vinegar? Evidence-based medicine meets recovery.  Community Mental Health Journal 45:323–332, 2009
[CrossRef] | [PubMed]
Andres-Hyman  RC;  Strauss  JS;  Davidson  L:  Beyond parallel play: science befriending the art of method acting to advance healing relationships.  Psychotherapy 44:78–89, 2007
[CrossRef] | [PubMed]
Hillbrand  M;  Hawkins  D;  Howe  DM  et al:  Through the eyes of another: improving the skills of forensic providers using a consumer-informed role-play procedure.  Psychiatric Rehabilitation Journal 31:239–242, 2008
[CrossRef] | [PubMed]
Dow  AW;  Leong  D;  Anderson  A  et al:  Using theater to teach clinical empathy: a pilot study.  Journal of General Internal Medicine 22:1114–1118, 2007
[CrossRef] | [PubMed]
Riess  H;  Kelley  JM;  Bailey  RW  et al:  Empathy training for resident physicians: a randomized controlled trial of a neuroscience-informed curriculum.  Journal of General Internal Medicine 27:1280–1286, 2012
[CrossRef] | [PubMed]
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