Better Outcomes Now Blog

The Outcome Questionnaire, Working Alliance Inventory, and Feasibility

In this historical series of blog posts discussing the journey to client-directed therapeutic services, the previous topic was changing the rules. This post shares insights gained from The Heroic...

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Journey to Client-Directed Therapeutic Services: Changing the Rules

A long time ago in a galaxy far, far away…before the Partners for Change Outcome Management System (PCOMS)—yes, way back in 1986, I became very interested in the common factors because of Michael...

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Solution Focused Therapy, the Common Factors, and PCOMS

....a ménage a trois made in heaven...

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Clients Who Made Me Better: Relearning the Value of Uncertainty

While proponents of different models would like you to think otherwise, the truth of the matter is that we don’t know ahead of time what psychotherapy model or technique will be helpful for the...

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Clients Who Made Me Better: Early Lessons 2

It is easier to discover a deficiency in individuals, in states, and in Providence, than to see their real import and value. — Hegel

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Clients Who Made Me Better: First Lessons 3

Of all tyrannies, a tyranny sincerely exercised for the good of its victims may be the most oppressive. — C.S. Lewis

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Clients Who Made Me Better: First Lessons

It’s never too late to be who you might have been.

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Reliance on the Alliance, Part 4: The Client’s Theory of Change

Ideally, therapists should select for each patient the therapy that accords, or can be brought to accord, with the patient’s personal characteristics and view of the problem. - Jerome Frank

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Reliance on the Alliance, Part 3: The Tasks of Therapy

The alliance is the central filter of all your words and actions: Is what I am saying and doing now building or risking the alliance? Bordin (1979) classically defined the alliance with three...

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Reliance on the Alliance, Part 2: Client Goals

The alliance is an all-encompassing framework for psychotherapy — it transcends any specific therapist behavior and is a property of all aspects of providing services. It calls for your utmost...

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