From package to process : An evidence-based approach to processes of change in psychotherapy
Ciarrochi, Joseph Hayes, Steven C. Hayes, Louise Sahdra, Baljinder Fraser, Madeleine Yap, Keong Hofmann, Stefan G.
Ciarrochi, Joseph
Hayes, Steven C.
Hayes, Louise
Sahdra, Baljinder
Fraser, Madeleine
Yap, Keong
Hofmann, Stefan G.
Abstract
The last five decades have seen a proliferation of psychological packages designed to treat psychiatric syndromes. Despite millions of dollars invested evaluating and comparing complex interventions, progress has been limited. Increasingly, research is shifting toward evaluating evidence-based processes of change instead of packages. There is also an increasing focus away from static mediational models to understanding how processes and symptoms interrelate in dynamic network models. The Extended-Evolutionary Meta Model seeks to provide different therapeutic orientations with a common framework for discussing and understanding processes of change. We conclude the article by providing concrete examples of evidence-based processes across six dimensions- Attention, self, cognitive, affect motivation, and overt behavior--and three levels-biological, psychological, and social.
Keywords
affect, attention, acceptance and commitment therapy, cognition, diagnosis, evolution, extended evolutionary meta-model, moderation, motivation, mediation, network, process of change, psychotherapy, self
Date
2022
Type
Book chapter
Journal
Book
Comprehensive clinical psychology ; volume 1
Volume
Issue
Page Range
26-44
Article Number
ACU Department
Institute for Positive Psychology and Education
Faculty of Education and Arts
School of Behavioural and Health Sciences
Faculty of Health Sciences
Faculty of Education and Arts
School of Behavioural and Health Sciences
Faculty of Health Sciences