Common Factor Skills

Question 1

Introduction

Answer 1

Common factor skills

-therapeutic alliance

Question 2

Paragraph 1

Answer 2

TR important for effectiveness of treatment

• LICBT -focus on engaging clients with self-help materials supporting them
• > Collaborative engagement -Beitman et al (1989) personal qualities
• > Within the materials (Bennett-Levy et al 2010a) between P C and M
• > Gilbert and Leahy (2007) - dance coach

Question 3

Paragraph 1 (e)

Answer 3

e-still facilitates change and engagement
e- beck et al 1979 - not sufficient in change but is necessary
e-Rogers et al 1951 -enough to offer facilitation conditions

Question 4

Paragraph 2

Answer 4

Empathy -Bennett-Levy et al 2003
->encompasses warmth and genuineness (papworth and marrinan 2018)

->should be attuned to client, if not client feels little understanding (Thwaites and Bennett-Levy 2007) thus relationship diminishes decreasing effectiveness of therapy

• > should consider interpersonal qualities of self-help materials
  - Richardson et al 2010 -Possible to relate and show understanding through them, little = low engagement
  - Richards and Farrand (2010) - empathetic approach to selecting self-help
  - requires practitioner to have knowledge and understanding
  - Practitioners using CBT = high empathy for clients (Thwaites et al 2014)
• > Empathetic communication -summaries, reflections and clarifications
• without these clients have little access and focus
• without these practitioners have little understanding
• Thwaites and Bennett-levy 2007 -indicates efforts to ‘tune in’
  
  • facilitates collab ->trying to work with them
  • assuming understanding =counterproductive to collab -> telling client what they are thinking

Question 5

Paragraph 3

Answer 5

LICBT Group based interventions
shorter sessions
mode of delivery
use of materials
these leave less chance for empathy
e- farrad and woodford (2013)
e-waller et al (2009)
-mode of delivery -telephone -less non-verbal empathy
e-can show through tone Lovell (2010) -info =TR
e- factors effecting ability to tune in /empathy -out of control of P
-> self-awareness
-> looking after own wellbeing
-> regular reflections (Haarhaff and Thwaites, 2016)
e-can be difficult to find time but worthy investment (thwaites et al (2015)

Question 6

Conclusion

Answer 6

• limitations of LICBT that decrease TR
• BUT; Empathy can improve engagement -reducing neg effects
• thus encouraging engagement and higher effectiveness