The Heart and Soul of Change: Delivering What Works in Therapy

CE Hours: 6
Level: Intermediate
Course Fee: $59.95
Access: Course is available for 30 days after registration

Available Soon

Open to the Public with Registration

Course Description:

At the root of many controversies in our field is the important question of what works. Is efficacy based on the singular curative powers of specialized techniques or do other variables account for the change occurring in therapy? The answer lies in the common factors--the ingredients of effective therapy, shared by all orientations.

This workshop provides a detailed recipe for enhancing what works based upon the empirically validated guidelines of how change actually happens in therapy. Particular attention will paid to rallying clients and their resources in all their diversity to the cause of change as well as that tried and true but taken for granted old friend, the therapeutic alliance—the client and the alliance are the heart and soul of change. In addition, the now much replicated findings that client-based feedback or practice based evidence substantially increases the effectiveness and efficiency of services—more than anything in the history of our field—will be similarly converted into pragmatic steps to enhance the benefit of any service regardless of the model practiced. Videotaped examples will not only illustrate the known curative factors and their systematic enhancement, but also a transparent process of attaining client feedback that intensifies the power of the alliance and more effectively recruits clients' resources in the service of change.

Among the tools you'll acquire is an easily replicable system of feedback procedures that will give you early warning about potential problems and help you identify what you need to do to enhance your therapeutic impact. Through a transparent process of attaining client feedback, you'll learn ways to deepen the therapeutic conversation, intensify the power of a collaborative alliance, and more effectively recruit clients' own resources in the service of change.

Target Audience:

Mental Health and Substance Abuse Professionals and Administrators

Course Objectives:

Benefits of the course to the community include empowering client's voice in the therapeutic alliance, as client-based feedback.

Benefits of the course for the field of psychology include further common factors research and therapeutic alliance as an interpersonal variable.

Benefits of the course to the profession of clinical psychology include implementation of client-based feedback mechanisms in applied psychotherapy settings, and further efficacy research in psychotherapy in general.

Learning Objectives:

After attending this workshop, participants will be able to:

Summarize the empirically demonstrated factors that contribute to change in therapy.
Demonstrate two ways to recruit client innate resources and resilience in service of change
Explain how to tailor the relationship to the client's ideas about change and personal goals.
State a research validated early warning system to improve effectiveness by early identification of those clients who are not responding.
Demonstrate methods to elicit client feedback about the alliance and outcome to enable either new directions in therapy and the possibility of helping every single client.
Summarize how therapists develop and what they can do to accelerate it.

Relevant References:

Anderson, T., Lunnen, K, & Ogles, B. (2010). Putting models and techniques in context. In B. Duncan, S. Miller, B.Wampold, & M. Hubble (Eds.), The heart and soul of change: Delivering what works (2nd Ed.). Washington DC: American Psychological Association.
Anker, M., Duncan, B., & Sparks, J. (2009). Using client feedback to improve couples therapy outcomes: A randomized clinical trial in a naturalistic setting. Journal of Consulting and Clinical Psychology, 77(4), 693-704.
APA Presidential Task Force on Evidence-Based Practice (2006). Evidence-based practice in psychology. American Psychologist, 61, 271-285.
Baldwin, S. A., Wampold, B. E., & Imel, Z. E. (2007). Untangling the alliance-outcome correlation: Exploring the relative importance of therapist and patient variability in the alliance. Journal of Consulting and Clinical Psychology, 75(6), 842-852.
Baskin, T. W., Tierney, S. C., Minami, T., & Wampold, B. E. (2003). Establishing Specificity in Psychotherapy: A Meta-Analysis of Structural Equivalence of Placebo Controls. Journal of Consulting and Clinical Psychology, 71, 973-979.
Benish, S., Imel, Z. E., & Wampold, B. E. (2007). The relative efficacy of bona fide psychotherapies for treating post-traumatic stress disorder: A meta-analysis of direct comparisons. Clinical Psychology Review, 28, 746-759.
Beutler, L.E., Malik, M., Alimohamed, S., Harwood, T.M., Talebi, H., Noble, S., et al. (2004). Therapist variables. In M.J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (5th ed.) (pp. 227-306). New York: Wiley.
Bohanske, R., & Franczak, M. (2010). Transforming public behavioral health care: A case example of consumer directed services, recovery, and the common factors. In B. Duncan, S. Miller, B.Wampold, & M. Hubble (Eds.), The heart and soul of change: Delivering what works (2nd Ed.). Washington DC: American Psychological Association Press.
Bohart, A., & Tallman, K. (2010). Clients: The neglected common factor in psychotherapy. In B. Duncan, S. Miller, B.Wampold, & M. Hubble (Eds.), The heart and soul of change: Delivering what works (2nd Ed.). Washington DC: American Psychological Association Press.
Bordin, E. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy, 16, 252-260.
Duncan, B. (2010). On becoming a better therapist. Washington DC: American Psychological Association
Duncan, B., Miller, S., Wampold, B. & Hubble, M. (Eds.) (2010). The heart and soul of change: Delivering what works in therapy (2nd Ed.). Washington DC: American Psychological Association.
Duncan, B., Miller. S., & Sparks, J. (2004). The heroic client: A revolutionary way to improve effectiveness through client directed outcome informed therapy (revised ed.). San Francisco: Jossey-Bass.
Duncan, B., & Moynihan, D. (1994). Applying outcome research: Intentional utilization of the client's frame of reference. Psychotherapy, 31, 294-301.
Elkin, I., Shea, T., Watkins, J.T., Imber, S.D., Sotsky, S.M., Collins, J.F., Glass, D.R., Pilkonis, P.A., Leber, W.R., Docherty, J.P., Fiester, S.J., & Parloff, M.B. (1989). National Institute of Mental Health Treatment of Depression Collaborative Research Program: General effectiveness of treatments. Archives of General Psychiatry, 46, 971-982.
Frank, J.D., Frank, J.B. (1991). Persuasion and healing (3rd ed.). Baltimore: John Hopkins University Press.
Gassman, D. & Grawe, K. (2006). General change mechanisms: The relation between problem activation and resource activation in successful and unsuccessful therapeutic interactions. Clinical Psychology and Psychotherapy, 13, 1-11.
Hatcher, R.L., & Barends, A.W. (2006). How a return to theory could help alliance research. Psychotherapy: Theory, Research, Practice, Training, 43, 292-299.
Horvath, A.O., & Bedi, R.P. (2002). The alliance. In J.C. Norcross (Ed.). Psychotherapy relationships that work. New York: Oxford University Press, 37-69.
Kim, D. M., Wampold, B. E., & Bolt, D. M. (2006). Therapist effects in psychotherapy: A random effects modeling of the NIMH TDCRP data. Psychotherapy Research, 16, 161-172.
Krupnick, J. L., Sotsky, S. M., Simmens, S., Moyher, J., Elkin, I., Watkins, J., & Pilkonis, P. A. (1996). The role of the therapeutic alliance in psychotherapy and pharmacotherapy outcome: Findings in the National Institute of Mental Health Treatment of Depression Collaborative Research Project. Journal of Consulting and Clinical Psychology, 64, 532-539.
Lambert, M. (2010). "Yes, it is time for clinicians to routinely monitor treatment outcome." In B.L. Duncan, S.D. Miller, B.E. Wampold, & M.A Hubble (Eds.) The heart and soul of change. Delivering what works. Washington, DC: American Psychological Association.
Lambert, M.J., Garfield, S.L., & Bergin, A.E. (2004). Overview, trends, and future issues. In M.J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (5th ed.) (pp. 805-819). New York: Wiley.
Lambert, M., & Ogles, B. (2004). The efficacy and effectiveness of psychotherapy. In M.J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (5th ed.) (pp. 139-193). New York: Wiley.
Littell, J. (2010). Evidence based practice: Evidence or orthodoxy? In B. Duncan, S. Miller, B.Wampold, & M. Hubble (Eds.), The heart and soul of change: Delivering what works (2nd Ed.). Washington DC: American Psychological Association Press.
Norcross, J. (2010). The therapeutic relationship. In B.Duncan, S. Miller, B.Wampold, & M. Hubble (Eds.), The heart and soul of change: Delivering what works (2nd Ed.). Washington DC: American Psychological Association.
Orlinsky, D. E., Rønnestad, M. H. (2005). How psychotherapists develop: A study of therapeutic work and professional growth. Washington, DC: American Psychological Association.
Orlinsky, D. E., Rønnestad, M. H., & Willutzki, U. (2004). Fifty years of process -outcome research: Continuity and change. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (5th ed., pp. 307-390). New York: Wiley.
Project MATCH Research Group. (1998). Therapist effects in three treatments for alcohol problems. Psychotherapy Research, 8, 455-474.
Rogers, C. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21, 95-103.
Rosenzweig, S. (1936). Some implicit common factors in diverse methods of psychotherapy. American Journal of Orthopsychiatry, 6, 412-415.
Sparks, J.A., & Duncan, B.L. 2010). Couple and family therapy and the common factors: Have all won prizes? In B. Duncan, S. Miller, B. Wampold, & M. Hubble (Eds.), The heart and soul of change: Delivering what works (2nd Ed.). Washington DC: American Psychological Association.

Presenter:

Barry L. Duncan, Psy.D., is a therapist, trainer, and researcher with over 17,000 hours of clinical experience. He is director of the Heart and Soul of Change Project (www.heartandsoulofchange.com), a practice-driven, training and research initiative that focuses on what works in therapy, and more importantly, how to deliver it on the front lines via client based outcome feedback or the Partners for Change Outcome Management System.

Barry has over one hundred publications, including fifteen books. His latest books: The Heroic Client (2nd edition, Jossey Bass, 2004); Heroic Clients, Heroic Agencies: Partners for Change (2nd ed. 2010 E Edition available at www.heartandsoulofchange.com); Brief Intervention for School Problems (Guilford, 2007); the 2nd edition of the Heart and Soul of Change: Delivering What Works (APA,2010); and On Becoming a Better Therapist (APA, 2010). He is the co-developer of the Outcome Rating Scale (ORS), Session Rating Scale (SRS), Child ORS, and Child SRS, measures designed to give clients the voice they deserve as well as provide clients, clinicians, administrators, and payers with feedback about the client's response to services, thus enabling more effective care tailored to client preferences. Because of his self help books, he has appeared on "Oprah," "The View," and several other national TV programs. Barry conducts seminars internationally in hopes of inciting insurrection against practices that diminish clients and encouraging therapists to establish their own identity. He can be reached at barrylduncan@comcast.net and www.heartandsoulofchange.com.

Click for Additional Information on Barry Duncan

Education

• Doctor of Psychology (Psy.D.), Wright State University School of Professional Psychology

• B.S. in Psychology, Wright State University College of Science and Engineering

Professional Experience

• Therapist, Consultant, and Trainer, Dr. Barry Duncan, P.A., 1994 - Present

• Director of the Heart and Soul of Change Project, 2009 - Present

• Co-founder and co-director of the The Institute for the Study of Therapeutic Change, 1997 - 2009

• Co-host for Voiceamerica.com Radio Show Mind Matters, 2004 - 2006

• Adjunt Professor at Florida Atlantic University Department of Counselor Education, 2002 - 2005

• Professor of Family Therapy and Psychology at Nove Southeastern University Department of Family Therapy, 1996 - 2001

• Adjunct Faculty at New York Institute of Technology, 1995 - 1997

• Adjunct Faculty at Florida Atlantic University Department of Counselor Education, 1994 - 1996

• Director of The Dayton Institute for Family Therapy, 1986 - 1994

• Clinical Faculty at Wright State University School of Professional Psychology, 1984 - 1994

• Clinical Assistant Professor at Wright State University College of Education and Human Services, 1985 - 1992

• Senior Consultant at Personal Performance Consultants, Inc., 1984 - 1986

Books

• Duncan, B. (2010). On becoming a better therapist. Washington, DC: American Psychological Association.

• Duncan, B. (2005). What's right with you: Debunking dysfunction and changing your life. Deerfield Beach, FL: Health Communications, Inc.

• Duncan, B., Hubble, M., & Miller, S. (1997). Psychotherapy with "impossible" cases: The efficient treatment of therapy veterans. New York: W. W. Norton. Translated to German (1998), Japanese (2000), Spanish (2003).

• Duncan, B., & Miller, S. (2000). The heroic client: Doing client directed, outcome informed therapy. San Francisco: Jossey-Bass. Translated to French (2004)

• Duncan, B., & Miller, S., & Sparks, J. (2004). The heroic client: A revolutionary way to improve effectiveness through client directed, outcome informed therapy, Revised Edition. San Francisco: Jossey-Bass.

• Duncan, B., Miller, S., & Wampold, B., & Hubble, M. (Eds.) (2010). The heart and soul of change: Delivering what works, 2nd edition. . Washington D.C.: American Psychological Association.

• Duncan, B. & Rock, J. (1991). Overcoming relationship impasses: Ways to initiate change when your partner won't help. New York: Plenum Publishing. Translated to Spanish (1993).

• Duncan, B., Solovey, A. & Rusk, G. (1992). Changing the rules: A client directed approach. New York: Guilford.

• Duncan, B., & Sparks, J. (2002). Heroic clients, heroic agencies: Partners for change. Ft. Lauderdale: HSCP Press. Translated to Norwegian (2007) Revised E version: (2007) Second Edition: (2010)

• Hubble, M., Duncan, B., & Miller, S. (Eds.) (1999). The heart and soul of change: What works in therapy. Washington D.C.: American Psychological Association. Translated to German (2001).

• Miller, S., Duncan, B., & Hubble, M. (1997). Escape from Babel: Toward a unifying language of change. New York: W. W. Norton. Translated to German (2000), Japanese (2000), French (2001).

• Miller, S., Hubble, M., & Duncan, B. (Eds.) (1996). Handbook of solution-focused brief therapy. San Francisco: Jossey-Bass.

• Murphy, J. & Duncan, B. (1997). Brief intervention for school problems: Collaborating for practical solutions. New York: Guilford. Translated to Japanese (2000), Korean, 2003.

• Murphy, J. & Duncan, B. (2007). Brief intervention for school problems: Outcome informed strategies, 2nd edition. New York: Guilford. Translated to Danish (2008), Dutch (2009).

• Rock, J., & Duncan, B. (1998). "Let's face it, men are @$$#%\¢$": What women can do about it. Deerfield Beach: Health Communications. Translated to Korean (2000), Bulgarian (2001), Greek (2004).

Professional and Continuing Education:

Regent University, is an NBCC-Approved Professional and Continuing Education Provider (ACEP) and may offer NBCC-approved clock hours for events that meet NBCC requirements. The ACEP solely is responsible for all aspects of the program (Provider #4446). Regent University is also approved by the American Psychological Association to sponsor continuing education for psychologists. Regent University maintains responsibility for this program and its content.

This course meets or exceeds the requirements of continuing education for counselors and for psychologists.

Payments Accepted:

You may pay by Credit/Debit card or by Check using an eCheck through Electronic Funds Transfer (EFT). (Please review our Returned eCheck policy).

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