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talkingcure.co.uk digesting psychotherapy home what's new? warning about statutory regulation -- psychotherapy works what influences outcome more interesting facts 6-es principles of practice tips for clients frequently asked questions services offered -- bibliography and reviews useful resources useful software feedback and contact polls search -- about us notes last updated: 23 july 2014 welcome psychotherapy or counselling involves talking with a trusted therapist to find your own ways of relieving emotional, mental or relationship difficulties. by working together well, you can gain hope and achieve improvement by learning to make better use of your unique individual abilities and resources. this website summarizes and digests essential facts and research evidence about psychotherapy and counselling. it also provides links to useful mental health resources for both the public and practitioners. the discussions take place mainly within british and scottish contexts. please note that, because of other commitments, the website is no longer being developed or regularly maintained by its publishers. however, its content is still being made available to inform the public and practitioners. what's new 14 july 2014 site mothballed after updating various links in resources and updating the frequently asked questions with information about the uk's professional standards authority and its accredited voluntary registers scheme. 12 november 2012 some minor reorganization and updating of links to resources; a few deletions and additions. expanded information regarding criminal history checks in frequently asked questions . 12 april 2012 added download link for richard mowbray's masterwork the case against psychotherapy registration to useful resources . updated frequently asked questions about regulation. archived information about defunct statutory regulation plans. 16 february 2011 new government enabling excellence white paper halts regulation by the health professions council (hpc). psychotherapy works psychotherapy (also referred to as 'counselling' or 'the talking cure') is a professional form of helpful conversation which has existed for thousands of years. it is part of our humanity to air our troubles with a trusted confidant, to gain hope and a fresh perspective on our predicament, and to change our lives for the better. we instinctively know how useful this can be, given the right person to trust and the right conditions. however, it is only over the past 25 years or so that sufficient data has been gathered from research to scientifically assess the effectiveness of psychotherapy. psychotherapy is now supported by more, and better quality, research evidence ( wampold, 2001 ) than many other interventions in health care. beyond reasonable doubt, we find that psychotherapy works remarkably well overall and that its effects are generally lasting. the average client participating in psychotherapy does better than 79% of clients who are not. the rate of improvement in psychotherapy clients is significantly greater than that arising from spontaneous remission (natural recovery) or placebo (hope and expectancy) effects. statistically, when the outcomes for a large group of therapy clients and a no-therapy control group are compared, the difference between the means is equal to approximately 0.8 of a standard deviation. this measurement, termed the effect size , estimates the absolute efficacy of psychotherapy - see animated graphs of psychotherapeutic effects . while the effect size for psychotherapy is considered large, it still only accounts for 13% of the variance in outcomes. the remainder of the variance, 87%, can be attributed to 'extratherapeutic factors'. these comprise the resources clients bring into therapy and the influences on their lives outside it. the client's personal strengths and experiences, supportive aspects of their environment, and serendipity all contribute to the beneficial change which is catalyzed by therapy. what influences outcome having proven that psychotherapy works, research evidence ( wampold, 2001 ) also helps us to understand what aspects of psychotherapy are responsible for its benefits. the adjacent diagram shows that the biggest influence on outcome for the client comes from factors which are common to all types of psychotherapy. these common factors include the working alliance between the client and the therapist, the gaining of hope and the expectancy of improvement (placebo and allegiance effects), and the effectiveness of the therapist. it is clear from the research that psychotherapy helps the client most when it activates the common factors and makes them responsive to the client's centrality to change. this is known as a 'common factors' or 'contextual' approach to therapy. despite the many different types of psychotherapy, each with its own theory and techniques, the unique ingredients of a given therapy are not, in themselves, a vital source of therapeutic effects. therefore, psychotherapy is unlike a medical treatment , where standard therapeutic ingredients are prescribed according to a diagnosis of the patient's problem from their symptoms. research findings ( wampold, 2001 , messer & wampold, 2002 ) can now provide a more detailed breakdown of the influences on psychotherapy outcome. the diagram below shows these influences, together with the proportion of outcome variance that they represent: although these figures are not simply additive, they do provide sound guidance to "what really matters", relatively speaking, in psychotherapy. clearly, the person of the therapist and the zeal they have for their own brand of therapy are critical factors in the success of therapy. from the client's viewpoint, it is essential to have a good working relationship with the therapist and to be convinced that the therapy will really help them. any bona fide therapy has the potential to be efficacious if both the therapist and client believe it to be so and are persuaded by its particular rationale and special techniques. further practical implications of these research findings are discussed below in more interesting facts and tips for clients . more interesting facts there are other interesting findings which have emerged from the research data. a few of these facts may be rather surprising, but they are well established by the evidence ( wampold, 2001 , duncan & miller, 2000 , hubble et al, 1999 , and bergin & garfield, 1994 ). aspects which are particularly pertinent to clients are considered in tips for clients . the outcome of therapy is very variable psychotherapy, although generally effective, depends on many complex and unpredictable factors in an individual case. improvement cannot be guaranteed. the client's strengths and resources, social support, environmental circumstances, and even chance events, can all affect progress and outcome. while most clients are certainly helped by psychotherapy conducted in good faith, research suggests that some clients can deteriorate. however, reliable predictors of poor outcome have been identified (see below). therapeutic effectiveness varies significantly among individual therapists and service providers such variation cannot be explained by the nature of the cases being seen or the methods of therapy used. the variation in outcome due to different therapists within a given type of therapy is far greater than the variation due to different types of therapy. although the personal qualities of the therapist are critical factors in the success of therapy, their qualifications, training, experience, and participation in supervision or personal therapy are not significantly linked to outcome. standardized treatments do not lead to improved outcomes adherence to therapy protocols (prescribed procedures) does not generally improve outcome. also, differences in therapy methods, problem diagnoses, and length of therapy account for only a small amount of the variati

URL analysis for talkingcure.co.uk

http://www.talkingcure.co.uk/#profession
http://www.talkingcure.co.uk/notmedical.htm
http://www.talkingcure.co.uk/reviews.htm#clients
http://www.talkingcure.co.uk/articles/whatreallymatters.pdf
http://www.talkingcure.co.uk/faq.htm#regulation
http://www.talkingcure.co.uk/reviews2.htm#heart
http://www.talkingcure.co.uk/#notes
http://www.talkingcure.co.uk/#polls
http://www.talkingcure.co.uk/articles/messerwampold.pdf
http://www.talkingcure.co.uk/faq.htm
http://www.talkingcure.co.uk/reviews.htm#heroic
http://www.talkingcure.co.uk/#measures
http://www.talkingcure.co.uk/img/normaleffects.gif
http://www.talkingcure.co.uk/#outcome
http://www.talkingcure.co.uk/reviews.htm#handbook
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Domain name:
talkingcure.co.uk

Registrant:
Dr Douglas McFadzean

Registrant type:
UK Individual

Registrant's address:
The registrant is a non-trading individual who has opted to have their
address omitted from the WHOIS service.

Data validation:
Nominet was able to match the registrant's name and address against a 3rd party data source on 26-Mar-2015

Registrar:
Mesh Digital Limited t/a Domainmonster.com [Tag = MONSTER]
URL: http://www.domainmonster.com

Relevant dates:
Registered on: 29-Oct-2004
Expiry date: 29-Oct-2018
Last updated: 12-Feb-2016

Registration status:
Registered until expiry date.

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WHOIS lookup made at 16:49:16 21-Mar-2017

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SERVERS

  SERVER co.uk.whois-servers.net

  ARGS talkingcure.co.uk

  PORT 43

  TYPE domain

OWNER

  ORGANIZATION Dr Douglas McFadzean

TYPE
UK Individual

ADDRESS
The registrant is a non-trading individual who has opted to have their
address omitted from the WHOIS service.
Data validation:
Nominet was able to match the registrant's name and address against a 3rd party data source on 26-Mar-2015

DOMAIN

  SPONSOR Mesh Digital Limited t/a Domainmonster.com [Tag = MONSTER]

  CREATED 2004-10-29

  CHANGED 2016-02-12

STATUS
Registered until expiry date.

NSERVER

  NS1.DOMAINMONSTER.COM 109.68.33.100

  NS2.DOMAINMONSTER.COM 109.68.33.102

  NS3.DOMAINMONSTER.COM 109.68.33.103

  NAME talkingcure.co.uk

DISCLAIMER
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for .uk domain names. This information and the .uk WHOIS are:
Copyright Nominet UK 1996 - 2017.
You may not access the .uk WHOIS or use any data from it except as permitted
by the terms of use available in full at http://www.nominet.uk/whoisterms,
which includes restrictions on: (A) use of the data for advertising, or its
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