- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Thursday, January 09, 2020

Paper: "Obtaining Consensus in Psychotherapy: What Holds Us Back?" c/o Goldfried

In respect to Goldfried's paper and the disciplines of psychology, psychiatry and psychotherapy; please also consider research as it applies to all, across the domains of Hodges' model. Hence, to include: objective, subjective, methods, methodology, quantitative, qualitative, communication, meaning, integration, data, information, policy, autonomy, accessibility (to therapy) and agency. As per the review of Kinchin - to be completed next post, it is the links/relationships to be made and understood between these concepts that are fundamental.

"There are at least three problematic issues that seem to contribute to the difficulty we have in obtaining a consensus within the field of psychotherapy: The first involves our long-standing practice of solely working within theoretical orientations or eclectic combinations of orientations. More-over, not agreeing with those having other frameworks on how to bring about therapeutic change results in the prolif-eration of schools of therapy (Goldfried, 1980). The second issue involves the longstanding gap between research and practice, where many therapists may fail to see the relevance to their day-to-day clinical practice and also where many researchers do not make systematic use of clinical observations as a means of guiding their research (Gold-fried, 1982). The third issue is our tendency to neglect past contributions to the field (Goldfried, 2000). We do not build on our previous body of knowledge but rather rediscover what we already know or—even worse—ignore past work and replace it with something new. What follows is a description of how these three issues prevent psychotherapy from achieving a consensus, after which there will be a consideration of some possible steps that might be taken in working toward a resolution of these issues." p.484.
HUMANISTIC ---------------------------------------------- MECHANISTIC

Psychotherapy (Schools)
Waves? 3rd Wave of CBT?

Patient (as Self, Client, Person)
Therapist (as Self, Person)

Clinical Psychology
Occupational Psychology et al...

Psychological problems

meta-cognition, reflection ... (see list, p.488)

Theoretical orientation(s)
empirical, experiential

Biological Psychiatry

'medical model'

 clinical training
(ref to 'the' manual, protocol)


Therapeutic alliance
Therapeutic change
Other (as patient, subject)

(benefiting from lessons learned)

Social change, expectations

"the sociology of science" p.486

(as political entities)
supervision, governance,


access to therapy

selection criteria
(for therapy, gate keeping
[self-assessment as exclusion?],


Goldfried, M.R. Obtaining consensus in psychotherapy: What holds us back? Am Psychol. 2019 May-Jun;74(4):484-496. doi: 10.1037/amp0000365

Jones, P. (1996) An overarching theory of health communication? Health Informatics Journal,2,1,28-34.