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Psychotherapy Integration: Its Implications for Psychiatry

Published online by Cambridge University Press:  02 January 2018

Alberto Albeniz  and
Jeremy Holmes
Alberto Albeniz
Affiliation:
Yewtree House, 87 Radford Road, Leamington Spa, CV31 1GH
Jeremy Holmes*
Affiliation:
North Devon Hospital, Barnstaple, Devon
*
Dr Jeremy Holmes, Department of Psychiatry, North Devon District Hospital, Barnstaple, Devon EX32 7LB
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Abstract

Background

The proliferation of psychotherapies has been balanced by an equal and opposite tendency towards integration. Integrative approaches are particularly relevant to psychotherapy in psychiatric settings.

Method

Medline and manual literature searches yielded over 250 articles on psychotherapy integration, which are reviewed in the light of the authors' experience in a district psychotherapy service.

Results

Psychotherapy integration is an umbrella term covering a wide range of meanings: rapprochement between different theoretical positions; convergence of ideas and techniques; eclectic selection from many different methods; and integration proper in specifically integrative therapies. Many effective psychotherapeutic treatments for psychiatric disorders are integrative, including those for depression, schizophrenia, bulimia nervosa and borderline personality disorder.

Conclusions

Integration at the level of practice is common and desirable. At the level of theory, clarification and creative conflict are essential. Different therapeutic approaches should work closely together but retain their separate identities.

Information

Type
Review Article
Information
The British Journal of Psychiatry , Volume 169 , Issue 5 , November 1996 , pp. 563 - 570
Copyright
Copyright © Royal College of Psychiatrists, 1996 

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References

Bateman, A. & Holmes, J. (1995) Introduction to Psychoanalysis: Contemporary Theory and Practice, pp. 11–43. London: Routledge.CrossRefGoogle Scholar
Beitman, B. (1989) The movement towards integrating the psychotherapies; an overview. In Psychotherapy Integration (eds Norcros, J. & Goldfried, M.). New York: Basic Books.Google Scholar
Butler, G., Cullington, A., Hibbert, G., et al (1987) Anxiety management for persistent generalised anxiety. British Journal of Psychiatry, 151, 535–542.Google Scholar
Elliott, R., Stiles, W. & Shapiro, D. (1993) Are some psychotherapies more equivalent than others? In Handbook of Effective Psychotherapy (ed. Giles, T.), pp. 167–201. New York: Plenum.Google Scholar
Eysenck, H. (1970) A mish-mash of theories. International Journal of Psychiatry, 9, 140–149.Google Scholar
Fonagy, P. (1995) Is there an answer to the outcome research question? – “waiting for Godot”. Changes, 13, 168–177.Google Scholar
Frank, E. & Spanier, C. (1995) Interpersonal psychotherapy for depression; overview, clinical efficacy, and future directions. Clinical Psychology: Science and Practice, 2, 349–369.Google Scholar
Garfield, S. & Bergin, A. (1994) Introduction and historical overview. In Handbook of Psychotherapy and Behaviour Change (eds Bergin, A. & Garfield, S.), pp. 3–18. Chichester Wiley.Google Scholar
Henry, W., Strupp, H., Schacht, T., et al (1994) Psychodynamic approaches. In Handbook of Psychotherapy and Behaviour Change (eds. Bergin, A. & Garfield, S.), pp. 467–508. Chichester: Wiley.Google Scholar
Linehan, M. (1993) Cognitive–behavioural Treatment of Borderline Personality Disorder. New York: Guilford Press.Google Scholar
Luborsky, L., McLellan, A., Woody, G., et al (1985) Therapist success and its determinants. Archives of General Psychiatry, 42, 602–611.CrossRefGoogle ScholarPubMed
Margison, F. & Shapiro, D. (1996) Psychological treatments for depression. Letter. British Journal of Psychiatry, 168, 127.Google Scholar
Norcros, J. & Goldfried, M. (1992) Psychotherapy Integration. New York: Basic Books.Google Scholar
Prochaska, J. & Diclemente, C. (1992) The transtheoretical approach. In Handbook of Psychotherapy Integration (eds Norcros, J. & Goldfried, M.). New York: Basic Books.Google Scholar
Roth, , & Fonagy, P. (1996) Research on the Efficacy and Effectiveness of the Psychotherapies: a Report to the Department of Health. New York, NY: Guilford.Google Scholar
Ryle, A. (1990) Cognitive Analytic Therapy: Active Participation in Change. Chichester Wiley.Google Scholar
Scott, J. (1995) Psychological treatments for depression: an update. British Journal of Psychiatry, 167, 289–292.Google Scholar
Stiles, W., Barkham, M., Shapiro, D., et al (1992) Treatment order and thematic continuity between contrasting psychotherapies. Exploring an implication of the assimilation model. Psychotherapy Research, 2, 112–124.Google Scholar
Teasdale, J., Segal, Z. & Williams, M. (1995) How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behavioural Research and Therapy, 33, 25–39.Google Scholar
Treasure, J., Schmidt, U., Troop, N., et al (1996) Sequential treatment for bulimia nervosa incorporating a self-help manual. British Journal of Psychiatry, 168, 94–98.CrossRefGoogle Scholar

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