Managing Clinical Change: A Process Model of Therapy

This article identifies some limitations of the current behavioral paradigm of therapy and proposes a heuristic model which enlarges its scope. Seven overlapping phases are specified: (1) role-structuring and creating a therapeutic alliance, (2) developing a commitment for change, (3) conducting a b...

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Bibliographic Details
Published in:Behavior modification 1980-10, Vol.4 (4), p.419-444
Main Authors: Kanfer, Frederick H., Grimm, Laurence G.
Format: Article
Language:English
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Summary:This article identifies some limitations of the current behavioral paradigm of therapy and proposes a heuristic model which enlarges its scope. Seven overlapping phases are specified: (1) role-structuring and creating a therapeutic alliance, (2) developing a commitment for change, (3) conducting a behavioral analysis, (4) negotiating treatment objectives, (5) executing treatment and maintaining motivation, (6) monitoring progress, and (7) programming for generalization and treatment termination. These phases are intended to serve as a conceptual guide to ensure that attention is given to the client's motivation to engage in various aspects of therapy as well as specify subgoals that should facilitate the initiation and maintenance of behavior change.
ISSN:0145-4455
1552-4167
DOI:10.1177/014544558044001