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In 1991, Frank and Frank, extending the work of the elder Frank, identified four features that are shared by all effective therapies: (1) an emotionally charged, confiding relationship with a helping person ; (2) a healing setting ; (3) a rationale, conceptual scheme, or myth that provides a plausible explanation for the patient s symptoms and prescribes a ritual or procedure for resolving them ; and (4) a ritual or procedure that requires the active participation of both patient and therapist and that is believed by both to be the means of restoring the patient s health (pp 40 43) Michael Lambert (1992) outlined four essential variables in psychotherapy based on his extensive review of the extant literature These are Client / Extratherapeutic factors; Relationship factors; Placebo, Hope, and Expectancy; and Model / Technique factors.

Carbon Copy Cloner makes it very easy to simply replicate your disk onto another, which is a great way to back up your data. You can tell Carbon Copy Cloner to ignore certain folders if you don t want to bother backing them up, and you can automatically maintain synchronized copies between the source and the backup. Carbon Copy Cloner can create bootable backups. This means that if you re ever so unfortunate as to need your backup, you can simply boot from it and operate just as you were at least at the time of the last backup.

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parental knowledge Efforts to facilitate care prompted a movement to expand health services available in schools Prior to 1980, school health typically consisted of, at best, a nurse in a health room and a school psychologist who provided psychoeducational assessment in multiple schools, with an extremely limited role for each professional; more extensive services were generally provided only for special education services (see Weist, 1997) Given increased recognition of the new morbidity and the need for preventive services and intervention, the obvious advantages of providing services in the school fueled an expansion of school-based programs in the 1980s and 1990s In addition to geographic ease of access, school-based services offer many advantages both to the individual patient and the student population in general For example, a teenager can discreetly request treatment for a cold, feared pregnancy, or suicidal thoughts in the same general setting.

Those therapists who place great emphasis on their techniques seem to forget that about 40% of the outcome variance is accounted for by client and social environmental variables outside the consulting room Millon s domains provide us with a template for considering the patient s unique configuration of psychological variables According to Lambert, relationship variables account for about 30% of the outcome variance Included in these variables are empathy, warmth, acceptance, mutual affirmation, and encouragement of risk-taking Hope and expectancy are all part of placebo, which accounts for about 15% of the outcome variance Last, technique accounts for about 15% of the outcome variance in psychotherapy Garfield s 1995 Psychotherapy: An Eclectic-Integrative Approach, second edition, drew on the earlier works of Rosenzweig (1936), Levine (1948), Heine (1953), and Rosenthal and Frank (1956) as well as his own considerable work in the area.

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Also, the overall school environment can be improved through special prevention programs and other collaborative efforts between health and educational staff The obvious advantages of this approach led to amazing growth, with 607 school-based health centers being established by 1994; these are located in 41 states and the District of Columbia, with the majority located in high schools (46%) or middle schools (16%) (see Weist, 1997) Mental health services have been increasingly incorporated as a needed component of comprehensive care For example, there were mental health programs in three Baltimore schools in 1987 and in 60 schools by 1995; 80% of the Baltimore students referred for services had had no prior mental health services despite signi cant presenting problems (see Weist, 1997).

He identified several common factors present in different forms of psychotherapy His basic hypothesis is that despite the many apparent differences in theoretical orientations across various approaches, many of the divergent schools of psychotherapy rely on essentially common.

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