• Home
  • About
    • How Pluralistic Therapy Works
    • Introduction to Pluralistic Counselling and Psychotherapy
    • Frequently Asked Questions (FAQs) on the pluralistic approach
    • Writing a Blog for Pluralistic Practice
  • Training
    • Degree Courses
    • Master’s Courses
    • Doctoral Courses
  • Research
    • Research Initiatives
    • Evidence to Support Pluralistic Practice
    • Research News
  • Publications
  • Tools and Measures
  • Videos
  • Events
    • Network Meetings
    • Pluralistic Conference 2020
    • Past Networking Events
  • Blog

Pluralistic Practice

Celebrating diversity in therapy

  • Home
  • About
    • How Pluralistic Therapy Works
    • Introduction to Pluralistic Counselling and Psychotherapy
    • Frequently Asked Questions (FAQs) on the pluralistic approach
    • Writing a Blog for Pluralistic Practice
  • Training
    • Degree Courses
    • Master’s Courses
    • Doctoral Courses
  • Research
    • Research Initiatives
    • Evidence to Support Pluralistic Practice
    • Research News
  • Publications
  • Tools and Measures
  • Videos
  • Events
    • Network Meetings
    • Pluralistic Conference 2020
    • Past Networking Events
  • Blog

IMPACT Study

The Improving Mood through Psychoanalytic and Cognitive-Behavioural Therapy (IMPACT) study was a large-scale randomized controlled trial carried out in the UK, in which young people suffering from depression received either short-term psychoanalytic psychotherapy, CBT, or a brief psychosocial intervention. In terms of quantitative outcomes on depression measures, all three forms of therapy recorded equivalent levels of effectiveness. A distinctive aspect of the study was that clients (and their parents) were interviewed about their experience of therapy. This made it possible to look at what clients thought was helpful or unhelpful in therapy they had received. Although the massive data set collected in this project is still in the process of being published, the articles that have been disseminated so far include analyses of the experiences of clients who benefitted from CBT and the psychosocial interventions (i.e., ‘good outcome’ cases). These clients consistently described two key aspects of therapy that had been particularly important for them. First, they felt that their therapist openly offered them a different way of making sense of their problems – in other words, was willing to share and explain their assumptions about depression, and how and why therapy might help. Second, they experienced their therapists as being open to feedback, and committed to shared decision-making and collaboration. The published articles include many interesting quotes from clients around each of these themes. These elements of therapy – explicit, shared understanding, and shared decision-making – are key aspects of a pluralistic approach. The findings of the IMPACT study suggest that, at least from the point of view of the client, these processes are crucial to success. Although the therapist’s starting point may be quite different – for instance a highly theoretically coherent CBT model or a looser psychoeducational framework – it is the capacity to explain the model in way that makes sense to the client that is important, and to do so in a way that genuinely involves input from the client.

Sources

Wilmots, E., Midgley, N., Thackeray, L., Reynolds, S., & Loades, M. (2020). The therapeutic relationship in Cognitive Behaviour Therapy with depressed adolescents: A qualitative study of good‐outcome cases. Psychology and Psychotherapy: Theory, Research and Practice, 93(2), 276-291.

Dhanak, D., Thackeray, L., Dubicka, B., Kelvin, R., Goodyer, I. M., & Midgley, N. (2020). Adolescents’ experiences of brief psychosocial intervention for depression: An interpretative phenomenological analysis of good-outcome cases. Clinical Child Psychology and Psychiatry, 25(1), 106-118.

Keywords: adolescent, collaboration, shared decision-making, shared understanding

1 thought on “IMPACT Study”

  1. admin
    October 21, 2020 at 2:09 pm

    Test Comment

    Reply
Leave a Reply Cancel reply

Blog Post Categories

  • Arts therapies (7)
  • CBT (1)
  • Children (1)
  • Co-production (3)
  • CPD (2)
  • Critiques (5)
  • Cultural diversity (3)
  • Cultural resources (5)
  • Deliberate practice (2)
  • Epistemology (1)
  • Gender (1)
  • Goals (3)
  • groups (2)
  • Information and Updates (10)
  • Integrative and Eclectic Practices (1)
  • Leadership (2)
  • Networking (1)
  • No Category (2)
  • Older adults (1)
  • Online (1)
  • Person-centred (6)
  • Personal (21)
  • Philosophy (14)
  • Policy (2)
  • Politics (5)
  • Practice (24)
  • Preferences (10)
  • Research (9)
  • Shared decision making (12)
  • Spirituality (1)
  • Strengths and Resources (1)
  • Supervision (2)
  • Therapeutic approaches (7)
  • Training (17)
  • Young people (2)

Recent Posts

  • Pluralistic Practitioners Network: Creativity and Storytelling Gathering January 18, 2021
  • The Strength that We Find in Our New Everyday January 5, 2021
  • Survey of Pluralistic Practice: Key Findings December 17, 2020
  • Pluralistic Therapy Cards: Playing with Potential November 26, 2020
  • Personal and Professional Development Groups in Counselling and Psychotherapy Training: A Pluralistic Perspective November 23, 2020
  • Focus: Finding my Strengths in Pluralistic Practice October 30, 2020
  • How Do You Ask Clients About Their Preferences? October 19, 2020
  • Metamodernism and Pluralism October 9, 2020
  • Pluralistic Practice Network: Creativity and Storytelling Gathering October 7, 2020
  • Moving from Busyness to Retirement and Older Age: Can Pluralistic Counselling Help? September 8, 2020

Subscribe to this Blog via Email

* indicates required
Proudly powered by WordPress | Theme: Doo by ThemeVS.