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Common factors in psychotherapy

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The integrative psychotherapy approach sees the different psychotherapeutic approaches as setting in motion the common, general factors of the therapeutic process. These common factors exert their healing, change and developmental effects. There are various lists of these factors, and here I would like to present some of the factors that play an important role in most of them.

  1. The therapeutic relationship allows emotion regulation to be practised at the level of the nervous system. Anything that has not been able to develop properly in the infant-mother relationship can be further developed in the relationship with the therapist. The therapist provides a model of emotion regulation, attachment, relating, behaviour and thinking for the client, which is integrated into the psyche of the client through conscious and unconscious processes. 
    The therapist's feedback helps the client to see reality in a more objective and nuanced way. They develop his ability to look outside himself at what is happening within him, to him and around him, rather than identifying with it, overwhelming him.

  2. The therapeutic myth encompasses all the models and interpretations that the therapist uses to interpret healthy and wounded psychic processes, the mode of healing, the process of therapy and the therapeutic relationship, based on his own psychotherapeutic orientation. It includes the person- and world-view of the particular therapeutic orientation.
    The mere fact that the client encounters a coherent system of meaning in which his own experiences can be formulated and interpreted gives a sense of security and control. 
    The more nuanced and spacious this model is, the more the client is able to see his experiences in a systemic way, to give a rational explanation for his problems and to find out what needs to be changed for the sake of his psychological health.
    Part of the therapeutic myth is the hope that the therapeutic process will move the client towards recovery. This hope has a big role to play in ensuring that positive change does occur.

  3. The therapeutic ritual includes the spatial and temporal framework of the therapy, the techniques used during the therapy sessions and the techniques recommended for homework. These rituals both provide a safe environment which acts as a holding force, facilitating the client to face his problems, to get in touch with his painful experiences, and, together with the therapeutic relationship, serve as a corrective emotional experience. They allow the client to enter into experiences where he can exercise the mature functioning of his emotion regulation systems. 
    With the help of the therapeutic tools, the client can gradually get in touch with his intense emotions, which he lacks in regulating, in the safe space of the therapeutic relationship through therapeutic rituals, and in therapy he has the opportunity to develop his emotion regulation skills.

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