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How Clients Make Therapy Work: The Process of Active Self-Healing

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The effectiveness of treatment has routinely been attributed to the technique a therapist uses or the therapist using the techniques. Witness so much emphasis on the model of therapy at continuing education programs and in graduate education. Finally, someone has gathered together evidence about what really makes therapy work--or better said, who. Researchers Art Bohart and Karen Tallman have compiled a compelling, readable, and practical summary of the research on the client's contribution to change in treatment. As noted above, the client is the single largest contributor to change in treatment--accounting for the largest percentage of the variance in treatment outcome.

In the psychotherapy profession we spend so much time focusing on how therapists make therapy work. Bohart and Tallman, relying on numerous research studies, remind us that it is the client, not the therapist, who makes therapy work. Bohart and Tallman make clear we can do a more effective job as facilitors if we keep clear that the client, not our our techniques are what makes the difference. A great book, carefully researched, well-written and full of ideas worth thinking about. Phillip Ziegler, co-author of Recreating Partnership: A Solution-Oriented, Collaborative Approach to Couples Therapy