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Discrete or isolated dimensions that affect
treatment outcome
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Discrete Therapist Variables
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The mutual impact of therapists and clients
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Interpersonal or Relational Context
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Differences in therapists
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Therapist Variability
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The therapist's ability to conceptualize the differing therapeutic experiences that therapists need to provide for each varying client
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Client Response Specificity
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The therapist's ability to be accurately empathetic with diverse clients
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Subjective Worldview
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Challenges the therapist's interpersonal range and ability to respond flexibly to clients and provide in vivo or experiental relearning in the current interaction with the therapist
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Reparative Relational Experiences
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Therapists within a given theoretical perspective DO NOT DIFFER in their level of SKILL or EFFECTIVENESS with clients
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Uniformity Myth
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Emphasizes that therapists and clients influence and shape reciprocal responses to each other so fundamentally that therapist and client variables cannot be considered usefully in isolation
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Relational Context
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Exerted by therapists and clients on one another-shapes the content and meaning of each successive verbal interchange
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Reciprocal Impact
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The therapist's skill, such as their sensitivity to the client's particular needs based on culture and other factors. The is EARNED, and may have more impact on eventual treatment OUTCOME. To earn it requires SENSITIVITY!
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Acheived Credibility
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Initial trust or positive expectations of understanding and help based on therapist-client similarity in ethnicity, religion, gender, and so forth. This is GIVEN. This may be more important for RETENTION early in treatment. This includes age.
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Ascribed Credibility
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May be the more salient characteristic that neesd to more systematically evaluated in future studies on ethnicity and treatment effectiveness
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Ethnic or Cultural Sensitivity
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These affect the ways in which men and women structure and view their worlds, and gender is a key feature of how society is organized
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Gender Socialization Processes
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The personal and technical influence of the therapist is mediated through the relationship formed with the client, which in turn stimulates the client's committment to treatment and activates the client's resources on behalf of change
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Therapeutic Process
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Does "therapy work"?
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No- the therapist and client work
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