It’s time to focus on the biggest change factor
Client factors are the least understood and least researched of the common factors.
Psychotherapy research has made a long-standing assumption that models, techniques, and therapists are the primary agents of change in psychotherapy. The long-standing belief that therapists and treatment models are the "active" agents has guided the focus of most psychotherapy research. However, research shows that clients are actually the largest contributors to successful psychotherapy outcomes (Norcross & Lambert, 2018). This requires therapists to rethink the centrality of their role and the treatment models and techniques they use. The question becomes – how do we best utilize the knowledge that clients are the main drivers of change in their lives?