Process-based therapy
Process-based Therapy (abbreviated PBT) is a psychotherapy approach that can be used with any psychotherapy theory.[1] The PBT approach was developed to allow psychotherapists to perform client-centered care.[1] The World Health Organization has been asking healthcare and mental-health providers to complete client-centered practices and published guidance on this practice for mental-health providers.[2]
Theory
PBT was developed from the frame of reference using Evolution Theory.[1] In examining the Evolution Theory, psychologists developed the Extended Evolutionary Meta Model (EEMM).[1] The EEMM informs psychologists that changes occur quickly and dynamically within human function and behaviour; thus, changes in human function and behavior do not occur at a gradual rate.[1] Understanding that humans change their behaviors quickly allows the therapist to continually assess how their client is processing their behaviors and actions.[1]
Principles
To treat patients based on an EEMM model, tools are used based on a holistic approach aiming to provide client-centered care.[3] Holistic care is an approach in which the practitioners view the client as a whole individual:[3]
- practitioners are not just concerned about the diagnosis and symptoms alone[3]
- Holistic approach to treatment is a recommendation by mental health providers when treating clients.[2]
To provide a holistic approach within the EEMM, a multidimensional model was developed to help the practitioners view the client.[2] To incorporate the EEMM, the PBT process wants practitioners to review the evolution systems such as: variation, selection, retention, and context.[3] Practitioners are then to see how clients behave by operating within the evolution systems by their dimensions, which include: motivation, overt behaviour, sense of self, attention, cognition, and affect.[3][4]
These dimensions can be noted to be carried out in two distinct levels either physiological and/or socio-cultural. Dimension and levels can be seen in the client as either helpful and/or unhelpful behaviours.
Considerations in practice
Practitioners should incorporate the PBT multidimensional model when working with clients. To understand the client's perspective while incorporating the multidimensional model, practitioners should make notations about different behaviours and actions that are networking together and therefore affecting the client's behaviours in both helpful and unhelpful behaviours. Practitioners should play to the strengths of the client and help the client focus on helpful behaviours to help them reduce the unhelpful behaviours that are causing limitations to interaction in their life they find meaningful.
References
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 Hayes, Steven C.; Hofmann, Stefan G.; Ciarrochi, Joseph (December 2020). "A process-based approach to psychological diagnosis and treatment:The conceptual and treatment utility of an extended evolutionary meta model". Clinical Psychology Review. 82: 101908. doi:10.1016/j.cpr.2020.101908. ISSN 0272-7358. PMC 7680437 Check
|pmc=value (help). PMID 32932093 Check|pmid=value (help). - ↑ 2.0 2.1 2.2 lanocepsychiatry (2020-12-31). "Benefits of Holistic Approach to Mental Health". MoreThanJustAPill. Retrieved 2022-02-09.
- ↑ 3.0 3.1 3.2 3.3 3.4 Hofmann, Stefan G.; Hayes, Steven C. (2018-05-29). "The Future of Intervention Science: Process-Based Therapy". Clinical Psychological Science. 7 (1): 37–50. doi:10.1177/2167702618772296. ISSN 2167-7026. PMC 6350520. PMID 30713811.
- ↑ Hayes, Steven C.; Hoffmann, Steffan G. (2020). Beyond the DSM: Toward a Process-based Alternative for Diagnosis and Mental Health Treatment. Oakland: Context Press. pp. 251–278. ISBN 978-1684036615. Search this book on
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