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A major controversy in contemporary psychotherapy literature is between those who claim that treatment outcome is due to the quality of the psychotherapy relationship versus specific treatment interventions. The Division of Psychotherapy Task Force on Empirically Supported Therapy Relationships, chaired by John Norcross, Ph.D., published a landmark review of evidence-based literature that identified elements of effective psychotherapy relationships and determined efficacious methods of customizing therapy to the individual patient. This article summarizes the literature on elements of the psychotherapy relationship that are demonstrably effective and those that are promising or probably effective. A major conclusion of the study is that an "effective psychotherapist is one who employs specific methods, who offers strong relationships, and who customizes both discrete methods and relationship stances to the individual person and condition."
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