title: Beyond common factors: multilevel-process models of therapeutic change in marriage and family therapy.
abstract: A number of scholars have proposed the common factors perspective as the future direction of marriage and family therapy (MFT). Although intuitively appealing, the case for the common factors perspective is not as clear-cut as proponents portray. In its current form, the common factors perspective overlooks the multilevel nature of practice, the diversity of clients and settings, and the complexity of therapeutic change. In contrast, comprehensive process-based change models are an alternative to the limitations of common factors. In this article, we consider the limitations of the common factors perspective and propose the necessary and sufficient components and processes that might comprise comprehensive, multilevel, process-based therapeutic change models in MFT.
authors.affiliation: Department of Counseling and Educational Psychology, Indiana University, 201 N. Rose Ave., Bloomington, Indiana 47405. thsexton@indiana.edu
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Sexton
authors.forename: Charles R
authors.initials: CR
authors.lastname: Ridley
authors.forename: Amy J
authors.initials: AJ
authors.lastname: Kleiner
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D004059:Diffusion of Innovation; D005196:Family Therapy / Q000379:methods / Q000592:standards; D006801:Humans; D008388:Marital Therapy / Q000379:methods / Q000592:standards; D008960:Models, Psychological; D017063:Outcome Assessment, Health Care; D011369:Professional-Patient Relations; D012107:Research Design; D014481:United States