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Helpful aspects of pluralistic therapy for depression

This new study, founded on negotiation and regular review of therapeutic work and feedback, provides another chapter for Cooper and McLeod's pluralistic framework. The idea that clients can have choice and flexibility in their own therapy is little researched. However, using the principles of thematic analysis to interpret the data from an open clinical trial of pluralistic counselling for depression, the researchers say their findings could help therapists understand clients' different experiences of depression.

Interpretation of the data from an open clinical trial of pluralistic counselling for depression, was achieved using the principles of thematic analysis. Eighteen participants aged 18 and over, with varying levels of experience, completed change interviews (lasting 30 to 90 minutes) within 4 weeks of completing therapy.

There are limitations: for instance, two of the authors already have a pluralistic perspective, which possibly influences identification of diverse helpful factors associated with several therapeutic orientations. Nonetheless, the results establish how subjective feelings of involvement in therapeutic decision-making processes can help client motivation towards change, and support resourceful responses to problems. Each area provided a strong counterpoint to the hopelessness of depression.  The good news is that such an approach can encourage clients' sense of responsibility for their mental health, ultimately contributing to positive therapeutic outcomes.

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