The benefit of using a pluralistic and integrative theoretical approach is apparent when considering the complexity that is embodied within individuals (Carlyle, 207; McLeod, 203). The hybrid of theory and technique facilitates a more tailored delivery of treatment designed to meet the individual needs of the client, and enables the therapist to identify significant dynamics (Gehart, 207). This personalized approach can only be facilitated if a trusting therapeutic relationship exists between the client and the therapist (Thompson, Bender, Lantry & Flynn, 2007). Within this relationship goals and tasks that are needed for positive change to occur can be openly discussed (Thompson, Bender, Lantry & Flynn, 2007). Furthermore, considering both Wampold and Lamberts common factors models, the therapeutic relationship together with client factors (resources, personal strengths and attitude) are shown to be the strongest predictors of positive outcomes (Gehart, 207). So despite the fact that the therapeutic model does not seem to make a significant difference, only accounting for 8 5% of positive outcomes, Gehart (208) proposes that the theory is of more u
se to the therapist than it is to the client as it becomes a tool which informs the direction a session may take. Consequently, an integrative approach that combines theoretical ideas and interventions that are grounded in an understanding of human behaviour is the best approach to achieving positive outcomes (Gehart, 207). To this end then, the decision as to which theories would be best suited for the present case study was determined by addressing the presenting problem. Leda sought counselling for herself and her husband Abdu after receiving a cancer diagnosis of their 8yr old daughter Kirsten, two months prior. Leda is concerned about the lack of communication and increasing isolation that is taking place between all the members of the family, including her 20yr old son, Samuel. Therefore it seems most beneficial to integrate strains from systemic theories, that of Virginia Satirs Humanistic Communications Theory or Experiential Theory (ET) and White and Epstons Narrative Theory (NT) (Gehart, 207; McLendon, 999). To explain the rationale behind this choice it is necessary to consider the goals, philosophy and role of therapist within each theory.