The Client's Theory of Change: Consulting the Client in the Integrative Process

About the Course:

This article casts a critical eye upon the integration literature and asserts that, like psychotherapy, the client has been woefully left out of the therapeutic process. An alternative that privileges the client’s voice as the source of wisdom and solution is presented. It is proposed that conducting therapy within the context of the client’s own theory of change offers ways of integrating multiple therapy perspectives. An argument is made for not only recasting the client as the star of the drama of therapy, but also giving the heroic client directorial control of the action as it unfolds.

Publication Date:



Barry L. Duncan, Psy.D.

Dr. Duncan is a therapist, trainer, and researcher with over 17,000 hours of clinical experience. He is co Director of the Institute for the Study of Therapeutic Change (ISTC) and practices in Boca Raton, Florida. Dr. Duncan has received numerous awards for his contributions to the mental health field, including the Wright State University School of Professional Psychology’s first annual “Outstanding Alumnus Award,” the Menninger Foundation’s 15th Annual Award for Scientific Writing for the book The Heart and Soul of Change, and the Psychotherapy Networker “20th Anniversary All Time Top Ten Award” for the article “Exposing the Mythmakers,” recognizing it as one of the most influential features in the magazine’s history. Barry has over one hundred publications, including thirteen books.

Scott D. Miller, Ph.D.

Dr. Miller is a therapist, lecturer and trainer on client-directed, outcome-informed clinical work and other time-sensitive therapeutic approaches. For three years, he co-directed Problems to Solutions, Inc.–a clinic specializing in the treatment of the homeless and other traditionally under served populations. Most recently, Dr. Miller co-founded the Institute for the Study of Therapeutic Change and works pro-bono at a clinic dedicated to serving the under served. He is the author of many papers and seven books.

Recommended For:

This advanced course is recommended for social workers, counselors, psychologists, and other human services and behavioral health professionals who seek knowledge about the client and the therapeutic change process.

Course Objectives:

  1. identify practical guidelines for learning the client’s theory of change.

  2. identify evidence that the client’s theory of change is essential to psychotherapy outcome.

  3. describe some of the ways that the client has been left out of the therapeutic process and the psychotherapy integration movement.

Article: The Client's Theory of Change: Consulting the Client in the Integrative Process

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Course Number: 100731
Total Credit Hours: 2cr
Exam Fee: $13.94
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Format: Online Article
4.5 out of 5
Popularity: 509 members have taken this course