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Eclecticism in psychology: definition, types and application

Eclecticism in psychology tries to select the best treatment for a particular case, being able to take methods from different theoretical approaches.

Eclecticism is an open and integrative form of psychotherapy. It is about choosing methods and techniques from different schools of thought to produce positive results. in a specific case. For example, therapists often use methods from both behavioral and cognitive perspectives to treat depression.

Eclecticism is tailored to the unique needs of each specific client, depending on the problem and treatment goals. Uses a variety of methods and techniques from various approaches to determine the best combination to help the client.

Therapists specializing in some therapy also use other techniques in certain situations. The therapist should be familiar with evidence-based techniques used in different types of therapy that have been shown to help with specific problems.

Types of eclecticism or integrative movement in psychology

Early eclecticism was often criticized for its lack of underlying theory and the absence of formal guidelines to help counselors make decisions.

In response, more formal models of integrative psychotherapy were developed and Today four general paths for integration are recognized: common factors, technical eclecticism and theoretical integration.

The common factors route to integration identifies the core ingredients shared by most forms of psychotherapy. The advantage of common factors is the emphasis on therapeutic actions that have been shown to be effective.

Jerome Frank and Julia Frank analyzed intercultural approaches to healing and identified the following common factors:

(1) An emotionally charged and trusting relationship with a helpful person.

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(2) A healing environment.

(3) A rational conceptual scheme or myth that provides a plausible explanation for the client’s symptoms.

(4) A ritual or procedure that requires the active participation of the client and the therapist and that both believe is the means of restoring the client’s health.

Technical eclecticism

This trend of the integrative movement focuses on the selection of therapeutic techniques and procedures regardless of the theory that originated them.

It is characterized, therefore, by a strong emphasis on the technical to the detriment of theory. Techniques are stripped of the theoretical assumptions that have generated them.

Intuitive technical eclecticism

It consists of selecting techniques in an idiosyncratic way, in the therapist’s opinion, from his intuition or previous experience. Various forms of intuitive eclecticism have been proposed, but none of them have generated enough empirical research to be validated.

Systematic technical eclecticism

Techniques are selected according to a basic scheme that indicates which ones to use depending on the type of clients. The best-known model of systematic technical eclectic psychotherapy is Arnold Lazarus’s multimodal therapy.

Larry Beutler’s systematic treatment selection model represents another model of systematic technical eclecticism.

Pragmatic technical eclecticism

Pragmatic technical eclecticism selects techniques having as an essential and exclusive criterion the level of effectiveness that have been demonstrated in their empirical contrast. The model that best represents this aspiration is that of modern behavior modification (or therapy).

Guiding technical eclecticism

In technical eclecticism, techniques of diverse origin are combined depending on the client, but always according to the conceptualization that is made from a particular theoretical orientation.

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An eclectic attitude is adopted regarding the techniques to be used without abandoning the theoretical framework of origin. Beck’s cognitive therapy is a good example of this type of approach.

Theoretical integration

In this approach two or more psychotherapies are integrated with the hope that the result of this fusion will be better that each one that was broken. The emphasis is placed on the integration of the theoretical concepts of psychotherapies, although the techniques are also integrated by virtue of this theoretical synthesis.

Attempts at theoretical integration have largely focused on combining psychoanalytic and behavioral approaches. In the 1950s, in the context of the approach of some Yale academic psychologists to psychoanalysis, the first truly significant contribution in this line was made by Dollard and Miller (1950).

Hybrid theoretical integration

In hybrid theoretical integration, the theories and practices corresponding to two already established therapeutic approaches are combined. Usually, It is based on two approaches that are considered complementary.

An attempt is made to select the most useful theoretical aspects and techniques of each in a common hybrid theoretical framework. Currently, the approach that best represents this hybrid approach is Paul Wachtel’s cyclical psychodynamic therapy.

Broad theoretical integration

Broad theoretical integration differs from hybrid integration not only by considering more than two theories, but also by articulate different aspects of human functioning such as cognitive, emotional, behavioral and interpersonal. These integrative proposals combine a wide range of approaches and draw on the contributions of many psychotherapies.

An example would be the holistic psychotherapy of Rosal and Gimeno (1989). This therapy meets the requirements of broad integration by combining contributions from authors as diverse as Assaglioli, Maslow, May, Moreno, Perls or Rogers, among others.

Future directions of eclecticism

Eclecticism has become popular, but there are still obstacles to its growth. The biggest of these is the difficulty of converting these approaches into manualized treatments. These types of treatments have empirically supported efficacy through randomized clinical trials.

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Integrative treatments, however, are difficult to manualize and are not consistent with the idea of ​​random assignment to structured treatment protocols. It is likely that eclecticism will continue to be an important movement, but it needs more empirical research to prove its usefulness. It’s about balancing research evidence and clinical wisdom.

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