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This work has eventuated in modern integrative systems such as the transtheoretical system proposed by Prochaska and DiClemente (2002) in which the patient is assessed to determine the most advantageous change factors that can be supplied As work in this area continued, integrative efforts were concerned largely with adding behavioral concepts and/or techniques to psychoanalytically based psychotherapies (Sears, 1944) or with the translation of psychoanalytic theory into behavioral, learning theorybased concepts that then could be tested with experimental methodology (Dollard & Miller, 1950) Work in this vein continued through the 1950s, 1960s, and 1970s with an increasing number of articles and books appearing, in which a methodological integration was described For example, Marks and Gelder (1966) compared and found similarities between then-current versions of behavior therapy and psychoanalysis.



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Alexander (1963) and Beier (1966) argued that the therapist s influence on the patient could be understood within the perspective of conditioning theories, especially concerning the reinforcement value of the therapist s responsiveness and approval In particular, Beier suggested that unconscious processes and conflicts were subject to shaping and to extinction within the interpersonal context of psychotherapy and described a therapy in which these operant processes could best be utilized An early integration of client-centered therapy with behavior therapy can be found in Bergin s (1968) demonstration that the effectiveness of systematic desensitization could be improved by using that technique within the context of a psychotherapeutic relationship that supplied warmth, empathy, and unconditional positive regard Feather and Rhodes (1973) developed a variant of psychotherapy, which they identified as psychodynamic behavior therapy This integrative approach involved using behavioral techniques, such as systematic desensitization, to reach and to resolve unconscious conflicts.

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These contributions, and others like them, were precursors to the psychotherapy integration literature that today is concerned with two modes of integration in which personology and theory are of secondary importance to clinical innovation (Gold, 1996) I refer here to the integrative modes known as technical eclecticism and assimilative integration Technical eclecticism refers to a commonly practiced version of psychotherapy integration in which the therapist selects interventions that are best suited to the immediate clinical need and to long-term goals, without reference to underlying theoretical principles Technical eclecticism is guided, when possible, by empirical findings that have identified the most useful matches between the patient s problems and specific techniques When this is not possible, techniques are selected on the basis of clinical experience The most influential examples of this mode of integration are prescriptive psychotherapy (Beutler & Hodgson, 1993) and multimodal therapy (Lazarus, 2002).

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Assimilative integration refers to a form of integrative psychotherapy that is guided by a basic, or home theory, such as psychoanalysis, but into which selected constructs and techniques from other therapies are assimilated and to which the home theory must accommodate through expansion and revision..

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