Heart and Soul of Change


DATE: September 3, 2010  8:30a - 4:30p
LOCATION: Hunter Welcome Center Zone A
COST: $85 for regular registration (includes 6 CEU's) & $25 for students.


Contact ACU Counseling Center for more information
325-674-2626 or counseling@acu.edu


Within the field itself, and especially between different theoretical schools, quarrels and contentious claims continue unabated. At the root of many controversies currently afflicting therapy is the important question of what works.  Is its efficacy based on the singular curative powers of specialized techniques or do other variables account for the change occurring in therapy?  As it turns out, the answer is not to be found in the different languages, theories, or procedural differences of the field's warring camps.  Instead, it lies in the pantheoretical or common factors--the ingredients of effective therapy, shared by all orientations. This workshop provides a detailed recipe for enhancing what works based upon the empirically validated guidelines of how change actually happens in therapy. Particular attention will paid to rallying clients and their resources in all their diversity to the cause of change as well as embracing that tried and true but taken for granted old friend, the therapeutic alliance—the client and the alliance are the heart and soul of change. In addition, the now replicated findings that client-based feedback substantially increases the effectiveness and efficiency of services—more than anything in the history of our field—will be similarly converted into pragmatic steps to enhance the benefit of any service regardless of the model practiced. Videotaped examples will not only illustrate the known curative factors and their systematic enhancement, but will also leave participants validated to abandon the pursuit of the right brand of therapy.


Among the tools you’ll acquire is an easily replicable system of feedback procedures that’ll give you early warning about potential problems and help you identify what you need to do to enhance your therapeutic impact. Through a transparent process of attaining client feedback, you'll learn ways to deepen the therapeutic conversation, intensify the power of a collaborative alliance, and more effectively recruit clients' own resources in the service of change.

Participants will learn:

  • What Works in Clinical Practice—what is known about therapeutic transformation—the heart and soul of change—will be detailed for your immediate application.
  • How To Deliver What Works—you’ll acquire an easily replicable system of feedback procedures that’ll give you early warning about potential problems and help you “transcend the average” in your effectiveness.
  • The Value of Embracing Diversity for Effective, Ethical Practice—this conference will help you “level” the therapeutic process in ways never before available, inviting clients into the inner circle of decision making about their care. 
  • How to Accelerate Your Development—specific ways to learn from your clinical experience and not just repeat it.

This Workshop will:

  • Define the empirically demonstrated factors that contribute to change in therapy.
  • Explain two ways to recruit client innate resources and resilience in service of change
  • Explain how to tailor the relationship to the client's ideas about change and personal goals.
  • Define how therapists develop and what they can do to accelerate it.
  • State a research validated early warning system to improve effectiveness by early identification of those clients who are not responding
  • Define methods to elicit client feedback about the alliance and outcome to enable either new directions in therapy and the possibility of helping every single client

I.  Translating 50 Years of Psychotherapy Research

  A. The Dodo Bird Verdict and Implications

  B. Evidence Based Practice: The APA Definition

  C. The Common Factors: Meta-analytic Results

II.  Recruiting Client Resources and Resilience

  A. Pitfalls of a Deficit Based View

  B. Casting the Client in Heroic Roles

  C. Capitalizing on Change and Chance Events

III. Reliance on the Alliance

  A. Research on the Alliance: Over 1000 Studies

  B. Components of the Alliance

  C. Improving Your Alliances

IV. Getting Better at What We Do

  A. How Do We Get Better: Personal Therapy, Professional Training?

  B. The Good, Bad, and Ugly: Efficacy, Drop Outs, and Therapist Variability

  C.  To the Rescue: Practice Based Evidence

V.  Consumer Based Outcomes Management

  A. Building a Culture of Feedback, Client Privilege, and Social Justice

  B. The First Session: Introducing and Administering the Measures

  C. Seamless Integration of Client Feedback into Clinical Practice

VI. Tailoring Treatment to Client Feedback and Accelerating Your Development

  A. When Clients Are Changing

  B. When Clients Are Not Changing: Checkpoint Conversations and Last Chance   Discussions

  C. Tracking Your Development: Proactive Investment in Yourself 

About the Speaker, Barry L. Duncan, Psy.D.


  • Therapist/clinical psychologist with over 17,000 hours of experience
  • International trainer and lecturer
  • Noted researcher and author
  • Director, The Heart and Soul of Change Project, a practice, training, and evidence-based initiative that applies common factors and feedback research to ensure consumer voice in care, improve outcomes, and make each of us better at what we do.  (www.heartandsoulofchange.com)

  • Wright State University School of Professional Psychology’s first annual “Outstanding Alumnus Award”
  • Menninger Foundation’s 15th Annual Award for Scientific Writing for the book The Heart and Soul of Change
  • 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 fifteen books. His latest books: The Heroic Client (2nd edition, Jossey Bass, 2004); Heroic Clients, Heroic Agencies: Partners for Change (ISTC Press, 2002; Revised 2007 E Edition available at www.heartandsoulofchange.com); Brief Intervention for School Problems (Guilford, 2007); the 2nd edition of the Heart and Soul of Change: Delivering What Works (APA, in press); and the forthcoming, On Becoming A Better Therapist (APA, in press). He is the co-developer of the Outcome Rating Scale (ORS), Session Rating Scale (SRS), Child ORS, and Child SRS, measures designed to give clients the voice they deserve as well as provide clients, clinicians, administrators, and payers with feedback about the client’s response to services, thus enabling more effective care tailored to client preferences. Because of his self help books, he has appeared on "Oprah,” “The View," and several other national TV programs. His latest self help book, What’s Right With You, challenges the business as usual mentality of “What’s wrong with you” and instead demonstrates how to rally natural resources and resiliencies to overcome life challenges. Barry conducts seminars internationally in hopes of inciting insurrection against practices that diminish clients and encouraging therapists to establish their own identity. He can be reached at barrylduncan@comcast.net, www.whatsrightwithyou, and www.heartandsoulofchange.com. Click here for more information about having Barry speak at your organization or conference.


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