Application of the contextual model to school-based counseling: Why does it work?



There is considerable support for the effectiveness of psychotherapies regardless of their individual theoretical underpinnings. They all evidence substantial positive outcomes, particularly if they contain common elements. These include a therapeutic relationship within an appropriate setting, a rationale for why the client is unhappy or distressed and in need of therapy, and procedures for effecting positive change. We interpret these common elements as a process of learning that promotes the client's independence, friendship formation and maintenance, competence, and physical health. © 2009 Wiley Periodicals, Inc.