Journal ArticleDOI
Effects of therapist adherence and competence on patient outcome in brief dynamic therapy.
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TLDR
Changing in depression from intake to Session 3 predicted higher ratings of adherence to expressive (interpretative) techniques during Session 3 but not their competent delivery, and relatively competent delivery of SE-specific expressive techniques predicted subsequent improvement in depression.Abstract:
The authors examined the relation between therapist process variables (adherence and competence) and subsequent symptomatic change in patients. Twenty-nine depressed patients were seen in 16 sessions of weekly supportive expressive (SE) dynamic psychotherapy. Change in depression from intake to Session 3 predicted higher ratings of adherence to expressive (interpretative) techniques during Session 3 but not their competent delivery. Partialling pretreatment psychiatric severity, therapists' adherence to use of expressive techniques, and previous symptomatic improvement, relatively competent delivery of SE-specific expressive techniques predicted subsequent improvement in depression. Secondary analyses addressing alternative explanations (such as the role of either therapeutic alliance or general therapeutic skills) did not change the results.read more
Citations
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Defining Empirically Supported Therapies
TL;DR: It is suggested that, in evaluating the benefits of a given treatment, the greatest weight should be given to efficacy trials but that these trials should be followed by research on effectiveness in clinical settings and with various populations and by cost-effectiveness research.
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The Efficacy of Psychodynamic Psychotherapy
TL;DR: Empirical evidence supports the efficacy of psychodynamic therapy and the perception that psychodynamic approaches lack empirical support does not accord with available scientific evidence and may reflect selective dissemination of research findings.
Journal ArticleDOI
The Assessment, Monitoring, and Enhancement of Treatment Fidelity In Public Health Clinical Trials
TL;DR: Methods of preservation of treatment fidelity in health behavior change trials conducted in public health contexts and strategies for assessment, monitoring, and enhancing treatment fidelity within each of the five treatment fidelity domains are discussed.
Journal ArticleDOI
The role of therapist training in the implementation of psychosocial treatments: a review and critique with recommendations.
TL;DR: Results of this review of 55 studies evaluating six training methods indicate that multi-component trainings have been studied most often and have most consistently demonstrated positive training outcomes relative to other training methods.
Journal ArticleDOI
Treatment Integrity and Therapeutic Change: Issues and Research Recommendations
TL;DR: In this paper, the limitations of existing strategies for evaluating the relationship between treatment integrity and outcome are discussed, and the authors suggest using novel assessment and evaluation strategies to evaluate treatment integrity.
References
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Journal ArticleDOI
An inventory for measuring depression
TL;DR: The difficulties inherent in obtaining consistent and adequate diagnoses for the purposes of research and therapy have been pointed out and a wide variety of psychiatric rating scales have been developed.
Book
Handbook of Psychotherapy and Behavior Change
Sol L. Garfield,Allen E. Bergin +1 more
TL;DR: The NIMH Treatment of Depression Collaborative Research Program: Where We Began and Where We Are (I. Elkin, et al. as discussed by the authors ) presents a methodology, design, and evaluation in psychotherapy research.
Book
Principles Of Psychoanalytic Psychotherapy: A Manual For Supportive-expressive Treatment
TL;DR: In this article, a master psychotherapist, one of the field's most respected researchers, provides the first definitive account of psychoanalytic psychotherapy in manual format, which is the basis for this paper.
Journal ArticleDOI
Therapist Success and Its Determinants
TL;DR: This study examined the relatively unexplored contribution of the therapist's performance in determining outcomes of treatment and foundound differences were discovered in the therapists' success with the patients in their case loads.
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