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Handbook of Psychotherapy and Behavior Change

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.
Abstract: Methodology, Design, and Evaluation in Psychotherapy Research (A. Kazdin). Assessing Psychotherapy Outcomes and Processes (M. Lambert & C. Hill). The NIMH Treatment of Depression Collaborative Research Program: Where We Began and Where We Are (I. Elkin). The Effectiveness of Psychotherapy (M. Lambert & A. Bergin). Research on Client Variables in Psychotherapy (S. Garfield). Therapist Variables (L. Beutler, et al.). Process and Outcome in PsychotherapyNoch Einmal (D. Orlinsky, et al.). Behavior Therapy with Adults (P. Emmelkamp). Cognitive and Cognitive-Behavioral Therapies (S. Hollon & A. Beck). Psychodynamic Approaches (W. Henry, et al.). Research on Experiential Psychotherapies (L. Greenberg, et al.). Psychotherapy for Children and Adolescents (A. Kazdin). The Process and Outcome of Marital and Family Therapy: Reseach Review and Evaluation (J. Alexander, et al.). Experiential Group Research (R. Bednar & T. Kaul). Research on Brief Psychotherapy (M. Koss & J. Shiang). Behavioral Medicine and Health Psychology (E. Blanchard). Medication and Psychotherapy (G. Klerman, et al.). Research on Psychotherapy with Culturally Diverse Populations (S. Sue, et al.). Overview, Trends, and Future Issues (A. Bergin & S. Garfield). Indexes.
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Journal ArticleDOI
TL;DR: This paper presents the initial results of such a collaboration via three phases: the development of a referential database for primary care counselling services, ‘practitioner-friendly’ feedback on grouped data to services, and the combination of the two to build an evidence base for work with ethnic minorities.
Abstract: There are a number of problems for evidence-based practice (EBP) including limited generalizability of efficacy research results, the consequent lack of confidence in the relevance of such research, and the conceptual distance of most practitioners from the research process. The result is that EBP, although sound in principle, often fails to achieve its aim of improving practice. Practice-based evidence (PBE) provides a complementary bridge for the gap between research and practice to offset some of these problems, promoting collaboration between mental health services and academic institutions. This paper presents the initial results of such a collaboration via three phases: (1) the development of a referential database for primary care counselling services, (2) ‘practitioner-friendly’ feedback on grouped data to services, and (3) the combination of the two to build an evidence base for work with ethnic minorities—an area in which research trials are not well adapted to provide much evidence. Copyright © 2003 John Wily & Sons, Ltd.

103 citations

01 Jan 2001
TL;DR: One of the assumptions made when mental problems are defined as a medical problem is that certain problems, certain diagnoses, are chronic, but a substantial number of follow-up studies suggest that these problems are not chronic.
Abstract: One of the assumptions made when mental problems are defined as a medical problem is that certain problems, certain diagnoses, are chronic. Nevertheless, a substantial number of follow-up studies h ...

103 citations

Journal ArticleDOI
TL;DR: The authors empirically evaluated a three-stage causal model based on interpersonal theory that relates patient and therapist early parental relations, the therapeutic alliance, and outcome, and found that the model was not consistent with the patient's self-reported self-report and reports by independent observers.
Abstract: This study empirically evaluated a 3-stage causal model based on interpersonal theory that relates patient and therapist early parental relations, the therapeutic alliance, and outcome. Data were from the Vanderbilt II database and encompassed 64 psychodynamic psychotherapies. Interpersonal variables were assessed using the Structural Analysis of Social Behavior. Initial support for the model was found, suggesting a direct effect of patient early parental relations on process and outcome, a direct effect of therapist early parental relations on process, and a direct effect of process on outcome--and thus indirect effects of both patient and therapist early parental relations on outcome mediated by the process. The psychotherapy process was assessed from 3 perspectives: patient and therapist self-report and reports by independent observers. Little convergence was found between the 3 perspectives.

103 citations


Cites background from "Handbook of Psychotherapy and Behav..."

  • ...Henry, Strupp, Schacht, and Gaston (1994) have observed that “there is some evidence that the alliance–outcome relationship may not hold for all types of therapeutic outcome” (p....

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Journal ArticleDOI
TL;DR: In this paper, a client-directed process for psychotherapy is proposed that de-emphasizes theory and seeks deliberate enhancement of common factor effects and maximum collaboration with the client through all phases of intervention.
Abstract: The percentage of outcome variance attributable to extratherapeutic and common factors, and the superiority of client's predictions of outcome, challenges an emphasis on theoretical frames of reference and offers a compelling argument for allowing the client to direct the psychotherapeutic process. This article suggests that therapists intentionally utilize the client's frame of reference for the explicit purpose of influencing successful outcome. A proposal for a client-directed process is offered that de-emphasizes theory and seeks deliberate enhancement of common factor effects and maximum collaboration with the client through all phases of intervention.

103 citations


Cites background from "Handbook of Psychotherapy and Behav..."

  • ...>A review of the outcome research (Lambert, Shapiro & Bergin, 1986) suggests that 30% of outcome variance is accounted for by the common factors (variables found in a variety of therapies regardless of the therapist’s theoretical orientation)....

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Journal ArticleDOI
TL;DR: The authors suggest a new way of thinking about psychotherapy modeled less on positivist science and more on moral discourse, and speculate about alternative conceptions and arrangements of care.
Abstract: The authors studied psychotherapeutic practices commonly used in managed care settings and the theories and rhetorical strategies that justify them to speculate about if or how they are beginning to influence societywide understandings about the proper way of being human at the turn of the millennium. The practices--and effects--of managed care regulations on the self are interpreted by studying how the patient, the therapist, and the therapeutic relationship come to light in managed care settings. These categories are then used to speculate about the configuration of the newly emerging, 21st-century self. By extending hermeneutic concerns about instrumentalism and technicism, the authors suggest a new way of thinking about psychotherapy modeled less on positivist science and more on moral discourse. Finally, given this more hermeneutic understanding of psychotherapy, the authors speculate about alternative conceptions and arrangements of care.

102 citations


Cites background from "Handbook of Psychotherapy and Behav..."

  • ...Many researchers have attempted valiantly, but with limited success, to create ways of describing and evaluating psychotherapy to determine what works, what causes harm, and how to tell one from the other (see Bergin & Garfield, 1994; Garfield, 1992; Lambert & Bergin, 1994; Strupp & Howard, 1992)....

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