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Handbook of Psychotherapy and Behavior Change
01 Jan 1986-
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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TL;DR: In this article, the authors assessed the relationship between shame-proneness and depression and found that increased shameproneness was associated with depression and making depressogenic attributions, whereas guilt was not.
Abstract: Historically, much attention has been focused on the role of guilt in psychopathology. However, recent theorists have posited that the association between guilt and psychopathology may be better accounted for by shame or by the overlapping features of guilt and shame. The current investigation assessed the relationships of shame–proneness versus guilt–proneness to psychological symptoms, somatization symptoms, attributional style, and concealment (n= 156). The shared variance between shame–proneness and guilt–proneness and the unique component of shame–proneness were related to both psychological and somatization symptoms, whereas the unique component of guilt–proneness was not related to these measures. Further, increased shame–proneness was associated with making depressogenic attributions, whereas guilt–proneness was not. Concealment was found to mediate the relationship between shame–proneness and psychological symptoms. These findings provide further evidence that the association between gui...
85 citations
TL;DR: Bernier and Dozier as mentioned in this paper proposed the client-counselor match as a facilitating condition for a corrective emotional experience and reviewed the relevant evidence from attachment and interpersonal research.
Abstract: Models of brief psychodynamic therapy posit the corrective emotional experience as a key factor in therapeutic change. Although widely taught and used, these models do not have strong empirical support. This article proposes the client–counselor match as a facilitating condition for a corrective emotional experience and reviews the relevant evidence from attachment and interpersonal research. Overall, the notion of the corrective emotional experience has received some support from attachment research, which looks at complementarity of styles at the personality level. Interpersonal research, rather, considers complementarity of actual exchanges in therapy and has yielded mixed results. It thus appears that the validity of the corrective experience has yet to be established, notably through the use of a more fine-grained approach. One of the most famous yet controversial claims ever made in the psychotherapy literature is that of Luborsky, Singer, and Luborsky (1975), who suggested that all psychotherapies produce somewhat equivalent outcomes. Empirical research has since repeatedly tried to challenge this assertion; a host of studies have searched for individual dispositions of both client and therapist that may have contributed to Luborsky et al.’s null findings. At least 175 categories of client characteristics and 40 therapist traits have been studied as potential predictors of treatment effectiveness (Beutler, 1991), and it has been suggested that the client–counselor match accounts for a greater portion of the outcome than does any single characteristic of the client or of the counselor. The interaction between the two partners’ personal characteristics has thus become a focus in recent counseling literature (Beutler, 1991; Nelson & Neufeldt, 1996; Reis & Brown, 1999; Talley, Strupp, & Morey, 1990). The basic assumptions of at least two major theoretical fields converge to suggest that the interpersonal orientation of each partner is the key to understanding the client–counselor match: attachment theory (Bowlby, 1973, 1980, 1982, 1988) and interpersonal theory (Kiesler, 1982a, 1996; Sullivan, 1953a, 1953b). Both these theories assert that opposite or contrasting interpersonal orientations in the therapist and client are optimal for the process and the outcome of the treatment relationship, by virtue of the corrective emotional experience (Alexander & French, 1946, p. 294) they provide to the client. A corrective emotional experience is an experiential relearning through which the client can safely alter his or her rigid relational patterns by being exposed to new interpersonal experiences with the therapist (Teyber, 2000). This is consistent with the core propositions of short-term psychoAnnie Bernier and Mary Dozier, Department of Psychology, University of Delaware. This study was funded by a postdoctoral fellowship from the Social Sciences and Humanities Research Council of Canada. Correspondence regarding this article should be addressed to Annie Bernier, PhD, who is now at the Department of Psychology, University of Montreal, C. P. 6128, succursale Centre-Ville, Montreal, Quebec H3C 3J7, Canada. E-mail: abernier@udel.edu PROD #: 108015
84 citations
Cites background from "Handbook of Psychotherapy and Behav..."
...Counselor and client similarities on attitudes,beliefs and personal values, coping styles(Beutler, Crago, & Arizmendi, 1986; Nelson & Neufeldt, 1996), perspectives andexpectations toward counseling(Reis & Brown, 1999), and self-concept(Talley et al,, 1990) have also been associated with positivetreatment outcomes....
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TL;DR: Results showed that participants in the treatment group demonstrated significantly less postsurgical pain and anxiety during the rehabilitation process, compared with controls.
Abstract: The efficacy of a cognitive-behavioral intervention (stress inoculation training; SIT) for postsurgical anxiety, pain, and physical rehabilitation in injured athletes was tested. Sixty male athletes who underwent arthroscopic surgery for miniscus injury in 1 knee were randomly assigned to either treatment (SIT and physical therapy) or control (physical therapy only) conditions. Results showed that participants in the treatment group demonstrated significantly less postsurgical pain and anxiety during the rehabilitation process, compared with controls. Additionally, treated participants required fewer days to return to criterion physical functioning, compared with nontreated participants.
84 citations
Cites result from "Handbook of Psychotherapy and Behav..."
...It may also be hypothesized that the effectiveness of SIT in the present study is related to research on the role of attributions in maximizing and maintaining therapeutic gains achieved from existing interventions (see Brehm & Smith, 1986for a review)....
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TL;DR: The authors investigated the relationship between clients' pursuit of avoidance (relative to approach) therapy goals and change in subjective well-being from the beginning to the end of therapy, and found that clients with more avoidance therapy goals evidenced a smaller increase in SWB over the course of therapy than those with fewer avoidance goals.
Abstract: This research investigated the relationship between clients' pursuit of avoidance (relative to approach) therapy goals and change in subjective well-being (SWB) from the beginning to the end of therapy. Results indicated that clients with more avoidance therapy goals evidenced a smaller increase in SWB over the course of therapy than those with fewer avoidance goals. Mediational analyses indicated that avoidance therapy goals predicted lower therapist satisfaction, lower therapist satisfaction predicted lower perceptions of therapy effectiveness (perceived problem improvement and perceived goal progress), and these lower perceptions of therapy effectiveness proximally predicted the observed change in SWB. Ancillary analyses linked the adoption of avoidance therapy goals to early parental loss through separation/divorce or death.
84 citations
TL;DR: Investigation of early discontinuation of specialised in-patient psychosocial treatment in a sample of people with personality disorder found significant differences in occupational status, borderline personality disorder (BPD) and the treatment programme to which they were allocated.
Abstract: Background Factors underlying premature discontinuation of psychosocial in-patient treatment are still unclear.
Aims Investigation of early discontinuation of specialised in-patient psychosocial treatment in a sample of people with personality disorder.
Method Out of 134 consecutive admissions to the Cassel Hospital, 42 early drop-outs and 92 patients who remained were compared on demographic and clinical variables. Early drop-outs were invited for in-depth interviews, to explore their hospital experiences.
Results The early drop-out group and the group which remained showed significant differences in occupational status, borderline personality disorder (BPD) and the treatment programme to which they were allocated. All three independent variables predicted early discontinuation of treatment. The qualitative analysis of interview transcripts identified significant problems in institutional dimensions.
Conclusions Important subjects and process variables contributing to early drop-out in people with personality disorder were identified, with potential implications for clinical practice.
84 citations