Book•
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.
Citations
More filters
TL;DR: A decade of work by Bergin and others is reviewed and synthesized concerning two broad issues: (a) the role of values in psychotherapy and (b) the relation of religion to mental health as mentioned in this paper.
Abstract: A decade of work by Bergin and others is reviewed and synthesized concerning two broad issues: (a) the role of values in psychotherapy and (b) the relation of religion to mental health. Trends have changed and there is now more professional support for addressing values issues in treatment. There is also more openness to the healthy potentialities of religious involvement, and therapists themselves manifest a new level of personal interest in such matters. Cautions and guidelines for dealing with such issues are considered in both empirical and clinical terms. The multifactorial nature of religion is documented, and healthy and unhealthy ways of being religious are described. Suggestions are given for including education in values and religious issues in the training of clinicians so that the vast population of religious clientele may be better served.
400 citations
Cites background from "Handbook of Psychotherapy and Behav..."
...The overall, average effects are generally positive, although not dramatic; harmful effects of some influences detract from the overall outcomes and counterbalance the positive effects of other influences; general positive effects are mediated by principles common to the different approaches, but specific effects of specific procedures produce enhanced outcomes not usually attainable by common factors alone; and, finally, it is often difficult to identify the positive ingredients and their efficacy because of poor measurement, design, sampling, definition, and specificity (Garfield & Bergin, 1986)....
[...]
TL;DR: The question of equivalence between psychotherapy and clinical outcomes has been investigated extensively in the literature as discussed by the authors, with the conclusion that psychotherapy is more effective than clinical outcomes of different therapies.
Abstract: Despite clear demonstrations by process researchers of systematic differences in therapists' techniques, most reviews of psychotherapy outcome research show little or no differential effectiveness of different psychotherapies. This contradiction presents a dilemma to researchers and practitioners. Numerous possible solutions have been suggested. Some of these challenge the apparent equivalence of outcome, arguing that differential results could be revealed by more sensitive reviewing procedures or by more differentiated outcome measures. Others challenge the seeming differences among treatments, arguing that, despite superficial technical diversity, all or most therapies share a common core of therapeutic processes. Still others suggest that the question of equivalence is unanswerable as it is usually posed but that differential effectiveness of specific techniques might be found at the leve ! of brief events within therapy sessions. In spite of their diversity, many of the proposed solutions converge in calling for greater precision and specificity of theory and method in psychotherapy research. Despite the ple thora of purpor tedly distinct psychotherapeutic t rea tments (Parloff, 1976, 1984), influential reviews of comparat ive outcome research (Luborsky, Singer, & Luborsky, 1975; Smith, Glass, & Miller, i 980) together with frequently cited studies (e.g., Sloane, Staples, Cristol, Yorkston, & Whipple, 1975) appear to suppor t the conclusion that ou tcomes o f diverse therapies are generally similar. Efforts to base public policy r ecommenda t ions concerning menta l health care service provisions on scientific evidence have yielded only "a consensus, o f sorts, . . . on the question o f the efficacy of psychotherapy as a generic t r ea tment p r o c e s s . . , that psychotherapy is more effective than no t r ea tmen t " (VandenBos & Pino, 1980, p. 36). N o such consensus exists concerning the relative effectiveness of diverse therapies (e.g., DeLeon, VandenBos, & Cummings , 1983; Kiesler, 1985; Office of Technology Assessment, 1980). The verdict o f the Dodo bird in Alice's Adventures in Wonderland (Carroll, 1865/ 1962), used as a subtitle by Luborsky et al. (1975), "Eve rybody has won and all must have prizes," captures this si tuation mos t vividly x and invites the question o f our present title: "Are all psychotherapies equivalent?" The s ta tement that two (or more) therapies are equivalent could have three quite different meanings. The first is equivalence o f o u t c o m e t h a t t rea tments yield ou tcomes that cannot be distinguished (the " D o d o bird verdict"). The second is equivalence of c o n t e n t t h a t the behavior o f part icipants in different therapies cannot be distinguished. The third is equivalence o f m e c h a n i s m that different psychotherapies employ c o m m o n principles o f psychological change. In this article, we first delineate the apparen t paradox: the lack o f differential effectiveness contrasted with evident technical diversity, that is, ou tcome equivalence contrasted with content nonequivalence. We then consider the resolutions o f the paradox that have been put forward, along with the a rguments and evidence that have been adduced in their support . We believe that considering alongside one another the traditionally separated research domains of therapy process and ou tcome brings into clearer focus the current strategic issues for psychotherapy
397 citations
Cites background from "Handbook of Psychotherapy and Behav..."
...Goldstein and Steins (1976) bold attempt to apply a simplified client X treatment matrix to their review of outcome studies yielded a remarkably sparse picture, and even after another decade, research has generated very few of the replicated “prescriptions” for optimal combinations sought by Goldstein and Stein (Lambert, Shapiro, & Bergin, in press)....
[...]
TL;DR: It is concluded that reliance on psychopathy measures to make decisions regarding long-term placements for juveniles is contraindicated at this time.
Abstract: Interest in the construct of psychopathy as it applies to children and adolescents has become an area of considerable research interest in the past 5-10 years, in part due to the clinical utility of psychopathy as a predictor of violence among adult offenders. Despite interest in "juvenile psychopathy" in general and its relationship to violence in particular, relatively few studies specifically have examined whether operationalizations of this construct among children and adolescents predict various forms of aggression. This article critically reviews this literature, as well as controversies regarding the assessment of adult psychopathic "traits" among juveniles. Existing evidence indicates a moderate association between measures of psychopathy and various forms of aggression, suggesting that this construct may be relevant for purposes of short-term risk appraisal and management among juveniles. However, due to the enormous developmental changes that occur during adolescence and the absence of longitudinal research on the stability of this construct (and its association with violence), we conclude that reliance on psychopathy measures to make decisions regarding long-term placements for juveniles is contraindicated at this time.
388 citations
387 citations
Cites methods from "Handbook of Psychotherapy and Behav..."
...The justification for this hypothesis was based on Beutler, Crago, and Arizmendi’s (1986) conclusion that measures of counselors’ personalities or aptitudes bear little if any relationship to counseling process or outcome variables....
[...]
TL;DR: The core idea of this paper is that therapeutic change in a variety of modalities, including behavioral therapy, cognitive-behavioral therapy, emotion-focused therapy, and psychodynamic psychotherapy, results from the updating of prior emotional memories through a process of reconsolidation that incorporates new emotional experiences.
Abstract: Since Freud, clinicians have understood that disturbing memories contribute to psychopathology and that new emotional experiences contribute to therapeutic change. Yet, controversy remains about what is truly essential to bring about psychotherapeutic change. Mounting evidence from empirical studies suggests that emotional arousal is a key ingredient in therapeutic change in many modalities. In addition, memory seems to play an important role but there is a lack of consensus on the role of understanding what happened in the past in bringing about therapeutic change. The core idea of this paper is that therapeutic change in a variety of modalities, including behavioral therapy, cognitive-behavioral therapy, emotion-focused therapy, and psychodynamic psychotherapy, results from the updating of prior emotional memories through a process of reconsolidation that incorporates new emotional experiences. We present an integrated memory model with three interactive components-autobiographical (event) memories, semantic structures, and emotional responses-supported by emerging evidence from cognitive neuroscience on implicit and explicit emotion, implicit and explicit memory, emotion-memory interactions, memory reconsolidation, and the relationship between autobiographical and semantic memory. We propose that the essential ingredients of therapeutic change include: (1) reactivating old memories; (2) engaging in new emotional experiences that are incorporated into these reactivated memories via the process of reconsolidation; and (3) reinforcing the integrated memory structure by practicing a new way of behaving and experiencing the world in a variety of contexts. The implications of this new, neurobiologically grounded synthesis for research, clinical practice, and teaching are discussed.
377 citations