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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: The results show that this form of cognitive therapy is an effective treatment for OCD and suggest that cognitive therapy may be even more effective than exposure in vivo.

346 citations

Journal ArticleDOI
TL;DR: In this article, a developmental social cognitive model of therapeutic alliance formation is proposed to predict the quality of the child's affective relationship with the therapist and their ability to form therapeutic relationships.
Abstract: Despite substantial interest in the therapeutic relationship by child clinicians, relationship processes in child therapy have been neglected by clinical researchers. In this paper, clinical and empirical perspectives on the therapeutic relationship in child treatment were reviewed. Initial findings indicated that the quality of the child's affective relationship with the therapist is associated with collaboration on therapy tasks. Given the recurrent finding of links between treatment collaboration and treatment outcome, research on factors that influence children's ability to form therapeutic relationships is recommended. To this end, a developmental social cognitive model of therapeutic alliance formation is proposed.

345 citations

Journal ArticleDOI
TL;DR: It is argued that a scientific practice that discriminates against some approaches to knowledge undermines the EST's relevance for communities of color and recommendations to advance treatment research with ethnic minority communities are offered.
Abstract: The psychological community has given considerable attention to the problem of establishing empirically supported treatments (ESTs). The authors argue that a scientific practice that discriminates against some approaches to knowledge undermines the EST's relevance for communities of color. They examine the EST project's contribution to knowledge of effective treatments for ethnic minorities by considering both how knowledge is constructed and the limits of research (e.g., external validity). Alternatives on how to best contribute to treatment research of clinical utility with diverse populations are articulated. An approach for treatment research, derived from an integration of the hypothesis-testing and discovery-oriented research approaches, is presented, and recommendations to advance treatment research with ethnic minority communities are offered.

344 citations


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

  • ...At aminimum, epidemiological studies show that prevalence rates for ethnicminorities are at least as high as the general population(Sue, Zane, & Young, 1994)....

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Journal ArticleDOI
TL;DR: Patients view the core of the alliance as a purposive mutual collaboration, or working alliance; patients who acknowledge some hostility do better in therapy and the collaborative working alliance should be given prominence in alliance theory and measurement.
Abstract: Extending a previous study (R.L. Hatcher, A. Barends, J. Hansell, & M.J. Gutfreund, 1995), factor analysis of 3 alliance measures completed by 231 patients explored patients' views of the alliance. Two of 6 factors, Confident Collaboration and Idealized Relationship (with the substantial general factor removed), correlated with patients' estimate of improvement (rs = .37 and -.23, respectively; p < .001). Patients view the core of the alliance as a purposive mutual collaboration, or working alliance; patients who acknowledge some hostility do better in therapy. Three other factors--Goals and Tasks, Bond, and Dedicated Patient--resemble established subscales but are unrelated to improvement beyond the general factor. Factor 6 assesses improvement rather than alliance. The collaborative working alliance should be given prominence in alliance theory and measurement.

343 citations


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

  • ...On the other hand, the model differs from Henry and Strupps (1994)broad equation of the total therapeutic relationship with the alliance....

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Journal ArticleDOI
TL;DR: In this article, the authors examined whether feedback regarding client progress and the use of clinical support tools (CSTs) affected client outcome and number of sessions attended and found that clients in the feedback plus CST group stayed in therapy longer and had superior outcomes.
Abstract: Client-focused research systems have been developed to monitor and provide feedback information about clients' progress in psychotherapy as a method of enhancing outcome for those who are predicted to be treatment failures. In the current study, the authors examined whether feedback regarding client progress and the use of clinical support tools (CSTs) affected client outcome and number of sessions attended. Results showed that clients in the feedback plus CST group stayed in therapy longer and had superior outcomes. Nearly twice as many clients in the feedback plus CST group achieved clinically significant or reliable change, and fewer were classified as deteriorated by the time treatment ended.

343 citations