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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 Article•DOI•
TL;DR: It is argued that an important impediment to the future success of anger management is the failure to fully address the issue of treatment readiness, which requires greater attention to the measurement and analysis of readiness.

213 citations

Journal Article•DOI•
TL;DR: 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.

212 citations


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

  • ...Recent reviews of the relation between interpretations and outcome in dynamic psychotherapy (Henry, Strupp, Schacht, & Gaston, 1994; Piper, Joyce, McCallum, & Azim, 1993)indicate that the appropriateness or competent delivery of interpretations such as their accuracy (Crits-Christoph, Cooper, & Luborsky, 1988)or correspondence (Piper et al,, 1993)predict outcome....

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Journal Article•DOI•
TL;DR: In this article, Motivational Interviewing (MI) is used to prepare people to change addictive behavior. But, the MI pretreatment group, compared to NPT, showed significantly higher expectancy for anxiety control and greater homework compliance in CBT.
Abstract: Although CBT is a well-supported treatment for anxiety, recovery rates and compliance with treatment procedures are less than optimal. Using adjunctive brief preparatory interventions may help bolster response rates and engagement with therapy procedures. Motivational Interviewing (MI: Miller, W. R., & Rollnick, S. (1991, 2002). Motivational interviewing: preparing people to change addictive behavior. New York: Guilford) is a client-centered, directive method for enhancing motivation for change and has been demonstrated to be a valuable treatment prelude in the addictions domain. Prior to group cognitive behavioral therapy, 55 individuals with a principal anxiety diagnosis (45% panic disorder, 31% social phobia, and 24% generalized anxiety disorder) were randomly assigned to receive either three sessions of MI adapted for anxiety or no pretreatment (NPT). The MI pretreatment group, compared to NPT, showed significantly higher expectancy for anxiety control and greater homework compliance in CBT. Although both groups demonstrated clinically significant anxiety symptom improvements, the MI pretreatment group had a significantly higher number of CBT responders compared to NPT. At 6-month follow-up, both groups evidenced maintenance of gains. These results provide suggestive evidence that brief pretreatments, such as MI, may enhance engagement with and outcome from CBT. The promising results also justify the future investigation of these effects using more powerful designs which may discern whether the effects are specific to MI or to some type of pretreatment.

211 citations

Journal Article•DOI•

211 citations


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

  • ...Several major reviews of the literature (Bergin & Lambert, 1978; Luborsky, Singer, & Luborsky, 1975; Smith, Glass, & Miller, 1980) have found all forms of psychotherapy to be equally effective for most client problems, with the exception that the behavioral therapies are superior for treating phobias....

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Journal Article•DOI•
TL;DR: In this paper, the efficacy of supervision in the training of psychotherapists is discussed in relation to trainees' attitudes, beliefs, and skills, trainee's performance in the therapist role, interactional process events in supervision and psychotherapy, and client change.
Abstract: The efficacy of supervision in training of psychotherapists is discussed in relation to (a) trainees' attitudes, beliefs, and skills, (b) trainee's performance in the therapist role, (c) interactional process events in supervision and psychotherapy, and, (d) client change. Although investigations to date suggest the potential of supervision for teaching advanced skills of psychotherapy, few studies exist that examine directly the relation of therapist performance and client change to supervision. There are virtually no studies that compare the efficacy of supervision to other training methods. If supervision is to remain an integral part of training, then standardized training manuals, analogous to those in psychotherapy, need to be developed.

211 citations


Additional excerpts

  • ...Therapist factors that have contributed to treatment efficacy have included the therapists ability (a) to conceptualize the case (Orlinsky et al,, 1994),(b) to select appropriate treatment strategies (Beutler & Clarkin, 1990),(c) to implement treatment strategies at appropriate times (Rounsaville, Chevron, & Weissman, 1984),(d) to perform interventions skillfully (Beutler, Machado, & Neufeldt, 1994),and (e) to implement treatment plans in a manner consistent with theoretical orientation (Luborsky, McLellan, Woody, & OBrien, 1985)....

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