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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: There was an interaction effect between youth risk level and therapist adherence demonstrating that the most difficult families (those with high peer and family risk) had a higher likelihood of successful outcomes when their therapist demonstrated model-specific adherence.
Abstract: The study examined the effectiveness of Functional Family Therapy (FFT), as compared to probation services, in a community juvenile justice setting 12 months posttreatment. The study also provides specific insight into the interactive effects of therapist model specific adherence and measures of youth risk and protective factors on behavioral outcomes for a diverse group of adolescents. The findings suggest that FFT was effective in reducing youth behavioral problems, although only when the therapists adhered to the treatment model. High-adherent therapists delivering FFT had a statistically significant reduction of (35%) in felony, a (30%) violent crime, and a marginally significant reduction (21%) in misdemeanor recidivisms, as compared to the control condition. The results represent a significant reduction in serious crimes 1 year after treatment, when delivered by a model adherent therapist. The low-adherent therapists were significantly higher than the control group in recidivism rates. There was an interaction effect between youth risk level and therapist adherence demonstrating that the most difficult families (those with high peer and family risk) had a higher likelihood of successful outcomes when their therapist demonstrated model-specific adherence. These results are discussed within the context of the need and importance of measuring and accounting for model specific adherence in the evaluation of community-based replications of evidence-based family therapy models like FFT.
201Â citations
TL;DR: Psychometric characteristics of the new Therapy Process Observational Coding System-Alliance scale (TPOCS-A) suggest that both child-therapist and parent-Therapist alliance play key (and potentially different) roles in the outcome of treatment as usual.
Abstract: The authors describe psychometric characteristics of the new Therapy Process Observational Coding System-Alliance scale (TPOCS-A; B. D. McLeod, 2001) and illustrate its use in the study of treatment as usual. The TPOCS-A uses session observation to assess child-therapist and parent-therapist alliance. Both child and parent forms showed acceptable interrater reliability and internal consistency; when applied to cases treated for internalizing disorders, both forms were associated with youth outcomes. Child-therapist alliance during treatment predicted reduced anxiety symptoms at the end of treatment. Parent-therapist alliance during treatment predicted reduced internalizing, anxiety, and depression symptoms at the end of treatment. The findings held up well after confounding variables were controlled, which suggests that both child-therapist and parent-therapist alliance play key (and potentially different) roles in the outcome of treatment as usual.
200Â citations
Cites methods from "Handbook of Psychotherapy and Behav..."
...In accord with accepted psychometric practice, we sampled multiple sources when drafting the items to establish their preliminary face and content validity (see Lambert & Hill, 1994): the CPTR (Kendall, 1994; Kendall et al,, 1997), the Child Psychotherapy Process Scales (CPPS; Estrada & Russell, 1999), the Revised Vanderbilt Therapy Alliance Scales (RVTAS; Diamond, Liddle, Hogue, & Dakof, 1999), and the Therapeutic Alliance Scale for Children (TASC; Shirk & Saiz, 1992)....
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TL;DR: Testing in a neutral context revealed that rats conditioned in multiple contexts showed greater responding to the CS than rats trained in a single context, and the clinical implications are explored.
200Â citations
TL;DR: A meta-analysis was performed analyzing the outcomes of all psychotherapy studies that randomized adult outpatients with major depressive disorder to a wait-list control group, finding that depressive symptomatology can be expected to decrease by about 10-15% on average without treatment.
200Â citations
TL;DR: The authors identified, articulated, and measured therapist behaviors associated with improving initially poor therapist-adolescent alliances in multidimensional family therapy (MDFT) and generated a list of preliminary alliance-building interventions from MDFT theory and adolescent development research.
Abstract: This exploratory, process-research study identified, articulated, and measured therapist behaviors associated with improving initially poor therapistadolescent alliances in multidimensional family therapy (MDFT). A list of preliminary alliance-building interventions was generated from MDFT theory and adolescent development research. This list was then refined through the observation of videotaped MDFT sessions. A sample of five improved and five unimproved alliance cases was then drawn from a larger treatment study. Participants were primarily African American, male, adolescent substance abusers and their families. Coders rated the first three sessions of each case (30 sessions) to
200Â citations
Cites background from "Handbook of Psychotherapy and Behav..."
...The need to specify and test interventions associated with critical treatment processes, such as alliance formation, has been emphasized in the treatment development literature (Kazdin, 1994)....
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