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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: This is the first study to compare help-seeking processes among Muslim Arab female students in Jordan, the United Arab Emirates and Israel towards mental health treatment and found that nationality was not statistically significant as a variable in a positive attitude towards seeking professional help.
Abstract: Background: Help-seeking processes provide critical links between the onset of mental health problems and the provision of professional care. But little is known about these processes in the Arab world, and still less in transnational, comparative terms. This is the first study to compare help-seeking processes among Muslim Arab female students in Jordan, the United Arab Emirates and Israel.Aims: The present study compares the attitudes of Arab Muslim female students from Israel, Jordan and the United Arab Emirates (UAE) towards mental health treatment.Method: A convenience sample of 262 female Muslim-Arab undergraduate university students from Jordan, United Arab Emirates (UAE) and Arab students in Israel completed a modified Orientation for Seeking Professional Help (OSPH) Questionnaire.Results: Data revealed that nationality was not statistically significant as a variable in a positive attitude towards seeking professional help; year of study, marital status and age were found to be significant predict...

150 citations


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

  • ...But, to emphasise an important point, accessing mental health services can be seen as an important societal goal in reducing psychological distress (Bergin & Garfield, 1994)....

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Journal Article•DOI•
TL;DR: The need to avoid disclosing imperfections was a unique predictor of (1) appraisals of the interviewer as threatening before the interview and as dissatisfied after the interview; (2) negative pre and post self-evaluated performance; and (3) greater change in heart rate when discussing mistakes.
Abstract: Perfectionistic self-presentation is proposed as a deleterious interpersonal style that has an influence in clinical contexts that involves promoting a public image of perfection and avoiding displays and self-disclosures of imperfections. A sample of 90 clinical patients taking part in a clinical interview were assessed in terms of their levels of perfectionistic self-presentation and trait perfectionism and their affective, cognitive, and physiological reactions. Perfectionistic self-presentation dimensions were associated with (1) greater distress before and after the interview, (2) negative expectations and greater threat prior to the interview, and (3) post-interview dissatisfaction. Analyses of physiological data found that perfectionistic self-presentation was associated with higher levels of heart rate when discussing past mistakes, and, as expected, the need to avoid disclosing imperfections predicted higher levels of and greater change in heart rate when discussing past mistakes. Analyses that controlled for trait perfectionism and emotional distress showed that the need to avoid disclosing imperfections was a unique predictor of (1) appraisals of the interviewer as threatening before the interview and as dissatisfied after the interview; (2) negative pre and post self-evaluations of performance; and (3) greater change in heart rate when discussing mistakes. Perfectionistic self-presentation is discussed as an interpersonal style that can influence therapeutic alliance and treatment success.

149 citations

Journal Article•DOI•
TL;DR: In this paper, the authors evaluated the change sensitivity of the Outcome Questionnaire (OQ) items, subscales, and total score for clients receiving personal counseling in university counseling center settings.
Abstract: Sensitivity to change of the Outcome Questionnaire (OQ; M. J. Lambert et al., 1996) items, subscales, and total score was evaluated for clients receiving personal counseling in university counseling center settings. OQ data collected for 248 university students who did not receive treatment and 5,553 students who received treatment from 527 therapists employed in 40 university counseling centers nationwide were included in the analyses. Comparisons between the treated and untreated groups indicated that the OQ total score, all of the subscales, and 34 of the 45 items met 2 preset criteria for change sensitivity, providing support for the OQ as an appropriate index of outcome in counseling center clients. The 11 OQ items that failed to demonstrate change sensitivity were aimed at assessing aspects of interpersonal functioning, related to specific physical symptoms, or were susceptible to floor effects. The possibility of using change sensitivity results in revising the OQ for optimal use in counseling center settings is addressed, and general implications for outcome test development are discussed.

149 citations


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

  • ...Although it is possible that the Interpersonal Relations and Social Role subscales may have demonstrated even greater change sensitivity and larger effect sizes had clients been tracked over a longer period of time, it is also important to note most treatment is relatively short-term (Garfield, 1994; Koss & Shiang, 1994; Wells & Phelps, 1990), particularly in university counseling center settings....

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Journal Article•DOI•
TL;DR: In this paper, the authors used data from the National Institute of Mental Health Treatment of Depression Collaborative Research Program (NIMHCTC) to reexamine the stability of the state-dependent concomitants of depression.
Abstract: Treatment-related decreases in Dysfunctional Attitudes Scale (DAS; Weissman & Beck, 1978) scores have been interpreted as evidence that dysfunctional attitudes are state-dependent concomitants of depression. Data from the National Institute of Mental Health Treatment of Depression Collaborative Research Program were used to reexamine the stability of dysfunctional attitudes. Mean scores for Perfectionism, Need for Approval, and total DAS decreased after 16 weeks of treatment. However, test-retest correlations showed that the DAS variables displayed considerable relative stability. Structural equation models demonstrated that dysfunctional attitudes after treatment were significantly predicted by initial level of dysfunctional attitudes as well as by posttreatment depression. The relative stability of dysfunctional attitudes was even higher during the 18-month follow-up period. The results were consistent with Beck's (1967) and Blatt's (1974) theories of vulnerability.

148 citations


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

  • ...This article examines changes in mean scores and relative stability of the DAS by using data from the National Institute of Mental Health (NIMH) Treatment of Depression Collaborative Research Program (TDCRP; Elkin, 1994; Elkin et al,, 1989)....

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Journal Article•DOI•
TL;DR: The structure and process of a task force aimed at delineating empirically based principles of change in psychotherapy are presented, which addressed the potential role of participant characteristics, relationship variables, and technical factors in the treatment of dysphoric, anxiety, personality, and substance use disorders.
Abstract: The authors present the structure and process of a task force aimed at delineating empirically based principles of change in psychotherapy. Sponsored by Division 12 of the American Psychological Association and the North American Society for Psychotherapy Research, the task force addressed the potential role of participant characteristics, relationship variables, and technical factors in the treatment of dysphoric, anxiety, personality, and substance use disorders.

147 citations