Articles Tagged "outcomes"

Abstract This article examined patients’ change in outcome expectation across cognitive-behavior therapy for generalized anxiety disorder, as well as participant factors that are associated with both pretreatment outcome expectation and expectation change. Findings: On average, patients’ outcome expectation becomes more positive over time. Moreover, the degree of such change is influenced by several baseline and early treatment patient factors […]

The therapeutic alliance (Bordin, 1979) remains one of the most studied constructs in psychotherapy outcome research (Norcross & Lambert, 2019), and is a robust predictor of client outcome (Flückiger et al., 2018; 2020; Wampold & Imel, 2015). It has been established that therapists vary in their ability to build and maintain an effective alliance, which […]

There is growing evidence that online self-management tools based on psychotherapy models are effective with various forms of psychic distress, according to recent reviews of the literature (Andersson, 2018; Davies et al., 2014; Lattie et al., 2019). Many of these online resources are based on the application of principles of Cognitive Behavioral Therapy (CBT). CBT […]

Background Thousands of clinical trials and naturalistic studies have now been conducted on the effects of psychotherapy. Reviews of this research have shown that about 75% of those who enter treatment in clinical trials show some benefit (Lambert, 2013). This finding generalizes across a wide range of disorders except for severe biologically based disturbances (e.g., […]

by
Feb 17, 2019

While there is little debate about whether psychotherapy works, there remains disagreement about how it works (Barlow, 2004; Lilienfeld, Ritschel, Lynn, Cautin, & Latzman, 2014; Lorenzo-Luaces, German, & DeDubeis, 2014; Messer & Wampold, 2002; Shafran et al., 2009; Tracey, Wampold, Lichtenberg, & Goodyear, 2014; Wampold, 2015).  This lack of consensus has understandably led to continued […]

Suzy Suzy is a 42-year-old woman who has been suffering from depressive symptoms for at least six months. Most of the time she is feeling grumpy, irritable, and down. Normally, Suzy was never this quickly startled or negative, and people close to her almost do not recognize her anymore. Suzy has become isolated. After a […]

In this article, Drinane, Owen, and Tao (2018) examined the concept of cultural concealment in psychotherapy, specifically whether cultural concealment predicted psychotherapy outcomes. Cultural concealment refers to the phenomenon of clients hiding aspects of their identity and culture related experiences in therapy.  Clients may unconsciously or consciously avoid discussing their oppressed identities or identities that […]

Psychotherapy research has made significant strides over many decades in identifying treatment ingredients that bode well for a successful outcome (Greenberg, 2016; Lambert, 2013; Norcross, 2011).  Yet, relatively little empirical evidence or transtheoretical consensus has been produced about the closing moves in effective terminations. Instead, attention has more frequently been turned to the problem of […]

A Horse Race … Psychological treatments that are intended to be fully therapeutic and that are provided by trained professionals (bona fide psychotherapy; Wampold & Imel, 2015; Wampold et al., 2011) have been found to be effective compared to no-treatment and treatment-as-usual for individuals who suffer from a number of disorders, including anxiety and depression […]

by
Oct 25, 2015

Despite our best efforts as therapists or supervisors, some clients will fail to improve while in treatment. A significant amount of research has been conducting seeking to identify the client, therapist, treatment, and process variables associated with client change. A number of methods have been developed to decrease the number of clients who stay the […]