Articles Tagged "outcome"

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., […]

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 […]

This article, focusing on integrative practiced-based evidence and effectiveness, was inspired by three articles in the Society for the Advancement of Psychotherapy’s Psychotherapy Bulletin (Jacobsen, 2018; Lambert, 2016; and Savela, 2015), plus an online course by Daryl Chow on “Reigniting Clinical Supervision” (2018) and Paul Clement’s classic article on “Practice Based Evidence: 45 Years of […]

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 […]

Psychotherapists are becoming busier every day and are constantly trying to manage the many different responsibilities they have with the increase in demand for psychological services.  Responsibilities can include assessment, treatment planning, clinical preparation, individual therapy, group therapy, case management, case consultation, documentation, coordinating care, supervision, training, and outreach.  One setting that has been heavily […]

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Premature termination is a pervasive problem in psychotherapy (Garfield, 1994) and campus mental health services are especially vulnerable to increased rates of this problem. Although client expectations have consistently been associated with premature termination (e.g., Callahan et al., 2009; Dew & Bickman, 2005; Reis & Brown, 2006), the role of therapist expectations is still not […]

Many children participate in the classic science project of nurturing a seedling in a Dixie cup and observing the ensuing course of germination. The child’s primary job is to exercise patience with the process, punctuated by subtle manipulation of the seedling’s environment to ensure ideal growth conditions. Hopefully, in time, the seedling pokes out of […]

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Abstract Couple therapy outcomes tend to be judged by randomized controlled trial evidence, which comes primarily from the United States. United Kingdom and European outcome studies have tended to be naturalistic and there is a debate as to whether “laboratory” (RCT) studies are useful benchmarks for the outcomes of “clinic” (naturalistic) studies, not least because […]

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Background Research has demonstrated significant between-therapist variability in both process (e.g., working alliance) and outcome (e.g., symptom reduction), pointing to the so-called therapist effect (Baldwin & Imel, 2013). Although still in its infancy with regard to empirical scrutiny, thinking in this area has largely assumed that more effective therapists possess specific characteristics that foster consistently […]

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