Articles Tagged "outcomes"

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 […]

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 […]

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 […]

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Consider the following scenario: a client you have been working with for over a year comes into your office and says “I have something to tell you—I’ve been waiting to let you know for a long time. I am a trans man and I would like your help to transition.” Of course, first reactions from […]

Abstract In order to receive medically necessary gender-affirming treatments, transgender individuals are required to provide evidence of their readiness for gender transitioning. Most often, this evidence includes 1 letter for hormone therapy and 2 letters for surgery. According to the World Professional Association for Transgender Health (WPATH) Standards of Care (SOC), psychotherapists or other eligible […]

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We have just finished writing the 2nd edition of a book with the title The Great Psychotherapy Debate. Although there are many aspects of psychotherapy about which there is no debate, there remain some important debates about some issues. Interestingly, what we debate probably is not all that important, at one level (although it is […]