Although this paper originated as an effort of the Division 12 Task Force on Psychological Interventions, we are publishing it as individuals rather than representatives of the Division.
Using the psychotherapy dosage model in which effect was probability of recovery, this study compared treatment response rates for psychological symptoms. Symptom checklists were administered to 854 psychotherapy outpatients at intake and during treatment. Sixty-two symptoms were grouped into 3 classes on the basis of probit analysis results. Chronic distress symptoms demonstrated the fastest average response rate, whereas characterological symptoms demonstrated the slowest. Acute distress symptoms showed the highest average percentage of patients recovered across doses. A typical outpatient needed about a year of psychotherapy to have a 75% chance of symptomatic recovery. The model holds promise for establishing guidelines for the financing of psychotherapy.
The first in a series which presents program development guidelines that are formulated on the basis of treatment principles rather than in terms of specific treatment models or theories. Beginning with hypotheses that the authors feel are validated by empirical research, this volume offers assessment and treatment guidelines for depression. Guidelines presented include both general ones that can be constructed as routine decisions managed by health care managers, and optimal guidelines that involve the need for special training, monitoring, and oversight for the clinician overseeing programs."-Scifech Book News.
Group cognitive therapy (CT), focused expressive psychotherapy (FEP; a form of group experiential psychotherapy), and supportive, self-directed therapy (S/SD) were compared among 63 patients with major depressive disorder (MDD). Variation among patients' coping styles (externalization) and defensiveness (resistance potential) was used in a prospective test of hypothesized differential treatment-patient interactions. Results suggest that patient characteristics can be used differentially to assign psychotherapy types. Externalizing depressed patients improved more than nonexternalizing depressed patients in CT, whereas nonexternalizing (internalizing) patients improved most in S/SD. Conversely, high defensive (resistant) patients improved more in S/SD than in either FEP or CT, whereas low defensive patients improved more in CT than in S/SD.
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