The attrition dilemma: Toward a new strategy for psychotherapy research.

Howard, Kenneth I.; Krause, Merton S.; Orlinsky, David E.

doi:10.1037/0022-006x.54.1.106

Cited by 83 publications

(41 citation statements)

References 5 publications

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“…Recognizing that the RCT (randomized control/clinical trial) design has problems related to both external and internal validity (Tsang et al 2003;Howard et al 1986Howard et al , 1990, we used a naturalistic design to examine what practitioners actually did in their day-to-day practice. Among the larger data pool, we used a set of the data that consists of nine cases for the current report.…”

Section: Source Of Datamentioning

confidence: 99%

Engagement in Cross-Cultural Clinical Practice: Narrative Analysis of First Sessions

2010

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Based on a larger process-outcome study on cross-cultural clinical practice, this report focuses on the client-practitioner engagement process during the first session in cross-cultural therapy. Nine cases with complete pre-and post-treatment measures, process measures, and verbatim session transcripts were selected. The cases represent a wide variety of client-practitioner ethno-cultural differences. The outcome of these cases was determined by a combination of objective and subjective measures. Client-practitioner interaction processes were subject to complex coding and process analysis, following a narrative research strategy, to discover patterns associated with positive cross-cultural engagement. Results showed that positive engagement is associated with effectively communicated cognitive understanding of the client's needs and concerns, emotional attunement, and appropriate handling of specific cultural experiences.

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Section: Source Of Datamentioning

confidence: 99%

Engagement in Cross-Cultural Clinical Practice: Narrative Analysis of First Sessions

2010

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“…Examples include supplementing RCTs with controlled research conducted via PRNs, qualitative studies conducted by therapists, as well as including outcome variables that derive from more than one psychotherapeutic orientation. Other promising methodological advances include the use of single-case experimental designs (Kazdin, 1981), time-series experimentation as a research tool for clinical practice (Hayes, 1981), the inclusion of case studies within a mixed methods paradigm in clinical trials (Dattilio, Fishman, & Edwards, 2010; Howard, Krause, & Orlinsky, 1986), and the adoption of Cronbach's (1975) “intensive local observation” approach as applied to clinical investigations (see Barlow, 1981), to name a few.…”

Section: A Translational Model Of Rpimentioning

confidence: 99%

A translational model of research-practice integration.

Vivian

Hershenberg²,

Teachman³

et al. 2012

Psychotherapy

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We propose a four-level, recursive Research-Practice Integration framework as a heuristic to (a) integrate and reflect on the articles in this Special Section as contributing to a bidirectional bridge between research and practice, and (b) consider additional opportunities to address the research–practice gap. Level 1 addresses Treatment Validation studies and includes an article by Lochman and colleagues concerning the programmatic adaptation, implementation, and dissemination of the empirically supported Coping Power treatment program for youth aggression. Level 2 translation, Training in Evidence-Based Practice, includes a paper by Hershenberg, Drabick, and Vivian, which focuses on the critical role that predoctoral training plays in bridging the research–practice gap. Level 3 addresses the Assessment of Clinical Utility and Feedback to Research aspects of translation. The articles by Lambert and Youn, Kraus, and Castonguay illustrate the use of commercial outcome packages that enable psychotherapists to integrate ongoing client assessment, thus enhancing the effectiveness of treatment implementation and providing data that can be fed back to researchers. Lastly, Level 4 translation, the Cross-Level Integrative Research and Communication, concerns research efforts that integrate data from clinical practice and all other levels of translation, as well as communication efforts among all stakeholders, such as researchers, psychotherapists, and clients. Using a two-chair technique as a framework for his discussion, Wolfe's article depicts the struggle inherent in research–practice integration efforts and proposes a rapprochement that highlights advancements in the field.

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“…Premature termination from treatment on the part of the client represents a significant issue in psychotherapy research (Flick, 1988;Howard, Krause & Orlinsky, 1986). From a methodological standpoint, loss of cases (attrition) during the course of the investigation can affect virtually all facets of experimental validity by altering the random composition of groups, reducing statistical power, and limiting the generality of findings across subjects.…”

Section: Introductionmentioning

confidence: 99%

Premature Termination from Treatment among Children Referred for Antisocial Behavior

Kazdin

1990

Child Psychology Psychiatry

216

142

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The present study examined differences between children and families who complete treatment versus those who terminated prematurely. Children (N = 81, ages 7-13 years) referred to outpatient treatment for severe antisocial behavior and their families participated. It was predicted that families who terminate treatment prematurely would show greater dysfunction in four domains: child severity and breadth of antisocial behavior, maternal stress, maternal psychopathology, and socioeconomic disadvantage. The results indicated that among cases who terminate treatment prematurely children evinced more severe conduct disorder symptoms and more delinquent behaviors; mothers reported greater stress from their relations with the child, their own role functioning, and life events; and families were at greater socioeconomic disadvantage than those who remained in treatment. The implications of the present findings for the design and implementation of treatment of antisocial children and their families are discussed.

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The attrition dilemma: Toward a new strategy for psychotherapy research.

Cited by 83 publications

References 5 publications

Engagement in Cross-Cultural Clinical Practice: Narrative Analysis of First Sessions

Engagement in Cross-Cultural Clinical Practice: Narrative Analysis of First Sessions

A translational model of research-practice integration.

Premature Termination from Treatment among Children Referred for Antisocial Behavior

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