The psychotherapy researcher–practice relationship: Through a clinical supervision lens

Reese, Robert J.; González, Elena Gismero; Clements-Hickman, Alyssa L.; Clemons, Jade M.; Farook, Minnah; Conoley, Collie W.

doi:10.4324/9780429401305-5

Cited by 2 publications

(4 citation statements)

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“…Illustrating the evolution of thought regarding feedback, compare the recent trend to the 2015 Psychotherapy special issue on “Progress Monitoring and Feedback.” Although instructions to the authors requested discussion of clinical application of their systems, only one, PCOMS, provided detail about accompanying collaborative processes (Reese et al, 2024). The included approaches conceptualized feedback as mainly a normative or nomothetic endeavor, while PCOMS included communicative or idiographic components.…”

Section: Evolution Of Feedbackmentioning

confidence: 99%

“…Consider again the evolution of the feedback literature. In that 2015 Psychotherapy special issue, none of the approaches, except PCOMS, discuss multicultural competence or social justice beyond providing data to examine differential effectiveness (Reese et al, 2024). An examination of Barber and Resnick (2023), Barkham et al (2023), and Boswell et al (2023), however, reveals an emphasis on cultural sensitivity and adaptation of the measures, content, and processes of MBC to benefit diverse populations, as recommended by the APA multicultural guidelines.…”

Section: Partners For Change Outcome Management Systemmentioning

confidence: 99%

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The evolution of feedback: Toward a multicultural orientation.

Duncan,

Reese

2024

Psychotherapy

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There have been great strides in psychology regarding diversity, equity, inclusion, and multicultural competence, but a need remains to translate these values into actionable practices in psychotherapy. While the case has been made that measurement-based care is an evidence-based intervention that improves outcomes and reduces dropouts (de Jong et al., 2021) and recently that it provides a transparent collaborative process to engage clients in treatment (Boswell et al., 2023), it has not been widely considered as a methodology for multicultural competence. We trace the evolution of what was once called "patient-focused research" (Lambert, 2001) and identify a significant change in recent writings to include important clinical and collaborative processes, a transition from a strictly normative or nomothetic understanding of the value of feedback to an appreciation of its communicative or idiographic processes. We propose that systematic client feedback promotes a "multicultural orientation" (Owen, 2013) at the individual therapist-client level and that client responses to outcome and process measures can foster cultural humility and create cultural opportunities (Hook et al., 2017) to address marginalization and other sociocultural factors relevant to treatment. Using one system to illustrate what is possible for all feedback approaches, we present client examples that demonstrate an integration of a multicultural orientation. We suggest that systematic client feedback can provide a structure to address diversity, marginalization, and privilege in psychotherapy. Clinical Impact StatementQuestion: Can measurement-based care (MBC) continue its evolution to collaborative, transparent processes and provide a methodology for multicultural competence? Findings: Recent accounts of MBC have highlighted important clinical and collaborative practices, a transition from a strictly normative understanding of the value of feedback to an appreciation of its communicative processes. Meaning: MBC enables a structure to translate multicultural guidelines into actionable therapist behaviors to address diversity, marginalization, and clinician-client differences. Next Steps: While one MBC system with a heritage of client privilege and social justice was offerred as an illustration of a multicultural orientation (Owen, 2013), other client feedback systems can similarly begin to contextualize their outcome measures beyond symptoms to address oppression as well as include alliance measures to encourage discussion of therapist-client differences.

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Section: Evolution Of Feedbackmentioning

confidence: 99%

Section: Partners For Change Outcome Management Systemmentioning

confidence: 99%

The evolution of feedback: Toward a multicultural orientation.

Duncan,

Reese

2024

Psychotherapy

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“…More studies like this are needed. Both our clinical and research experiences (Reese et al, in press) suggest that global improvements in functioning as measured by the ORS (including quality of life) are often more relevant to client treatment goals and precede symptom improvement.…”

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confidence: 96%

“…In addition to consideration of the flawed studies upon which this conjecture is based, another explanation is that measures used as part of psychotherapy help shape treatment and subsequent outcomes. Perhaps such a measure is a more accurate reflection of the client’s experience of treatment outcome as well as more sensitive to change than symptom-based measures (Reese et al, in press). Some evidence supports this possibility.…”

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confidence: 99%

When meta-analysis continues to mislead: A reply to Østergård and Hougaard (2020).

Duncan

Sparks²

2023

Psychological Services

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Østergård and Hougaard (2020) reiterate the flawed conclusions of their meta-analysis of the Partners for Change Outcome Management System (PCOMS) and obfuscate the main point of our critique (Duncan & Sparks, 2020). Despite the lauded statistics and selection criteria, the inclusion of six significantly confounded investigations resulted in a misleading overattribution of meaning to studies of questionable methodology that warranted exclusion. Further, their hypothesis that social desirability leads to inflated effect sizes on the Outcome Rating Scale (ORS) is insufficient. It is not supported by studies finding comparable results to the ORS on independent outcome measures or investigations reporting that change on measures of life functioning, like the ORS, precedes that depicted on symptom scales. While more research is needed, the totality of credible research supports the efficacy of PCOMS. Impact StatementWith the fatal flaws regarding dose of intervention and fidelity of the studies included in the Østergård et al.'s (2018) meta-analysis of the Partners for Change Outcome Management System (PCOMS) exposed, and the authors' conjecture regarding social desirability and the Outcome Rating Scale contradicted by past and recent evidence, clinicians can confidently implement the evidence-based practice, PCOMS, to improve outcomes and reduce dropouts.

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The psychotherapy researcher–practice relationship: Through a clinical supervision lens

Cited by 2 publications

References 1 publication

The evolution of feedback: Toward a multicultural orientation.

The evolution of feedback: Toward a multicultural orientation.

When meta-analysis continues to mislead: A reply to Østergård and Hougaard (2020).

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