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Empirical evaluation of the assumptions in identifying evidence based treatments in mental health
Abstract
Extensive analyses of data from the remarkably comprehensive data set established by the Treatment of Depression Collaborative Research Program (TDCRP), initiated and conducted by the National Institute of Mental Health (NIMH), enabled us to examine the contributions of three dimensions of the treatment process (type of treatment, aspects of the therapeutic relationship, and patients' pretreatment personality characteristics) to three assessments of therapeutic change (symptom reduction, reduction of vulnerability, and development of adaptive capacities) evaluated at termination and extended follow-up. The most consistent factors predicting therapeutic gain were the quality of the therapeutic relationship and patients' pretreatment personality dimensions. The implications of these findings for clinical practice, training, and research are discussed.
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“In particular, those patients who were perfectionistic or self-critical before treatment improved less than those with low perfectionism.”
From Efficacy of psychodynamic short-term psychotherapy for depressed breast cancer patients: Study protocol for a randomized controlled trial (2012) · cites this paper as [13]
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“They obviously found it difficult to relate to their therapists in the time-limited treatment of depression.”
From Efficacy of psychodynamic short-term psychotherapy for depressed breast cancer patients: Study protocol for a randomized controlled trial (2012) · cites this paper as [13]
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“Blatt & Zuroff [13] found that the success of short-term outpatient treatment depended mostly on two factors: the quality of the therapeutic relationship and patients’ pretreatment personality.”
From Efficacy of psychodynamic short-term psychotherapy for depressed breast cancer patients: Study protocol for a randomized controlled trial (2012) · cites this paper as [13]
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ENHANCED ADAPTIVE CAPACITIES AFTER BRIEF TREATMENT FOR DEPRESSION
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Self-citationTransference: How past relationships emerge in the present
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The efficacy of psychodynamic psychotherapy
Shedler, J. (2010) · American Psychologist · doi:10.1037/a0018378 · Cited by 1,452
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Empirically Supported Treatment: Recommendations for a New Model
Tolin, D. F., McKay, D., Forman, E. M., Klonsky, E. D., & Thombs, B. D. (2015) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12122 · Cited by 219
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Self-citation
Metadata
- Authors
- Blatt, S. J., & Zuroff, D. C.
- Affiliations
- Yale University (US)
- McGill University (CA)
- Corresponding author
- Blatt, Sidney J.
- ORCID
- Zuroff, David C.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2005-06
- Volume
- 25
- Issue
- 4
- Pages
- 459-486
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2158434987
- Cited by
- 199
- References
- 135
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 9 · 2020: 9 · 2019: 9 · 2018: 14 · 2017: 5 · 2016: 9 · 2015: 13 · 2014: 12 · 2013: 6 · 2012: 14
- FWCI
- 2.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- evidence-based treatment, depression treatment, therapeutic relationship, treatment process, therapeutic change, symptom relief, vulnerability reduction, adaptive capacity, treatment outcome predictors
- MeSH terms
- Mental Disorders, Humans, Interpersonal Relations, Cognitive Behavioral Therapy, Treatment Outcome, Evidence-Based Medicine, Empirical Research
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