Toward a more clinically valid approach to therapy research.

Abstract

Despite the advances in psychotherapy outcome research, findings are limited because they do not fully generalize to the way therapy is conducted in the real world. Research's clinical validity has been compromised by the medicalization of outcome research, use of random assignment of clients without regard to appropriateness of treatment, fixed number of therapy sessions, nature of the therapy manuals, and use of theoretically pure therapies. The field needs to foster a more productive collaboration between clinician and researcher; study theoretically integrated interventions; use process research findings to improve therapy manuals; make greater use of replicated clinical case studies; focus on less heterogeneous, dimensionalized clinical problems; and find a better way of disseminating research findings to the practicing clinician.

Cites (46)

1. Design of Experiments
   Fisher, R. A. · 1936 · BMJ
2. Defining empirically supported therapies.
   Chambless, Dianne L., Hollon, Steven D. · 1998 · Journal of Consulting and Clinical Psychology
3. The effectiveness of psychotherapy: the Consumer Reports study
   Seligman, Martin E. P. · 1995 · American Psychologist
4. Handbook of Psychotherapy Integration
   2005 · Oxford University Press eBooks
5. Effectiveness of psychotherapy
   2011 · Revision MCQs and EMIs for the MRCPsych
6. The Conceptual Framework of Psychology
   Hochberg, Julian, Brunswik, Egon · 1954 · The American Journal of Psychology
7. Identifying and developing empirically supported child and adolescent treatments.
   Kazdin, Alan E., Weisz, John R. · 1998 · Journal of Consulting and Clinical Psychology
8. Predicting the effect of cognitive therapy for depression: A study of unique and common factors.
   Castonguay, Louis G., Goldfried, Marvin R., Wiser, Susan, Raue, Patrick J. · 1996 · Journal of Consulting and Clinical Psychology
9. Empirically Supported Couple and Family Interventions for Marital Distress and Adult Mental Health Problems
   Baucom, Donald H., Shoham, Varda, Mueser, Kim T., Daiuto, Anthony D., Stickle, Timothy R. · 1998 · Journal of Consulting and Clinical Psychology
10. The Transtheoretical Approach
    Prochaska, James O., DiClemente, Carlo C. · 2019 · Handbook of Psychotherapy Integration

Show all 46 references

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