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Measuring Psychodynamic-Interpersonal and Cognitive-Behavioral Techniques: Development of the Comparative Psychotherapy Process Scale
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“10% of CBT sessions by different psychologists were independently assessed to ensure adherence to the CBT therapeutic model using the Comparative Psychotherapy Process Scale-External Rater form (CPPS).80”
From Acceptance and commitment therapy for mild traumatic brain injury (ACTion-mTBI): a quasiexperimental feasibility study (2025) · cites this paper as [80]
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Westen, D., Novotny, C. M., & Thompson-Brenner, H. (2004) · Psychological Bulletin · doi:10.1037/0033-2909.130.4.631 · Cited by 1,212
Scale development: ten main limitations and recommendations to improve future research practices
Morgado, F. F. D. R., Meireles, J. F. F., Neves, C. M., Amaral, A. C. S., & Ferreira, M. E. C. (2017) · Psicologia Reflexão e Crítica · doi:10.1186/s41155-016-0057-1 · Cited by 790
Goodyer, I. M., Reynolds, S., Barrett, B., Byford, S., Dubicka, B., Hill, J., Holland, F., Kelvin, R., Midgley, N., Roberts, C., et al. (2017) · The Lancet Psychiatry · doi:10.1016/s2215-0366(16)30378-9 · Cited by 259
Treatment adherence: The importance of therapist flexibility in relation to therapy outcomes.
Owen, J., & Hilsenroth, M. J. (2014) · Journal of Counseling Psychology · doi:10.1037/a0035753 · Cited by 177
“The CPPS is based on the findings of two empirical reviews of the comparative psychotherapy process literature (Blagys & Hilsenroth, 2000; Hilsenroth et al., 2005).”
BackgroundMethodSelf-citationPachankis, J. E., Harkness, A., Maciejewski, K. R., Behari, K., Clark, K. A., McConocha, E., Winston, R., Adeyinka, O., Reynolds, J., Bränström, R., et al. (2022) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000724 · Cited by 112
IMPRoving Outcomes for children exposed to domestic ViolencE (IMPROVE): an evidence synthesis
Howarth, E., Moore, T. H., Welton, N. J., Lewis, N. V., Stanley, N., MacMillan, H. L., Shaw, A. R. G., Hester, M., Bryden, P. A., & Feder, G. S. (2016) · Public Health Research · doi:10.3310/phr04100 · Cited by 112
The Multitheoretical List of Therapeutic Interventions (MULTI): Initial report
McCarthy, K. S., & Barber, J. P. (2008) · Psychotherapy Research · doi:10.1080/10503300802524343 · Cited by 97
“Some notable measures collect the three perspectives but only on inventions from one or a limited number of orientations (Hilsenroth et al., 2005; Ogrodniczuk et al., 2000; Orlinsky & Howard, 1966; Silove et al., 1990).”
Goodyer, I. M., Reynolds, S. A., Barrett, B. M., Byford, S., Dubicka, B., Hill, J., Holland, F., Kelvin, R. G., Midgley, N., Roberts, C., et al. (2017) · Health Technology Assessment · doi:10.3310/hta21120 · Cited by 91
Hilsenroth, M. J. (2006) · Psychotherapy Research · doi:10.1080/10503300600953504 · Cited by 91
“On the basis of the 13 core techniques identified from the empirical literature, we constructed the Comparative Psychotherapy Process Scale (CPPS; Hilsenroth, Blagys, Ackerman, Bonge, & Blais, 2005 ), which contains two subscales, CPPS-PI and CPPS-CB, that assess the degree to which a therapist uses these core techniq…”
MethodSelf-citationHilsenroth, M. J., DeFife, J. A., Blagys, M. D., & Ackerman, S. J. (2006) · Psychotherapy Research · doi:10.1080/10503300500264887 · Cited by 73
“Coefficient alphas from a larger sample of 124 psychodynamic, CB, and eclectic psychotherapy sessions were found to be quite high for both CPPS PI (.92) and CPPS CB (.94; Hilsenroth et al., 2005).”
BackgroundSelf-citationThe MBT Adherence and Competence Scale (MBT-ACS): Development, structure and reliability
Karterud, S., Pedersen, G., Engen, M. J., Johansen, M. S., Johansson, P. N., Schlüter, C., Urnes, Ø., Wilberg, T., & BATEMAN, A. W. (2012) · Psychotherapy Research · doi:10.1080/10503307.2012.708795 · Cited by 74
“However, several previous studies have included the same therapists and the same patients more than once in the sessions being studied, although papers are unclear about these important methodological matters (Barber, Mercer, Krakauer, & Calvo, 1996 ; Hilsenroth, Bonge, Blagys, Ackerman, & Blais, 2005 ).”
ResultKuutmann, K., & Hilsenroth, M. J. (2011) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.743 · Cited by 70
Self-citationZimmermann, J., Löffler‐Stastka, H., Huber, D., Klug, G., Alhabbo, S., Bock, A., & Benecke, C. (2014) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.1917 · Cited by 74
Town, J. M., Abbass, A. A., Stride, C., & Bernier, D. C. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.02.035 · Cited by 81
Owen, J. J., & Hilsenroth, M. J. (2011) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e31821cd28a · Cited by 63
Self-citationShort-Term Psychodynamic Psychotherapy: Review of Recent Process and Outcome Studies
Lewis, A., Dennerstein, M., & Gibbs, P. M. (2008) · Australian and New Zealand journal of psychiatry (Print) · doi:10.1080/00048670802050520 · Cited by 55
“A unique feature of that study was its use of the Comparative Psychotherapy Process Scale [31] as”
MethodInfluentialStiles, W. B., Hill, C. E., & Elliott, R. (2014) · Psychotherapy Research · doi:10.1080/10503307.2014.981681 · Cited by 60
Hershenberg, R., Drabick, D. A. G., & Vivian, D. (2012) · Psychotherapy · doi:10.1037/a0027648 · Cited by 59
Iwakabe, S., Nakamura, K., & Thoma, N. C. (2023) · Psychotherapy Research · doi:10.1080/10503307.2023.2183155 · Cited by 65
“The Comparative Psychotherapy Process Scale (Hilsenroth et al., 2005) includes items such as, “Therapist 920 S. Iwakabe et al. encourages patient to experience and express feelings in the session.””
BackgroundLingiardi, V., McWilliams, N., Bornstein, R. F., Gazzillo, F., & Gordon, R. M. (2015) · Psychoanalytic Psychology · doi:10.1037/a0038546 · Cited by 49
Building a Bridge Over Troubled Water: Response To Commentaries
Luyten, P., Blatt, S. J., & Corveleyn, J. M. T. (2006) · Journal of the American Psychoanalytic Association · doi:10.1177/00030651060540021401 · Cited by 43
“The studies by Hilsenroth and colleagues (Hilsenroth et al. 2005) with the Comparative Psychotherapy Process Scale or by Blatt and colleagues showing that clinicians can make reliable and valid distinctions between subtypes of personality-disordered patients based on clinical case records (see,…”
ResultThe effects of borderline pathology on short-term psychodynamic psychotherapy for depression
Hilsenroth, M. J., DeFife, J. A., Blake, M. M., & Cromer, T. D. (2007) · Psychotherapy Research · doi:10.1080/10503300600786748 · Cited by 43
“We have reported (Hilsenroth et al., 2005) on the excellent interrater reliability and internal consistency of the CPPS as well as significant results on six separate validity analyses conducted across several different contexts and samples.”
Self-citationSiefert, C. J., Hilsenroth, M. J., Weinberger, J. L., Blagys, M. D., & Ackerman, S. J. (2006) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.469 · Cited by 43
Self-citationPatient affect experiencing following therapist interventions in short-term dynamic psychotherapy
Town, J. M., Hardy, G. E., McCullough, L., & Stride, C. (2011) · Psychotherapy Research · doi:10.1080/10503307.2011.637243 · Cited by 42
“STDP therapist responses appear consistent with common categories of interventions previously described in psychodynamically orientated therapies (Blagys & Hilsenroth, 2000 ), and broadly distinguishable from cognitive-behavioural therapies (Hilsenroth, Blagys, Ackerman, Bonge, & Blais, 2005 ).”
MethodSlavin-Mulford, J. M., Hilsenroth, M., Weinberger, J., & Gold, J. R. (2011) · Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3182125d60 · Cited by 41
“The Comparative Psychotherapy Process Scale (CPPS; Hilsenroth et al., 2005) is a descriptive measure of psychotherapy process designed to assess therapist activity and psychotherapy techniques that are used and occur during the therapeutic hour.”
MethodResultInfluentialSelf-citationGeorg, A. K., Cierpka, M., Schröder‐Pfeifer, P., Kress, S., & Taubner, S. (2020) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2020.06.016 · Cited by 39
Working through: In-session processes that promote between-session thoughts and activities.
Owen, J. J., Quirk, K. M., Hilsenroth, M. J., & Rodolfa, E. R. (2011) · Journal of Counseling Psychology · doi:10.1037/a0023616 · Cited by 38
Self-citationHaddock, S. A., Weiler, L. M., Trump, L. J., & Henry, K. L. (2016) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12184 · Cited by 44
Goldman, R. E., Hilsenroth, M. J., Owen, J. J., & Gold, J. R. (2013) · Journal of Psychotherapy Integration · doi:10.1037/a0034363 · Cited by 36
“We have recently reported (Hilsenroth et al., 2005; Slavin-Mulford, Hilsenroth, Weinberger, & Gold, 2011; Stein, Pesale, Slavin, & Hilsenroth, 2010) on the excellent interrater reliability and internal consistency of the CPPS, as well as validity analyses conducted across several different contexts…”
Self-citationTown, J. M., Abbass, A. A., Stride, C., Nunes, A., Bernier, D. C., & Berrigan, P. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.04.035 · Cited by 39
McAleavey, A. A., & Castonguay, L. G. (2013) · Psychotherapy · doi:10.1037/a0032410 · Cited by 35
Patient Ratings of Psychodynamic Psychotherapy Session Activities and Their Relation to Outcome
DeFife, J. A., Hilsenroth, M. J., & Gold, J. R. (2008) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e31817cf6d0 · Cited by 35
“The CPPS has demonstrated validity with existing process measures as well as practicing clinicians’ ratings of ideal prototypical session activities (Hilsenroth et al., 2005).”
BackgroundMethodResultInfluentialSelf-citationReynolds, S. A., Orchard, F., Midgley, N., Kelvin, R. G., & Goodyer, I. M. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.10.029 · Cited by 32
Gumz, A., Treese, B., Marx, C., Strauss, B. M., & Wendt, H. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01705 · Cited by 34
“For three measures, studies are available which report a broad examination and evidence for validity for the respective measure: CPPS (see Table 4; Hilsenroth et al., 2005), ITS (see Table 5; Gaston and Ring, 1992), and YACS (see Table 3; Carroll et al., 2000).”
BackgroundAffect-Focused Techniques in Psychodynamic Psychotherapy
Diener, M. J., & Hilsenroth, M. J. (2008) · Humana Press eBooks · doi:10.1007/978-1-59745-444-5_10 · Cited by 30
“Treatment fidelity was ensured by the analysis of ratings on the Comparative Psychotherapy Process Scale (CPPS) [ 33 ] completed by two judges coding the subscales independently in random order.”
MethodSelf-citationWatzke, B., Rüddel, H., Koch, U., Rudolph, M., & Schulz, H. (2008) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.595 · Cited by 29
Thell, N., & Peräkylä, A. (2011) · Psychotherapy Research · doi:10.1080/10503307.2011.570934 · Cited by 29
“, 1987; Stiles, Shapiro, & Firth-Cozens, 1988) or general therapy process characteristics (such as directivity, behavior focus, emotional arousal, focus on patient-therapist relationship; see Brunink & Schroeder, 1979; Hilsenroth et al., 2005; Malik, Beutler, Alimonhamed, Gallagher-Thompson, & Thompson, 2003; Watzke,…”
The Adolescent Psychotherapy Q-Set (APQ): A Validation Study
Calderón, A., Schneider, C., Target, M., & Midgley, N. (2017) · Journal of Infant Child and Adolescent Psychotherapy · doi:10.1080/15289168.2016.1255499 · Cited by 29
“…of the APQ to identify differences and shared features of two different therapeutic approaches to working with adolescents; and (3) convergent and discriminant validity with a widely used measure of therapist behaviors, the Comparative Psychotherapy Process Scale (CPPS; Hilsenroth et al., 2005).”
BackgroundMethodInfluentialMeganck, R., Desmet, M., Bockting, C., Inslegers, R., Truijens, F. L., Smet, M. M. D., Geest, R. D., Nieuwenhove, K. V., Hennissen, V., Hermans, G., et al. (2017) · Trials · doi:10.1186/s13063-017-1867-x · Cited by 31
“Specifically, the Comparative Psychotherapy Process Scale [30] will be used to reliably assess characteristics of cognitive behavioral and psychodynamic-interpersonal treatments in the respective treatments.”
MethodQuantitative Approaches to Treatment Process, Change Process, and Process-Outcome Research
Gelo, O. C. G., & Manzo, S. (2014) · Springer eBooks · doi:10.1007/978-3-7091-1382-0_13 · Cited by 31
Owen, J. J., Hilsenroth, M. J., & Rodolfa, E. R. (2012) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.1792 · Cited by 28
Self-citationBanon, E., Perry, J. C., Semeniuk, T., Bond, M., de Roten, Y., Hersoug, A. G., & Despland, J.-N. (2013) · Psychotherapy Research · doi:10.1080/10503307.2012.745955 · Cited by 27
Stein, M. B., Pesale, F. P., Slavin‐Mulford, J. M., & Hilsenroth, M. J. (2009) · Counselling and Psychotherapy Research · doi:10.1080/14733140903229457 · Cited by 27
“The training instructor was male, with a clinical PhD and internship training from an APA approved programme, and is faculty member at an APA approved clinical PhD programme, with extensive clinical and research experience using the Comparative Psychotherapy Process Scale (CPPS; Hilsenroth, Blagys, Ackerman, Bonge, &…”
MethodSelf-citationLevy, S. R., Hilsenroth, M., & Owen, J. (2015) · Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000302 · Cited by 27
“Use of interpretation was assessed using CPPS, item #13, “The therapist suggests alternative ways to understand experiences or events not previously recognized by the patient” (for additional manual coding instructions, see Hilsenroth et al., 2005).”
BackgroundMethodInfluentialSelf-citationChanges in Object Relations over the Course of Psychodynamic Psychotherapy.
Mullin, A. S. J., Hilsenroth, M., Gold, J. R., & Farber, B. A. (2017) · Clinical Psychology and Psychotherapy · doi:10.1002/cpp.2021 · Cited by 24
Self-citationGelo, O. C. G., Salcuni, S., & Colli, A. (2013) · Research in Psychotherapy Psychopathology Process and Outcome · doi:10.4081/ripppo.2012.144 · Cited by 25
A Review of Subjective Scales Measuring the User Experience of Voice Assistants
Faruk, L. I. D., Babakerkhell, M. D., Mongkolnam, P., Chongsuphajaisiddhi, V., Funilkul, S., & Pal, D. (2024) · IEEE Access · doi:10.1109/access.2024.3358423 · Cited by 28
“Consequently, which ultimately jeopardize the overall validity and reliability of the scale [33].”
BackgroundHiltunen, A. J., Kocys, E., & Perrin‐Wallqvist, R. (2013) · PsyCh Journal · doi:10.1002/pchj.23 · Cited by 23
“The CPPS result indicated good quality characteristics and hence confirms that the interventions used in the therapy belonged to the CBT genre (Hilsenroth et al., 2005).”
BackgroundMethodResultInfluentialKrakau, L., Ernst, M., Hautzinger, M., Beutel, M. E., & Leuzinger‐Bohleber, M. (2024) · The British Journal of Psychiatry · doi:10.1192/bjp.2024.112 · Cited by 25
Leichsenring, F., Steinert, C., Beutel, M. E., Feix, L., Gündel, H., Hermann, A., Karabatsiakis, A., Knaevelsrud, C., König, H., Kolassa, I., et al. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-040123 · Cited by 20
Sandahl, C., Lundberg, U., Lindgren, A., Rylander, G., Herlofson, J., Nygren, Å., & Åsberg, M. (2011) · International Journal of Group Psychotherapy · doi:10.1521/ijgp.2011.61.4.538 · Cited by 20
“Such anecdotal information is unfortunately of little scientific value, and it would have been helpful to systematically measure the processes in the two groups (Getter et al., 1992; Hilsenroth et al., 2005).”
BackgroundPitman, S. R., Slavin‐Mulford, J. M., & Hilsenroth, M. J. (2014) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000137 · Cited by 20
“A more thorough description of the development, procedures, reliability, and validity of the CPPS (Hilsenroth et al., 2005) are reported elsewhere (Hilsenroth, 2007; Hilsenroth et al., 2005).”
MethodResultInfluentialSelf-citationBrauhardt, A., de Zwaan, M., Herpertz, S., Zipfel, S., Svaldi, J., Friederich, H., & Hilbert, A. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.07.014 · Cited by 21
“Evidence for the convergent and discriminant validity of the ACF was provided by its associationwith therapist adherence to general CBT elements and its lack of association with psychodynamicinterpersonal elements assessed with the established CPPS (Hilsenroth et al., 2005).”
BackgroundPuls, H., Schmidt, R., & Hilbert, A. (2018) · European Eating Disorders Review · doi:10.1002/erv.2650 · Cited by 18
Manual for transference work scale; a micro-analytical tool for therapy process analyses
Ulberg, R., Amlo, S., & Høglend, P. A. (2014) · BMC Psychiatry · doi:10.1186/s12888-014-0291-y · Cited by 17
“Some examples of process- and adherence scales are the Analytic Process Scales (APS) [9], Comparative Psychotherapy Process Scale (CPPS) [10], Psychotherapy Process Q-set (Q-set) [11], The Therapist Intervention Rating System (TIRS) [Piper, unpublished manual].”
Beutel, M. E., Krakau, L., Kaufhold, J., Bahrke, U., Grabhorn, A., Hautzinger, M., Fiedler, M., Kallenbach, L., Ernst, M., Rüger, B., et al. (2022) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2793 · Cited by 15
Siegel, D. F., & Hilsenroth, M. J. (2013) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2013.67.3.257 · Cited by 16
Self-citationWill Patients Accept Randomization to Psychoanalysis? A Feasibility Study
Caligor, E., Hilsenroth, M. J., Devlin, M. J., Rutherford, B. R., Terry, M., & Roose, S. P. (2012) · Journal of the American Psychoanalytic Association · doi:10.1177/0003065112442958 · Cited by 16
Self-citationPsychodynamic technique early in treatment related to outcome for depressed patients
Katz, M., & Hilsenroth, M. J. (2017) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2167 · Cited by 15
Self-citationHaugen, P. T., Goldman, R. E., & Owen, J. J. (2015) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000263 · Cited by 15
“To assess early treatment adherence, all therapists rated their activity using the Comparative Psychotherapy Process Scale (CPPS; Hilsenroth et al., 2005) for the third psychotherapy session.”
MethodLarsson, B. P. M., Kaldo, V., & Broberg, A. G. (2010) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2010.486409 · Cited by 15
“Hilsenroth et al. (2005), however, did identify separate scales for the aforementioned items in CPPS. Interestingly, several of our items were similar to those in the CPPS, but there were also differences.”
BackgroundResultRelational and classical elements in psychoanalyses: An empirical study with case illustrations
Waldron, S., Gazzillo, F., Genova, F., & Lingiardi, V. (2013) · Psychoanalytic Psychology · doi:10.1037/a0033959 · Cited by 15
Research evidence on psychotherapist skills and methods: Foreword and afterword
Hill, C. E., & Norcross, J. C. (2023) · Psychotherapy Research · doi:10.1080/10503307.2023.2186281 · Cited by 14
“The frequency of therapist skills and methods have also been assessed through post-session reports (e.g., Comparative Psychotherapy Process Scale, Hilsenroth et al., 2005; Multitheoretical List of Therapeutic Interventions, McCarthy & Barber, 2009; Helping Skills Measure, Hill & Kellems, 2002;…”
MethodLeuzinger‐Bohleber, M., Hautzinger, M., Keller, W., Fiedler, G., Bahrke, U., Kallenbach, L., Kaufhold, J., Negele, A., Küchenhoff, H., Günther, F., et al. (2019) · PSYCHE · doi:10.21706/ps-73-2-77 · Cited by 14
Meier, A. F., Zeeck, A., Taubner, S., Gablonski, T., Lau, I., Preiter, R., Gläser, H., Zipfel, S., Herzog, W., Wild, B., et al. (2022) · Psychotherapy Research · doi:10.1080/10503307.2022.2146542 · Cited by 14
“Regarding the CBT-E condition, the lower level of MEIs may have resulted from interventions not aimed at mentalizing, like prescribing concrete behavior or homework, worksheets, and exercises within a psychotherapy session (Hilsenroth et al., 2005).”
BackgroundPatient Crying in Psychotherapy: Who Cries and Why?
Umphlet, K. L. C., Fiori, K. L., Mullin, A. S. J., & Hilsenroth, M. J. (2013) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.1879 · Cited by 18
Self-citationIntegrative dynamic treatment for comorbid depression and borderline conditions.
Hilsenroth, M. J., & Slavin‐Mulford, J. M. (2008) · Journal of Psychotherapy Integration · doi:10.1037/a0014317 · Cited by 14
Self-citationZeeck, A., Taubner, S., Gablonski, T., Lau, I., Zipfel, S., Herzog, W., Wild, B., Friederich, H., Resmark, G., Giel, K. E., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.814441 · Cited by 13
“CBT-E also focuses on these aforementioned themes, but probably to a lesser extent, and by using another kind of intervention (69); furthermore, in CBT-E, there is time reserved in sessions to go through homework and practical advice, which both can be assumed to prevent mentalizing.”
BackgroundSchaeuffele, C., Heinrich, M., Behr, S., Fenski, F., Hammelrath, L., Zagorscak, P., Jansen, A., Pohl, S., Boettcher, J., & Knaevelsrud, C. (2022) · Trials · doi:10.1186/s13063-022-06757-0 · Cited by 15
“Furthermore, they will rate their therapist’s activity and techniques with the 20-item Comparative Psychotherapy Process Scale (CPPS) [49] and facilitative skills with the 7-item common factor subscale of the Multitheoretical List of Therapeutic Interventions (MULTI) [50].”
MethodMalkomsen, A., Wilberg, T., Bull-Hansen, B., Dammen, T., Evensen, J. H., Hummelen, B., Løvgren, A., Osnes, K., Ulberg, R., & Røssberg, J. I. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06544-6 · Cited by 25
Empirical Support for Psychodynamic Psychotherapy for Eating Disorders
Thompson‐Brenner, H., Weingeroff, J. L., & Westen, D. (2008) · Humana Press eBooks · doi:10.1007/978-1-59745-444-5_4 · Cited by 13
“Additional analyses of the therapy intervention questionnaire included in that study (the Comparative Psychotherapy Process Scale for Bulimia Nervosa; see [8, 41 ]) indicated that dynamic therapy and CBT in ED clients show identifiable distinctions, though there was considerable overlap and integration in actual pract…”
MethodMullin, A. S. J., & Hilsenroth, M. J. (2012) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.1826 · Cited by 13
Self-citationFacets of Object Representation: Process and Outcome Over the Course of Psychodynamic Psychotherapy
Mullin, A. S. J., Hilsenroth, M. J., Gold, J. R., & Farber, B. A. (2016) · Journal of Personality Assessment · doi:10.1080/00223891.2016.1215320 · Cited by 13
“Specifically, we highlight the value in assessing object relational change (via the SCORS–G) as well as its relation to therapeutic technique (using the Comparative Psychotherapy Process Scale, a measure of psychotherapy technique; Blagys & Hilsenroth, 2000, 2002; Hilsenroth et al., 2005) in individual psychodynamic p…”
BackgroundMethodResultInfluentialSelf-citationGumz, A., Neubauer, K., Horstkotte, J. K., Geyer, M. A., Löwe, B., Murray, A., & Kästner, D. (2017) · PLoS ONE · doi:10.1371/journal.pone.0182949 · Cited by 13
Loades, M. E., Midgley, N., Herring, G. T., O’Keeffe, S., Goodyer, I. M., Barrett, B. M., Byford, S., Dubicka, B., Hill, J., Holland, F., et al. (2023) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2023.03.017 · Cited by 13
Suszek, H., Holas, P., Wyrzykowski, T., Lorentzen, S., & Kokoszka, A. (2015) · Trials · doi:10.1186/s13063-015-0827-6 · Cited by 14
“The Comparative Psychotherapy Process Scale (CPPS) [34] will be used for this purpose, together with ad-hoc checklists based on specific group treatment manuals.”
MethodMeganck, R., Desmet, M., Nieuwenhove, K. V., Smet, M. D., Hennissen, V., Truijens, F., Geest, R. D., Hermans, G., Bockting, C., Norman, U. A., et al. (2023) · Psychotherapy and Psychosomatics · doi:10.1159/000531643 · Cited by 8
Ambresin, G., Leuzinger‐Bohleber, M., Fischmann, T., Axmacher, N., Hattingen, E., Bansal, R., & Peterson, B. S. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05287-6 · Cited by 11
“Adherence to the treatment protocol will be assessed by independent members of the research teams using the Comparative Psychotherapy Process Scale (CPPS; [120], see also [29]).”
MethodEinzel- und Paarintervention für depressive Koronarpatienten
Studiengruppe, S.-C., Fritzsche, K., Albus, C., Jordan, J., Beutel, M. E., Wiltink, J., & Herrmann‐Lingen, C. (2010) · Psychotherapeut · doi:10.1007/s00278-010-0783-2 · Cited by 11
Bendall, S., Allott, K., Jovev, M., Marois, M.-J., Killackey, E. J., Gleeson, J., Álvarez‐Jiménez, M., McGorry, P. D., & Jackson, H. J. (2013) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465813000921 · Cited by 11
Adolescent eating disorders: treatment and response in a naturalistic study
Thompson‐Brenner, H., Boisseau, C. L., & Satir, D. A. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20646 · Cited by 11
“Interrater reliability for individual items of the CPPS is good-to-excellent (Hilsenroth et al., 2005).”
Roussos, A., Penedo, J. M. G., & Muiños, R. (2016) · Psychotherapy Research · doi:10.1080/10503307.2016.1174346 · Cited by 11
“The original instrument has shown adequate internal consistency and inter-rater reliability (Hilsenroth et al., 2005).”
BackgroundBeliefs about emotions predict psychological stress related to somatic symptoms
Reininger, K. M., Biel, H. M., Hennig, T., Zitzmann, S., Weigel, A., Spitzer, C., Toussaint, A. C., & Löwe, B. (2023) · British Journal of Clinical Psychology · doi:10.1111/bjc.12438 · Cited by 12
Strengthening mentalizing in a depressed mother of an infant with sleep disorders
Georg, A. K., Kress, S., & Taubner, S. (2019) · Journal of Clinical Psychology · doi:10.1002/jclp.22762 · Cited by 10
Versorgungsrealität bei der Behandlung der posttraumatischen Belastungsstörung
Kröger, C. B., Kliem, S., Sarmadi, N. B., & Kosfelder, J. (2010) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000020 · Cited by 10
Benzi, I. M. A., Compare, A., Tona, A. L., Nuovo, S. D., Lazzari, D., Lingiardi, V., Coco, G. L., & Parolin, L. A. L. (2023) · BMC Psychology · doi:10.1186/s40359-023-01345-6 · Cited by 9
“The Comparative Psychotherapy Process Scale (CPPS) [55] is a 20-item self-report measure that can be used by clinicians, patients, or external observers, to assess the therapist’s techniques during a session highlighting psychodynamic-interpersonal techniques (PI; include psychodynamic, psychodynamic-interpersonal, an…”
BackgroundThe Role of Theory-Specific Techniques and Therapeutic Alliance in Promoting Positive Outcomes
Haugen, P. T., Werth, A. S., Foster, A. L., & Owen, J. J. (2016) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000631 · Cited by 9
“, 2013), and previous research has found that clients are able to distinguish between PI and CB interventions on the CPPS (DeFife et al., 2008; Hilsenroth et al., 2005).”
BackgroundMethodInfluentialTarget, M. (2017) · Psychotherapy Research · doi:10.1080/10503307.2017.1349351 · Cited by 9
Henkel, M., Zimmermann, J., & Benecke, C. (2018) · Zeitschrift für psychosomatische Medizin und Psychotherapie · doi:10.13109/zptm.2018.64.3.237 · Cited by 9
Therapist interventions in short-term dynamic psychotherapy: six expert treatments
Town, J. M., McCullough, L., & Hardy, G. E. (2011) · British Journal of Guidance and Counselling · doi:10.1080/03069885.2011.621518 · Cited by 9
“Subsequent studies have shown that patients were more likely to rate the type of responses their therapist used in psychodynamic therapy as PI than CB (Hilsenroth, Blagys, Ackerman, Bonge, & Blais, 2005 ) and undergraduate students could distinguish videotapes of PI from CB therapies (Defife, Hilsenroth, & Gold, 2008…”
BackgroundThe MATRIX, a novel tool exploring dynamic psychotherapy: Preliminary psychometric properties
Mendlovic, S., Doron, A., Saad, A., Atzil–Slonim, D., Mar'I, S., Bloch, Y., & Yehuda, A. B. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.08.047 · Cited by 8
“…on the therapists' techniques (for example, the Comparative Psychotherapy Process Scale (CPPS; Hilsenroth et al., 2005), the Interpretive and Supportive Technique Scale (ISTS; Ogrodniczuk and Piper, 1999), the Multitheoretical List of…”
MethodCarrera, S., Pandolfi, G., Cappelletti, J. Y., Padoani, W., & Salcuni, S. (2018) · Research in Psychotherapy Psychopathology Process and Outcome · doi:10.4081/ripppo.2018.336 · Cited by 7
Process Measures for Psychodynamic Psychotherapy
Siefert, C. J., DeFife, J. A., & Baity, M. R. (2008) · Humana Press eBooks · doi:10.1007/978-1-59745-444-5_7 · Cited by 8
“The CPPS can be used to broadly classify a given psychotherapy session, assess the degree to which a therapist made use of PI and/or CB techniques, examine the effects of specific PI or CB interventions [18], and compare the use of various techniques within CB or PI psychotherapies [ 14 ].”
BackgroundMethodResultInfluentialFaulkner, J., Prouty, D., Devlin, L., Appleton, D., Roche, M., Below, K., Moffat, J., Snell, D., Williams, M. N., Barker-Collo, S., et al. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-089727 · Cited by 7
Object representation quality, therapeutic alliance, and psychotherapy process
Sanders, A., Hilsenroth, M. J., & Fowler, J. C. (2014) · Bulletin of the Menninger Clinic · doi:10.1521/bumc.2014.78.3.197 · Cited by 7
Self-citationThompson, J., Smith, A. L., Lo, S., Kasparian, N. A., Saw, R. P. M., Dieng, M., Seaman, L., Martin, L. K., Guitera, P., Milne, D., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-054337 · Cited by 7
Penedo, J. M. G., Barrientos, J.-C., Martínez, A., & Roussos, A. (2016) · Studies in Psychology Estudios de Psicología · doi:10.1080/02109395.2016.1189207 · Cited by 8
“A diferencia de otros métodos, la CPPS no fue creada para estudiar la adherencia a una terapia o manual específico, sino que se desarrolló como un instrumento que puede ser aplicado a diferentes tratamientos naturales (Hilsenroth et al., 2005).”
BackgroundMethodInfluentialNelson, D. L., & Castonguay, L. G. (2017) · Journal of Psychotherapy Integration · doi:10.1037/int0000063 · Cited by 7
“…substance abuse or dependence, (b) a history of psychotic symptoms, and (c) a previous treatment of adequate length (defined as at least 12 sessions) of psychodynamic therapy (assessed using the Comparative Psychotherapy Process Scale [CPPS], Hilsenroth et al., 2005) within the past five years.”
MethodBeutel, M. E., Bahrke, U., Fiedler, M., Hautzinger, M., Kallenbach, L., Kaufhold, J., Keller, W., Negele, A., Rüger, B., Leuzinger‐Bohleber, M., et al. (2016) · Psychotherapeut · doi:10.1007/s00278-016-0144-x · Cited by 7
Goodman, G., Calderón, A., & Midgley, N. (2021) · Psychotherapy Research · doi:10.1080/10503307.2021.2001603 · Cited by 7
“Convergent and discriminant validity with the Comparative Psychotherapy Process Scale (CPSS; Hilsenroth et al., 2005) was also established (Calderón et al., 2017).”
Background
Metadata
- Authors
- Hilsenroth, M. J., Blagys, M. D., Ackerman, S. J., Bonge, D. R., & Blais, M. A.
- Affiliations
- Adelphi University (US)
- Austen Riggs Center (US)
- University of Arkansas at Fayetteville (US)
- Massachusetts General Hospital (US)
- Venue
- Psychotherapy: Theory, Research, Practice, Training
- Published
- 2005
- Volume
- 42
- Issue
- 3
- Pages
- 340-356
- ISSN
- 0033-3204 (ISSN-L)
- 1939-1536
- OpenAlex
- W2060616731
- Cited by
- 188
- References
- 68
- Citations by year
- 2026: 7 · 2025: 15 · 2024: 12 · 2023: 13 · 2022: 11 · 2021: 6 · 2020: 6 · 2019: 9 · 2018: 10 · 2017: 16 · 2016: 10 · 2015: 8 · 2014: 11 · 2013: 10 · 2012: 9
- FWCI
- 5.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy (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
- cognitive behavioral therapy, psychotherapy outcome assessment, scale development
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