The Old Solutions Are the New Problem: How Do We Better Use What We Already Know About Reducing the Burden of Mental Illness?
Open accessAbstract
Kazdin and Blase (2011) propose that traditional models of delivering therapy require more resources than are available to address the scope of mental illness. We argue that finding new platforms and avenues for our existing treatments is a good start but that it is not enough. We contend that the field also needs to develop formal strategies to reorganize its increasing abundance of knowledge to address the scarcity of resources for its application. If we can better utilize our existing knowledge, treatment delivery and service resource allocation can become more efficient and effective. If the field continues with its almost singular emphasis on knowledge proliferation (e.g., developing new treatments), as opposed to knowledge management (e.g., developing new ways to design, apply, and organize existing treatments), the problem outlined by Kazdin and Blase cannot be solved.
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Therapists cannot be expected to learn each new treatment package supported by a randomized controlled trial, particularly when many EBPIs share core components and target similar psychological processes, making distinct training in complete treatment packages potentially redundant and unnecessary.
“Therapists cannot be expected to learn each new treatment package supported by a randomized controlled trial, particularly when many EBPIs share core components and target similar psychological processes, making distinct training in complete treatment packages potentially redundant and unnecessary (Chorpita et al., 2011).”
From Acceptance and Commitment Therapy modules: Differential impact on treatment processes and outcomes (2016) · cites this paper as Chorpita et al., 2011
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredMany evidence-based psychosocial interventions share core components and target analogous psychological processes.
“Many evidence-based psychosocial interventions share core components and target analogous psychological processes, so having therapists learn each new full treatment protocol may be redundant and unnecessary (Chorpita et al., 2011;Villatte et al., 2016).”
From Online Self-Help Acceptance and Commitment Therapy Module for College Students with Higher Gaming Disorder During COVID-19: A Pilot Study (2023) · cites this paper as Chorpita et al., 2011
In “We Need Options Other than Treatment Manuals to Transfer Knowledge” (page unavailable), the paper describes common procedures across evidence-based treatments and says treatments can be grouped by shared processes or aims. It also argues for ways to guide therapists beyond individual manuals. It does not establish that these interventions target analogous psychological processes specifically; its examples of shared processes concern treatment structure and delivery. (LLM, conf=0.82)
Experimental — accuracy not yet measuredHaving therapists learn each new full treatment protocol may be redundant and unnecessary.
“Many evidence-based psychosocial interventions share core components and target analogous psychological processes, so having therapists learn each new full treatment protocol may be redundant and unnecessary (Chorpita et al., 2011;Villatte et al., 2016).”
From Online Self-Help Acceptance and Commitment Therapy Module for College Students with Higher Gaming Disorder During COVID-19: A Pilot Study (2023) · cites this paper as Chorpita et al., 2011
Chorpita et al. argued that the fundamental challenge in behavior change science may be an overemphasis on knowledge proliferation at the cost of knowledge management and suggested focusing more on algorithms to curate knowledge.
“Indeed, Chorpita et al. [20] have argued that the fundamental challenge in behavior change science may be an overemphasis on knowledge proliferation (i.e., the development of new treatments) at the cost of knowledge management (e.g., developing new ways to design, organize, and share existing resources) and thus suggest focusing more on algorithms to curate knowledge.”
From Agile science: creating useful products for behavior change in the real world (2016) · cites this paper as [20]
The major limitations are intervention specification to support replication, which is ideal for all sciences and effective curation as already pointed out by others.
“The major limitations are intervention specification to support replication, which is ideal for all sciences and effective curation as already pointed out by others [20].”
From Agile science: creating useful products for behavior change in the real world (2016) · cites this paper as [20]
Technology-supported psychological interventions for the self-management of emotional disorders have consisted of fixed protocols that are universally administered, ignoring patients' specific needs and evolution during the intervention.
“Unfortunately, technology-supported psychological interventions for the self-management of EDs have consisted of fixed protocols that are universally administered, thus ignoring patients’ specific needs and evolution during the intervention [55,56].”
From Using Artificial Intelligence to Enhance Ongoing Psychological Interventions for Emotional Problems in Real- or Close to Real-Time: A Systematic Review (2022) · cites this paper as [55]
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- Authors
- Chorpita, B. F., Rotheram-Borus, M. J., Daleiden, E. L., Bernstein, A., Cromley, T., Swendeman, D., & Regan, J.
- Affiliations
- University of California, Los Angeles (US)
- Department of Psychology, University of California, Los Angeles
- PracticeWise, LLC, Wilsonville, OR
- Venue
- Perspectives on Psychological Science
- Publisher
- SAGE Publications
- Published
- 2011-09
- Volume
- 6
- Issue
- 5
- Pages
- 493-497
- ISSN
- 1745-6916 (ISSN-L)
- 1745-6924
- PMC
- PMC4288450
- OpenAlex
- W2148329894
- Cited by
- 49
- References
- 30
- Citations by year
- 2026: 3 · 2024: 8 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 3 · 2014: 4 · 2013: 6 · 2012: 3
- FWCI
- 5.53
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Perspectives on Psychological Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (P30MH058107)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Psychology Research and Bibliometrics
- Keywords
- mental health service delivery, knowledge management, service resource allocation, mental illness
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