chapter 11: general issues in psychotherapy Flashcards
Hans Eysenck
Created the movement to treatment outcome studies by saying it won’t work
Efficacy studies
studies done in the lab
in the academic setting that are highly controlled
type of clients are well defined by extensive criteria
what are the results of meta-analysis
psychotherapy works well
clinically significant change happens (which is a meaningful change)
what is the effect size
.8
the average person is better having therapy than 80% than people who didn’t get it
what is the Transdiagnostic approach
how therapy works for a specific disorder
we need to be treating the underlying pathology/ contributing factors to psychotherapy
Why is this there focus on emotional disorders in the Transdiagnostic approach
termed used to cover all sad and anxiety disorders
the causes of these disorders that fall under an umbrella
What are the gaps between research and practice
practitioners are reluctant to use therapy that are produced by efficacy studies
why is there a separation between research and practice
-there is a lot of internal validity but not a lot of external validity
-it may not be cultrually appropriate
-practitioners place a higher value on clinical intuitions
-real clients are seen as different than clients in a research study
-manuals limit professional autonomy and deemphasize there therapy alliance
consumer report study
surveyed people who had been in therapy
asked how they felt before therapy and after therapy
people reported positive effects
how do we measure psychotherapy outcomes
neurobiological outcomes
medical costs
Dodo bird verdict
Different therapies are equally affective
this finding is explained by the common factors
common factors
shared fundamental elements of therapy/ active ingredients of change
three stage sequential model of common factors
- support
- learning
- actions
What are the arguments against the dodo bird verdict
There is research that supports very specific treatments are better than others for specific disorders
Eclectic therapy
finding the best therapy for a client based on empirical data that uses studies based on people similar to your clients