Psychotherapy research: Summarizing the evidence in addition to recent developments ISPA 20

Psychotherapy research: Summarizing the evidence in addition to recent developments ISPA 20 www.phwiki.com

Psychotherapy research: Summarizing the evidence in addition to recent developments ISPA 20

Kemp, Bob, PM Drive-Time On-Air Personality has reference to this Academic Journal, PHwiki organized this Journal Psychotherapy research: Summarizing the evidence in addition to recent developments ISPA 2013 Mick CooperProfessor of CounsellingUniversity of Strathclyde, Glasgowmick.cooper@strath.ac.uk Aims of talkReview what we know about the effectiveness of therapy, in addition to the factors that make it effectiveAims of talkReview what we know about the effectiveness of therapy, in addition to the factors that make it effectiveHighlight key contemporary developments in addition to debates

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Reviewing what we knowOverall effectivenessDoes therapy work

Meta-analyses indicate medium to large positive effects: mean effect size (d) 0.4 – 0.6 (Lambert, 2013)Shows greater ‘effect’ than many medical or surgical proceduresHow well does it workMore therapy associated with more improvement – but of decelerating benefitAnd Therapeutic gains generally maintainedPeople who do well tend to keep on doing soCost-effective – particularly where savings on in-patient costsApproximately 5-10% get worse

What makes therapy effectiveTherapist’s orientationHas been most controversial question in fieldDepends how you ‘cut the cake’Empirically supported therapies perspective‘Which psychological methods are of proven effectiveness as long as particular psychological problems’

More evidence More effective‘Perhaps the best predictors of whether atreatment finds its way to the empirically supported list are whether anyone has been motivated ( in addition to funded) to test it in addition to whether it is readily testable in a brief manner’ (Westen et al., 2004)

Comparative outcome studiesMost studies comparing different method show no (or only small) differences between therapies Especially where both therapies bona fide in addition to /or allegiance effects controlledComparison of CBT in addition to non-directive counselling (King et al., 2000)Pre-post diff. in CORE-OM scoreCBTPCTCBT+1PDT +1PCT+1PDT(psychodynamic)More improvementComparison of outcomes as long as 1309 clients in UK primary care (Stiles et al., 2006)

The ‘Dodo bird’ verdict‘Everyone has won in addition to all must have prizes’Wampold (2001): Less than 1% of variance in outcomes due to orientationTherapist factors‘Supershrinks’ in addition to ‘pseudoshrinks’One study found that clients of most effective therapist improved 10x greater than average; clients of least effective therapists got worseApprox. 5% of variance in outcomes seems due to specific therapistBut whySome therapists have significantly better outcomes than others

Professional characteristicsMost professional characteristics only minimally related to effectiveness:TrainingStatus (e.g., professional vs. para-)Experience as therapistLife-experience Amount of supervisionPersonal characteristicsEffectiveness also not strongly linked to: Personality characteristicsLevel of psychological wellbeing (including amount of personal therapy)GenderEthnicityAgeTherapist-client matchingClients from marginalised social groups in addition to /or with strong values may do better with therapists who are similar

Kemp, Bob KDUS-AM PM Drive-Time On-Air Personality www.phwiki.com

Relational factors‘Lambert’s pie’: % of improvement in therapy as function of therapeutic factors‘Promising but insufficient research’Congruence/genuinenessRepairing alliance rupturesManaging countertransference

‘Probably effective’ elementsGoal consensusCollaborationPositive regard‘Demonstrably effective’ elements of the relationship (Norcross, 2011)Therapeutic allianceCohesion in group therapyEmpathyCollecting client feedbackCollecting client feedbackMajor new development in field: e.g., Lambert, Miller, DuncanServices track individual outcomes, in addition to feed back to therapist if deteriorationAlso, ‘process’ in addition to relationship feedback

Pluralistic stance strives to hold evidence in addition to theory ‘lightly’, never losing sight of the complexity of the unique individual‘Take home’ points50+ years of psychotherapy research have built up a rich, complex in addition to heterogeneous body of evidence on therapeutic changeThe key driver of positive outcomes seems to be a client who is willing in addition to able to change – in addition to who feels that they can work collaboratively with their therapist towards thisSome kinds of therapeutic input, as long as some kinds of clients, may be particularly facilitative of this process – but we need to know more Revolutionary developments in systematic feedback are allowing us to move from underst in addition to ing what generally works as long as clients, towards a more specific underst in addition to ing of what is working as long as this individual personBut we need better methods as long as predicting in addition to supporting complex, heterogeneous processes of change – in addition to counselling psychologists are ideally placed to play a leading role in thisThank youmick.cooper@strath.ac.uk

Kemp, Bob PM Drive-Time On-Air Personality

Kemp, Bob is from United States and they belong to KDUS-AM and they are from  Guadalupe, United States got related to this Particular Journal. and Kemp, Bob deal with the subjects like Sports

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