SYSTEMS OF PSYCHOTHERAPY, Spring, 2007, Dr. Hynan: Mon., 2:00 to 4:40 p.m. in LUB S165

Office: Garland 202C ---Office Hours:  T   2:00-3:00 and W 1:30-2:30

Phone:229-4746 or 229-5099; E-MAIL:hynan@uwm.edu   home page: www.uwm.edu/~hynan

This course would be better titled "The Science and the Art of Psychotherapy."  The first part of the semester will be devoted research on psychotherapy. Topics such as the outcome problem, spontaneous recovery, patient variables, therapist variables, etc., will be covered in a lecture format, including three debates between groups of students and the instructor. Subsequently, a variety of systems of psychotherapy will be studied in a seminar-like atmosphere. Each student will be expected to have some familiarity with each of the therapy schools and to be an expert in one system (to be assigned early in the semester). Theoretical backgrounds, assumptions, techniques, etc., will be compared and contrasted in general discussion and with case study examples.  Course requirements are two exams (midterm and final), debate participation, and class presentations of the chosen area of therapeutic expertise. Students are also expected to distribute a mimeographed outline of their presentation on a school of therapy. Grades will be based on the performance on the two essay exams, which will be weighted equally.  Exam questions will be based on the lectures, the required readings, and student presentations. The midterm exam will be Mar. 12, Mar 26 or Apr. 2; the final exam will be from 12:30 to 2:30 p.m. on Wed.  May 16.

 

Information of Psychology Department policies on participation by students with disabilities, accommodation for religious observances, academic conduct, complaint procedures, grade appeal procedures, and other standing policies (e.g., sexual harassment, incompletes) is available in the main office of Psychology in Garland 222.

 

Required texts are:

  Lambert, M. (2004). Bergin and Garfield’s  Handbook of psychotherapy and behavior change. (5th ed.). New York: John Wiley.

  Corsini, R. & Wedding, D (Eds.).  (2005). Current Psychotherapies (7th ed.) Itaska, IL: Thomson:Brooks/Cole.

 

The readings marked by (**) are required. Readings marked by (*) are summarized in the lecture outlines under each section below.

 

I.                    Historical Overview; Definition of Therapy, Process, and Outcome, and the Integration of Research and Practice.

 

A. Definitions

**Lambert, M., Bergin, A, & Garfield, S.  (2004).  Introduction and historical overview.  In Handbook, Chapter 1.

**Weinberger, J. (1995). Common factors aren't so common: The common factors dilemma. Clinical Psychology: Science and Practice, 2, 45-69.

 

B. Predictions of dangerousness and suicide risk in clients; and is what you (the therapist) see, hear,  and remember the “truth”?

**Monahan, J. (1993). Limiting therapist exposure to Tarasoff Liability. American Psychologist, 48, 242-250.

  *Schachter, D. L. (1999). The seven sins of memory: Insights from psychology and cognitive neuroscience. American Psychologist, 54, 182-203.

   *Hill, C. E., Gelso, C. J., & Mohr, J. J. (2000). Client concealment and self-presentation in therapy: Comment on Kelly (2000). Psychological Bulletin, 126, 495-500.

 

C. Process and outcome measures used in the clinic.

   Lambert, M. J. & Okiiski, J. (1997). The therapists contribution to therapeutic outcome. Clinical Psychology: Science and Practice, 4, 66-75.

 * Martin, D. J., Garske, J. P., & Davis, M. Katherine. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68,438-450.

   *Lueger, R.J., Howard, K.I., Maretinovich, Z., Lutz, W., Anderson, E.E., & Grissom, G. (2001). Assessing treatment progress of individual patients using expected treatment response models. Journal of Consulting and Clinical Psychology, 69, 150-158.

**Lambert, M.J., Hansen, N.B., & Finch, A.E. (2001). Patient-focused research: Using patient outcome data to enhance treatment effects. Journal of Consulting and Clinical Psychology, 69, 159-172.

Lambert, M.J., Whipple, J.L., Hawkins, E.J., Vermeersch, D.A., Nielsen, S.L. & Smart, D.W. (2003). Is it time for clinicians to routinely track patient outcome? A meta-analysis. Clinical Psychology: Science and Practice, 10, 288-301.

**Borkovec, T.D. (2004). Research in training clinics and practice research  networks: A route to the integration of science and practice. Clinical Psychology: Science and Practice, 12, 211-215.

 

II.                   Outcome

 

A. The outcome problem. Does psychotherapy work?

 *Eysenck, H.  (1952).  The effects of psychotherapy: An evaluation.  Journal of Consulting Psychology, 16, 319-324.

 Luborski, L.  (1954).  A note on Eysenck's article, "The effects of psychotherapy: An evaluation."   British Journal of Psychology, 45, 129-131.

  Rosenzweig, S.  (1954).  A transvaluation of psychotherapy: A reply to Hans Eysenck.  Journal of Abnormal and Social Psychology, 49, 298-304.

  Eysenck, H.  (1955).  The effects of psychotherapy: A reply. Journal of Abnormal Psychology, 50, 147-148.

  Strupp, H.  (1963).  The outcome problem in psychotherapy revisited.  Psychotherapy: Theory, Research, and Practice, 1, 1-13.

  Eysenck, H.  (1964).  The outcome problem in psychotherapy: A reply. Psychotherapy: Theory, Research, and Practice, 1, 97-100.

  *Bergin, A. (1963).  The effects of psychotherapy: Negative results revisited. Journal of Counseling Psychology, 10, 244-250.

  Astin, A.  (1961).  The functional autonomy of psychotherapy.  American Psychologist, 16, 75-78.

 *Kiesler, D.  (1966).  Some myths of psychotherapy research and the search for a paradigm.  Psychological Bulletin, 65, 110-136.

  Frank, J. (1963). Does psychotherapy work?  International Journal of Psychiatry, 3, 153-155.

  Meltzoff, J.  (1969).  Effectiveness of psychotherapy is amply demonstrated. International Journal of Psychology, 7, 149-152.

  Bergin, A. & Suinn, R.  (1975).  Individual psychotherapy and behavior therapy.  In M. Rosenzweig & L. Porter (Eds.), Annual Review of Psychology, 26.  Palo Alto, CA: Annual Reviews, Inc.

  *Luborski, L., Singer, B., & Luborski, L.  (1976).  Comparative studies of    psychotherapies:  Is it true that "everybody has won and all must have prizes?"    In R. Spitzer & D. Klein (Eds.),  Evaluation of psychotherapies.  Baltimore:

Johns Hopkins.

  *Smith, N. & Glass, G.  (1977). Meta-analysis of psychotherapy outcome studies. American Psychologist, 32, 752-760.

  Gallo, P.  (1978).  Meta-analysis -- a mixed meta-phor?  American Psychologist, 33, 515-517.

    Rimland, B.  (1979).  Death knell for psychotherapy?  American Psychologist, 34, 192.

  Frank, J.  (1979).  The present status of outcome studies.  Journal of Consulting and Clinical Psychology, 47, 310-316.

  Erwin, E.  (1980). Psychoanalytic therapy: The Eysenck argument.  American Psychologist, 35, 435-443.

    Miller, R., & Berman, J.  (1983).  The efficacy of cognitive behavior therapies: A quantitative review of the research evidence.  Psychological Bulletin, 94, 39-53.

    Shapiro, D., & Shapiro, D.  (1982).  Meta-analysis of comparative therapy outcome studies: A replication and refinement.  Psychological Bulletin, 92, 581-609.

  Landman, J., & Dawes, R.  (1982).  Psychotherapy outcome:  Smith & Glass conclusions stand up under scrutiny. American Psychologist, 37, 504-516.

  *Glass, G., & Kliegl, R.  (1983).  An apology for research integration in the study of psychotherapy.  Journal of Consulting and Clinical Psychology, 51, 28-41.

  Shapiro, D., & Shapiro, D.  (1983).  Comparative therapy outcome research: Methodological implications of meta-analysis.  Journal of Consulting and  Clinical Psychology, 51, 42-53.

  Steinbrueck, S., Maxwell, S., & Howard, G.  (1983).  A meta-analysis of psychotherapy and drug therapy in the treatment of unipolar depression with adults.  Journal of Consulting and Clinical Psychology, 51, 856-863.

  Andrews, G., & Harvey, R.  (1981).  Does psychotherapy benefit neurotic patients? Archives of General Psychiatry, 38, 1203-1208.

  Berman, J.S., Miller, P.C., & Massman, P.J.  (1985).  Cognitive therapy versus systematic desensitization:  Is one treatment superior?  Psychological Bulletin, 97, 451-461.

  Casey, R. & Berman, J. (1985).  The outcome of psychotherapy with children. Psychological Bulletin, 98, 388-400.

  Stiles, W., Shapiro, D., & Elliott, R. (1986).  Are all psychotherapies equivalent? American Psychologist, 41, 165-180.

  Klerman, G., Weissman, M.W., Markowitz, J.C., Glick, I., Wilner, P.J., Mason, B., & Shear, M.K. (1994) Medication and Psychotherapy. In Handbook (Chapter 18).

**Thase, M. T. & Kupfer, D. J. (1996). Recent developments in the pharmacotherapy of mood disorders. Journal of Consulting and Clinical Psychology, 64, 646-659.

**Ludiard, R. B., Brawn-Mintzer, O., & Ballenger, J. C. (1996). Recent developments in the pharmacotherapy of anxiety disorders. Journal of Consulting and Clinical Psychology, 64,  660-668.

  Weisz, J., Weiss, B., Alicke, M., & Klotz, M.  (1987).  Effectiveness of psychotherapy with children and adolescents:  A meta-analysis for clinicians. Journal of Consulting and Clinical Psychology, 55, 542-549.

  Shoham-Salomon, V., & Rosenthal, R.  (1987).  Paradoxical interventions:  A meta-analysis.  Journal of Consulting and Clinical Psychology, 55, 22-28.

  Robinson, L.A., Berman, J.S., & Neimeyer, R.A. (1990). Psychotherapy for treatment of depression: A comprehensive review of controlled outcome research. Psychological Bulletin, 108, 30-49.

  Lyons, L.C. & Woods, P.J. (1991).  The efficacy of rational-emotive therapy:  A quantitative review of the outcome research.  Clinical Psychology Review, 11, 357-369.

  Beutler, L.E. (1991).  Have all won and must all have prizes?  Revisiting Luborski et al.'s verdict.  Journal of Consulting and Clinical Psychology, 59, 226-232.

  Kazdin, A.E. (1993). Psychotherapy for children and adolescents: Current progress and future research directions. American Psychologist, 48, 644-657.

  Jacobson, N.S. & Addis, M.E. (1993). Research on couples and couple therapy: What do we know? Where are we going? Journal of Consulting and Clinical Psychology, 61, 85-93.

  Weisz, J.R., Weiss, B., Han, S.S., Granger, D. A., & Morton, T. (1995) Effects of psychotherapy with children and adolescents revisited: A meta-analytic treatment outcome study. Psychological Bulletin, 117, 450-468.

  Seligman, M.E.P. (1995). The effectiveness of psychotherapy: The Consumer Reports Study. American Psychologist, 50, 965-974.

   Chambliss, D. L. et al. (1996). An update on empirically validated therapies. Clinical Psychology, 49, 5-14.

   Chambliss, D. L., & Hollon, S. D. (1998). Defining empirically supported psychological interventions. Journal of Consulting and Clinical Psychology, 66, 7-18.

** DeRubeis, R. J. & Crits-Cristoph, P. (1998). Empirically supported individual and group psychological treatments for adult mental disorders. Journal of Consulting and Clinical Psychology, 66, 37-52.

  *Teasdale, J.D., Scott, J., Moore, R.G., Hayhurst, H., Pope, M., & Paykel, E.S. (2001). How does cognitive therapy prevent relapse in residual depression? Evidence from a controlled trial. Journal of Consulting and Clinical Psychology, 69, 347-357.

 *Westen, D. & Morrison, K. (2001). A multidimensional meta-analysis of treatments for depression, panic, and generalized anxiety disorder: An empirical examination of the status of empirically supported therapies. Journal of Consulting and Clinical Psychology, 69, 875-899.

 **Lambert, M. J. (2001). The status of empirically supported therapies: Comment on Westen and Morrison’s (2001) multidimensional meta-analysis. Journal of Consulting and Clinical Psychology, 69, 910-913.

   Hansen, N.B., Lambert, M.J., & Forman, E.M. (2002). The psychotherapy dose-response effect and its implications for treatment delivery services. Clinical Psychology: Science and Practice, 9, 329-344.

**Lambert, M. & Ogles, B. (2004). The efficacy and effectiveness of psychotherapy. In Handbook (Chapter 5).

**Thase, M. & Jindal, R. (2004). Combining psychotherapy and pharmacotherapy for treatment of mental disorders. In Handbook (Chapt. 16).

**Stiles, W. et al. (2003). Sudden gains in psychotherapy under routine clinic conditions: Practice-based evidence. Journal of Consulting and Clinical Psychology, 71, 14-21.

Busch, A.M., Kanter, J.W., Landes, S.J., & Kohlenberg, R.J. (2006). Sudden gains and outcome: A broader temporal analysis of cognitive therapy for depression. Behavior Therapy, 37, 61-68.

Andrusyna, T.P., Luborsky, L., Pham, T., & Tang, T.Z. (2006). Mechanisms of sudden gains in Supportive-Expressive therapy for depression. Psychotherapy Research, 16, 526-535.

Hofmann, S.G., Schulz, S.M., Meuret, A.E., Moscovitch, D.A., & Suvak, M. (2006). Sudden gains during therapy of social phobia. Journal of Consulting and Clinical Psychology, 74,  687-697. 

 

Great Debate I: Pro versus Con--A therapist committed to the Scientist-Practitioner model should be primarily concerned with using empirically supported treatments rather than follow a theoretical system of therapy.

 

B. Specific and Non-specific Effects.

  Frank, J.  (1973).  Persuasion and healing: A comparative study of psychotherapy (2nd ed.).  Baltimore, MD:  Johns Hopkins University Press.

  Kazdin, A.  (1979).  Nonspecific treatment factors in psychotherapy outcome research.  Journal of Consulting and Clinical Psychology, 47, 846-851.

  Bootzin, R., & Lick, J.  (1979).  Expectancies in therapy research:  Interpretive artifact or mediating?  Journal of Consulting and Clinical Psychology, 47, 837-845.

  Andraski, T., & Holroyd, K.  (1980).  A test of specific and nonspecific effect on the biofeedback treatment of tension headache.  Journal of Consulting and Clinical Psychology, 48, 575-586.

  Prioleau, L., Murdoch, M., & Brody, N.  (1983).  An analysis of psychotherapy vs. placebo studies.  Behavioral and Brain Sciences, 6, 275-310.

  Critelli, J., & Neumann, K.  (1984).  The placebo:  Conceptual analysis of a construct in transition.  American Psychologist, 39, 32-39.

  Parloff, M.  (1986).  Placebo controls in psychotherapy research:  A sine qua non or a placebo for research problems?  Journal of Consulting and Clinical Psychology, 54, 79-87.

  Wilkins, W.  (1986).  Placebo problems in psychotherapy research: Social-psychological alternatives to chemotherapy concepts.  American Psychologist, 41, 551-556.

  Barker, S.L., Funk, S.C., & Houston, B.K. (1988).  Psychological treatment versus nonspecific factors:  A meta-analysis of conditions that engender comparable expectations for improvement.  Clinical Psychology Review, 8, 579-594.

  Bowers, T.G., & Clum, G.A. (1988).  Relative contribution of specific and nonspecific treatment effects:  Meta-analysis of placebo-controlled behavior therapy research.  Psychological Bulletin, 103, 315-323.

  Horvath, P. (1988).  Placebos and common factors in two decades of psychotherapy research.  Psychological Bulletin, 109, 214-225.

  Stiles, W.B. & Shapiro, D.A. (1989). Abuse of the drug metaphor in psychotherapy process-outcome research. Clinical Psychology Review, 9, 521-543.

  Brody, N. (1990). Behavior therapy versus placebo: Comment on Bower and Clumb's meta-analysis. Psychological Bulletin, 107, 106-109.

  Clumb, G.A. & Bowers, T.G. (1990). Behavior therapy better than placebo treatments: Fact or artifact? Psychological Bulletin, 107, 110-113.

  Ilardi, S.S. & Craighead, W. E. (1994). The role of nonspecific factors in cognitive-behavior therapy for depression. Clinical Psychology: Science and Practice, 1, 138-156.

  Krupnick, J.L., Sotsky, S.M., Simmens, S., Moyer, J., Elkin, I., Watkins, J., & Pilkonis, P.A. (1996). The role of the therapeutic alliance in psychotherapy and pharmacotherapy outcome: Findings in the NIMH treatment of depression    collaborative research program. Journal of Consulting and Clinical Psychology, 64, 532-539.

  *Stevens, S., Hynan, M. T. & Allen, M. (2000) A meta-analysis of common factor and specific treatment effects across the outcome domains of the phase model of psychotherapy. Clinical Psychology: Science and Practice, 7, 273-290.

   Barber, J.P., Connolly, M.B., Crits-Cristoph, P., Gladis, L., & Siqueland, L. (2000). Alliance predicts patients’ outcome beyond in-treatment change in symptoms. Journal of Consulting and Clinical Psychology, 68, 1027-1032.

  Wampold, B. (2001). The great psychotherapy debate: Models, methods, and findings. Mahwah, NJ: Erlbaum.

  *Luborski, L., Rosenthal, R. Diguer, L., Andrusyna, T., Berman, J.S., Levitt, J., Seligman, D.A., & Krause, E.D. (2002). The Dodo bird verdict is alive and well-mostly. Clinical Psychology: Science and Practice, 9, 2-12.

 **Messer, S.B., & Wampold, B.E. (2002) Let’s face facts: Common factors are more potent than specific therapy ingredients. Clinical Psychology: Science and Practice, 9, 21-25.

**Joyce, A.S., Ogrodniczuk, J.S., Piper, W.E. & McCallum, M. (2003). The alliance as mediator of expectancy effects in stort-term individual therapy. Journal of Consulting and Clinical Psychology, 71, 672-679.

 

 

 

C. Major Outcome Studies.

  Paul, G.  (1966).  Insight vs. desensitization in psychotherapy: An experiment in anxiety reduction.  Stanford, CA:  University Press.

  Diloreto, A.  (1971).  Comparative psychotherapy:  An experimental analysis. Chicago:  Aldine-Atherton.

  Staples, T., Sloane, R., Whipple, K., Cristol, A., & Yorkstop, N.  (1976).  Process and outcome in psychotherapy and behavior therapy.  Journal of Consulting and Clinical Psychology, 44, 340-350.

  Paul, G., & Lentz, R.  (1978).  Psychosocial treatment of chronic mental patients. Cambridge, MA:  Harvard University Press.

  Strupp, H., & Hadley, S.  (1979).  Specific vs. nonspecific factors in psychotherapy.  Archives of General Psychiatry, 36, 1125-1136.

  Lovaas, O.  (1987).  Behavioral treatment and normal educational and intellectual functioning in young autistic children.  Journal of Consulting and Clinical Psychology, 55, 3-9.

  Borkovec, T.D., Mathews, A.M., Chambers, A., Ebrahimi, S. Lytle, R., & Nelson, R. (1987).  The effects of relaxation training with cognitive or nondirective therapy and the role of relaxation-induced anxiety in the treatment of generalized anxiety.  Journal of Consulting and Clinical Psychology, 55, 883-888.

  Klosko, J.S., Barlow, D.H., Tassinari, R., & Cerny, J. A. (1990). A comparison of Alprazolam and behavior therapy in treatment of panic disorder. Journal of Consulting and Clinical Psychology, 58, 77-84.

  *Elkin, I., Shea, M.T., Watkins, J.T., Imber, S.D., Sotsky, S.M., Collins, J.F., Glass, D.R., Pilkonis, P.A., Leber, W.R., Docherty, J. P., Riester, S.J., & Parloff, M. b. (1989). NIMH treatment of depression collaborative research

program: General effectiveness of treatments. Archives of General Psychiatry, 46, 971-983.

  Imber, S.D., Pilkonis, P.A., Stosky, S.M., Elkin, I., Watkins, J. T., Collins, J.F., Shea, M.T., Leber, W.R., & Glass, D.R. (1990). Mood specific effects among three treatments for depression. Journal of Consulting and Clinical Psychology, 58, 352-359.

  Elkin, I. (1994). The NIMH treatment of depression collaborative research program. Where we began and where we are. In Handbook (Chapter 4)

  Ogles, B.M., Lambert, M.J., & Sawyer, J.D. (1995). Clinical significance of the NIMH treatment of depression collaborative research program. Journal of Consulting and Clinical Psychology, 63, 321-326.

  Jacobson, N.S. & Hollon, S.D. (1996). Cognitive behavior therapy versus pharmacotherapy: Now that the jury's returned its verdict, it's time to present the rest of the evidence. Journal of Consulting and Clinical Psychology, 64,

74-80.

 Klein, D.F. (1996). Preventing hung juries about therapy studies. Journal of  Consulting and Clinical Psychology, 64, 81-87.

  Butler, G., Fennell, M., Robson, P., & Gelder, M. (1991). Comparison of behavior therapy and cognitive behavior therapy in the treatment of generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 59, 167-175.

   *Strupp, H.H. (1993). The Vanderbuilt psychotherapy studies: Synopsis. Journal of Consulting and Clinical Psychology, 61, 431-433.

  Borkovec, T.D. & Costello, E. (1993). Efficacy of applied relaxation and cognitive-behavioral therapy in the treatment of generalized anxiety disorders. Journal of Consulting and Clinical Psychology, 61, 611-619.

  Shapiro, D., Rees, A., Barkham, M., Hardy, G., Reynolds, S., & Startup, M. (1995). Effects of treatment duration and severity of depression on the maintenance of gains after cognitive-behavioral and psychodynamic-interpersonal psychotherapy. Journal of Consulting and Clinical Psychology,63, 378-387.

  *Jacobson, N. S., Dobson, K. S., Truax. P. A., Addis, M. E., Doerner, K., Gollan, J.K., Gortner, E., & Prinz, S. E. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64,  295-304.

  Abramowitz, J. S. (1997). Effectiveness of psychological and pharmacological treatments for obsessive-compulsive disorder: A quantitative review. Journal of Consulting and Clinical Psychology, 65, 44-52.

  *Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2000). Cognitive-behavioral, imipramine, or their combination for panic disorder: A randomized control trial. Journal of the American Medical Association, 283, 2529-2536.

  Borkovec, T.D., Mewman, M.G., Pincus, A.L., & Lytle, R. (2002). A component analysis of cognitive-behavioral therapy for generalized anxiety disorder and the role of interpersonal problems. Journal of Consulting and Clinical Psychology, 70, 288-298.

*Dimidjian, S., Hollen, S.D., Dobson, K.S., Schmaling, K.B., Kohlenberg, R.J., Addis, M.E., Gallop, R.G., McGlinchey, J.B., Markley, D.K., Gollan, J.K., Atkins, D.C., Dunner, D.L., & Jacobson, N.S. (2006). Randomized trial of behavioral Activation, Cognitive Therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658-670.

 

D. Spontaneous Recovery and Deterioration.

   Baron, T., & Leary, T.  (1955).  Changes in psychoneurotic patients with and without psychotherapy.  Journal of Counseling Psychology, 19, 239-245.

   Cartwright, O.  (1955).  Effectiveness of Psychotherapy:  A critique of the spontaneous remission argument.  Journal of Counseling Psychology, 2, 290-295.

  Bergin, A.  (1966).  Some implications of psychotherapy research for therapeutic practice.  Journal of Abnormal Psychology, 71, 235-246.

  Strupp, H., Hadley, S., & Somes-Schwartz, B.  (1977).  Psychotherapy for better or worse:  An analysis of the problem of negative effects.  New York:  Jason Aronson.

  Braucht, G.  (1970).  The deterioration effect:  A reply to Bergin.  Journal of Abnormal Psychology, 75, 300-302.

  May, P.  (1971).  For better or for worse?  Psychotherapy and variance change?  A critical review of the literature.  Journal of Nervous and Mental Disorders,  152, 185-192.

  Subotnik, L.  (1972).  Spontaneous remission:  Fact or artifact?  Psychological Bulletin, 77, 32-48.

  Malan, D.  (1976).  The outcome problem in psychotherapy research:  A historical review.  Archives of General Psychiatry, 29, 719-729.

  Frank, J.  (1973).  Persuasion and healing.  Baltimore:  Johns Hopkins.

  Lambert, M. (1976).  Spontaneous remission in adult neurotic disorder. Psychological Bulletin, 83, 107-119.

*Tracey, T.  (1987).  Interactional correlates of premature termination.  Journal of Consulting and Clinical Psychology, 55, 784-788.

 Mohr, D. (1995). Negative outcome in psychotherapy: A critical review. Clinical Psychology: Science and practice, 2,1-27.

*Binder, J. L. & Strupp, H. H. (1997). "Negative process": A recurrently discovered and underestimated facet of therapeutic process and outcome in the individual psychotherapy of adults. Clinical Psychology: Science and Practice, 4, 121-139.

 

E. Outcome Criteria and Assessment of Improvement.

  *Garfield, S., Prager, R., & Bergin, A.  (1971).  Evaluation of outcome in psychotherapy.  Journal of Consulting and Clinical Psychology, 37, 307-313.

  Fiske, D.  (1971).  The shaky evidence is slowly put together.  Journal of Consulting and Clinical Psychology, 37, 314-315.

  Luborski, L.  (1971).  Perennial mystery of poor agreement among criteria for psychotherapy outcome.  Journal of Consulting and Clinical Psychology, 37, 320-322.

  Garfield, S., Prager, R., & Bergin, A.  (1971).  Evaluating outcome in psychotherapy:  A hardy perennial.  Journal of Consulting and Clinical Psychology, 37, 316-319.

  Mintz, J. (1972).  What is "success" in psychotherapy?  Journal of Abnormal Psychology, 10-19.

  Mintz, J., Luborski, L., & Christoph, P.  (1979).  Measure of the outcome of psychotherapy:  Findings of the Penn Psychotherapy Project.  Journal of Consulting and Clinical Psychology, 47, 319-334.

 *Sorenson, R.L., Gorsuch, R.L., & Mintz, J.  (1985). Moving targets: Patients' changing complaints during psychotherapy.  Journal of Consulting and Clinical Psychology, 53, 49-54.

 *Jacobsen, N.S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.

  Lambert, M.J. & Hill, C.E. (1994). Assessing psychotherapy outcome and process. In Handbook (Chapter 3, pp. 72-89).

   Hill, C. & Lambert, M. (2004). Methodological issues in studying psychotherapy processes and outcomes. In Handbook (Chapt. 4).

 

F.  Design Problems in Outcome Research.

  Paul, G.  (1967).  Strategy of outcome research in psychotherapy.  Journal of  Consulting Psychology, 31, 109-118.

  Paul, G.  (1969).  Behavior modification research.  In C. Franks, Behavior therapy: Appraisal and status.  New York: McGraw-Hill.

  Hollon, S., & DeRubeis, R.  (1981).  Placebo-psychotherapy combinations: Inappropriate representations of psychotherapy in drug-psychotherapy comparative trials.  Psychological Bulletin, 90, 467-477.

  Kazdin, A.  (1982).  Symptom substitution:  Generalization and response covariation: Implications for psychotherapy outcome.  Psychological Bulletin, 91, 349-365.

  Nicholson, R., & Berman, J.  (1983).  Is follow-up necessary in evaluating psychotherapy?  Psychological Bulletin, 93, 261-278.

  Kazdin, A.E.  (1986).  Research designs and methodology.  In  Handbook (Chapter 2).

  Kazdin, A.E., & Bass, D. (1989). Power to detect differences between alternative treatments in comparative psychotherapy outcome research. Journal of Consultant and Clinical Psychology, 57,138-147.

   Kendall, P., Holmbeck, G., & Verduin, T. (2004). Methodology, design, and evaluation in psychotherapy research. In Handbook (Chapt. 2).

 

III.             Therapist Variables

The Great Debate II: Pro versus Con—The best therapists are the ones who have acquired both a) a fundamental knowledge of the established principles of psychology through formal education and b) many years of supervised experience in doing manualized treatments.

 

  Whitehorn, J. & Betz, B.  (1954).  A study of psychotherapeutic relationships between physicians and schizophrenic patients.  American Journal of Psychiatry, 3, 321-331.

  McNair, D., Callahan, D., & Lorr, M.  (1962).  Therapist "type" and patient responseto psychotherapy.  Journal of Consulting Psychology, 26, 425-429.

  Chartier, R.  (1967).  A-B variable in psychotherapy:  Real or imagined? Psychological Bulletin, 75, 22-33.

  Lambert, M., Dejulio, S., & Stein, D.  (1978).  Therapist inter personal skill:Process, outcome, methodological consideration and recommendations for future research.  Psychological Bulletin, 85, 467-489.

  Luborski, L., Mintz, J., & Christoph, P.  (1979).  Are psychotherapeutic changes predictable:  Comparison of a Chicago counseling center project with a Penn psychotherapy project.  Journal of Consulting and Clinical Psychology, 47, 469-473.

**Jones, E., & Zoppel, C.  (1982).  Impact of client and therapist gender on psychotherapy process and outcome.  Journal of Consulting and Clinical Psychology, 50, 259-272.

  Hattie, J., Sharpley, C., & Rogers, H.  (1984).  Comparative effectiveness of professional and paraprofessional helpers.  Psychological Bulletin, 95, 534-541.

  Berman, J. & Norton, N.  (1985).  Does professional training make a therapist more effective?  Psychological Bulletin, 98, 401-407

  Beutler, L.E., Machado, P.P.P., & Neufeldt, S.A. (1994).  Therapist variables. In Handbook (Chapter 7).

  O'Malley, S.S., Foley, S.H. Rounsaville, B.J., Watkins, J.T., Satsky, S.M., Imber, S.D., & Elhin, I. (1988).  Therapist competence and patient outcome in interpersonal psychotherapy of depression.  Journal of Consulting and Clinical

Psychology, 56, 496-501.

  Lambert, M.J. (1989). The individual therapist's contribution to psychotherapy  process and outcome. Clinical Psychology Review, 9, 469-485.

  Lafferty, P., Beutler, L.E., & Crago, M. (1989) Differences between more and less effective psychotherapists: A study of select therapist variables. Journal of Consulting and Clinical Psychology, 57, 76-80.

  Crits-Christoph, P., & Mintz, J. (1991).  Implications of Therapists Effects for the design and analysis of comparative studies of psychotherapies.  Journal of  Consulting and Clinical Psychology, 59, 20-26.

   Burns, D.D. & Nolen-Hoeksema, S. (1992). Therapeutic empathy and recovery from depression in cognitive-behavioral therapy: A structural equation model. Journal of Consulting and Clinical Psychology, 60, 441-449.

   Christensen, A. & Jacobsen, N. (1994). Who (or what) can do psychotherapy: The status and challenge of nonprofessional therapies. Psychological Science, 5, 8-14.

 *Strupp, H. H. & Anderson, T. (1997). On the limitation of therapy manuals. Clinical psychology: Science and Practice, 4, 76-82.

   Huppert, J.D. Bufka, L.F., Barlow, D.H., Gorman, J.M., Shear, M.K., & Woods, S.W. (2001). Therapists, therapist variables, and cognitive-behavioral therapy outcome in a multicenter trial for panic disorder. Journal of Consulting and Clinical Psychology, 69, 747-755.

 Barrett, M.S. & Berman, J.S. (2001). Is psychotherapy more effective when therapists disclose information about themselves? Journal of Consulting and Clinical Psychology, 69, 597-603.

 **Beutler, L. et al. (2004). In Handbook (Chapt. 7).

Wampold, B. E. & Brown, G.S. (2005). Estimating variability in outcomes to therapists: A naturalistic study of outcomes in managed care. Journal of Consulting and Clinical Psychology, 73, 914-923.

Wampold, B. E. & Bolt, D.M. (2006). Therapist effects: Clever ways to make them (and everything else) disappear. Psychotherapy Research, 16, 184-187.

 

IV.        Client Variables

The Great Debate III: Pro versus Con—A thorough diagnostic assessment (including diagnosis, cognitive functioning, and personality traits) is an essential first step to successful therapy.

 

  Auerbach, A., Luborski, L., & Johnson, M.  (1972). Clinicians' predictions of    outcome of psychotherapy:  A trial of a prognostic index.  American Journal of Psychiatry, 128, 830-835.

  Prager, R., & Garfield, S.  (1979).  Client initial disturbance and outcome in   psychotherapy.  Journal of Consulting and Clinical Psychology, 38, 112-117.

  Miller, J., & Gross, S.  (1973).  Curvilinear trends in outcome research.  Journal of Consulting and Clinical Psychology, 41, 242-244.

  Luborski, L., Chandler, N., Auerbach, A., Cohen, J., & Bachrach, H. (1971).  Factors influencing outcome of psychotherapy:  A review of quantitative research. Psychological Bulletin, 75, 146-185.

  Baekaland, T., & Lundwall, L.  (1975).  Dropping out of treatment: A critical review.  Psychological Bulletin, 82, 738-783.

  Garland, S.  (1977).  Further comments on "Dropping out of treatment."  Reply to Baekland & Lundwall.  Psychological Bulletin, 84, 306-308.

  Sloane, R., Staples, T., Cristol, A., Yorkson, N., & Whipple, K.  (1976).  Patient characteristics and outcome in psychotherapy and behavior therapy.  Journal of Consulting and Clinical Psychology, 44, 330-339.

  Gomez-Schwartz, B.  (1979).  Effective ingredients in psychotherapy:  Prediction of outcome from process variables.  Journal of Consulting and Clinical Psychology, 46, 1023-1035.

  Beutler, L.  (1979).  Toward specific psychological therapies for specific conditions.  Journal of Consulting and Clinical Psychology, 47, 882-897.

  Luborski, L., Mintz, J., Auerbach, A., Christopher, P., Bachrach, H., Todd, T., Johnson, M., Cohen, M., & O'Brien, P.  (1980).  Predicting the outcome of psychotherapy.  Archives of General Psychiatry, 37, 471-481.

  Steinmetz, J., Lewinsohn, P., & Antonuccio, D.  (1983).  Prediction of individual outcome in a group intervention for depression.  Journal of Consulting and Clinical Psychology, 51, 331-337.

**American Psychological Association.  (1978).  Guidelines for psychotherapy with women.  American Psychologist, 33, 1122-1123.

 * Hare-Mustin, R.  (1983).  An appraisal of the relationship between women and psychotherapy.  American Psychologist, 38, 593-599.

  Henry, W., Schacht, T. & Strupp, H.  (1976).  Structural analysis of social  behavior:  Application to a study of interpersonal process in differential psychotherapeutic outcome.  Journal of Consulting and Clinical Psychology, 54,

27-31.

  Orlinski, D. E., Grawe, K., & Parks, B.K. (1994).  Process and outcome in psychotherapy-noch einmal.  In Handbook (Chapter 8).

  Dance, K.A., & Neufeld, R.W.J. (1988).  Aptitude treatment interaction research in the clinical setting:  A review of attempts to dispel the "patient uniformity" myth.  Psychological Bulletin, 104, 192-213.

  Talley, P.F., Strupp, H.H., & Morey, L.C. (1990). Matchmaking in psychotherapy: Patient-therapist dimensions and their impact on outcome. Journal of Consulting and Clinical Psychology, 58, 182-188.

  Garfield, S.L. (1990).  Issues and methods in psychotherapy process research. Journal of Consulting and Clinical Psychology, 58, 273-280.

  Mohr, D.C, Beutler, L.E., Engle, D., Shoham-Salomon, V., Bergan, J., Kaszniak, A.W., & Yost, E.B. (1990).  Identification of Patients at risk for nonresponse and negative outcome in psychotherapy.  Journal of Consulting and Clinical Psychology, 58, 622-628.

  Smith, B. & Lechrest, L. (1991).  Treatment of aptitude X treatment interactions. Journal of Consulting and Clinical Psychology, 59, 233-244.

  Beutler, L. Engle, D., Morh, D., Daldrup, R. Bergan, J., Meredity, K., & Merry, W. (1991). Predictors of differential response to cognitive, experiential, and self-directed psychotherapeutic procedures. Journal of Consulting and Clinical Psychology, 59, 333-340.

  Hardy, G. E., Stiles, W. B., Barkham, M., & Startup, M. (1998). Therapist responsiveness to client interpersonal styles during time-limited treatments for depression. Journal of Consulting and Clinical Psychology, 66, 304-312.

  Wiser, S. & Goldfried, M. R. (1998). Therapist interventions and client emotional experiencing in expert psychodynamic-interpersonal and cognitive-behavioral therapies. Journal of Consulting and Clinical Psychology, 66, 634-640.

**Division 44. (2000). Guidelines for psychotherapy with lesbian, gay, and bisexual clients. American Psychologist, 55, 1440-1451.

 **Clarkin, J. & Levy, K. (2004). The influence of client variables on psychotherapy. In Handbook (Chapt. 6).

 **Orlinski, D., Ronestad, M., & Willutzki, U. (2004). Fifty years of psychotherapy process-outcome research: Continuity and change. In Handbook (Chapt. 8).

 

V. General

  Ford, D., & Urban, H.  (1963).  Systems of psychotherapy:  A comparative study.  New York:  Wiley.

  Goldstein, A., Heller, K., & Sechrest, L.  (1966).  Psychotherapy and the psychology of behavior change.  New York:  Wiley.

  Bergin, A., & Strupp, H.  (1970).  New directions in psychotherapy research.  Journal of Abnormal Psychology, 75, 13-26.

  Matarazzo, J.  (1971).  The process of psychotherapy is art and not science.  In  A.R.  Mahrer (Ed.), Creative development in psychotherapy.  Cleveland:  Western Reserve.

  Hynan, M.  (1981).  On the advantages of assuming that the techniques of psychotherapy are ineffective.  Psychotherapy:  Theory, Research, and Practice, 18, 11-13.

  Garfield, S.  (1981).  Psychotherapy:  A 40 year appraisal.  American Psychologist, 36, 174-183.

  Kiesler, C.  (1982).  Mental hospitals and alternative care.  American Psychologist, 37, 349-360.

  Cowen, E.  (1982).  Help is where you find it.  American Psychologist, 37, 385-395.

 Shawver, L.  (1983).  On the hazards of assuming that the techniques of psychotherapy are ineffective:  A reply to Hynan.  Psychotherapy:  Theory, Research, and Practice, 20, 254-256.

  Garfield, S., Klein, D., & Robkin, J.  (1984).  Chapters 18 & 19 plus commentary on "The bottom line."  Integrating psychotherapy research findings--how good is the evidence for efficacy and specificity?  In J.B. Williams & R.L. Spitzer (Eds.), Psychotherapy research:  Where are we and where should we go?  New York: Guilford Press, 295-331.

  Roberts, H.  (1985).  Biofeedback:  Research, training, and clinical roles. American Psychologist, 40, 938-941.

  Messer, S.  (1986).  Behavioral and psychoanalytic perspectives at therapeutic choice points.  American Psychologist, 41, 1261-1272.

  Strupp, H.H. (1989). Psychotherapy: Can the practitioner learn from the researcher? American Psychologist, 44, 714-724.

  Lazarus, A.A. (1990). If this be research... American Psychologist, 45, 670-671.

  Strupp, H.H. (1990). Rejoinder to Arnold Lazarus. American Psychologist 45,671-672.

  Heinicke, C.M. (1990).  Toward generic principles of treating parents and children. Integrating psychotherapy with the school and child and early family intervention. Journal of Consulting and Clinical Psychology, 58, 713-719.

  Bergin, A.E. & Garfield, S.L. (1994). Overview, trends, and future issues. In Handbook (Chapter 20).

  Howard, K.I., Lueger, R.J., Maling, M.S., & Martinovich, Z. (1993). A phase model of psychotherapy outcome: Causal mediation of change. Journal of Consulting and Clinical Psychology, 61, 678-685.

  Kopta, S., Howard, K., Lowry, J. & Beutler, L. (1994). Patterns of symptomatic recovery in psychotherapy. Journal of Consulting and Clinical Psychology, 62, 1009-1016.

  Schulberg, H. & Rush, A. (1994). Clinical practice guidelines for managing major depression in primary care practice: Implications for psychologists. American Psychologist,49, 34-41.

  Munox, R. Hollon, S., McGrath, E., Rehm, L. & VandenBos, G. (1994). On the AHCRP Depression in primary care guidelines. American Psychologist,49, 42-61.

*Bowers, K.S. & Farvolden, P. (1996). Revisiting a century-old Freudian slip-From suggestion disavowed to the truth repressed. Psychological Bulletin, 119, 355-380.

*Bowers, K.S. & Farvolden, P. (1996). The search for the Canonical Experience: Reply to Pennebaker and Memon (1996). Psychological Bulletin, 119, 386-389.

**Meehl, P. E. (1997). Credentialed persons, credentialed knowledge. Clinical Psychology: Science and Practice, 4, 91-98.

  Wampold, B.E., Mondin, G. W., Moody, M., Stich, F., Benson, K., & Ahn, H. (1997). A meta-analysis of outcome studies comparing bona fide psychotherapies: Empirically, "All must have prizes.". Psychological Bulletin, 122, 203-215.

**DeRubeis, R. J. & Crits-Cristoph, P. (1998). Empirically supported individual and group psychological treatments for adult mental disorders. Journal of Consulting and Clinical Psychology, 66, 37-52.

  Smyth, J. M. (1998). Written emotional expression: Effect sizes, outcome types, and moderator variables. Journal of Consulting and Clinical Psychology, 66, 174-184.

Beutler, L.E. (2004). The empirically supported treatments movement: A scientist-practitioner’s response. Clinical Psychology: Science and Practice, 12,225-229.

Stathopullou, G., Powers, M.B., Berry, A.C., Smits, A.J., & Otto, M.W. (2006). Exercise interventions for mental health: A quantitative and qualitative review. Clinical Psychology: Science and Practice, 13,  179-193.

 

VI. Values, Ethics, and Culture in Psychotherapy

  Bergin, A. (1991).  Values and religious issues in psychotherapy and mental health. American Psychologist, 46, 394-403.

  Bergin, A.  (1980).  Psychotherapy and religious value.  Journal of Consulting and Clinical Psychology, 48, 95-105.

  Ellis, A.  (1980).  Psychotherapy and religious value.  Journal of Consulting and Clinical Psychology, 48, 635-639.

  Walls, G.  (1980).  Values and psychotherapy:  A comment on "Psychotherapy and religious values."   Journal of Consulting and Clinical Psychology, 48, 640-641.

  Bergin, A.  (1980).  Religious and humanistic values:  A reply to Ellis and Walls. Journal of Consulting and Clinical Psychology, 48, 642-645.

  Everstene, L., Everstene, D., Heyman, G., True, R., Frey, D., Johnson, H., & Seiden, R.  (1980).  Privacy and confidentiality in psychotherapy.  American Psychologist, 35, 828-840.

  Hays, J., Kazan, S., & Noll, J.  (1981).  Comments on Everstene et al. (1981). American Psychologist, 36, 914-916.

  American Psychological Association.  (1981).  Specialty guidelines for delivery of services by clinical psychologists.  American Psychologist, 36, 640-651.

  American Psychological Association.  (1982).  Committee