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Chapter 12

PSY 4372 Chapter Notes - Chapter 12: Panic Disorder, Obsessive–Compulsive Disorder, Comorbidity

Course Code
PSY 4372
Andrea Ashbaugh

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Chapter 12
Intervention for Adults and Couples
Does psychotherapy work? A controversy and its impact.
In 1952 Hans Eysenck published an article in which he argued that the rates of improvement among clients
receiving psychodynamic or eclectic therapy were comparable to rates of remission of symptoms among untreated
clients. At that time, there were no randomized controlled trails in psychotherapy.
44% of patients receiving psychoanalysis improved, and 64% of those receiving eclectic treatments improved. He
compared these results with two data sets in which spontaneous recovery occurred for 72% of untreated patients
Meta-Analysis and Psychotherapy Research
research becomes so vast that you need a publication to bring it all together
first meta-analysis of psychotherapy literature was by Mary Smith and Gene Glass
looked at effect sizes
Effect Sizes: a standardized metric, typically expressed in standard deviation until or correlations that allows the
results of research studies to be combined and analyzed.
Meta-Analysis: a set of statistical procedures for quantitatively summarizing the results of a research domain.
Effectiveness of meta-analytic statistics.
50% of untreated participants below the mean of treated participants means d0.00 and r0.00
98% of underrated participants below the mean of treated participants d2.0 and r0.71
In 1977 Smith and Glass reported the average effect of psychotherapy to be d = 0.68. This means that the average
person receiving treatment was better off at the end of treatment than 74% of those who had not received treatment.
Evidence Based Treatments: Initiatives and Controversies
Clinical Practice Guidelines: a summary of scientific research (dealing with the diagnosis,, assessment, and or
treatment of a disorder) designed to provide guidance to colicins providing services to patients with the disorder.
1990: the APA Society of Clinical Psychology made a task force on the promotion and dissemination of
psychological procedures. Set a standard for defining treatment efficacy that was comparable to standards used in
other areas of health care, such as approval criteria for pharmaceuticals.
Empirically Supported Treatment: a psychotherapy that has been found in a series of randomized consoled trials or
single participant designs to be efficacious in the treatment of a specific condition.
Within an evidence-based approach to treatment, it is critical to distinguish between a treatment that is untested
(which by definition could not be evidence based) and a treatment that has been demonstrated to be ineffective or
harmful. Treatments that have been shown to be harmful should not be used. It is highly likely that some existing
but untested treatments will work for some patients.
Open Trails: a type of initial explorer treatment study in which no control group is used and few participant
exclusion criteria are applied
Evidence Based Treatments for Common Adult Dogs
Major Depressive Disorder
behavioural couples therapy
cognitive behavioural therapy
interpersonal psychotherapy
process experiential therapy
short term psychodynamic therapy
solution focused brief therapy
Bipolar Disorder
psychoeducation, including family members
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