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ch 14 textbook notes

Course Code
Paul Frewen

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CH. 14
process research: examines patterns, using therapist and/or client data that are evident within therapy
process-outcome research: relation btwn variables related to the process of providing psychotherapy
and outcome of therapy
common factors: therapeutic elements tht occur in all or most treatments tht are believed to be critical
-sometimes responsible for most of the impact of any form of psychotherapy
-treatment outcome research focus on outcomes, outcomes under varying conditions
-how the outcome is achieved deals with the processes
-treatment outcome research- which intervention is more effacious
-whereas process and process-outcome research ask about how an intervention works
-identifying the best intervention or comparing one to another requires different data and approach
-1950s and 60s, recordings of psychotherapy sessions and standardized measures of clients and thera-
pists experience of the treatment process
Examining Client Factors
-which variables to evaluate? which client characteristics should be taken into acct?
among myriad potential variables:
-personality characteristics, current life circumstances, life experiences, family of origin, ethnicity
and cultural factors, beliefs abt psychological problems and expectations regarding treatment
Examining Therapist Factors
factors that affect outcomes:
-therapist trained in mental health discipline have better treatment outcomes than those trained in health
discipline (gen. practitioners)
-therapist experience is positively related to treatment outcome
-emotional well-being
-use of self-disclosure (small effect)
Lafferty, Beutler, Crago (1989)
-patients of the more effective therapists reported feeling more understood in treatment than did the pa-
tients of the less effective therapist
-5-8% of the variance in client improvement can be attributed to therapist effects
Lyons and Howard (1991)
-various components responsible for patient change in RCTs
-effects on patient outcome due to specific therapists are typically greater than the effects due to specific
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