INDIVIDUAL PSYCHOTHERAPY OUTCOME AND PROCESS RESEARCH: Challenges Leading to Greater Turmoil or a Positive Transition?

Author:

Kopta S. Mark1,Lueger Robert J.2,Saunders Stephen M.2,Howard Kenneth I.3

Affiliation:

1. Department of Psychology, University of Evansville, Evansville, Indiana 47722;

2. Department of Psychology, Marquette University, Milwaukee, Wisconsin 53201;and

3. Department of Psychology, Northwestern University, Evanston, Illinois 60208;

Abstract

▪ Abstract  Psychotherapy is facing challenges that relate to the emergence of managed health care, the possibility of a national health care system, and advances in biological psychiatry. These situations have created pressure to achieve a more accurate assessment of psychotherapeutic effectiveness. Psychotherapy has been proven to be generally effective; however, there is uncertainty as to why. The field is currently experiencing apparent turmoil in three areas: (a) theory development for psychotherapeutic effectiveness, (b) research design, and (c) treatment technique. This chapter reviews the dynamics within each of the areas and highlights the progress made in treating mental disorders. We conclude that recent advances in research design may provide a transition that will bring psychotherapy closer to becoming a unified paradigm with an acceptable theory of effectiveness.

Publisher

Annual Reviews

Subject

General Psychology

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