Feedback-Informed Treatment (FIT): Improving the Outcome of Psychotherapy One Person at a Time

Miller, Scott D.; Bargmann, Susanne; Chow, Daryl; Seidel, Jasón A.; Maeschalck, Cynthia

doi:10.1007/978-3-319-26209-3_16

Cited by 18 publications

(20 citation statements)

References 23 publications

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“…Feedback-informed treatment has been found to significantly impact treatment processes and outcomes (Shimokawa, Lambert, & Smart, 2010). Miller and Bargmann (2011) suggested that feedback-informed treatment may also be an effective method for identifying therapists' gender competence and intervening appropriately when therapists become aware of gender disparities within their caseloads. Gaining awareness of blind spots is an important process for therapists to deliver culturally sensitive and effective treatments.…”

Section: Discussionmentioning

confidence: 99%

Examining therapist effects in relation to clients’ race-ethnicity and gender: An intersectionality approach.

Kivlighan¹,

Hooley²,

Bruno³

et al. 2019

Journal of Counseling Psychology

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Women and Men of Color experience racism in unique and complex ways, just as White Women and Women of Color experience unique forms of sexism (i.e., gendered racism). Traditional analyses of therapists' cultural competence, broadly defined, have yet to examine the effect of intersectionality on the processes and outcomes of psychotherapy. Although previous research suggests that therapists differ in their effectiveness with Racial-Ethnic Minority (REM) clients, no study has examined therapist effects in terms of the intersectionality of clients' race-ethnicity and gender. This study applied an intersectionality framework to test therapist effects due to clients' race-ethnicity and gender. Data for this study consisted of 415 clients treated by 16 therapists. Results indicated that therapists differed in their ability to produce changes in symptom-defined psychological distress as a function of clients' intersecting identities of race-ethnicity and gender. Clinical implications and future research are discussed. Public Significance StatementThis study provides evidence of therapists' differential effectiveness with Women of Color, Men of Color, White women, and White men. Therapist effectiveness differed based on clients' intersecting identities of race-ethnicity and gender.

show abstract

Section: Discussionmentioning

confidence: 99%

Examining therapist effects in relation to clients’ race-ethnicity and gender: An intersectionality approach.

Kivlighan¹,

Hooley²,

Bruno³

et al. 2019

Journal of Counseling Psychology

View full text Add to dashboard Cite

show abstract

“…the common factors psychotherapy process and outcome scholarship acknowledging that therapeutic working alliance tends to be a primary driver of positive therapeutic outcomes (Miller et al, 2016). An interesting theme that emerged in 57.1% of the Tier III studies was the desire for therapists to have a holistic attitude toward LGBQ identity, and fluency in knowing when and how to integrate sexual identity into the clinical work.…”

Section: Discussionmentioning

confidence: 99%

“…This article aims to further the understanding of effective psychotherapeutic practice with LGBQ individuals by synthesizing the growing body of empirical literature evaluating therapeutic interventions and outcomes. Consistent with current calls within the literature to prioritize the voices of clients (Miller, Bargmann, Chow, Seidel, & Maeschalck, 2016), we focused our synthesis on only those empirical studies that included some form of data collected directly from LGBQ consumers of psychological services. That is, we excluded empirical studies that had data only from therapists or researchers (e.g., case studies, studies that evaluated efficacy using only therapist perspectives, studies examining therapist perceptions of their own LGB affirmative therapy competency).…”

Section: State Of Lgbq Affirmative Therapy Researchmentioning

confidence: 99%

The state of LGBQ affirmative therapy clinical research: A mixed-methods systematic synthesis.

O'Shaughnessy

Speir

2018

Psychology of Sexual Orientation and Gender Diversity

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In the 4 decades since the American Psychiatric Association removed homosexuality from the list of mental disorders, there has been a gradual shift from antigay sentiment among the majority of mental health clinicians to a more tolerant and then affirming approach to treatment with lesbian, gay, bisexual, and queer (LGBQ) individuals (Johnson, 2012;O'Shaughnessy & Spokane, 2013). Alongside this evolution in treatment perspective, there has been a growing emphasis on the importance of utilizing evidence-based practices in clinical work (APA Presidential Task Force on Evidence-Based Practice, 2006). Despite these shifts, there is still limited literature regarding what constitutes effective psychotherapy with LGBQ clients. This article presents the results of a mixed-methods systematic synthesis of 49 empirical studies published between 2000 and 2015 on effective therapeutic interventions with LGBQ clients. We synthesize this growing literature base to provide insight into the status of the field and guidance for clinical application and future research directions. Public Significance StatementThis review synthesizes the findings of the 49 empirical studies published from 2000 to 2015 that evaluated some aspect of lesbian, gay, bisexual, or queer (LGBQ) affirmative therapy. We found that although there are promising results regarding the effectiveness of LGBQ affirmative therapy, the majority of studies have focused on gay men, with little research evaluating effective therapy with lesbian and bisexual individuals.

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“…The best approach, in such instances, is a cautious one, using the least invasive and intensive methods needed to resolve the problem at hand (Miller & Bargmann, 2011 ;Tilsen, Maeschalck, Seidel, Robinson, & Miller, 2012 ). Given the heightened risk of deterioration for people entering treatment above the clinical cutoff, clinicians are advised against "exploratory" and "depth-oriented" work .…”

Section: Integrating the Clinical Cutoff Into Carementioning

confidence: 99%

Quality Improvement in Behavioral Health

William¹,

Maragakis²

2016

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Feedback-Informed Treatment (FIT): Improving the Outcome of Psychotherapy One Person at a Time

Cited by 18 publications

References 23 publications

Examining therapist effects in relation to clients’ race-ethnicity and gender: An intersectionality approach.

Examining therapist effects in relation to clients’ race-ethnicity and gender: An intersectionality approach.

The state of LGBQ affirmative therapy clinical research: A mixed-methods systematic synthesis.

Quality Improvement in Behavioral Health

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