How expert clinicians' prototypes of an ideal treatment correlate with outcome in psychodynamic and cognitive-behavioral therapy

Ablon, J. Stuart; Jones, Enrico E.

doi:10.1093/ptr/8.1.71

Cited by 149 publications

(134 citation statements)

References 17 publications

Supporting

Mentioning

123

Contrasting

Unclassified

Order By: Relevance

“…Interestingly, these investigators also found that sometimes greater adherence to other therapy models may be even more predictive of better outcomes than adherence to the therapists' ascribed model. In one archival data set, outcome following CBT was more consistently associated with adherence to the PDT prototype than adherence to the CBT prototype (Ablon & Jones, 1998).…”

Section: Studying the Relationship Between Adherence And Outcome In Gmentioning

confidence: 97%

“…Adherence scores were derived by correlating each orientation's prototype ratings with the process ratings given to the archived therapy sessions. Results showed that (a) different forms of therapy can generate statistically distinct prototypes (e.g., the PDT and CBT experts loaded on different factors; Ablon & Jones, 1998); (b) specific forms of therapy can contain more ingredients belonging to other forms of therapy than ingredients belonging to their own form of therapy (e.g., IPT was found to adhere more closely to ideal CBT process than to ideal IPT process; Ablon & Jones, 2002); (c) greater adherence to the therapist's ascribed model can predict better outcomes (e.g., greater adherence to ideal PDT process predicted better outcomes in PDT; Ablon & Jones, 1998, 2002. Interestingly, these investigators also found that sometimes greater adherence to other therapy models may be even more predictive of better outcomes than adherence to the therapists' ascribed model.…”

Section: Studying the Relationship Between Adherence And Outcome In Gmentioning

confidence: 99%

See 1 more Smart Citation

Using psychodynamic, cognitive behavioral, and control mastery prototypes to predict change: A new look at an old paradigm for long-term single-case research.

Pole¹,

Ablon²,

O’Connor³

2008

Journal of Counseling Psychology

View full text Add to dashboard Cite

This article illustrates a method of testing models of change in individual long-term psychotherapy cases. A depressed client was treated with 208 sessions of control mastery therapy (CMT), an unmanualized approach that integrates elements of psychodynamic therapy (PDT) and cognitive behavioral therapy (CBT). Panels of experts developed prototypes of ideal PDT, CBT, and CMT process using the Psychotherapy Process Q-set (PQS; J. S. Ablon & E. E. Jones, 1999; E. E. Jones, L. A. Parke, & S. Pulos, 1992; E. E. Jones & S. M. Pulos, 1993). Independent observers rated every 4th session (N ϭ 53) with the PQS. Using correlations between ideal and actual PQS ratings followed by paired t tests, the authors compared adherence to the CMT prototype with adherence to plausible alternative models advocated by the PDT and CBT experts. Bivariate time series analyses determined whether prototype adherence predicted an estimated index of symptom change. Results showed that the therapist's behavior was most consistent with the CMT prototype and that this aspect of the CMT prototype along with particular aspects of the other prototypes influenced estimated symptom change. The results, which replicate and extend earlier findings, support the validity of this approach to studying long-term therapies but also highlight its limitations.

show abstract

Section: Studying the Relationship Between Adherence And Outcome In Gmentioning

confidence: 97%

Section: Studying the Relationship Between Adherence And Outcome In Gmentioning

confidence: 99%

Using psychodynamic, cognitive behavioral, and control mastery prototypes to predict change: A new look at an old paradigm for long-term single-case research.

Pole¹,

Ablon²,

O’Connor³

2008

Journal of Counseling Psychology

View full text Add to dashboard Cite

show abstract

“…These considerations limit the generalizability of findings from the laboratory to the community, where most treatment occurs [5]. Additionally, the question of the degree to which laboratory treatments actually conform to the stated brand name treatments has also been raised through research findings [6][7][8].…”

Section: Effectiveness Of Psychodynamic Psychotherapy: What We Know Amentioning

confidence: 99%

Handbook of Evidence-Based Psychodynamic Psychotherapy

2009

View full text Add to dashboard Cite

“…Usando o coeficiente de correlação de Pearson, foi então avaliada a concordância entre as duplas de avaliadores, tendo como parâmetro de fidedignidade interavaliadores coeficientes maiores ou iguais a 0,50, critério adotado em outros trabalhos com o PQS 34,38,42,[51][52][53] .…”

Section: Procedimentosunclassified

“…Foi baseado nesses estudos que Jones 13,35 formulou o construto "estruturas de interação" (aspectos manifestos, comportamentais e emocionais da transferência e contratransferência) e desenvolveu uma teoria de ação terapêutica (da psicanálise e psicoterapia psicanalítica) que conjuga os efeitos do insight e do relacionamento paciente/ terapeuta sobre os resultados do tratamento. Além dos estudos causais, o PQS tem sido utilizado para comparar o processo terapêutico de diferentes psicoterapias 34,36,37 , identificar os fatores do processo que melhor predizem os resultados terapêuticos 30,38 , investigar diferenças entre fases de tratamento 39,40 , examinar o processo de formulação das hipóteses clínicas dos psicoterapeutas 41 , determinar protótipos de diferentes tratamentos psicanalíticos e psicoterápicos 42,43 , entre outras aplicações descritas na literatura.…”

Section: Introductionunclassified

Elaboração da versão em português do Psychotherapy Process Q-Set

Serralta

Nunes

Eizirik

2007

Rev. psiquiatr. Rio Gd. Sul

View full text Add to dashboard Cite

ResumoIntrodução: No Brasil, a pesquisa em psicoterapia encontra-se em desenvolvimento inicial; ainda não há estudos sistemáticos do processo terapêutico, e poucas são as medidas disponíveis para os pesquisadores interessados nesse campo. Objetivo: Elaborar a versão em português do Psychotherapy Process Q-Set. Método: A elaboração da versão em português do Psychotherapy Process Q-Set envolveu quatro etapas: tradução, retrotradução, avaliação da equivalência semântica e discussão, entre os autores, dos resultados. Para a aplicação do instrumento, cinco avaliadores foram treinados. Durante o treinamento, registros no diário de campo eram feitos para identificar dificuldades na execução da tarefa e subsidiar dados complementares. Após, o Psychotherapy Process Q-Set foi aplicado em sete sessões de uma psicoterapia psicodinâmica breve para examinar a concordância entre os juízes. Resultados: A versão em português do Psychotherapy Process Q-Set apresentou boa equivalência semântica com a original. A avaliação da fidedignidade interavaliadores teve resultado satisfatório. Ressalta-se que a aplicação do Psychotherapy Process Q-Set requer estudo, tempo e reflexão. A discussão com os avaliadores apontou a necessidade de uma revisão do manual de aplicação no que diz respeito às vinhetas ilustrativas. Isto deverá ser realizado, futuramente, para minimizar as discrepâncias observadas no entendimento de alguns conceitos e para melhor adequá-las à realidade brasileira. Conclusão: O estudo disponibiliza a versão em português do Psychotherapy Process Q-Set, um instrumento versátil, que pode ser utilizado em diferentes contextos para descrever, quantitativamente e em termos clinicamente significativos, o processo terapêutico das diferentes psicoterapias. Descritores: Tradução, equivalência semântica, instrumentos, fidedignidade, processo terapêutico, psicoterapia. AbstractIntroduction: In Brazil, psychotherapy research is in its early development; there are no systematic studies of the therapeutic process, and there are few available measurement instruments for researchers interested in this field. Objective: To develop a Portuguese version of the Psychotherapy Process Q-Set. Method: The development of a Portuguese version of the Psychotherapy Process Q-Set involved four stages: translation, back translation, evaluation of semantic equivalence and discussion of the results by the authors. Five raters were trained to apply the instrument. During the training, a field diary was used to record difficulties identified in task execution and to subsidize complementary data. Thereafter, the Psychotherapy Process Q-Set was applied to seven sessions of a short-term psychodynamic psychotherapy to examine agreement between referees.

show abstract

How expert clinicians' prototypes of an ideal treatment correlate with outcome in psychodynamic and cognitive-behavioral therapy

Cited by 149 publications

References 17 publications

Using psychodynamic, cognitive behavioral, and control mastery prototypes to predict change: A new look at an old paradigm for long-term single-case research.

Using psychodynamic, cognitive behavioral, and control mastery prototypes to predict change: A new look at an old paradigm for long-term single-case research.

Handbook of Evidence-Based Psychodynamic Psychotherapy

Elaboração da versão em português do Psychotherapy Process Q-Set

Contact Info

Product

Resources

About