Researcher allegiance and supportive therapy: Pernicious affects on results of randomized clinical trials

Budge, Stephanie L.; Baardseth, Timothy P.; Wampold, Bruce E.; Flückiger, Christoph

doi:10.1080/13642531003637742

Cited by 13 publications

(4 citation statements)

References 41 publications

(77 reference statements)

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“…However, there have been criticisms of the implementation of supportive counselling in psychotherapy outcome research. Conceptual restrictions might limit its effectiveness (i.e., in many cases supportive counselling was not intended to be therapeutic [43,44]). After controlling for researcher allegiance, a recent meta-analysis found no difference between supportive counselling and other treatments [45].…”

Section: Discussionmentioning

confidence: 99%

Comparative Efficacy of Seven Psychotherapeutic Interventions for Patients with Depression: A Network Meta-Analysis

Barth

Münder

Nüesch

et al. 2016

FOC

223

213

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Background: Previous meta-analyses comparing the efficacy of psychotherapeutic interventions for depression were clouded by a limited number of within-study treatment comparisons. This study used network meta-analysis, a novel methodological approach that integrates direct and indirect evidence from randomised controlled studies, to re-examine the comparative efficacy of seven psychotherapeutic interventions for adult depression.

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Section: Discussionmentioning

confidence: 99%

Comparative Efficacy of Seven Psychotherapeutic Interventions for Patients with Depression: A Network Meta-Analysis

Barth

Münder

Nüesch

et al. 2016

FOC

223

213

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“…Typically, these treatments, elsewhere referred to as “intent-to-fail” treatments (Westen, Novotny, & Thompson-Brenner, 2004), are used to control for the common factors in RCTs. Many “supportive counseling” treatments contain no psychologically derived rationale or proscribe therapists from actions that most therapists would normally use, particularly when the therapists in these conditions know that the treatment is a sham (Budge, Baardseth, Wampold, & Flückiger, 2010). For example, in a trial comparing CBT and supportive psychotherapy for PTSD related to motor vehicle accidents (Blanchard et al, 2003), therapists delivering supportive therapy provided “little advice” and “care was taken not to encourage any driving.…”

Section: The Cf Approachmentioning

confidence: 99%

Expanding the lens of evidence-based practice in psychotherapy: A common factors perspective.

Gurman²,

2014

Self Cite

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In this article, we examine the science and policy implications of the common factors perspective (CF; Frank & Frank, 1993; Wampold, 2007). As the empirically supported treatment (EST) approach, grounded in randomized controlled trials (RCTs), is the received view (see Baker, McFall, & Shoham, 2008; McHugh & Barlow, 2012), we make the case for the CF perspective as an additional evidence-based approach for understanding how therapy works, but also as a basis for improving the quality of mental health services. Finally, we argue that it is time to integrate the 2 perspectives, and we challenge the field to do so.

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“…Given the emphasis in supportive therapy on providing emotional validation for patients' grief‐related experience—with support for adaptive coping behaviours—patients with greater access to their emotions, or with greater capacity for altruistic sharing, may have advantages in supportive treatment for complicated grief. Unfortunately, little attention has been paid to the understanding of patient characteristics and therapeutic mechanisms in supportive psychotherapy, which tends to have a relatively diminished status—and which is often misrepresented as a non‐specific control treatment—in contemporary psychotherapy research (Budge, Baardseth, Wampold, & Flűckiger, ). More empirical work is needed to understand patient and process features that contribute to successful supportive therapy of the kind provided in this study—active and psychodynamically informed—that likely resembles many noninterpretive therapy groups offered in outpatient settings.…”

Section: Discussionmentioning

confidence: 99%

Individual goal achievement in group psychotherapy: The roles of psychological mindedness and group process in interpretive and supportive therapy for complicated grief

Kealy

Piper

Ogrodniczuk

et al. 2018

Clin Psychology and Psychoth

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The ability to infer psychological meaning in behaviour—referred to as psychological mindedness—has been posited as a patient characteristic that contributes to the therapy process and consequently to therapeutic success. The present study was developed to examine the relationship between patients' psychological mindedness and improvement in patients' personal treatment goals in interpretive and supportive group therapies for complicated grief, along with patients' importance to group process. The study was conducted with a clinical sample of 109 patients (79% female; average 45 years old) receiving treatment for complicated grief. Patients provided severity of distress ratings for individual target objectives at pretreatment and posttreatment. Psychological mindedness was assessed prior to treatment using the video‐based, interviewer‐rated Psychological Mindedness Assessment Procedure. Patients' importance to the therapy process was rated by therapists and other patients in interpretive and supportive group therapy for complicated grief. Conditional process modelling tested whether psychological mindedness would contribute to patients' goal achievement through patients' importance to group process, moderated by type of therapy. A significant, conditional indirect effect was observed for psychological mindedness as a predictor of improvement in individual target objectives, through patients' importance to group process as rated by therapists, specifically in interpretive therapy. The findings indicate that patients' psychological mindedness significantly contributes to their achievement of individual goals through their contributions to group process in interpretive group therapy. Further research is needed to understand the facilitation of individual goal achievement in supportive therapy.

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Researcher allegiance and supportive therapy: Pernicious affects on results of randomized clinical trials

Abstract: 2010) Researcher allegiance and supportive therapy: Pernicious affects on results of randomized clinical trials, European Journal of Psychotherapy & Counselling, 12:1, 23-39 To link to this article: http://dx.

Cited by 13 publications

References 41 publications

Comparative Efficacy of Seven Psychotherapeutic Interventions for Patients with Depression: A Network Meta-Analysis

Comparative Efficacy of Seven Psychotherapeutic Interventions for Patients with Depression: A Network Meta-Analysis

Expanding the lens of evidence-based practice in psychotherapy: A common factors perspective.

Individual goal achievement in group psychotherapy: The roles of psychological mindedness and group process in interpretive and supportive therapy for complicated grief

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