Specific vs Nonspecific Factors in Psychotherapy and the Problem of Control

Strupp, Hans H.

doi:10.1001/archpsyc.1970.01750050009002

Arch Gen Psychiatry

1970

DOI: 10.1001/archpsyc.1970.01750050009002

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Specific vs Nonspecific Factors in Psychotherapy and the Problem of Control

Hans H. Strupp¹

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Cited by 57 publications

(23 citation statements)

References 5 publications

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“…Those patients who experienced a lack of emotional mastery and whose defences were not functioning effectively had a decrease in finger temperature, while those who felt in control and had a sense of mastery demonstrated an increase in finger temperature. The sense of mastery or control over one's intrapsychic state is a common goal of all psychotherapies (Lefcort, 1966;Gillis & Jessor, 1970;Strupp, 1970;Frank, 1971). Liberman (1978) emphasized the role of a sense of mastery in maintaining behavioural changes following psychotherapy.…”

Section: Discussionmentioning

confidence: 99%

Skin conductance changes and psychotherapeutic content in the treatment of a phobic patient

Glucksman

¹

,

Quinlan

²

,

Leigh

³

1985

British Journal of Medical Psychology

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Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.

“…Those patients who experienced a lack of emotional mastery and whose defences were not functioning effectively had a decrease in finger temperature, while those who felt in control and had a sense of mastery demonstrated an increase in finger temperature. The sense of mastery or control over one's intrapsychic state is a common goal of all psychotherapies (Lefcort, 1966;Gillis & Jessor, 1970;Strupp, 1970;Frank, 1971). Liberman (1978) emphasized the role of a sense of mastery in maintaining behavioural changes following psychotherapy.…”

Section: Discussionmentioning

confidence: 99%

Skin conductance changes and psychotherapeutic content in the treatment of a phobic patient

Glucksman

¹

,

Quinlan

²

,

Leigh

³

1985

British Journal of Medical Psychology

Get access via publisher Add to collection Cite

Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.

“…Miller & Moyers [1] have revived a debate, dating back more than four decades, about the importance of specific versus non-specific factors in addiction treatment and psychotherapy writ large [2]. They conclude, quite correctly, that the two are inseparable.…”

mentioning

confidence: 99%

“…insurance companies, governments) and health-care administrators need in order to decide to spend precious time and resources to adopt a new treatment. Cost-effectiveness analysis can indicate [2] whether a therapy might yield the same outcomes as another therapy but cost less to implement, or [3] whether a therapist is equally effective as another therapist but costs less to employ.…”

Section: Too Much Focus On Treatment Effect Sizes: Cost Effectiveness...mentioning

confidence: 99%

“…Behavioral outcome research also includes a successive hierarchy of contrast conditions assumed to control for non-specific therapy effects [1]. Very often, this process continues until the treatment fails in contrast to another specific treatment [2] or, worse yet, in an effectiveness study where the method is pitted against usual care [3][4][5][6]. In meta-analyses that do not account for variation in control group magnitude, the end result is a small effect size [7].…”

Section: Branding Addiction Therapies and Reified Specific Factorsmentioning

confidence: 99%

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Climbing above the forest and the trees: three future directions in addiction treatment research

Bricker

¹

2015

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Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.

“……”

Section: Psychological Mediatorsmentioning

confidence: 99%

Designing the human stress ontology: A formal framework to capture and represent knowledge about human stress

Khoozani

¹

,

Hadzic

²

2010

Australian Psychologist

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Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.

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