Therapist Success and Its Determinants

Luborsky, Lester; McLellan, A. Thomas; Woody, George; O’Brien, Charles P.; Auerbach, Arthur H.

doi:10.1001/archpsyc.1985.01790290084010

Cited by 682 publications

(416 citation statements)

References 21 publications

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“…In session aspects include enhanced relational skills (Jennings & Skovholt, 1999), greater empathy (Lafferty, Beutler & Crago, 1989), effective therapeutic alliances (Luborsky, 1985) and showing more warmth, affirmation, understanding, active helping and protecting (Najavitis & Strupp, 1994).…”

Section: Therapist Effects and Pwpsmentioning

confidence: 99%

Therapist effects and IAPT Psychological Wellbeing Practitioners (PWPs): A multilevel modelling and mixed methods analysis

Green

Barkham

Kellett

et al. 2014

Behaviour Research and Therapy

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Section: Therapist Effects and Pwpsmentioning

confidence: 99%

Therapist effects and IAPT Psychological Wellbeing Practitioners (PWPs): A multilevel modelling and mixed methods analysis

Green

Barkham

Kellett

et al. 2014

Behaviour Research and Therapy

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“…There is less evidence about the value of goal direction and structure; however, patients of therapists who adhere more closely to an underlying theory of treatment, be it CBT, TSF, or a supportive-expressive orientation, tend to experience better treatment outcomes (Luborsky et al, 1985). In group and residential treatment, more emphasis on goals, such as enhancing patients' independence and self-understanding, and greater clarity and organization, are associated with more positive reactions to treatment and better outcomes (Moos, 1997;Moos et al, 1999).…”

Section: Support Structure and Goal Directionmentioning

confidence: 99%

Theory-based active ingredients of effective treatments for substance use disorders

Moos

2007

Drug and Alcohol Dependence

261

240

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This paper describes four related theories that specify common social processes that protect individuals from developing substance use disorders and may underlie effective psychosocial treatments for these disorders: social control theory, behavioral economics and behavioral choice theory, social learning theory, and stress and coping theory. It then provides an overview of the rationale and evidence for four effective psychosocial treatments for substance use disorders: motivational interviewing and motivational enhancement therapy, 12-step facilitation treatment, cognitive-behavioral treatment and behavioral family counseling, and contingency management and community reinforcement approaches. The presumed active ingredients of these treatments are described in terms of how they exemplify the social processes highlighted by the four theories. The identified common components of effective treatment include support, goal direction, and structure; an emphasis on rewards that compete with substance use, a focus on abstinence-oriented norms and models, and attempts to develop self-efficacy and coping skills. Several issues that need to be addressed to enhance our understanding of the active ingredients involved in effective treatment are discussed, including how to develop measures of these ingredients, how well the ingredients predict outcomes and influence conceptually comparable aspects of clients' life contexts, and how much their influence varies depending upon clients' demographic and personal characteristics.

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“…It is interesting that there is variability across substances in these practitioner differences with Practitioner 1 achieving better outcomes for alcohol consumption and cannabis use and Practitioner 2 being more successful for cigarette smoking. It has also been known for some time that these types of practitioner effects on achieved outcomes both exist across different types of counselling interventions and are also variable across outcomes (Luborsky et al 1985). It will be preferable to monitor adherence more formally in future studies of MI adaptations, adapting existing process instruments if necessary, and also studying carefully the content of interventions delivery with multiple behavioural targets.…”

Section: Discussionmentioning

confidence: 99%

Cluster randomised trial of the effectiveness of Motivational Interviewing for universal prevention

McCambridge

Hunt

Jenkins

et al. 2010

Drug and Alcohol Dependence

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Background:The prevention of initiation of tobacco, alcohol and drug use is a major societal challenge, for which the existing research literature is generally disappointing. This study aimed to test the effectiveness of adaptation of Motivational Interviewing (MI) for universal prevention purposes, i.e. to prevent initiation of new substance use among non-users, and to reduce risks among existing users. Results: This adaptation of MI was not demonstrated to be effective in either intention-totreat or sub-group analyses for any outcome. Unexpected lower levels of cannabis initiation and prevalence were found in the Drug Awareness control condition.Conclusions: This particular adaptation of MI is ineffective as a universal drug prevention intervention and does not merit further study.

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Therapist Success and Its Determinants

Cited by 682 publications

References 21 publications

Therapist effects and IAPT Psychological Wellbeing Practitioners (PWPs): A multilevel modelling and mixed methods analysis

Therapist effects and IAPT Psychological Wellbeing Practitioners (PWPs): A multilevel modelling and mixed methods analysis

Theory-based active ingredients of effective treatments for substance use disorders

Cluster randomised trial of the effectiveness of Motivational Interviewing for universal prevention

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