PSYCHOTHERAPY : PROCESSES & OUTCOMES A

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1 Syllabus PSYCHOTHERAPY : PROCESSES & OUTCOMES A Last update HU Credits: 2 Degree/Cycle: 2nd degree (Master) Responsible Department: Psychology Academic year: 3 Semester: 1st Semester Teaching Languages: Hebrew Campus: Mt. Scopus Course/Module Coordinator: Huppert Coordinator huppertj@mscc.huji.ac.il Coordinator Office Hours: Sun 13:00-14:00 Teaching Staff: Dr. Orya Tishby page 1 / 6

2 Course/Module description: The purpose of the course is to review the research methods which may be used to test both the processes and the results of psychotherapy. Such research allows the understanding of the fundamentals of psychopathology and brings improvement in treatment outcomes. The research methods include studies analog designs, single case designs, dismantling studies, randomized clinical study designs (RCTS) and effectiveness research. Course/Module aims: This course is designed to accomplish three related goals: 1) to obtain an understanding of the basic concepts and controversies related to researching psychotherapy (e.g., understanding the history of such research and methodological issues related to such work) 2) To be able to critically examine research articles on psychotherapy with the goals of understanding the strengths and weaknesses of any given article, and 3) to be able to determine the clinical utility of the article for a given patient. The course presupposes a basic understanding of the psychopathology (e.g., having taken at least abnormal psychology). The emphasis of this course will not be whether certain schools of psychotherapy are superior to others, nor will it be on determining the best treatment for someone you know. I will attempt to balance the importance of understanding the methodologies with clinical utility. The structure of the class will include weekly lectures/presentations and group discussions of the material covered. Learning outcomes - On successful completion of this module, students should be able to: 1). Describe the factors important to consider when reading about or designing psychotherapy research 2) critically examine empirical articles on psychotherapy 3) design a hypothetical study on psychotherapy research which takes 1 and 2 into account Attendance requirements(%): 100 page 2 / 6

3 Teaching arrangement and method of instruction: Every week there will be: 1) presentations of recent published studies by students, 2) discussion of weekly readings and comments, and 3) a frontal lecture weekly. Course/Module Content: 1. Definitions and History: psychotherapy, psychotherapists and treatment A. Week 1. The history of psychotherapy research. Week 2. The scientific method and Psychotherapy C. Week 3. Methodological issues in the study of psychotherapy 2. Week 4 Does psychotherapy work? Does psychotherapy work better than other things? 3. Methodological issues / Psychotherapy research study design A. Single case designs. Control groups of psychotherapy research : What are the best ways to examine the specific effects? 4. The mechanisms of psychotherapy : specific factors and common factors A. Common factors : " the dodo bird?" In. Week 8. Randomized controlled trial ( Randomized Controlled Trial ) : C.. Week 9. Therapist, and the effects of Allegiance : methodological confounders need to be investigated? Wednesday. Week 10. therapeutic alliance ) Week 11. Effectiveness studies Week 12. Appearance of the EST movement and its critics The. Week 13. Criticism of the movement EST Week 14. From EST to EBP : Where we are now... Required Reading: Paul (2007) Psychotherapy outcome can be studied scientifically. In S. O. Lilienfeld & W. ODonohue (Eds.). (2007). The Great Ideas Of Clinical Science; The 17 Principles That Every Mental Health professional Should Understand (pp ). New York: Routledge, Taylor & Francis Group. McFall, R. M. (2000). Elaborate reflections on a simple manifesto. Applied and Preventive Psychology, 9, 521. Kazdin, A.E. (2007). Mediators and mechanisms of change in psychotherapy research. Annual Review of Clinical Psychology, 3, CONSORT: requirements for reporting RCTs (skim- keep as reference) Eysenck, H. J. (1952). The effects of psychotherapy: An evaluation. Journal of Consulting Psychology, 16, page 3 / 6

4 Davison, G. C., & Lazarus, A. A. (2007). Clinical case studies are important in the science and practice of psychotherapy. In ODonohue & Lillienfeld, Eds. The great ideas of clinical science: 17 principles that every mental health professional should understand. New York, NY, US: Routledge/Taylor & Francis Group. pp Herbert, J. D., & Gaudiano, B. A. (2005). Moving from empirically supported treatment lists to practice guidelines in psychotherapy: The role of the placebo concept. Journal of Clinical Psychology, 67, Strupp, H. H., & Hadley, S. W. (1979). Specific versus nonspecific factors in psychotherapy: A controlled study of outcome. Archives of General Psychiatry, 36, Strupp, H.H. (1998). The Vanderbilt I Study Revisited. Psychotherapy Research, 8:1, Elkin I, Shea MT, Watkins JT, Imber SD, Sotsky SM, Collins JF, Glass DR, Pilkonis PA, Leber WR, Docherty JP, Fiester SJ, Parloff MB (National Institute of Mental Health Treatment of Depression Collaborative Research Program): General effectiveness of treatments. Arch Gen Psychiatry 1989; 46: a. Luborsky, L. et al. (1999). The researcher's own therapy allegiances: A "wild card" in comparisons of treatment efficacy. Clinical Psychology, Science and Practice, 6, (including commentaries) b. Kim, D.-M., Wampold, B. E., & Bolt, D. M. (2006). Therapist effects in psychotherapy: A random effects modeling of the NIMH TDCRP data. Psychotherapy Research, 16, c. Elkin, I., Falconnier, L., Martinovich, Z., & Mahoney, C. (2006). Therapist effects in the NIMH Treatment of Depression Collaborative Research Program. Psychotherapy Research, 16, Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68, Crits-Christoph, P., Gibbons, M.B., & Hearon, B. (2006). Does the alliance cause good outcome? Psychotherapy: Theory, Research, Practice, Training. Seligman MEP The effectiveness of psychotherapy: the Consumer Reports study. Am. Psychol. 50:96574 Responses to Seligman: Jacobson, Secrest, Howard, or Seligman (1996) Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, Elliott RE Editors introduction: a guide to the empirically supported treatments controversy, Psychother. Res, 8:11525 a. Westen, D, Novotney, CM, & Thompson-Brenner, H (2004). The empirical status of empirically supported psychotherapies: Assumptions, findings, and reporting in controlled clinical trials. Psychological Bulletin, 130, b. Crits-Christoph, P., Wilson, G. T., & Hollon, S. D. (2005). Empirically supported psychotherapies: Comment on westen, novotny, and thompson-brenner (2004). Psychological bulletin, 131(3), or Weisz, J. R., Weersing, V. R., & Henggeler, S. W. (2005). Jousting with straw men: page 4 / 6

5 Comment on Westen, Novotny, and Thompson-Brenner (2004). Psychological bulletin, 131(3), American Psychological Association. (2002). Criteria for evaluating treatment guidelines. American Psychologist, 57, APA Presidential Task Force on EBP. (2006). EBP in psychology. American Psychologist, 61, Evidence-Based Psychological Treatments: An Update and a Way Forward David H. Barlow, Jacqueline R. Bullis, Jonathan S. Comer, and Amantia A. Ametaj (2013) Annual Review of Clinical Psychology Vol. 9: 127 Additional Reading Material: Optional: McFall, R.M. (1991). Manifesto for a science of clinical psychology. The Clinical Psychologist, 44, 6, Optional : Keislers response: Kiesler, D. J. (1966). Some myths of psychotherapy research and the search for a paradigm. Psychological Bulletin, 65, Optional: Bergins response: Bergin, A. (1971) The evaluation of therapeutic outcomes. In Bergin and Garfield (Eds) Hand book of Psychotherapy and Behavior Change. Optional: meta-analysis: Shapiro, D. A,, & Shapiro, D. (1982). Meta-analysis of comparative therapy outcome studies: A replication and refinement. Psychological Bulletin, 92, Optional: Fishman About pragmatic case studies Optional: Hoffman, I.Z. (2009). Doublethinking our way to scientific legitimacy: The desiccation of human experience. Journal of the American Psychoanalytic Association 57: Optional: Eagle, MN and Woliwitzky, D.L (2011). Systematic empirical research versus clinical case studies : a valid antagonism? Journal of the American Psychoanalytic Association 59: Optional: Wampold, )1997(. A Meta-Analysis of Outcome Studies Comparing Bona Fide Psychotherapies: Empirically, "All Must Have Prizes" Psychological Bulletin and commentaries Optional: DeRubeis RJ, Brotman MA, & Gibbons CJ (2005). A conceptual and methodological analysis of the nonspecifics argument. Clinical Psychology: Science & Practice, 12: (and commentaries) Optional: Hunsley and Digiulio (2002). Dodo bird, Phoenix, legend, or urban myth? Scientific Review of Mental Health Practice, 1, Optional: commentaries by Crits-Christoph, Soldz, Wampold, Elkin. page 5 / 6

6 Powered by TCPDF ( Optional: Crits-Christoph, P., Connolly Gibbons, M.B, Crits-Christoph, K., Narducci, J., Schamberger, M., & Gallop, R. : Can therapists be trained to improve their alliances? A pilot study of Alliance-Fostering Therapy. Psychotherapy Research, 13, , Optional: Westen, D., Novotny, C. M., & Thompson-Brenner, H. (2005). EBP ` EST: Reply to crits-christoph et al. (2005) and weisz et al. (2005). Psychological bulletin, 131(3), Course/Module evaluation: End of year written/oral examination 0 % Presentation 25 % Participation in Tutorials 0 % Project work 0 % Assignments 30 % Reports 0 % Research project 45 % Quizzes 0 % Other 0 % Additional information: page 6 / 6