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One of the main debates in the study of psychotherapy is whether specific techniques are best indicated for different problems or whether “common factors” better account for the efficacy of psychotherapy. Evidence for the superiority of specific techniques is mixed and limited to a handful of diagnoses. By contrast, evidence for the importance of common factors is riddled with methodological weaknesses and may be of limited clinical utility. The stagnation in this debate may reflect that the research methods heretofore employed have reached a plateau in their ability to advance knowledge regarding psychotherapy processes. The articles of the special issue move beyond simple bivariate relationship and attempt to model the real-world complexity involved in the process of psychotherapy. It is argued that these types of investigations, which model the interactions of patient characteristics as well as multiple specific and “common factors,” are the best way to advance the state of knowledge regarding psychotherapy processes.
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Arnow, B. A., Steidtmann, D., Blasey, C., Manber, R., Constantino, M. J., Klein, D. N., … Fisher, A. J. (2013). The relationship between the therapeutic alliance and treatment outcome in two distinct psychotherapies for chronic depression. Journal of Consulting and Clinical Psychology, 81, 627–638. CrossRefPubMedPubMedCentral
Brückl, T. M., Wittchen, H. -U., Höfler, M., Pfister, H., Schneider, S., & Lieb, R. (2007). Childhood separation anxiety and the risk of subsequent psychopathology: Results from a community study. Psychotherapy and Psychosomatics,76, 47–56. https://doi.org/10.1159/000096364.
Crawford, E. A., Frank, H. E., Palitz, S. A., Davis, J. P., & Kendall, P. C. (2018). Process factors associated with improved outcomes in CBT for anxious youth: Therapeutic content, alliance, and therapist actions. Cognitive Therapy and Research, this issue. https://doi.org/10.1007/s10608-017-9864-7.
Dawes, R. (1994). House of cards: Psychology and psychotherapy built on myth. New York: Free Press.
DeRubeis, R. J., Brotman, M. A., & Gibbons, C. J. (2005). A conceptual and methodological analysis of the nonspecifics argument. Clinical Psychology: Science and Practice, 12, 174–183.
DeRubeis, R. J., & Lorenzo-Luaces, L. (2016). In pursuit of truth but recognizing it is unattainable and attending to the most informative evidence. Psychotherapy Research, 27, 33–35. CrossRef
Doss, B. D. (2004). Changing the way we study change in psychotherapy. Clinical Psychology: Science and Practice, 11, 368–386.
Hoet, A. C., Burgin, C. J., Eddington, K. M., & Silvia, P. J. (2018). Reports of therapy skill use and their efficacy in daily life in the short-term treatment of depression. Cognitive Therapy and Research, this issue. https://doi.org/10.1007/s10608-017-9852-y.
Hooke, G. R., Sng, A. A. H., Cunningham, N. K., & Page, A. C. (2018). Methods of delivering feedback to optimise patient outcomes: The value of expected treatment trajectories. Cognitive Therapy and Research, this issue. https://doi.org/10.1007/s10608-017-9851-z.
Huibers, M. J., Cohen, Z. D., Lemmens, L. H., Arntz, A., Peeters, F. P., Cuijpers, P., & DeRubeis, R. J. (2015). Predicting optimal outcomes in cognitive therapy or interpersonal psychotherapy for depressed individuals using the personalized advantage index approach. PLoS ONE, 10, e0140771. CrossRefPubMedPubMedCentral
Lorenzo-Luaces, L., DeRubeis, R. J., van Straten, A., & Tiemens, B. (2017). A prognostic index (PI) as a moderator of outcomes in the treatment of depression: A proof of concept combining multiple variables to inform risk-stratified stepped care models. Journal of Affective Disorders, 213, 78–85. CrossRefPubMed
Lorenzo-Luaces, L., Driessen, E., DeRubeis, R. J., Van, H. L., Keefe, J. R., Hendriksen, M., & Dekker, J. (2017). Moderation of the alliance-outcome association by prior depressive episodes: Differential effects in cognitive-behavioral therapy and short-term psychodynamic supportive psychotherapy. Behavior Therapy, 48, 581–595. CrossRefPubMed
Renna, M. E., Seeley, S. H., Heimberg, R. G., Etkin, A., Fresco, D. M., & Mennin, D. S. (2018). Increased attention regulation from emotion regulation therapy for generalized anxiety disorder. Cognitive Therapy and Research, this issue. https://doi.org/10.1007/s10608-017-9872-7.
Sauer-Zavala, S., Boswell, J. F., Bentley, K. H., Thompson-Hollands, J., Farchione, T. J., & Barlowa, D. H. (2018). Expectancies, working alliance, and outcome in transdiagnostic and single diagnosis treatment for anxiety disorders: An investigation of mediation. Cognitive Therapy and Research, this issue. https://doi.org/10.1007/s10608-017-9855-8.
Soriano, M. D. A. (2014). Efecto en los resultados del tratamiento psicológico de la competencia y adherencia del terapeuta a los protocolos de tratamiento: Un meta- análisis. (Unpublished doctoral dissertation). Universidad de Murcia, Murcia, España).
Westra, H. A., & Norouzian, N. (2018). Using motivational interviewing to manage process markers of ambivalence and resistance in cognitive behavioral therapy. Cognitive Therapy and Research, this issue. https://doi.org/10.1007/s10608-017-9857-6.
Zickgraf, H. F., Chambless, D. L., McCarthy, K. S., Gallop, R., Sharpless, B. A., Milrod, B. L., & Barber, J. P. (2016). Interpersonal factors are associated with lower therapist adherence in cognitive–behavioural therapy for panic disorder. Clinical Psychology & Psychotherapy, 23, 272–284. CrossRef
Zilcha-Mano, S., Lipsitz-Odess, I., & Errázuriz, P. (2018a). When is it effective to focus on the alliance? Analysis of a within-client moderator. Cognitive Therapy and Research, this issue. https://doi.org/10.1007/s10608-017-9867-4.
Zilcha-Mano, S., Muran, J. C., Eubanks, C. F., Safran, J. D., & Winston, A. (2018b). Not just a non-specific factor: Moderators of the effect of within- and between-clients alliance on outcome in CBT. Cognitive Therapy and Research, this issue. https://doi.org/10.1007/s10608-017-9866-5.
- Miles to Go Before We Sleep: Advancing the Understanding of Psychotherapy by Modeling Complex Processes
Robert J. DeRubeis
- Springer US