Future research directions.

Beutler, Larry E.; Clarkin, John

doi:10.1037/10092-082

Cited by 10 publications

(12 citation statements)

References 9 publications

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“…Systematic observation of individual cases allows maximal demonstration of meaningful clinical effects and rapid modification of interventions. Moreover, the accumulation of individual cases across time can allow one to begin to tease out generalizable patient and therapist effects (Beutler & Clarkin, 1991;Kazdin, 1998). The use of N ϭ 1 research models is arguably the most efficient way of sequentially making and testing the effects of making small treatment modifications, both in terms of dollars and of time, when compared to group designs.…”

Section: Assertion: Using Randomized Clinical Trials (Rct) Designs Tomentioning

confidence: 99%

Psychotherapy research: Basic or applied?

Beutler

Karno

1999

J. Clin. Psychol.

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Borkovec and Miranda (1996) have argued that the "greatest progress in the development of increasingly useful interventions" (p. 14) will come from redefining comparative trials research on psychotherapy outcome as basic research. They foresee that such a reconceptualization will lead to the increased use of dismantling, parametric, and additive research strategies and that it will result in increasing collaboration with other basic researchers. The assumption that a redefinition will stimulate increased collaboration and specificity of causal mechanisms is questioned as are the assumptions that randomization, group comparison designs, and within therapist designs will lead inherently to more valid assessments of cause-effect relationships. Analyses of a randomized clinical trials study is used to illustrate how clinical research can be guided by theory to tease out causal relationships, within therapy, and within patient factors. Ultimately, a combination of research paradigms, including N = 1, clinical utility, and controlled research, will best provide answers to important questions of change mechanisms and treatment effectiveness. A simple reconceptualization, however, is not necessary to make this happen and belies the complexity and overlap of the problems to be addressed.

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Section: Assertion: Using Randomized Clinical Trials (Rct) Designs Tomentioning

confidence: 99%

Psychotherapy research: Basic or applied?

Beutler

Karno

1999

J. Clin. Psychol.

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“…More recently, investigations have also focused upon the intensive analysis of a smaller number of cases to identify process elements contributing to therapeutic change (Hill, 1989; Toukmanian & Rennie, 1992). Such studies have been subject to several criticisms, including the limited duration of most treatments studied, the questionable generalizability of findings derived from training sites (e.g., graduate student therapists and college student patients), and the near exclusive reliance upon measures of presenting symptomotology as dependent measures (Beutler & Clarkin, 1991). Because this work has had limited impact upon the actual conduct of psychotherapy, some authors have called for a reappraisal of the Boulder Model and its positivist bias (Hoshmand & Polkinghorne, 1992).…”

Section: Assessment Of Outcomes In the Behavioral Group Practicementioning

confidence: 99%

Integrating science and practice in outcomes assessment: A bolder model for a managed era.

Steenbarger¹,

Smith²,

Budman³

1996

Psychotherapy: Theory, Research, Practice, Training

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Changes in the financing of healthcare have created the need for large, multispecialty group practices capable of delivering a comprehensive array of services under capitation. The financial risk of capitation, together with demands for accountability with respect to the cost and quality of delivered services, require such groups to engage in ongoing data collection. The present article describes these integrated delivery systems as emboldened Boulder Model entities, in which the treatment site-rather than the individual clinician-is the locus of science-practice integration. This trend Brett N. Steenbarger, Ph.D. is Assistant Professor of Psychiatry and Behavioral Sciences and Director of Student Counseling at the SUNY Health Science Center in Syracuse. He is also the former Executive Director of PrimeCare of Central New York, Inc., a multidisciplinary behavioral healthcare practice network. H. Bret Smith, M.Ed., LPC, is Vice-President of REC Management, Inc., a behavioral healthcare management services organization. He is also founder and President of Relationship Enrichment Center, LLC, a multidisciplinary behavioral health group practice in the greater Atlanta, GA area. Simon H. Budman, Ph.D. is the Director of Mental Health Training at the Harvard Community Health Plan in Boston, MA.; and President and founder of Innovative Training Systems, Inc., a healthcare consulting company.

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“…The challenge will be to articulate and operationalize the grounds on which eclectics tailor their interpersonal styles and stimulus value to different clients. Systematic Eclecticism (Beutler, 1983, 1986; Beutler & Clarkin, 1991), for example, advocates that therapists adjust several interpersonal dimensions to fit various client presentations. The dimensions of therapeutic style that might be influenced by client presentations include (a) the degree to which the therapist engages in a process of confronting the client with feared objects, ideas, and images; (b) the degree to which the therapist focuses on altering internal or external experiences and behaviors; (c) the degree to which the therapist draws attention to in-therapy or extra-therapy activities; and (d) the amount to which the therapist directs therapeutic tasks and initiates topics of discussion.…”

Section: The Future Of Technical Eclecticismmentioning

confidence: 99%