Objective: Both the National Institute of Mental Health and the American Psychological Association have called upon psychodynamic practitioners to start demonstrating their outcomes. This effectiveness study attempted to begin to answer these calls. Method: The study was a secondary analysis of data from a multidisciplinary, psychodynamic mental…

Background: Many authors have expressed concern regarding the efficacy of psychotherapy, including psychotherapy for people with intellectual disabilities. Materials and Methods: Recently, many authors have made claims for the effectiveness of cognitive therapy for treating people with intellectual disabilities. During this debate, applied…

This lead off article to the special volume on evidence-based psychotherapy (EBP) in college and university counseling and mental health centers presents an overview of the topic and outlines the structure of this publication. A focus on EBP research and practice generally, and in institutions of higher education specifically, is provided for…

The relational-cultural model of psychotherapy has been evolving for the past 20 years. Within this model, difficult group dynamics are conceptualized as the playing out of the central relational paradox. This paradox recognizes that an individual may yearn for connection but, out of a sense of fear, simultaneously employ strategies that restrict…

In this art therapy adaptation of the squiggle technique, the client draws eight colored squiggles on a paper folded into eight frames and then develops them into images utilizing a full range of color. The client is encouraged to write titles on each frame and use them to compose a story. This technique often stimulates emergence of meaningful…

In this article, the authors describe the refinement and preliminary evaluation of the Dimensions of Change in Therapeutic Community Treatment Instrument (DCI), a measure of treatment process. In Study 1, a 99-item DCI, administered to a cross-sectional sample of substance abuse clients (N = 990), was shortened to 54 items on the basis of results…

In the delivery of clinical services, outcomes monitoring (i.e., repeated assessments of a patient's response to treatment) can be used to support clinical decision making (i.e., recurrent revisions of outcome expectations on the basis of that response). Outcomes monitoring can be particularly useful in the context of established practice research…

The development of insecure attachment relationships in the offspring of mothers with major depressive disorder (MDD) may initiate a negative trajectory leading to future psychopathology. Therefore, the provision of theoretically guided interventions designed to promote secure attachment is of paramount importance. Mothers who had experienced …

This randomized trial is a first evaluation of a brief psychotherapeutic intervention for primary care patients. Sixty-two participants were randomly assigned to the intervention or to treatment as usual. As compared with treatment as usual, the intervention led to significant reductions in symptoms of anxiety and depression. The reduction was…

A qualitative study of group therapy for aphasia was undertaken in order to discover interaction patterns and discourse management strategies that help define "social" or "conversation" group therapy for aphasia. Specifically, an analysis of the discourse of clients and therapists was conducted to identify patterns across therapists and settings.…

Randomized trial evidence and expert guidelines are mixed regarding the value of combined pharmacotherapy and psychotherapy as initial treatment for depression. This study describes long-term results of a randomized trial (N = 393) evaluating telephone-based cognitive-behavioral therapy (CBT) plus care management for primary care patients…

This conference address examines the question of whether "memory work"--using therapeutic techniques to help clients recover suspected hidden memories of childhood sexual abuse--has led some clients to develop illusory memories or false beliefs. Prospective research on memory for childhood trauma indicates that the gist of traumatic…

There is no accepted definition and no adequate measure for the concept of Emotional Intelligence (EI). Some of the myriad issues surrounding EI are discussed here. One problem in the consideration of EI is the confusion between the terms "feelings" and "emotions." Differences between the two are examined and a working definition of feelings is…

Few images are as compelling as a child who has become the victim of a manmade or natural disaster. This book is designed to draw together data, theory, and observation that address children's psychological response to disaster. Characterized by its diversity in scope, nature, and quality, some of the material comes in the form of observations…

A study investigated the influence and effectiveness of career counselors and psychotherapists in facilitating positive life planning for persons recovering from traumatic brain injuries. Information was collected through a personal survey of 13 fairly highly functioning adult members of a head injury support group. Respondents answered in writing…