Major developments in methods addressing for whom psychotherapy may work and why

Research output: Contribution to journalArticlepeer-review

Abstract

Significant progress has been achieved in the last decades in studying two central questions in psychotherapy research: what treatment works for which patient and why does treatment work. This paper delineates central developments in the methods used to study each of these questions. Through targeted examples, the paper discusses several phenomena and trends in psychotherapy research. Regarding the question of what works for whom, the discussion focuses on the progress from the search for one moderator to guide clinical decision-making to the search for a set of such moderators and their interactive effects, to best answer this question. To answer the question why treatment is effective, the paper reviews the progress from a single snapshot of a process variable to approaching causality, that is, temporal relationships, higher dependability, and closer attention to the dynamics of change in process variables. Finally, methodological developments made it possible to combine these two questions so as to better capture the richness and complexity of therapeutic work. Two central products of this integration are discussed and demonstrated through the case of the working alliance.

Original languageEnglish
Pages (from-to)693-708
Number of pages16
JournalPsychotherapy Research
Volume29
Issue number6
DOIs
StatePublished - 30 Sep 2019

Bibliographical note

Funding Information:
This work was supported by Israel Science Foundation [grant number 186/15].

Funding Information:
The writing of this paper was supported by the Israel Science Foundation. The author is deeply honoured to have received the 2016 Outstanding Early Career Achievement Award from the International Society for Psychotherapy Research. She is deeply grateful to Jacques Barber for introducing her to the field of psychotherapy research, and for his time, guidance, wisdom, inspiration, and continuing support. She is also thankful to Chris Muran, Rob DeRubeis, Paul Crits-Christoph, Jeremy Safran, Catherine Eubanks, George Silberschatz, Hadas Wiseman, Kevin McCarthy, Paula Errázuriz, Jack Keefe, and Ricky Dinger who provided continual inspiration and support. She is also thankful for the opportunity to work with and learn from bright and dedicated students and colleagues in the Department of Psychology at the University of Haifa.

Funding Information:
This work was supported by Israel Science Foundation [grant number 186/15]. The writing of this paper was supported by the Israel Science Foundation. The author is deeply honoured to have received the 2016 Outstanding Early Career Achievement Award from the International Society for Psychotherapy Research. She is deeply grateful to Jacques Barber for introducing her to the field of psychotherapy research, and for his time, guidance, wisdom, inspiration, and continuing support. She is also thankful to Chris Muran, Rob DeRubeis, Paul Crits-Christoph, Jeremy Safran, Catherine Eubanks, George Silberschatz, Hadas Wiseman, Kevin McCarthy, Paula Err?zuriz, Jack Keefe, and Ricky Dinger who provided continual inspiration and support. She is also thankful for the opportunity to work with and learn from bright and dedicated students and colleagues in the Department of Psychology at the University of Haifa.

Publisher Copyright:
© 2018, © 2018 Society for Psychotherapy Research.

Keywords

  • moderators
  • personalized treatment
  • process variables
  • process–outcome research
  • psychotherapy research
  • working alliance

ASJC Scopus subject areas

  • Clinical Psychology

Fingerprint

Dive into the research topics of 'Major developments in methods addressing for whom psychotherapy may work and why'. Together they form a unique fingerprint.

Cite this