Article

Therapeutic Assessment for Preadolescent Boys With Oppositional Defiant Disorder: A Replicated Single-Case Time-Series Design

Department of Psychology, University of Tennessee, Knoxville, TN, USA.
Psychological Assessment (Impact Factor: 2.99). 09/2010; 22(3):593-602. DOI: 10.1037/a0019697
Source: PubMed

ABSTRACT The Therapeutic Assessment (TA) model is a relatively new treatment approach that fuses assessment and psychotherapy. The study examines the efficacy of this model with preadolescent boys with oppositional defiant disorder and their families. A replicated single-case time-series design with daily measures is used to assess the effects of TA and to track the process of change as it unfolds. All 3 families benefitted from participation in TA across multiple domains of functioning, but the way in which change unfolded was unique for each family. These findings are substantiated by the Behavior Assessment System for Children (Reynolds & Kamphaus, 2004). The TA model is shown to be an effective treatment for preadolescent boys with oppositional defiant disorder and their families. Further, the time-series design of this study illustrated how this empirically grounded case-based methodology reveals when and how change unfolds during treatment in a way that is usually not possible with other research designs.

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Available from: J.D. Smith, Aug 15, 2015
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    • "Smith et al. (2009), using a repeated measures single-case design, showed the effectiveness of TA-C with a family referred for their child's conduct problems. Last, using a replicated time-series design, Smith et al. (2010) found that TA-C promoted change in families at different points during the process, suggesting that different families are receptive to different aspects of the approach. The clients of this latter study repeatedly completed individualized rating scales to track symptomatic change during the treatment. "
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    ABSTRACT: In this paper we present a new model of intervention with documented efficacy that combines psychological tests and assessment methods with therapeutic techniques to promote change in clients. We will discuss Therapeutic Assessment of Children and their families (TA-C) through the case of a 4-year-old girl, Clara, and her family. Clara’s parents were distressed by her uncontrollable rage outbursts and feared she might be “crazy”. The treatment helped to shift the narrative the parents had about Clara and give new meanings to her behaviors. We describe in detail the steps of the assessment and provide a theoretical discussion of the therapeutic processes involved.
    Contemporary Family Therapy 12/2013; DOI:10.1007/s10591-013-9265-3
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    • "In children, emerging evidence suggests that TA was associated with symptomatic improvement (Smith et al., 2010; Tharinger et al., 2009), but these studies suffer from small samples and nonrandomized designs. In the context of the larger body of literature, the findings of these studies of TA are consistent with the findings of a recent meta-analysis (original analysis: Poston & Hanson, 2010; reanalysis: Hanson & Poston, 2011), which showed a significant overall effect (Cohen's d ϭ 0.40) favoring the therapeutic effects of psychological assessment with individualized feedback procedures over comparison conditions, such as waitlist controls, assessment as usual, and other evidence-based active intervention. "
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    ABSTRACT: The field of clinical personality assessment is lacking in published empirical evidence on its treatment and clinical utility. This paper reports on a randomized controlled clinical trial (N = 74) allocating patients awaiting treatment in a specialized clinic for personality disorders to either four sessions of (a) Therapeutic Assessment (TA) or (b) a structured Goal Focused Pre-Treatment Intervention (GFPTI). In terms of short-term outcome, TA demonstrated superior ability to raise outcome expectancies, and patient perceptions of progress towards treatment (Cohen’s d = .65 and .56, respectively), and yielded higher satisfaction (d = .68). Moreover, patients reported marginally stronger alliance to the TA clinicians than to GFPT clinicians (d = .46), even though therapists perceived the alliance as equally positive in both groups. No differences in symptomatic ratings were observed. Results are discussed with reference to the concept of treatment utility in this particular patient group.
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    • "In addition, the reliable change index was only calculated in cases where test–retest reliability data were available for a given measure. The second approach used for single-case analysis was Simulation Modeling Analysis (SMA; Borckardt et al., 2008), an approach increasingly used in the single-case literature (Smith et al., 2010). SMA (Version 8.3.3) was used to analyze single-case data. "
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