Early response in psychotherapy: further evidence for the importance of common factors rather than "placebo effects".
ABSTRACT Evidence is presented demonstrating that placebo control groups benefit more from psychotherapy than no-treatment control groups but less than patients who receive theory-driven treatments. Through a brief review of the results of comparative outcome studies, studies which compare patient outcomes for those seen by trainees or paraprofessionals versus professional therapists and those which show an early response of a sizable portion of patients, a case is made for the powerful effects of common factors in psychotherapy. The early response phenomenon has proposed another challenge to the unique effects of specific psychotherapies and to the wisdom of emphasizing the causative effects of specific techniques in the treatment of specific disorders.
- SourceAvailable from: Thomas Probst[Show abstract] [Hide abstract]
ABSTRACT: Objectives: Within the clinical support tools (CST) of the OQ-Analyst, the “Assessment for Signal Cases” (ASC) evaluates the therapeutic alliance, social support, motivation, and life events. We investigated whether the ASC covers domains of importance in treatment weeks with extreme deviations from expected recovery curves (ERCs). Methods: Psychosomatic in-patients were monitored weekly with the ASC and the “Outcome Questionnaire” (OQ-45). The ERCs of the OQ-45 empirical algorithm were used to define treatment weeks with extreme positive deviations (EPD), extreme negative deviations (END), or without extreme deviations (NO). Associations between the ASC scales and EPD as well as END were analyzed by multilevel models. Results: While each ASC scale was positively associated with EPD, only the social support and life events scales were negatively related to END. Conclusions: CSTs prioritizing social support and life events might be more effective in preventing treatment failure.Psychotherapy Research 11/2014; epub ahead of print. · 1.75 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: In this article, we examine the overlap in research related to counseling and transformational leadership abilities. A review of current research suggests that utilizing leadership measures may provide concise options for assessing specific common factors of successful counselors. Implications for counseling research are discussed, including future trends for research related to measurement of effective counselor attributes and counselor education.Journal of Creativity in Mental Health 07/2013; 8(3):293-304.
- Journal of College Student Psychotherapy 06/2014; 28(3):229-240.