By George W. Rosenfeld
Beyond Evidence-Based Psychotherapy teaches scholars via a standard components point-of-view, combining study, case reports, a number of remedy orientations, and a point of view that describes the private development of a clinician’s profession. It differs from earlier texts in that it provides the hot examine on psychotherapy in a structure that's comprehensible, memorable, and appropriate to pupil matters, while integrating learn and medical adventure to pragmatically consultant scientific decisions. This e-book offers scholars of kid and adolescent psychotherapy which are pursuing levels in psychiatry, medical psychology, social paintings, and marriage and kinfolk counseling with an perception into the perform of a kid psychologist with 40,000 hours of expertise operating with hundreds of thousands of consumers and households.
In the 1st a part of the ebook, Rosenfeld offers eight universal elements of swap in operating with kids and kids. the second one half brings the reader via a ''day within the life'' of the writer as he visits with a chain of consumers in quite a few phases of therapy, bringing the fabric mentioned partly one to life.
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Additional resources for Beyond Evidence-Based Psychotherapy: Fostering the Eight Sources of Change in Child and Adolescent Treatment
1. Evidenced-Based Techniques Evidenced-based techniques might be incorporated into treatment when the timing is appropriate. The research guides us to favor some interventions and to avoid others. There are evidence-based interventions that have become the standard of care for some diagnostic categories. Research has shown at least the shortterm effectiveness of cognitive-behavioral therapy (CBT) and exposure and response prevention for compulsions; applied behavior analysis and the TEACCH program for autism (Mesibov & Shea, 2006); CBT, exercise, and medication for depression; dialectical behavior therapy for borderlines; penile squeeze and stop–start techniques for premature ejaculation (Kilmann & Auerbach, 1979); Wet-Stop and similar devices for enuresis (Glazener, Evans, & Peto, 2005); behavior modification for encopresis; cognitive therapy for panic disorder and bulimia; medication, classroomand home-based behavior modification, education about the disorder, and educational advocacy for attention-deficit/hyperactivity disorder (ADHD); parent behavioral training involving contingency management, anger management, and problem-solving and assertiveness training for youths with behavior disorders; and exposure, relaxation, medication, systematic desensitization, and (for adolescents and older) CBT for fears and anxiety.
The research indicates that eight elements account for change in psychotherapy. Each can be sufficient to determine outcome. Therefore the therapist’s mission is to contribute to fostering change by maximizing the impact of these forces. These eight forces are described as distinct entities, but in reality they can be indistinguishable from each other. For instance, the distinction is vague between therapeutic techniques and the therapist’s characteristics that contribute to change. , techniques) with problems.
Comorbidity runs rampant in clinical practice while researchers seek subjects who have only one diagnosis. , 1998). , 2002). Furthermore, as discussed above, evidence-based treatments may not be transportable to everyday clinical practice because the subjects in these studies are preselected to benefit from the intervention. , 1998, p. 906). As James Prochaska noted, research outcome studies recruit “the most compliant clients by requiring multiple assessments and permission before treatment starts, requiring that people be willing to accept placebos or no treatment, and making access to treatment difficult, such as always being clinic-based rather than having an option for home-based treatment” (Norcross & Goldfried, 2005, p.