The Art and Science of Psychotherapy 1st Edition by Stefan Hofmann, Joel Weinberger ISBN 0203943422 9780415952156

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ISBN 10: 0203943422 
ISBN 13: 9780415952156
Author: Stefan Hofmann, Joel Weinberger

Psychotherapy, like most other areas of health care, is a synthesis of scientific technique and artistic expression. The practice, like any other, is grounded in a series of standardized principles, theories, and techniques. Individual practitioners define themselves within the field by using these basic tools to achieve their therapeutic goals in novel ways, applying these rudimentary skills and guiding principles to each situation. However, a toolbox full of treatment approaches, no matter how comprehensive, is not enough to effectively reach your patients. Effective work can only be accomplished through a synthesis of the fundamental scientific methods and the creative application of these techniques, approaches, and strategies. The Art and Science of Psychotherapy offers invaluable insight into the creative side of psychotherapy. The book addresses the fundamental split between researchers and scholars who use scientific methods to develop disorder-specific treatment techniques and those more clinically inclined therapists who emphasize the individual, interpersonal aspects of the therapeutic process. With contributions from leading therapists, the editors have compiled a practical handbook for clinical psychologists, social workers, psychiatrists, and mental health professionals.

The Art and Science of Psychotherapy 1st Table of contents:

Section I Theoretical Issues
1 Discovering What Works in the CommunityToward a Genuine Partnership of Clinicians and Researchers
The Present Chapter
Empirically Supported Complexity
Psychological Processes Are Highly Malleable
Psychopathology Is Independent of Personality
Most Patients Have Only One Discrete Syndrome or Can Be Treated as if They Do
The Interventions Specified in the Manual Are the Ones That Are Causally Related to Outcome
Hypothesis Testing Is the Sine Qua Non of Science and of the Science of Psychotherapy
Choice of Control Conditions Minimally Constrains Generalizations Drawn from RCTs
Evidence Based Practice Is Synonymous with Empirically Supported Therapies
Summary and Implications
Developing A Complementary Methodology
Why Bother, Part I: The Limits of ESTs
Why Bother, Part II: Glimpses from Naturalistic Studies
Conclusions
References
Endnotes
2 Methodcentric Reasoning and the Empirically Supported Treatment Debates
Reconsidering The Role Of Rct Methodology
Limitations Of The Rct Methodology
Rct As A Method For Studying Psychotherapy
A Hybrid Model Of Psychotherapy Research
Practice Network Model Of Psychotherapy Research
Effectiveness-Rct Model Of Psychotherapy Research
Conclusions
References
3 An Integrative, Principle-Based Approach to Psychotherapy
Introduction
Current Approach To Outcome Research
Psychotherapy Process Research
Principles Of Change
Increased Interest In Principles
Psychotherapy Integration
An Integrative, Principle-Based Approach To Training
Conclusion
References
4 Efficacy, Effectiveness, and the Clinical Utility of Psychotherapy Research
The Efficacy And Effectiveness Models
A Brief History
Recent Efforts To Integrate The Efficacy And Effectiveness Models
NIMH Initiative: Intervention Research Centers
Efficacy/Effectiveness Clinics
Practice Research Network
Stage/Hybrid Model of Behavioral Therapies Research
Meta-Analyses Of Psychotherapy Outcomes
Efficacy, Effectiveness, And The Clinical Utility Of Evidence-Based Practice: A Reprise
Future Prospects
References
5 The Local Clinical Scientist
The Local Clinical Scientist Model
Similar Approaches
The Presidential Task Force
Some Lessons From Social Psychology
A Word Of Caution
The Local Clinical Scientist In Action
Conclusion
References
Section II Nonspecific And Common Factors
6 Empirically Supported Common Factors
The Est Approach
The Common Factors Approach
A Slightly Different View Of Common Factors
The Factors
The Therapeutic Relationship
Expectancies of Treatment Effectiveness
Confronting or Facing Problems (Exposure)
Mastery
Attributions of Therapeutic Outcome
Summarizing the Common Factors
Is the Common Factors Approach Catching On?
Arguments Against the Common Factors Approach
Research, Treatment, And Training Implications
References
Endnote
7 Toward the Integration of Technical Interventions, Relationship Factors, and Participants Variables
Introduction
Therapy Outcome Research
Empirically Supported Treatments or Equality of Treatments
Technique, Relationship, and Participant Factors Debate
Treatments That Work
Relationships That Work
Participant Factors That Work
An Integrative Approach
Task Force on Empirically Supported Principles of Therapeutic Change
Applications of Principle-Based Treatments to Psychotherapy
Prescriptive Psychotherapy
A Principle-Based Treatment for Treating Mass Trauma
Quality of the Therapeutic Relationship
Therapist Interpersonal Skills
Therapist Clinical Skills
Therapeutic Stance and General Interpersonal Style
Framework of Intervention
Interpersonal/Systemic versus Intrapersonal/Individual Procedures
Thematic/Insight-Oriented versus Symptom/Skill Building Procedures, as Well as the use of Emotion-Focused Procedures
Conclusion
References
8 Alliance Ruptures Theory, Research, and Practice
Rupture Resolution And The Therapeutic Alliance
Rupture Resolution: Process And Research
Rupture Resolution And Practice: Metacommun1Cation
Rupture Resolution And Therapist Internal Processes
Brief Relational Psychotherapy (Brt)
Conclusion
References
9 Understanding and Working with Resistant Ambivalence in Psychotherapy An Integrative Approach
A Working Model Of Resistant Ambivalence
Strategies For Working With Resistant Ambivalence
Motivational Interviewing (MI)
Principles and Strategies of MI
Research on the Efficacy of MI
The Two-Chair Approach
Research, on the Two-Chair Approach
Concluding Comments
References
Endnotes
Section III Treatments Of Axis I Disorders
10 General Principles for the Treatment of Emotional Disorders Across the Lifespan
Shared Factors In The Development Of Emotional Disorders
Current Treatments For Emotional Disorders In Youth And Adulthood
The Development Of A New Approach To The Treatment Of Emotional Disorders
The Unified Protocol For The Treatment Of Emotional Disorders
Antecedent Cognitive Reappraisal
Emotional Avoidance
Modifying Emotionally Driven Behaviors (Action Tendencies)
Application Of The Unified Approach To Emotional Disorders
Current Status Of Treatment
References
11 The Art of Evidence-Based Treatment of Trauma Survivors
Evidence-Based Practices
Complexity Matters
Art In The Treatment Of PTSD
Maintaining Flexibility
Therapist Characteristics and the Therapeutic Relationship
Choosing the Right Intervention
Imparting Confidence and Positive Expectations
Bearing Witness to Trauma
Therapist Self-Care
Self-Disclosure and Emotional Presence
Maximizing Emotional Engagement
Overcoming Resistance
Caveats and Cautions
References
Section IV Treatments Of Axis Ii Disorders
12 Personality Diagnosis with the Shedler-Westen Assessment Procedure (SWAP) Bridging the Gulf Between Science and Practice
Why Revise Axis II?
The Problem With Clinical Data
A Standard Vocabulary For Case Description
An Illustration: Borderline Personality Pathology
Treatment Implications
A Case Illustration
PD Diagnosis
Narrative Case Description
Assessing Change in Therapy
Reliability And Validity
Toward Dsm—V: An Empirical Approach To Revising And Refining Diagnostic Criteria
Identifying Core Features of PDs
Method
Results
Cluster A: The “Odd” Cluster
Paranoid PD
Cluster B: The “Dramatic” Cluster
Antisocial PD
Cluster C: The “Anxious” Cluster
Discussion of Empirical Findings
Conclusion: Integrating Science And Practice
References
Endnotes
13 The “Art ” of Interpreting the “Science ” and the “Science ” of Interpreting the “Art ” of the Treatment of Borderline Personality Disorder
PROS AND CONS OF RCTs
The Hierarchy Of Treatment Evidence
Pre-Post Designs
Quasi-experimental Designs
Randomized Controlled Trials
Wait-List Control
Treatment-As-Usual
Placebo
Comparison with Well-established, Well-delivered, Alterative Treatments
Summary Of RCTs
Implications for Mechanisms of Change
An Integration of the Evidence

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Tags: Stefan Hofmann, Joel Weinberger, Science, Psychotherapy