Across mental health and behavioural problems, ‘Dodo bird’ findings that bona fide therapies have similar effects have turned attention to the ‘common factors’ they share rather than how they differ. A collection specially catalogued to explore this important issue starting with the analyses most recently added or updated, totalling today 81 documents.
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REVIEW 2018 HTM file
Alliance rupture repair: a meta-analysis
Amalgamation of research findings commissioned by the American Psychological Association raises the intriguing possibility that experiencing the resolution of breakdowns or tensions (‘ruptures’) in the therapist–client relationship promotes client welfare even more than relationships with no ruptures. Evidence-based tips are given to help therapists resolve ruptures.
COLLECTION 2018 HTM file
The client–therapist relationship
‘Collections’ are customised Effectiveness Bank searches not available via the standard options in the search pages. At the heart of addiction treatment lies client–therapist relationships, across psychotherapy a stronger influence on how well clients do than the type of therapy.
REVIEW 2011 HTM file
Adapting psychotherapy to the individual patient: Resistance/reactance level
Meta-analytic review commissioned by a US task force concludes that psychotherapy patients who characteristically exhibit low levels of resistance or reactance respond better to directive types of treatment, while reactive patients prone to resist direction respond best to non-directive approaches.
MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell B4: Practitioners; Psychosocial therapies
Seminal and key studies on the impact of the practitioner in psychosocial therapies. Takes Carl Rogers’s seminal theories as its starting point and guides you through the complexities which obscure the impact of client-worker relationships despite their patent important to the clients.
The unexpected resignations of two counsellors at a US methadone clinic in early 1985 triggered a unique study of the influence of counsellors on their patients’ recovery. Its insight remains relevant today, and the study has been added to the Effectiveness Bank as a piece of ‘old gold’.
A review commissioned by the American Psychological Association found that patients who enter psychotherapy with positive expectations about outcomes tend to actually have better outcomes, suggesting therapists should regularly assess expectations and if indicated take steps to enhance them.
MATRIX CELL 2017 HTM file
Drug Treatment Matrix cell B2: Practitioners; Generic and cross-cutting issues
At the front line the practitioner is to the patient the face of addiction treatment. Key research shows they can matter enormously – not so much in their formal qualifications, but in their manner with the patients. Probe with us the heart of addiction treatment: relationships.
MATRIX CELL 2017 HTM file
Drug Treatment Matrix cell A2: Interventions; Generic and cross-cutting issues
Seminal and key studies on features common to psychosocial therapy/support and medical treatment. Investigates where treatment is aiming to get to in the form of ‘recovery’, where it starts from as depicted in the brain-disease model of addiction, and the politics of the two most important British drug treatment studies.
DOCUMENT 2017 HTM file
Drug misuse and dependence: UK guidelines on clinical management
Last published in 2007, there is no more important document for UK clinicians involved in treating problem drug use than the so-called ‘Orange guidelines’. This major update offers detailed guidance on the range of problems, settings and patients clinicians encounter, substantially informing judgements of what constitutes good medical practice.
Early US study uncovered for the Alcohol Treatment Matrix found a Rogerian client-centred therapy characterised by non-directive, empathic listening beneficially changed self-perceptions of alcohol-dependent patients and reduced relapse compared to approaches based on learning theory or psychoanalysis.
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