9B - Psychosocial treatments
Thursday, March 18, 2021
7:49 AM
*Mini-lecture 1 : Clinical efficacy and clinical utility
Efficacy vs. utility: an example
"Oil pulling" is purported by some to be good for dental hygiene
o Swish oil around your mouth for 15-20 minutes per day (no scientific
evidence supports benefits of this practice)
Let's say they're right, and oil pulling does work wonders:
o How many of us are willing to swish oil around our mouths for 20 minutes?
Are you going to do that everyday?
Clinical efficacy and clinical utility
Clinical efficacy: Is the treatment effective in a controlled clinical research context?
o Better than no therapy?
o Better than nonspecific therapy?
o Better than alternative therapies?
*Control over everything in the setting
Clinical utility: Is the treatment effective in the setting(s) where it will be applied?
o Feasibility of treatment?
Compliance? Cost? Accessibility?
o Generalizability of treatment?
*Mini-lecture 2 : CBT - Cognitive restructuring
Mental health: The vicious/virtuous cycle
Positivity seems to make things better overall
o Positivity compounds in actions, thoughts, outcomes
Cognitive restructuring
Cognitive restructuring involves identifying, questioning, and modifying the thoughts and
beliefs that maintain a person's distress
o GAD? Uncertainty; Beliefs about worry; Images
o Panic disorder? Beliefs about bodily sensations
o Social anxiety? Danger of social situations
o Eating disorders? Body and self-evaluation
o OCD? Thought-action fusion; responsibility
Thursday, March 18, 2021
7:49 AM
*Mini-lecture 1 : Clinical efficacy and clinical utility
Efficacy vs. utility: an example
"Oil pulling" is purported by some to be good for dental hygiene
o Swish oil around your mouth for 15-20 minutes per day (no scientific
evidence supports benefits of this practice)
Let's say they're right, and oil pulling does work wonders:
o How many of us are willing to swish oil around our mouths for 20 minutes?
Are you going to do that everyday?
Clinical efficacy and clinical utility
Clinical efficacy: Is the treatment effective in a controlled clinical research context?
o Better than no therapy?
o Better than nonspecific therapy?
o Better than alternative therapies?
*Control over everything in the setting
Clinical utility: Is the treatment effective in the setting(s) where it will be applied?
o Feasibility of treatment?
Compliance? Cost? Accessibility?
o Generalizability of treatment?
*Mini-lecture 2 : CBT - Cognitive restructuring
Mental health: The vicious/virtuous cycle
Positivity seems to make things better overall
o Positivity compounds in actions, thoughts, outcomes
Cognitive restructuring
Cognitive restructuring involves identifying, questioning, and modifying the thoughts and
beliefs that maintain a person's distress
o GAD? Uncertainty; Beliefs about worry; Images
o Panic disorder? Beliefs about bodily sensations
o Social anxiety? Danger of social situations
o Eating disorders? Body and self-evaluation
o OCD? Thought-action fusion; responsibility
