Who seeks treatment? Why? correct answers 1. Young to middle ages females: emotional support
2. Higher SES: Have the means
Why: Life challenges and transitions, emotional distress, impaired daily functioning, existential,
psychiatric disorder
Efficacy in Psychotherapy correct answers Efficacy: "in the lab" results
RCT: Randomized control trials
Therapist's methods are controlled and manualized
Selective diagnostic criteria for patients
Effectiveness in Psychotherapy correct answers Effectiveness: "in the real world" results
Greater variability in therapist's methods
Greater variables in client issues/diagnoses
Consumer Reports Study on Psychotherapy (1994) correct answers An effectiveness study.
,Out of 180,000 readers, 22,000 responded.
7,000 sought help for mental/emotional health -
50% sought professional help, while 37% saw psychologists.
Majority of respondents report feeling better after seeking treatment (85-92%)
Psychotherapy alone = psychotherapy with meds
Long term > Short term therapy
Mental health professional vs family doctor
Efficacy Studies in Psychotherapy correct answers Overall Result: Psychotherapy works
Many meta analyses and individual studies support this finding
Average person receiving therapy is better off than 80% of comparable others who don't
Benefits last and exceed placebo effect
Effectiveness Studies in Psychotherapy correct answers More limited but similar results to efficacy
studies: psychotherapy works
Some methodological concerns: sampling bias, no control group
,What kind of therapy was most popular until 2010? correct answers Eclectic/integrative therapy
Now CBT is #1
Psychodynamic therapy has been in decline
DoDo Bird Verdict correct answers Different psychotherapeutic orientations are equally effective
Mechanisms of Change - Client Factors correct answers Demographics
Psychological Functioning
Treatment Responsiveness
Personality
Client Factor: Demographics correct answers SES - more likely to stay in treatment
Gender - women are more likely to seek treatment, but the attrition rate is the same
Ethnicity - no significant differences, but match between client and patient in terms of ethnicity is
important
Client Factor: Psychological Functioning correct answers Symptom Severity and functional
impairment are less likely to stay in treatment
Client Factor: Treatment Responsiveness correct answers Reactance (defensiveness) - low levels are
more likely to stay in treatment
, Expectations - less open to change
Client Factor: Personality correct answers Personality Disorders - antisocial and borderline are less
likely to do well
Ego Strength (coping skills)
Tapping into personality resources
Therapist Factors correct answers Demographic
Professional Experience
Personality
Therapist Factor: Demographic correct answers Ethnicity, Gender, age: differences do not matter
Therapist Factor: Professional Experience correct answers Mental health vs. general health training:
Mental health training has higher success rates
Amount of experience: More experiences = better outcomes
Therapist Factor: Personality correct answers Traits - nope
Emotional Well-being: Higher levels are better
Self-disclosure
Therapeutic Process correct answers Alliance, Confront Problems, Match with Client, Mastery
Harmful Effects correct answers -Beyond "target" outcomes