Motivational Enhancement Therapy for Increasing Antidepressant Medication Adherence and Decreasing Clinical Depression Among Adult Latinos

2016 ◽  
pp. 256-362
Author(s):  
Alejandro Interian ◽  
Ariana Prawda ◽  
Daniel B. Fishman ◽  
William M. Buerger
Keyword(s):  
Case Studies ◽  
Community Mental Health Center ◽  
Quantitative Methods ◽  
Mental Health Center ◽  
Antidepressant Medication ◽  
Psychotherapy Research ◽  
Positive Outcome ◽  
Motivational Enhancement Therapy ◽  
Motivational Enhancement ◽  
Qualitative And Quantitative Methods

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research, combining the results from a randomized clinical trial (RCT), from case studies drawn from the RCT, and a synthesis of the two types of knowledge. Chapter 6 of the book applies this model to a study of the application of a three-session, individual, “motivational interviewing” therapy—specifically labeled “motivational enhancement therapy for antidepressants” (META). META was employed for treating disadvantaged, predominantly Spanish-speaking Latinos with depression. Finding META plus routine individual psychiatric therapy based in a community mental health center (CMHC) to be statistically and substantially superior to the CMHC-therapy-only condition, the authors then analyze and compare the positive-outcome case of Lupe, the mixed-outcome case of Ana, and the negative-outcome case of Maria, all drawn from the META condition.

Themes and Lessons Learned

2016 ◽  
pp. 337-361
Keyword(s):  
Clinical Trial ◽  
Mixed Methods ◽  
Case Studies ◽  
Quantitative Methods ◽  
Psychotherapy Research ◽  
Positive Outcome ◽  
Lessons Learned ◽  
Qualitative And Quantitative Methods ◽  
Change Mechanisms

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research, combining the results from a randomized clinical trial (RCT) with systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT; and a synthesis of the two types of knowledge. Chapters 3–6 of the book present four specific and diverse projects that concretely illustrate the CWT method. In Chapter 8 the editors analyze the four chapters and explore emergent themes in the knowledge gained from them. In the process, the editors systematically compare the positive-outcome and negative-outcome cases across the four projects, highlighting, for example, (a) the importance of contextual variables in creating the conditions for change mechanisms to be activated; (b) the multidimensional, reciprocally interactional nature of the therapy process; and (c) the particular role of therapist responsiveness.

The Efficacy of Interpersonal Psychotherapy – Adolescent Skills Training (IPT-AST) in Preventing Depression

2016 ◽  
pp. 119-180
Author(s):  
Sarah S. Kerner ◽  
Jami F. Young
Keyword(s):  
Case Studies ◽  
School Counseling ◽  
Quantitative Methods ◽  
Psychotherapy Research ◽  
Skills Training ◽  
Positive Outcome ◽  
Interpersonal Psychotherapy ◽  
Interpersonal Therapy ◽  
Usual Condition ◽  
Qualitative And Quantitative Methods

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research combining the results from a randomized clinical trial (RCT); the results of richly and qualitatively detailed systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT; and a synthesis of the two types of knowledge. Chapter 4 of the book applies this model to a study of the application of a group-based, interpersonal therapy treatment—called “Interpersonal Psychotherapy—Adolescent Skills Training” (IPT-AST)—in preventing depression in adolescents. Finding a substantial statistical advantage of the interpersonal treatment over a “school counseling as usual” condition, the authors then analyze and compare the positive-outcome case of Menorka with the negative-outcome case of Shelly, both drawn from the IPT-AST condition.

“Cool Kids/Chilled Adolescents”

2016 ◽  
pp. 39-107
Author(s):  
Mikael Thastum ◽  
Irene Lundkvist-Houndoumadi ◽  
Kristian Bech Arendt ◽  
Silke Stjerneklar ◽  
Daniel B. Fishman
Keyword(s):  
Clinical Trial ◽  
Mixed Methods ◽  
Case Studies ◽  
Quantitative Methods ◽  
Behavioral Treatment ◽  
Psychotherapy Research ◽  
Positive Outcome ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Qualitative And Quantitative Methods

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research, combining the results from a randomized clinical trial (RCT); the results of richly and qualitatively detailed systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT; and a synthesis of the two types of knowledge. Chapter 3 of the book applies this model to an RCT study of a group-based, cognitive-behavioral treatment (CBT)—called “Cool Kids/Chilled Adolescents”—for youth anxiety in Denmark. Finding a substantial statistical advantage of the CBT treatment to a waiting-list control condition, the authors then analyze and compare the positive-outcome case of Lisa with the negative-outcome case of Marius, both drawn from the CBT condition.

Transference-Focused Psychotherapy for Adult Borderline Personality Disorder

2016 ◽  
pp. 190-245 ◽  
Author(s):  
Kenneth N. Levy ◽  
Kevin B. Meehan ◽  
Tracy L. Clouthier ◽  
Frank E. Yeomans ◽  
Mark F. Lenzenweger ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Case Studies ◽  
Dialectical Behavior Therapy ◽  
Quantitative Methods ◽  
Psychotherapy Research ◽  
Positive Outcome ◽  
Borderline Personality ◽  
Qualitative And Quantitative Methods ◽  
Transference Focused Psychotherapy

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research combining the results from a randomized clinical trial (RCT); the results of richly and qualitatively detailed systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT; and a synthesis of the two types of knowledge. Chapter 5 of the book applies this model to a study of an individually based psychoanalytic therapy—called “transference-focused psychotherapy” (TFP)—to treating borderline personality disorder (BPD). Finding TFP equivalent to dialectical behavior therapy, the evidence-based benchmark of BPD treatment, the authors subsequently analyze and compare the positive-outcome case of Ms. J with the negative-outcome case of Ms. V, both drawn from the TFP condition.

An Outside Perspective

2016 ◽  
pp. 327-336
Author(s):  
Harold Chui ◽  
Sarah Bloch-Elkouby ◽  
Jacques P. Barber
Keyword(s):  
Clinical Trial ◽  
Mixed Methods ◽  
Individual Differences ◽  
Randomized Clinical Trial ◽  
Case Studies ◽  
Quantitative Methods ◽  
Research Team ◽  
Psychotherapy Research ◽  
Confirmatory Bias ◽  
Qualitative And Quantitative Methods

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research, combining the results from a randomized clinical trial (RCT) with systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT; and a synthesis of the two types of knowledge. Chapters 3–6 of the book present four specific and diverse projects that concretely illustrate the CWT method. Chapter 7 presents an outside perspective on the four projects from a research team expert in conducting traditional RCTs. The authors explore the benefits of the CWT approach, such as confirming certain findings and challenging other findings in the quantitative group literature, and coming up with new hypotheses emerging from individual differences within group findings. In addition, the authors document some of the challenges of the CWT approach, such as confirmatory bias and case selection.

Navigating the Projects

2016 ◽  
pp. 26-36
Author(s):  
Daniel B. Fishman
Keyword(s):  
Clinical Trial ◽  
Mixed Methods ◽  
Randomized Clinical Trial ◽  
Case Studies ◽  
Research Design ◽  
Quantitative Methods ◽  
Psychotherapy Research ◽  
Mixed Methods Approach ◽  
Qualitative And Quantitative Methods ◽  
Types Of Knowledge

Case Studies Within Psychotherapy Trials: Integrating Qualitative and Quantitative Methods presents a specific, mixed-methods approach, called the “Cases Within Trials” (CWT) model, to psychotherapy research. The CWT model combines the randomized clinical trial (RCT) research design, based on quantitative group research, with richly, qualitatively detailed systematic case studies involving contrasting outcomes drawn from the experimental condition of the RCT. Specifically, the CWT model involves three components: results gained from the RCT, results gained from the case studies; and a synthesis of the two types of knowledge. Chapter 2 of the book is a “reader’s guide” to the details of the CWT method and its application to four illustrative RCT projects in Chapters 3–6 of the book.

Technological Innovation in the Context of Special Education Systems: A Qualitative and Structured Research Approach

1988 ◽  
Vol 9 (2) ◽  
pp. 98-108 ◽  
Author(s):  
Tom V. Hanley ◽  
Louise S. Appell ◽  
Carolyn DeMeyer Harris
Keyword(s):  
High School Students ◽  
Case Studies ◽  
Quantitative Methods ◽  
Technical Assistance ◽  
Structural Model ◽  
Research Approach ◽  
School Students ◽  
Qualitative And Quantitative Methods ◽  
Resource Rooms ◽  
Assessment Procedures

A multimethod investigation of the integration of CAI into the curriculum for mildly handicapped high school students is being conducted. The research incorporates both qualitative and quantitative methods. The research design is based on an understanding that decisions, actions, and resources at different organizational levels within the school district affect the ways computers are used in resource rooms, regular classes, and computer labs. A theory-driven, structural model is being evaluated through case studies and formal observations of CAI implementation. Findings are being used formatively during Phase I of the investigation to support development of a model of effective practices that will be replicated and refined during Phase II. Preliminary findings from initial case studies in two school districts support efforts to identify, model, and refine practices in four areas: needs assessment procedures, software selection, inservice training and technical assistance, and school communications mechanisms. A special feature of the on-going study is the nature and extent of collaboration between the researchers and local school staff.

Motivational Interviewing: Ein Literaturüberblick

2001 ◽  
Vol 47 (3) ◽  
pp. 171-188 ◽  
Author(s):  
Ralf Demmel
Keyword(s):  
Motivational Interviewing ◽  
Harm Reduction ◽  
Motivational Enhancement Therapy ◽  
Motivational Enhancement ◽  
Motivationale Interventionen

Der dysfunktionale Konsum psychotroper Substanzen geht in der Regel mit einem Zwiespalt zwischen Abstinenzvorsatz bzw. der Absicht, den Konsum zu reduzieren, einerseits und dem Wunsch oder Zwang, den Konsum fortzusetzen, andererseits einher. Das von Miller und Rollnick (1991) beschriebene Motivational Interviewing (MI) ist ein zugleich klientenzentrierter und direktiver Behandlungsstil, der dieser Ambivalenz Rechnung tragen und somit Veränderungsbereitschaft erhöhen soll. Miller und Rollnick (1991) nennen fünf Prinzipien motivationaler Gesprächsführung: <OL><LI>Empathie, <LI>Widersprüche aufzeigen, <LI>Wortgefechte vermeiden, <LI>Nachgiebig auf Widerstand reagieren und <LI>Selbstwirksamkeit fördern.</OL> Diese Prinzipien stimmen mit den Annahmen (sozial-) psychologischer Modelle der Einstellungs- und Verhaltensänderung überein. Seit Ende der achtziger Jahre wurden vorwiegend in den angelsächsischen Ländern verschiedene motivationale Interventionen zur Sekundärprävention und Behandlung von Substanzabhängigkeit und -missbrauch entwickelt, die den von Miller und Rollnick (1991) formulierten Behandlungsprinzipien entsprechen (der Drinker’s Checkup, Motivational Enhancement Therapy, das Harm-Reduction-Programm BASICS, Brief Motivational Interviewing, Brief Negotiation sowie eine Reihe weiterer motivationaler Kurzinterventionen). Vor dem Hintergrund der bislang vorliegenden Literatur erscheint insbesondere die Durchführung standardisierter motivationaler Interventionen zur Reduktion dysfunktionalen Alkoholkonsums bzw. der negativen Konsequenzen eines fortgesetzten Alkoholmissbrauchs gerechtfertigt. Voraussetzungen einer Optimierung des Behandlungserfolgs sind neben der Identifikation zentraler Wirkmechanismen u.a. eine fortlaufende Prozess-Evaluation der Implementierung motivationaler Interventionen sowie eine evidenzbasierte Ausbildung.

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