Cultural Considerations in Evidence-Based Couple Therapy

2014 ◽  
Author(s):  
Mia Sevier ◽  
Leah Brew ◽  
Jean C. Yi
Keyword(s):  
Couple Therapy ◽  
Evidence Based ◽  
Cultural Assumptions ◽  
Cultural Aspects ◽  
Cultural Considerations ◽  
Empirically Supported ◽  
Empirically Supported Therapies ◽  
Evidence Based Treatments ◽  
Race Ethnicity ◽  
Diverse Groups

This chapter considers issues of culture in couple therapy while examining the current movement toward empirically supported therapies (ESTs). Culture is distinguished from the related but distinct concepts of race, ethnicity, and nationality, and the value of studying culture directly is discussed. Several concerns and criticisms of empirically supported therapy criteria related to diverse couples are presented including a lack of inclusion in studies, the valuing of internal over external validity, and unexamined assumptions of universality. Cultural assumptions behind evidence-based treatments are examined with hypotheses about cultural congruency for diverse groups. Existing scholarly works on cultural aspects of the therapy approaches are highlighted. The clear need to build on existing theoretical and case-based knowledge related to culture in empirical ways is discussed.

Monitoring the Counseling Relationship and Client Progress as Alternatives to Prescriptive Empirically Supported Therapies

2017 ◽  
Vol 39 (2) ◽  
pp. 104-115 ◽  
Author(s):  
Gregory T. Hatchett
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Professional Organizations ◽  
Insurance Companies ◽  
Evidence Based ◽  
Counseling Relationship ◽  
Planning Decisions ◽  
Empirically Supported ◽  
Empirically Supported Therapies ◽  
Routine Outcomes Monitoring

Many insurance companies and professional organizations have increasingly stipulated that mental health professionals use interventions that have been classified as empirically supported therapies (ESTs). Though the EST movement aims to provide clinicians with straightforward, evidence-based interventions for making treatment planning decisions, there are several practical and scientific barriers to the wholesale implementation of ESTs by mental health counselors. These barriers will be discussed, and two alternative strategies—cultivation of the counseling relationship and routine outcomes monitoring—will be presented as evidence-based alternatives to prescriptive ESTs.

Myths, Misconceptions, and Invalid Assumptions About Counseling and Psychotherapy

2020 ◽  
Author(s):  
Jeffrey Kottler ◽  
Richard S. Balkin
Keyword(s):  
Knowledge Base ◽  
Culturally Diverse ◽  
Theoretical Models ◽  
Alternative Conceptions ◽  
Evidence Based ◽  
Diverse Population ◽  
Empirically Supported ◽  
Overwhelming Evidence ◽  
Evidence Based Treatments ◽  
Creativity And Innovation

In Myths, Misconceptions, and Invalid Assumptions about Counseling the authors examine the science, art, and certainties and uncertainties of psychotherapy. In this book we have selected several dozen issues in our field, many of which are considered generally accepted principles or operating assumptions. We put them under close scrutiny to examine them more carefully. We’ve considered a wide variety of subjects, ranging from those that relate to our espoused beliefs, theoretical models, favored techniques and interventions, to accreditation and licensing requirements. We have also addressed some of the sanctioned statements about the nature and meaning of empirically supported and evidence based treatments. We even question what we can truly “know” for sure and how we can be certain these things are true. When considering the efficacy of psychotherapy, there is overwhelming evidence that the vast majority of clients are significantly improved as a result of our treatments. Advances in the models, methods, and strategies during the last few decades have allowed us to work more swiftly and efficiently, to reach a much more economically and culturally diverse population. But do we really know and understand as much as we pretend to? Is the foundation upon which we stand actually as stable and certain as we think, or at least claim to believe? Are the major assumptions and “truths” that we take for granted and accept as foundational principles really supported by solid data? And how might these assumptions, beliefs, and constructs we hold so sacred perhaps compromise and limit increased creativity and innovation? These are some of the uncomfortable and provocative questions that we wish to raise, and perhaps challenge, so that we might consider alternative conceptions that might further increase our effectiveness and improve our knowledge base grounded with solid evidence.

Helping Families Manage Childhood OCD

2016 ◽  
Author(s):  
Tara S. Peris ◽  
John Piacentini
Keyword(s):  
Family Stress ◽  
Stress And Strain ◽  
Evidence Based ◽  
Emotion Regulation Strategies ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Empirically Supported ◽  
Evidence Based Treatments ◽  
Regulation Strategies ◽  
Family Distress

Childhood obsessive compulsive disorder (OCD) is a complex condition that is often accompanied by high levels of family stress and strain. Families of youth with OCD face a unique set of difficulties in that they often are intimately involved in their children’s symptoms. This pattern of responding to OCD, frequently referred to as accommodation, comes in many forms, and for most families, it occurs daily. Research suggests that accommodation is accompanied by increased levels of family distress, anxiety, and conflict, which, when high enough, can undermine successful OCD treatment. Although evidence-based treatments exist for childhood OCD, few protocols offer strategies for treating these more complex family presentations. This program offers an empirically supported approach for managing childhood OCD complicated by poor family functioning. It identifies specific family features that may contribute to treatment nonresponse in childhood OCD, and provides clinicians with an innovative set of strategies for addressing them. By focusing on emotion-regulation strategies and family-problem-solving exercises, families learn to troubleshoot difficult OCD episodes in an effective and supportive manner.

Obsessive–Compulsive and Related Disorders

2018 ◽  
Author(s):  
Lara J. Farrell ◽  
Sharna L. Mathieu ◽  
Cassie Lavell
Keyword(s):  
Body Dysmorphic Disorder ◽  
Psychological Treatment ◽  
Behavioral Therapy ◽  
Repetitive Behaviors ◽  
Evidence Based ◽  
Obsessive Compulsive ◽  
Empirically Supported Treatment ◽  
Compulsive Disorder ◽  
Empirically Supported ◽  
Evidence Based Treatments

Obsessive compulsive and related disorders (OCRDs) in children and adolescents represent a cluster of conditions that significantly interfere in the lives of sufferers and their families. These disorders involve repetitive behaviors and often a preoccupation with distressing, obsessional thoughts. OCRDs include obsessive–compulsive disorder (OCD), body dysmorphic disorder (BDD), hoarding disorder, trichotillomania, and excoriation disorder. The severity, functional impairment, and associated health conditions of these disorders call for timely evidence-based assessment and treatment. Evidence-based assessments include structured and semistructured interviews. Interviews allow for the assessment of symptoms, comorbid conditions, and differential diagnoses. Evidence-based psychological treatment for OCD and BDD in youth involves cognitive behavioral therapy with exposure and response prevention; research is required to determine evidence-based assessment and treatments for less studied OCRDs; identify factors that predict poorer response to evidence-based treatment; develop approaches to augment evidence-based treatments for nonresponders; and further the reach of empirically supported treatment.

Empirically Supported Complexity

2005 ◽  
Vol 14 (5) ◽  
pp. 266-271 ◽  
Author(s):  
Drew Westen ◽  
Rebekah Bradley
Keyword(s):  
Treatment Efficacy ◽  
Basic Science ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Empirically Supported ◽  
Empirically Supported Therapies ◽  
Definition Of ◽  
Specific Disorders ◽  
Restrictive Definition ◽  
Exclusive Focus

Over the last 10 years, evidence-based practice in psychology has become synonymous with a particular operationalization of it aimed at developing a list of empirically supported therapies. Although much has been learned since the emergence of the empirically supported therapies movement, its restrictive definition of evidence (excluding, for example, basic science as a source of evidence to be used by clinicians) is problematic, and the assumptions inherent in its nearly exclusive focus on brief, focal treatments for specific disorders are themselves not generally supported by the available data. Recent meta-analytic data support a more nuanced view of treatment efficacy than one that makes dichotomous judgments of empirically supported or unsupported, suggesting the need for a more refined concept of evidence-based practice in psychology.

Posttraumatic Stress Disorder in Individuals With Autism Spectrum Disorder

2020 ◽  
pp. 113-136
Author(s):  
Katelyn M. Dyason ◽  
Sharna L. Mathieu ◽  
Donna L. Griffiths ◽  
Lara J. Farrell
Keyword(s):  
Autism Spectrum Disorder ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Evidence Based ◽  
Empirically Supported ◽  
Evidence Based Treatments ◽  
Potential Applications

This chapter summarizes current scientific knowledge around the prevalence, etiology, and developmental course of posttraumatic stress disorder (PTSD) in children and adults in the general population, and—based on the limited scientific literature—what is indicated for those with autism spectrum disorder (ASD). Challenges related to differential diagnosis and measurement of PTSD in ASD are considered and illustrated via a case example. The chapter concludes with an overview of evidence-based treatments for PTSD in people without ASD, and their potential applications for those with ASD. Overall, the limited research on PTSD in ASD thus far points to increased rates of adversity and related psychopathology, but few evidence-based approaches to assessment or treatment of PTSD and other trauma-related symptoms in this population. Future investigations should consider not only PTSD in ASD but also a broader range of potential sources and symptoms of trauma in ASD and work quickly to identify empirically supported assessments and treatments.

Empirically Supported Treatments (ESTs) in Perspective

2000 ◽  
Vol 28 (5) ◽  
pp. 657-671 ◽  
Author(s):  
Charles A. Waehler ◽  
Cynthia R. Kalodner ◽  
Bruce E. Wampold ◽  
James W. Lichtenberg
Keyword(s):  
Professional Practice ◽  
Counseling Psychology ◽  
Psychological Services ◽  
Practice Research ◽  
Evidence Based ◽  
Empirically Supported Treatments ◽  
Empirically Supported ◽  
Scientific Certainty ◽  
Evidence Based Treatments ◽  
And Training

There is a strong movement toward employing only evidence-based treatments or empirically validated treatments (EVTs) in delivering psychological services. This movement is affecting professional practice, research, and training now and will continue to be influential far into the future. Efficacious treatments attempt to respond successfully to three prominent realms challenging psychology’s professional integrity: practicing psychologists’ applications, scientific certainty, and marketplace demands. In addition, training efficacy and adherence to ethical principles must be considered regarding adopting EVTs. Although the successful blending of these domains holds forth great potential for enriching training and practice, consolidating these areas may obscure elements essential to each pursuit. This article reviews both the merits and concerns the EVT movement holds forth for the counseling psychology profession. Recommendations are offered for integrating EVT knowledge into coursework and practica training.

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