scholarly journals From Cook to Culinarian: Going Beyond the Manual When Delivering Behavior Therapy to Treat Tourette Disorder

2017 ◽  
Vol 13 (1) ◽  
pp. 51
Author(s):  
Brianna Wellen ◽  
Michael B. Himle
Keyword(s):  
Behavior Therapy ◽  
Clinical Skill ◽  
Treatment Fidelity ◽  
Treatment Protocols ◽  
Treatment Delivery ◽  
Underlying Theory ◽  
Tourette Disorder ◽  
Therapy Protocol ◽  
Vocal Tics

In the case of Hiro, Dr. Jeremy Lichtman (2017, this issue) describes how he flexibly employed a manualized behavior therapy protocol to successfully treat a child’s involuntary motor and vocal tics.  In doing so, he raises interesting observations and questions regarding manualized psychotherapy treatment protocols, including their intended role, the need for "flexibility with fidelity," and the strengths and limitations of following manuals in a step-by-step fashion. In our commentary, we draw upon Dr. Lichtman’s experience in treating Hiro to highlight what we see as the two most important factors in Hiro’s treatment: (1) the therapist’s firm grasp of the underlying theory behind behavior therapy for tics, which allowed for flexibility in treatment delivery without jeopardizing treatment fidelity, and (2) the importance of having a strong foundational clinical skill set prior to beginning treatment

Post-Traumatic Stress Disorder Treatment with Adults

2021 ◽  
pp. 42-60
Author(s):  
Colleen A. Sloan ◽  
Scott Litwack ◽  
Denise M. Sloan
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Theoretical Models ◽  
Post Traumatic Stress ◽  
Duration Of Treatment ◽  
Treatment Protocols ◽  
Treatment Delivery ◽  
Post Traumatic ◽  
Disorder Treatment

This chapter describes the theoretical models behind evidence-based post-traumatic stress disorder (PTSD) treatments and the importance of adhering to the model of PTSD treatment when making adaptations to treatment protocols. We review modifications that might be made for both exposure-based and cognitive-based treatment approaches, rooted in their respective underlying theories. We also describe modifications to the delivery of treatment (e.g., number and duration of treatment sessions, method of treatment delivery, and location where treatment is delivered). Throughout the chapter, we emphasize that decisions regarding modifications should aim to foster mechanisms of change, based on theoretical models, and implemented to maximize treatment outcomes.

scholarly journals Application of the Cognitive-Behavior Therapy principles in the development of e-mental health tools

Psychologica ◽  
2020 ◽  
Vol 63 (2) ◽  
pp. 119-137
Author(s):  
Ana Fonseca ◽  
Mariana Branquinho ◽  
Maria Cristina Canavarro
Keyword(s):  
Mental Health ◽  
Behavior Therapy ◽  
Mental Health Professionals ◽  
Cognitive Behavior Therapy ◽  
Psychological Intervention ◽  
Evidence Based ◽  
Cognitive Behavior ◽  
Web Based ◽  
Treatment Delivery ◽  
Face To Face

E-mental health tools are a new format of treatment delivery that can increase population’s access to mental health services. Its effectiveness is higher when grounded on evidence-based therapeutic protocols, such as Cognitive-Behavior Therapy (CBT). We aim to understand how CBT principles can be applied in the development of e-mental health tools, more specifically, in web-based interventions. We use the case example of the Be a Mom program, a web-based psychological intervention, grounded on the principles of CBT, designed to prevent postpartum depression and targeting high-risk postpartum women in the Portuguese population. We describe how the design of Be a Mom was grounded in CBT, by addressing: a) general CBT principles; b) its therapeutic mechanisms; and c) organization of sessions. Also, we discuss the relevance of the therapeutic alliance in web-based interventions and the importance of evidence-based interventions. By providing insight on how the principles of CBT can be operationalized in an innovative delivery format, we can contribute to the further development of web-based interventions, as well as to increase awareness and knowledge among mental health professionals about the similarities between the principles underlying web-based and face-to-face CBT interventions.

scholarly journals Developing, Implementing, and Improving Assessment and Treatment Fidelity in Clinical Aphasia Research

2020 ◽  
Vol 29 (1) ◽  
pp. 286-298
Author(s):  
Leigh Ann Spell ◽  
Jessica D. Richardson ◽  
Alexandra Basilakos ◽  
Brielle C. Stark ◽  
Abeba Teklehaimanot ◽  
...  
Keyword(s):  
Interrater Reliability ◽  
Intervention Study ◽  
Treatment Fidelity ◽  
Recruitment Strategies ◽  
Timely Manner ◽  
Treatment Protocols ◽  
Study Staff ◽  
Assessment And Treatment ◽  
Fidelity Measures ◽  
Ongoing Monitoring

Purpose The purpose of this study was to describe the development and implementation of a fidelity program for an ongoing, multifacility, aphasia intervention study and to explain how initial fidelity measures are being used to improve study integrity. Method A Clinical Core team developed and incorporated a fidelity plan in this study. The aims of the Clinical Core team were to (a) supervise data collection and data management at each clinical site, (b) optimize and monitor assessment fidelity, and (c) optimize and monitor treatment fidelity. Preliminary data are being used to guide ongoing efforts to preserve and improve the fidelity of this intervention study. Results Preliminary results show that specific recruitment strategies help to improve appropriate referrals and that accommodations to participants and their families help to maintain excellent retention. A streamlined and centralized training program assures the reliability of assessors and raters for the study's assessment and treatment protocols. Ongoing monitoring of both assessment and treatment tasks helps to maintain study integrity. Less-than-optimal interrater reliability data for the raters of some of the discourse measures guided the Clinical Core team to address the training and coding inconsistencies in a timely manner. Conclusions The creation of a Clinical Core team is instrumental in developing and implementing a fidelity plan for improved assessment and treatment fidelity. Intentional planning and assignment of study staff to implement and monitor ongoing fidelity measures assures that clinical data are reliable and valid. Ongoing review of the plan shows areas of strengths and weaknesses for continuing adjustments and improvement of study fidelity.

Science and Philosophy: Comparison of Cognitive Therapy and Rational Emotive Behavior Therapy

2003 ◽  
Vol 17 (3) ◽  
pp. 211-224 ◽  
Author(s):  
Christine A. Padesky ◽  
Aaron T. Beck
Keyword(s):  
Cognitive Therapy ◽  
Behavior Therapy ◽  
Rational Emotive Behavior Therapy ◽  
Subsequent Development ◽  
Emotive Behavior ◽  
Albert Ellis ◽  
Treatment Protocols ◽  
Guided Discovery ◽  
Rational Emotive ◽  
Rational Emotive Behavior

Aaron T. Beck’s Cognitive Therapy (CT) and Albert Ellis’ Rational Emotive Behavior Therapy (REBT) are compared. A major difference between these therapies is that CT is an empirically based therapy and REBT is philosophically based. The origins and subsequent development of the therapies are reviewed with this difference highlighted. Comparisons between CT and REBT practice are made regarding attitudes toward client beliefs, use of guided discovery, types of cognition addressed, and the nature of the client-therapist relationship. The scientific foundations of CT are summarized in terms of the specificity of its conceptual models, the construction of targeted treatment protocols, and empirical findings that support both CT conceptualizations and treatments.

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