The purpose of the requested 2 1/2 years of support is to conduct specialized intensive analyses of the large Vanderbilt II data set. This work is preparatory to the development of the next generation of manual- guided research in psychodynamic/interpersonal psychotherapy, to be propose later. The planned series of retrospective analyses extends our 16 year research program and builds directly upon the Vanderbilt II research that employed a """"""""first-generation"""""""" manual-guided approach to Time-limited Dynami Psychotherapy (Strupp & Binder, 1984). The proposed analyses will initially be exploratory in nature and will be guided by two research models: (1) the method of maximal contrast, and (2) the """"""""events paradigm."""""""" Therapist performances in specific event-situations will be studied across episodes, sessions and cases that are maximally contrasted. The results of events- paradigm research have the potential of yielding conclusions with direct implications for guiding therapist behavior at specific moments in treatmen and will have direct applicability to the task of designing a second- generation, empirically-grounded training program as well as to assist in generating hypotheses for future investigation. Steps in the proposed research are: (1) target events will be defined in terms of empirically identified patient actions and therapist interventions that pose recurrent difficulties for therapists:; (2) target events will be extracted from videotapes in the Vanderbilt II archive and analyzed sequentially in group and intensive N=1 formats using multiple measures of therapy process and outcome across contrasting episodes, cases, and groups and (3) results of the analyses will be incorporated into the curriculum fo a new training program that will serve as the basis for a second generation of efficacy research. That program, to be developed at a later date, will also be characterized by an effort to systematically integrated modern principles of cognitive and instructional psychology into the design of its curriculum.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Research Project (R01)
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Treatment Development and Assessment Research Review Committee (TDA)
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Vanderbilt University Medical Center
Schools of Arts and Sciences
United States
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Hilliard, R B; Henry, W P; Strupp, H H (2000) An interpersonal model of psychotherapy: linking patient and therapist developmental history, therapeutic process, and types of outcome. J Consult Clin Psychol 68:125-33
Henry, W P (1996) Structural analysis of social behavior as a common metric for programmatic psychopathology and psychotherapy research. J Consult Clin Psychol 64:1263-75
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Henry, W P; Schacht, T E; Strupp, H H et al. (1993) Effects of training in time-limited dynamic psychotherapy: mediators of therapists' responses to training. J Consult Clin Psychol 61:441-7
Kelly, T A; Strupp, H H (1992) Patient and therapist values in psychotherapy: perceived changes, assimilation, similarity, and outcome. J Consult Clin Psychol 60:34-40
Henry, W P; Schacht, T E; Strupp, H H (1990) Patient and therapist introject, interpersonal process, and differential psychotherapy outcome. J Consult Clin Psychol 58:768-74
Johnson, M E; Popp, C; Schacht, T E et al. (1989) Converging evidence for identification of recurrent relationship themes: comparison of two methods. Psychiatry 52:275-88
Strupp, H H; Butler, S F; Rosser, C L (1988) Training in psychodynamic therapy. J Consult Clin Psychol 56:689-95
Butler, S F; Binder, J L (1987) Cyclical psychodynamics and the triangle of insight: an integration. Psychiatry 50:218-31
Henry, W P; Schacht, T E; Strupp, H H (1986) Structural analysis of social behavior: application to a study of interpersonal process in differential psychotherapeutic outcome. J Consult Clin Psychol 54:27-31