The proposed work is based on the observation that therapeutic change principles common to different orientations may be found at a level of abstraction between the specific clinical procedures used, and the higher order theoretical constructs that explain why these procedures are likely to be effective. Using one such principle, namely the use to therapeutic feedback to enhance a patient's/client's awareness, the proposed research will be to develop a hierarchically-arrange taxonomy of the parameters associated with such feedback. Significant change episodes will be sampled from 50 experienced and highly qualified therapists; 25 vignettes will be sampled from psychodynamic-interpersonal therapists and 25 from cognitive-behavioral therapists. Each vignette will be coded with regard to the same set of attributes (thoughts, feelings, actions, etc.), and then grouped statistically be means of cluster analysis procedures. We hypothesize that similarities will be found across orientations for the higher order clusters, with differences appearing lower in the taxonomy. The attribute coding system used to generate the taxonomy may also be construed as a common research language to describe therapeutic interventions as they are carried out from within cognitive-behavioral and psychodynamic orientations. To determine the feasibility of using our coding system as a common language, a study will be conducted to compare the interscorer reliability among coders originally trained in the two different therapeutic schools. Finally, the coding system will be used to compare psychodynamic and cognitive-behavioral therapy sessions. In contrast to previous research that has compared these two orientations on the basis of the form of therapist's statement (e.g., reflection), we propose to investigate similarities and differences with regard to therapist's focus on different aspects of the client's/patients functioning.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
2R01MH040196-03
Application #
3378239
Study Section
Treatment Development and Assessment Research Review Committee (TDA)
Project Start
1985-01-01
Project End
1989-06-30
Budget Start
1987-07-01
Budget End
1988-06-30
Support Year
3
Fiscal Year
1987
Total Cost
Indirect Cost
Name
State University New York Stony Brook
Department
Type
Schools of Arts and Sciences
DUNS #
804878247
City
Stony Brook
State
NY
Country
United States
Zip Code
11794
Stiles, William B; Agnew-Davies, Roxane; Barkham, Michael et al. (2002) Convergent validity of the Agnew Relationship Measure and the Working Alliance Inventory. Psychol Assess 14:209-20
Goldfried, M R; Raue, P J; Castonguay, L G (1998) The therapeutic focus in significant sessions of master therapists: a comparison of cognitive-behavioral and psychodynamic-interpersonal interventions. J Consult Clin Psychol 66:803-10
Goldfried, M R; Castonguay, L G; Hayes, A M et al. (1997) A comparative analysis of the therapeutic focus in cognitive-behavioral and psychodynamic-interpersonal sessions. J Consult Clin Psychol 65:740-8
Raue, P J; Goldfried, M R; Barkham, M (1997) The therapeutic alliance in psychodynamic-interpersonal and cognitive-behavioral therapy. J Consult Clin Psychol 65:582-7
Castonguay, L G; Goldfried, M R; Wiser, S et al. (1996) Predicting the effect of cognitive therapy for depression: a study of unique and common factors. J Consult Clin Psychol 64:497-504
Hayes, A M; Castonguay, L G; Goldfried, M R (1996) Effectiveness of targeting the vulnerability factors of depression in cognitive therapy. J Consult Clin Psychol 64:623-7
Wiser, S; Goldfried, M R (1993) Comparative study of emotional experiencing in psychodynamic-interpersonal and cognitive-behavioral therapies. J Consult Clin Psychol 61:892-5
Goldfried, M R; Greenberg, L S; Marmar, C (1990) Individual psychotherapy: process and outcome. Annu Rev Psychol 41:659-88