The proposed work is based on the assumption 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. This research focuses on one such principle, the use of therapeutic feedback to enhance the patient's/client's awareness.
The specific aims are as follows: (1) To sample significant therapy sessions from experienced and well respected psychodynamic-interpersonal and cognitive-behavioral therapists functioning within a naturalistic setting. (2) To develop a common research language, described in the vernacular, that will permit a comparative analysis of psychodynamic interpersonal and cognitive-behavior therapy. (3) Using numerical taxonomy procedures, to statistically generate a hierarchically arranged taxonomy of therapeutic feedback. By uncovering similarities and differences across orientations, we hope to highlight parameters of therapeutic feedback that should be the target of future research. (4) To create an archive of significant psychotherapy sessions that would be available to other psychotherapy process researchers. Significant therapy sessions will be sampled from 50 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 by 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.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
2R01MH040196-05
Application #
3378240
Study Section
(SRCM)
Project Start
1985-01-01
Project End
1990-06-30
Budget Start
1989-07-01
Budget End
1990-06-30
Support Year
5
Fiscal Year
1989
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