Although the median length of psychotherapy in this country is estimated to be 5-8 sessions, recent epidemiological research as indicated that a small minority of the persons who make a """"""""mental health visit"""""""" in a year use the great majority of the outpatient mental health visits provided in that year. This small group of longer-term patients constitutes the bulk of psychotherapeutic practice, and creates a disproportionate impression on mental health professionals. Yet precisely because their treatment covers a considerable span of time, and because they are a small fraction of those who enter treatment, these cases are difficult to study in clinical settings which do not have both a large patient population and a commitment to providing long-term treatment. According, longer-term psychotherapy has received little attention in the research literature. To help to remedy this situation, the present study draws on the resources of an appropriate clinical setting in order to (1) identify the distinctive clinical characteristics of successful and unsuccessful shorter- and longer- term patients, (2) compare and contrast the early therapeutic experiences of successful and unsuccessful shorter - and longer- term cases and, (3) investigate changes in therapeutic process (i.e., phases) over the course of successful and unsuccessful longer-term treatment.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH042901-03
Application #
3382286
Study Section
Treatment Development and Assessment Research Review Committee (TDA)
Project Start
1988-03-01
Project End
1993-02-28
Budget Start
1990-03-01
Budget End
1991-02-28
Support Year
3
Fiscal Year
1990
Total Cost
Indirect Cost
Name
Northwestern University at Chicago
Department
Type
Schools of Medicine
DUNS #
005436803
City
Chicago
State
IL
Country
United States
Zip Code
60611
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Lutz, Wolfgang; Martinovich, Zoran; Howard, Kenneth I et al. (2002) Outcomes management, expected treatment response, and severity-adjusted provider profiling in outpatient psychotherapy. J Clin Psychol 58:1291-304
Lutz, W; Lowry, J; Kopta, S M et al. (2001) Prediction of dose-response relations based on patient characteristics. J Clin Psychol 57:889-900
Lueger, R J; Howard, K I; Martinovich, Z et al. (2001) Assessing treatment progress of individual patients using expected treatment response models. J Consult Clin Psychol 69:150-8
Saunders, S M (2001) Pretreatment correlates of the therapeutic bond. J Clin Psychol 57:1339-52
Howard, K I; Krause, M S; Caburnay, C A et al. (2001) Syzygy, science, and psychotherapy: the Consumer Reports study. J Clin Psychol 57:865-74
Lueger, R J; Lutz, W; Howard, K I (2000) The predicted and observed course of psychotherapy for anxiety and mood disorders. J Nerv Ment Dis 188:127-34
Donenberg, G R; Lyons, J S; Howard, K I (1999) Clinical trials versus mental health services research: contributions and connections. J Clin Psychol 55:1135-46
Lutz, W; Martinovich, Z; Howard, K I (1999) Patient profiling: an application of random coefficient regression models to depicting the response of a patient to outpatient psychotherapy. J Consult Clin Psychol 67:571-7
Krasner, R F; Howard, K I; Brown, A S (1998) The acquisition of psychotherapeutic skill: an empirical study. J Clin Psychol 54:895-903

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