The development and initial validation of a therapist-rated measure of the real relationship in psychotherapy (the Real Relationship Inventory-Therapist Form [RRI-T]) is reported. Using a sample (n=80) of practicing psychotherapists and on the basis of prior theory, the authors developed a 24-item measure consisting of 2 subscales (Realism and…

Objective: Increasing numbers of adults are seeking treatment for ADHD. Pharmacotherapy is well established as the first line treatment for adult ADHD, although medications alone may be insufficient treatment for the myriad problems experienced by these patients. Few studies have examined the clinical outcomes of a combination of pharmacotherapy…

Evaluated the relative efficacy of parent training and multisystemic therapy for treatment of child abuse and child neglect, focusing on individual functioning, family relations, and stress/social support. Families receiving either treatment showed decreased parental psychiatric symptomology, reduced overall stress, and a reduction in the severity…

Followed up on tension and vascular headache patients, intially treated with biofeedback and/or relaxation training in either a minimal therapist contact or an intensive individual protocol, where one-half of patients continued keeping headache diaries and were seen monthly; others had minimal contact. Demonstrated equally good maintenance from…

Describes National Institute of Mental Health (NIMH) workshop (March 1986) which invited 14 psychotherapy researchers to consider key issues associated with psychotherapy integration. Discusses recommendations developed to initiate a research program encompassing conceptual clarification, efficacy studies of systematic eclectic therapies, the role…

Publicly funded psychiatric inpatient institutions focus increasingly on stabilization and relapse prevention, readying patients for rapid community reentry. Growing emphasis on consumer satisfaction and professionals' accountability for efficient outcomes has coincided with increasing cost concerns. Since staffing limitations mandate innovative…

This paper examines the relationship between clinical psychology and the health care system. The first part reviews the empirical Axis I disorders with patients who also have a comorbid DSM-IV diagnosed personality disorder. While the understanding and treatment of AI disorders have improved, severe limitations exist when patients use the health…

Considers three empirically supported strategies that will strengthen counseling productivity: client assessment, matching of client and counselor, and relationship enhancement. Reviews of the literature on outcomes in counseling agree that counseling works. Research can also be used to identify strategies for increasing the probability of…

Summarizes how outcome research methodologies can be incorporated into counseling practice in many settings. Discusses the steps involved in performing an outcome or evaluative study, which is followed by specific information concerning instruments and techniques for use in the areas of mental health counseling, career counseling, and school…

Compared family therapy with individual, supportive psychotherapy for management of severe eating disorder. Findings showed family therapy more effective for patients with early onset, short duration disorder but not in other subgroups (early onset, duration more than 3 years; late onset, after age of 18 years; and those with bulimia nervosa).…

This study examined relationships among maltreatment experience, therapeutic alliance formation, and treatment outcome among 38 psychiatrically hospitalized adolescents. Results indicated that maltreatment, multiplicity of maltreatment, and type of perpetrator were all associated with initial alliance difficulties. Severity of interpersonal…

Notes that individual therapy is often assumed to be the desired intervention for children in alternate care who are having adjustment problems. Argues that group work should be considered as a possible treatment of choice, as it allows the child to develop his or her own support network. Describes such a group and its successful outcome. (HTH)

Examines the strengths and weaknesses of two broad approaches to psychotherapy outcome research: (1) clinical trials methodologies; and (2) "naturalistic," descriptive methodologies. An example of an ongoing, naturalistic study of individual psychotherapy is provided. Discusses general methodological considerations that apply to both approaches.…

Responds to previous article by Steenbarger on science-practice integration in brief counseling and therapy. Focuses specifically on the integration of science and practice in brief psychotherapy. Elaborates on agreements and disagreements concerning Steenbarger's analysis of brief psychotherapy. Muses over what is lost as well as gained in brief…

Investigated values of 36 patient-therapist dyads in psychotherapy. Found that patient assimilation of therapist values was positively correlated with therapist's outcome assessment, but not with other outcome measures. Patient-therapist dyads whose values were moderately similar showed most improvement, indicating that intermediate range of…