Leaders in the healthcare sector, frequently find themselves attempting to improve service provision by adopting evidence based-best practices, as requested by policy. Notwithstanding, change implementation is often not straight forward. As an insider-turned-researcher I initiated a Maltese National Healthcare Service-wide doctoral inquiry into…

Objectives: Current research suggests that effective psychotherapies for Self Injurious Behavior (SIB) in the context of Borderline Personality Disorder (BPD) contain generic common elements which are responsible for their success. Because of the links between BPD, SIB, and child abuse, it is likely that these common elements can also be applied…

This study aimed at helping school counselors in solving issues related to adolescent verbal aggressions through implementing Transactional Analysis (TA) counseling, which was particularly given to the students in public vocational schools (SMKs) in Padang city who were majoring in engineering. Recent phenomena in Padang had revealed that among…

Postpartum depression (PPD) affects a significant portion of women and has serious negative short- and long-term consequences for the woman, infant, and family. This article highlights the feasibility and acceptability of group interpersonal psychotherapy (IPT-G), a manualized approach to PPD treatment, with a high risk and underserved sample of…

The objective of this descriptive study was to examine Child Advocacy Center therapists' attitudes toward treatment manuals and evidence-based practices and to gather information about the treatments they use most frequently. An online survey was sent to 30 therapists employed by 15 Child Advocacy Centers in a southeastern state. The response rate…

Prior meta-analyses have found a moderate but robust relationship between alliance and outcome across a broad spectrum of treatments, presenting concerns, contexts, and measurements. However, there continues to be a lively debate about the therapeutic role of the alliance, particularly in treatments that are tested using randomized clinical trial…

Objective: Some critics of treatment manuals have argued that their use may undermine the quality of the client-therapist alliance. This notion was tested in the context of youth psychotherapy delivered by therapists in community clinics. Method: Seventy-six clinically referred youths (57% female, age 8-15 years, 34% Caucasian) were randomly…

In this paper, we briefly review the current literature on treatment integrity and discuss the relevance of this procedure for detecting, measuring and ensuring that the proposed mechanisms of change in cognitive behavior therapy, in this case of acceptance and commitment therapy (ACT; S.C. Hayes, Strosahl, & Wilson, 1999), take place. We discuss…

This paper sets out the case for the manualization of sex offender treatment. The movement towards evidence-based practice in psychotherapy has led to strongly voiced opposing views on the value of manualization. However, "what works" evidence, i.e. the meta-analytical research behind the Risk-Needs-Responsivity model of offender rehabilitation,…

This case study of the Therapeutic Community Program at Montana Women's Prison investigates the relationship between inmate reading levels and the self-help materials used for rehabilitative purposes within prison settings. The Therapeutic Community Handbook, published by the Montana Department of Corrections, is used as the primary method of…

There have been some challenges to the reliance upon data from randomised controlled clinical trials when identifying "evidence-based" psychotherapy treatments. Similarly, data show that use of treatment manuals does not result in uniform and beneficial outcomes, that some evidence-based treatments are little better than non-specific…

The importance of the counselor's or therapist's characteristics of empathy, warmth, and genuineness in client improvement has been established in a number of studies. This manual was prepared as a means of fostering these qualities. It was prepared by rating segments of interviews taped in psychotherapy sessions and giving examples of the…

This guide is intended to familiarize therapists with the scope of marital difficulties and the range of techniques found useful in dealing with them. While it is tempting to think that proven techniques can be matched to specific marital problems, the literature cautions that predicting outcome in therapy research depends not only on the…

The purpose of this manual is to provide clients of community mental health facilities with techniques and skills to bring about changes in their own behavior and that of others in their environment. The manual has been used for two years as a textbook for a program of self-control skills training offered in San Mateo County, California, community…

Steps in an outcomes-based counseling cycle are described, and examples are provided that illustrate the usefulness of an outcomes-based approach with "insight" as well as "behavioral" techniques for promoting counseling goals. Factors that may currently discourage the practice of outcomes-based counseling are considered, and…