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General treatment slides

General treatment slides - Is therapy effective Is therapy...

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Unformatted text preview: Is therapy effective? Is therapy effective? How would we know? How would we know? • Collect self­report measures, clinician’s judgments or ratings, changes on rating scales, personality changes, etc • All of these have been used and, as discussed earlier, there are pros and cons to all of them Historical reviews of the Historical reviews of the effectiveness of psychotherapy: • Usually used comprehensive reviews of studies and summarized the findings • Most found no effects of treatment for children; those in treatment improved at the same rate as those not in treatment Problems with these conclusions: Problems with these conclusions: • The studies reviewed included a diverse group of children in terms of ages and diagnoses • Effectiveness was based on therapist ratings only • Reviews were done years ago and thus did not include the more recent advances in treatment (e.g., behavioral therapies) More recent studies: More recent studies: • Used meta­analysis, an improved means of summarizing study findings • Average treated child better off than about 80% of non­treated children • Behavioral therapies generally did better than non­behavioral ones Limitations of treatment research: Limitations of treatment research: • Children are recruited for treatment • • • • instead of being referred to a clinic, so may be less severe Homogenous sample Therapy focuses on central problem Therapists trained immediately before Therapy often guided by a manual and monitored for integrity In real life, therapy works like this: In real life, therapy works like this: • • • • • • • Population is more disturbed Children are heterogeneous Therapy is often directed at multiple problems Therapists often do not have recent training in techniques they are applying Therapists have diverse caseloads Therapists have more contact with parents and schools Therapy is usually ongoing APA’s response: APA’s response: • Development of a task force to study empirically supported treatments CD/ODD: CD/ODD: • • • • • • • Behavioral parent training Multi­systemic training Anger control Problem solving Time out Assertiveness training Rational emotive therapy ADHD: ADHD: • • • • • Behavioral parent training Classroom behavioral management Stimulant medications Social skills training Summer treatment programs Depression: Depression: • • • Cognitive behavioral therapy Interpersonal therapy Psychotropic medications Anxiety: Anxiety: • • • • Systematic desensitization Operant modeling Cognitive behavioral Family anxiety management ...
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  • Fall '09
  • Flory
  • Attention-deficit hyperactivity disorder, Selective serotonin reuptake inhibitor, Major depressive disorder, Homogenous sample Therapy, Behavioral parent training, behavioral therapy Interpersonal

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