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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:
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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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This note was uploaded on 02/10/2011 for the course PYSC 510 taught by Professor Flory during the Fall '09 term at South Carolina.
- Fall '09