Week 10 – Discussion: Discussing EBP
and PEB
Part 1
For part one of this week’s assignment, you will prepare a
discussion entry in which you address four issues:
1. Forecast how EBP will be integrated into future clinical work.
2. Discuss possible ways to contribute to the MFT knowledge
base as a clinician?
3. What did you learn from Clement (2013) that you could use to
evaluate your future clinical work?
4. In light of the comments in the video from Barry Duncan, how
might you obtain feedback from your clients to determine if
you are on track?
Length: 450-500 words
Your response should demonstrate thoughtful consideration of the
ideas and concepts presented in the course by providing new
thoughts and insights relating directly to this topic. Your response
should reflect scholarly writing and current APA standards.
Post your discussion response in the discussion field below.
Source:
Family process [Fam Process] 2011 Sep; Vol. 50 (3), pp. 280-92.
Publication Type:
Journal Article; Review
Language:
English
Journal Info:
Publisher: Family Process Country of Publication: United States NLM ID: 0400666
Publication Model: Print Cited Medium: Internet ISSN: 1545-5300 (Electronic)
Linking ISSN: 00147370 NLM ISO Abbreviation: Fam Process Subsets: MEDLINE
Imprint Name(s):
Publication: New York, NY : Family Process
Original Publication: Baltimore [etc.]
MeSH Terms:
Couples Therapy*
Psychology, Clinical*
Research*
Humans ; Practice Patterns, Physicians’ ; Treatment Outcome
Abstract:
As has been true in every other realm of psychotherapy, couple therapy research
generally has had very little impact on the day-to-day practice of couple therapists.
To a significant degree, this unfortunate disconnection may be attributable to an
overemphasis by researchers in the field on treatment packages and therapeutic
methods/techniques.
Insufficient attention has been paid to other important sources
of influence on treatment outcomes, especially the couple therapist herself/himself.
It is argued that effective couple therapy requires a good “fit” between the person of
the therapist and her primary theoretical orientation, and that couple therapists may
be more influenced by research that addresses process aspects of the therapeutic
approaches to which they have their primary theoretical allegiances.
Subjects:
Evidence-based psychotherapy; Psychotherapy practice; Psychotherapists;
Treatment effectiveness; Adolescent psychotherapy
Author Supplied Keywords:
evidence-based practice
practice-based evidence
private practice
treatment effect size
treatment effectiveness
Abstract:
Of 2,259 patients seen during 45 years of private practice, outcome data was
produced for 1,599 cases. The mean (SD) number of sessions per case was 18.82
(29.89).
The dropout rate was 18.76%. Of all treated cases with outcome data 4
(0.25%) were rated as Much Worse; 11 (0.69%), Worse; 497 (31.08%), No Change
from Intake; 546 (34.15%), Improved; and 541 (33.83%), Much Improved. The
mean (SD) pre-/post-treatment effect size (ES) was 1.90 (1.61), the median was
1.62, and the range was from -2.91 to +15.22.
Patients and parents of minors rated
outcomes more positively than the therapist did. Outcome varied significantly
across diagnostic categories. There was a significant, positive relationship in length
of treatment and outcome. The therapist’s effectiveness did not improve across the
years. Years with the largest patient caseloads or the greatest proportion of
patients with managed-care insurance tended to show the poorest outcomes.
[ABSTRACT FROM AUTHOR]
Copyright of American Journal of Psychotherapy is the property of Association for
the Advancement of Psychotherapy and its content may not be copied or emailed
to multiple sites or posted to a listserv without the copyright holder’s express written
permission. However, users may print, download, or email articles for individual
use. This abstract may be abridged. No warranty is given about the accuracy of the
copy. Users should refer to the original published version of the material for the full
abstract. (Copyright applies to all Abstracts.)
For part two of this week’s assignment, you will reply to one other
student’s discussion post for this week. In your reply, please
specify (a) one thing that was interesting to you or resonated with
you from their post, and (b) provide the author of the post with at
least one question or comment to consider.
Length: 100-150 words
Your response should demonstrate thoughtful consideration of the
ideas and concepts presented in the course by providing new
thoughts and insights relating directly to this topic. Your response
should reflect scholarly writing and current APA standards.
4. Discuss possible ways to contribute to the MFT knowledge
base as a clinician?
4. What did you learn from Clement (2013) that you could use to
evaluate your future clinical work?
4. In light of the comments in the video from Barry Duncan, how
might you obtain feedback from your clients to determine if
you are on track?
Last Completed Projects
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