Psych 51 - Midterm 3 - Effectiveness of Psychotherapy

annire's version from 2015-12-14 09:22

Section 1

Question Answer
Eysenck, meta-analysisevaluating outcome of psychotherapy compared to improvement/discharge rate of hospitals
non-spontaneous recovery, minimal care2/3 improved. so psychotherapy must be better than this
64% showed improvementnot higher than mental institution!
psychoanalysis 44%intensive, multiple times a week
72%general practicioner/custodially
..the more psychotherapythe smaller the recovery
what to compare to?natural improvement (spontaneous recover), nonspecific treatment effect, placebo

Section 2

Question Answer
smith and glass: meta-analysis of psychoteherapy outcome studies
goaldetermine the effect size counseling and psychotherapy). compare types of therapy
glasswanted to show that psychotherapy does change lives and make them better
thought esyenck wasselective in the places he chose.
results of psychoteraphy analysisavg client was better off than 75% of untreated controls
measurements of effectivenessanxiety reduction, school or work achievement, etc.
therapy was found to be more effective thannon treatment
no type of psychotherapy found to be more effectivethan any other psychotherapy

Section 3

Question Answer
Seligman, "efficacy studies" / gold standardpsychotherapy in the real world. to really compare therapy with a control group we need random assignment, rigourous ontrols, fixed number of sessions, not multiple disorders...
conclusions may not be generalized to real world. CIRCUMSTANCES are all SO DIFFERENT
efficacy studiesis the wrong method for empirically validating psychotehrapy as it is actualy done, but cause it omits too many crucial elements of what is done in the field
real life psychotherapy in the fieldis not fixed time, is self-correction, there are multiple problems, improvement of general functioning rather than specific symptoms
used a consumer reports study (**subscribers only(large scale survey of people who have undergon psychotherapy.
where did they go?a lot of places, psychologists, psychiatrists, others
respondent demographicshighly educated, middle class, ~46yo
questions askedwhat kind of therapist, emotinonal outset and now, tpe of therapy, how much helped, satisfaction, why eneded?
most responded:treatment b mental health professional helped.
long-term therapy improvement produced more improvement than short-term teratment
NO DIFFERNECE in outcome between PSYTH or PSYTH+ MEDS *like barlow

Section 4

Question Answer
all MH profs helped their patients. psychologists, psychiattists and social workers >marriage counselors. family doctors good for short term
helped:shopped around, AA
no type of therapybetter than other
if limited by insurancedid worse
overall. can psychotherapy help?yes
do people have fewer symptoms and better quliaty of life?yes

Section 5

Question Answer
brief treatments for discrete disordersbrief intervention - single diagnosis?
those who complete treatment > enter treatment (and don't complete)for improvement
long term follow up?improvement not as high
computer assited?as effective as face-to-face treatment for anxiety disorders and depression. ?