Identifying Treatment-Relevant Dimensions

Larry E. Beutler, John F. Clarkin and Bruce Bongar

in Guidelines for the Systematic Treatment of the Depressed Patient

Published in print February 2000 | ISBN: 9780195105308
Published online March 2012 | e-ISBN: 9780199848522 | DOI:

Series: Guidebooks in Clinical Psychology

Identifying                             Treatment-Relevant Dimensions

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The most important function of a diagnosis is its contribution to decisions about distinctive and specific treatments. Diagnostic criteria for defining ostensibly different mental disorders frequently overlap, diagnoses within similar classes are sometimes contradictory, and diagnostic criteria are frequently only loosely associated with the course of any available treatment. This process of review and extrapolation generates some suggestive relationships. These relationships are then tested with a selective review of the related literature. Here, a careful inspection of the resulting literature results in the extraction of six patient variables that appear to serve as moderators of treatment outcomes. The chapter summarizes the literature pertaining to these variables. Aside from modality (pharmacotherapy versus psychosocial therapy) and model of therapy (specific drug or type of psychotherapy), clinical wisdom has typically led to the assumption that functional impairment is an indicator for increasing the intensity of treatment.

Keywords: diagnosis; treatment; mental disorders; pharmacotherapy; psychosocial therapy; functional impairment

Chapter.  22922 words. 

Subjects: Clinical Psychology

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