Chapter

Guidelines for Optimal and Enhanced Treatment

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: http://dx.doi.org/10.1093/acprof:oso/9780195105308.003.0007

Series: Guidebooks in Clinical Psychology

Guidelines for Optimal                             and Enhanced Treatment

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Optimal and enhanced treatment attends to parameters that distinguish individual patients beyond the nature of the depression itself. They differ from the basic guidelines described in that they require some special expertise on the part of the clinician and frequently entail the monitoring of actual in-therapy activity in order to ensure that the moment-to-moment interventions are compatible with the needs and reactions of the patient. This chapter summarizes the results of the effort to cross-validate those preliminary principles that relate to the selection of specific treatment models and philosophies or of particular classes and families of techniques. These are the guidelines that seek to apply optimal matches of treatments to patients. Here, the focus is on optimal guidelines, those that may require special clinician training and monitoring of in-session treatment. This chapter also assesses the predictive efficiency of three models from the psychotherapy research and compares them to that of the more elaborate systematic treatment selection model: the common factors model, the psychotherapy procedures model, and the technical-eclectic therapy matching model.

Keywords: treatment; depression; interventions; guidelines; systematic treatment selection model; common factors model; psychotherapy procedures model; technical-eclectic therapy matching model; psychotherapy

Chapter.  8308 words.  Illustrated.

Subjects: Clinical Psychology

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