Structuring Treatment: From Managed Care to Treatment Manuals

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

Structuring Treatment:                             From Managed Care to Treatment Manuals

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Evidence is now emerging that certain characteristics, either hidden within or masked by diagnostic criteria, may predetermine a patient's positive response to one treatment and a negative or nonresponse to another. These characteristics, for the most part, are not captured by diagnostic criteria. It is this possibility that directs the focus of this book. Ultimately, treatment guidelines must help clinicians make two decisions: Who will and who will not respond to treatment? To what specific treatment or treatments is a given patient most likely to respond? The answers to these questions are central to identifying both what one thinks of as the basic or common qualities of treatment — those that must be present to ensure that most patients will respond favorably — and the specific qualities to which patients will respond discriminatively, in an optimal and escalated way. This chapter discusses the advent and development of managed care for patients suffering from depression and other mental disorders, the standardization of psychosocial interventions, and the introduction of treatment manuals.

Keywords: diagnostic criteria; positive response; nonresponse; treatment; guidelines; depression; mental disorders; managed care; psychosocial interventions; treatment manuals

Chapter.  9717 words. 

Subjects: Clinical Psychology

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