Measuring the Therapist's Impact on the Patient's Therapeutic Progress

  • Silberschatz G
  • Curtis J
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This article describes methods and concepts developed by the Mount Zion
Psychotherapy Research Group for empirically evaluating the pertinence
or suitability of a therapist's interventions (behaviors) to a
patient's particular problems, needs, and treatment goals. Intensive
studies of 2 brief psychotherapy cases are presented. In these studies,
patient-initiated critical incidents (tests) were identified, the
case-specific accuracy of the therapist's responses to these incidents
was rated, and the impact of these interventions on subsequent patient
behavior was measured. The findings indicated that these patients
tended to show improvement in the therapeutic process when the
therapist's interventions were in accord with their particular problems
and treatment goals. The application of this method to clinically
relevant studies of psychotherapy is discussed.

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  • George Silberschatz

  • John T. Curtis

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