Abstract:
:The transtheoretical model, in general, and the stages of change, in particular, have proven useful in adapting or tailoring treatment to the individual. We define the stages and processes of change and then review previous meta-analyses on their interrelationship. We report an original meta-analysis of 39 studies, encompassing 8,238 psychotherapy patients, to assess the ability of stages of change and related readiness measures to predict psychotherapy outcomes. Clinically significant effect sizes were found for the association between stage of change and psychotherapy outcomes (d = .46); the amount of progress clients make during treatment tends to be a function of their pretreatment stage of change. We examine potential moderators in effect size by study outcome, patient characteristics, treatment features, and diagnosis. We also review the large volume of behavioral health research, but scant psychotherapy research, that demonstrates the efficacy of matching treatment to the patient's stage of change. Limitations of the extant research are noted, and practice recommendations are advanced.
journal_name
J Clin Psycholjournal_title
Journal of clinical psychologyauthors
Norcross JC,Krebs PM,Prochaska JOdoi
10.1002/jclp.20758subject
Has Abstractpub_date
2011-02-01 00:00:00pages
143-54issue
2eissn
0021-9762issn
1097-4679journal_volume
67pub_type
杂志文章,meta分析abstract::The authors suggest that Transcendental Meditation offers a great deal of promise for use in helping relationships. They also suggest that the technique might receive wider acceptance if it could be explained in other than a purely philosophical or mystical way. For that reason, in their article they offer a psycholog...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197707)33:3<842::aid-jclp2270330
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abstract::This study examines whether alexithymia relates to specific interpersonal problems, based on data collected in a sample of mental health outpatients (N = 404) and a student sample (N = 157). Linear regression analysis, in which the effects of group, gender, and age were controlled, indicated that two interpersonal pro...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20324
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journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:
更新日期:1979-04-01 00:00:00
abstract::This study examined the efficacy of the Schizophrenic-Organicity (Sc-O), Psychiatric-Organic (P-O), the Pseudo-Neurological (P-N), and the Schizophrenia (Sc) MMPI subscales in differentiating the following four groups of outpatients: brain-damaged (n = 35), brain-damaged schizophrenics (n = 10), non-brain-damaged schi...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198901)45:1<99::aid-jclp22704501
更新日期:1989-01-01 00:00:00
abstract::The ability of adult and adolescent psychiatric patients to solve emotional problems such as anxiety and depression as well as problems that arise within the social sphere was examined, as was the question of whether the abilities to solve problems in the emotional and social spheres are related. With IQ partialled ou...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197604)32:2<230::aid-jclp2270320
更新日期:1976-04-01 00:00:00
abstract::The children of Alcoholics Screening Test (CAST) and the Family Environment Scale were administered to 307 adults (M age = 27.6 years, 81% female, 89% White). Internal reliability estimates of the CAST were high (r = .98). Factor analysis of the CAST resulted in a four-factor solution, which accounted for 67% of the v...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199411)50:6<931::aid-jclp2270500
更新日期:1994-11-01 00:00:00
abstract::An epidemiological questionnaire survey of the prevalence of the various types of phobias was undertaken among the Icelandic population. Out of 1,000 individuals surveyed, in accord with national census data held in Reykjavík, 775 questionnaires were returned. Results confirmed that among Icelanders, phobic symptoms o...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(sici)1097-4679(199802)54:2<257::aid-jclp1
更新日期:1998-02-01 00:00:00
abstract::Employed the Personal Health Survey (PHS) to study patterns of symptomology related to physical and mental health in a population of 730 Ss, which consisted of five subgroups: felons, hospitalized alcoholics, unmarried mothers, college students and institutionalized schizophrenics. The factorial data were analyzed in ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197804)34:2<269::aid-jclp2270340
更新日期:1978-04-01 00:00:00
abstract::Subjects completed questionnaires designed to assess (a) attributions along internal-external, stable-unstable, and global-specific dimensions subsequent to undersirable events; (b) negative affect; and (c) retrospective psychological and physical health. Subjects then kept weekly records, for 12 weeks, of their visit...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199507)51:4<507::aid-jclp2270510
更新日期:1995-07-01 00:00:00
abstract::Psychotherapeutic treatment tends to have a high attrition rate ("premature termination") and there have been multiple efforts to help new patients, including those considering treatment, better understand the nature and expectations inherent to this process as a means to improve retention and outcome. These efforts a...
journal_title:Journal of clinical psychology
pub_type:
doi:10.1002/jclp.22996
更新日期:2020-08-01 00:00:00
abstract::This article represents a process of preliminary search and discovery regarding the active mechanisms in Eye Movement Desensitization and Reprocessing (EMDR) when used in Short-Term Dynamic Psychotherapy (STDP). Patients' (N = 7) responses to EMDR interventions were categorized as either "trauma" or "resolution" respo...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.10103
更新日期:2002-12-01 00:00:00
abstract::It was predicted from Freud's seduction theory that women who experienced sexual assault early in life would be identifiable by the MMPI. Twenty-six of 51 women treated at a psychotherapy clinic during a 2-year period reported experiencing sexual abuse as a child (RA); 25 made no such claim (NRA). Age, income level, y...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198511)41:6<763::aid-jclp2270410
更新日期:1985-11-01 00:00:00
abstract::The pros and cons of the proposal to link prescription privileges specifically to psychological training vary from the point of view of the constituencies involved. The present article analyzes those differences. Two surprising facts are noted. First, it is scientist-practitioners who are resisting the move toward pre...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.10054
更新日期:2002-06-01 00:00:00
abstract::This article is an effort to integrate contemporary psychoanalytic and existential perspectives on intentional therapist self-disclosure. It offers a two-stage decision-making model that considers self-disclosure from the vantage points of style and internalization. Clinical and research findings are presented to supp...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.10158
更新日期:2003-05-01 00:00:00
abstract::Examined the effects of a training program for counselors and therapists based upon configurations of (a) systematic human relations training; (b) cognitive restructuring of counselor beliefs; and (c) systematic performance feedback. Criterion measures consisted of post vs. pre-gain scores on selected scales of the Pe...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197804)34:2<494::aid-jclp2270340
更新日期:1978-04-01 00:00:00
abstract::The present study investigates the frequency of critical item endorsement for two MMPI-2 critical item sets in a population of inpatients being treated for chemical dependency. Base rates of endorsement in the current study are compared to the results of previous studies using the original MMPI, and relationships betw...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(SICI)1097-4679(199605)52:3<367::AID-JCLP1
更新日期:1996-05-01 00:00:00
abstract:OBJECTIVES:Mindfulness-based stress reduction (MBSR) promotes numerous psychological benefits, but few studies have identified for whom MBSR is most effective. The current study tested the hypothesis that lower baseline mindfulness invites more "room to grow" and, thus, predicts greater improvement during MBSR. METHOD...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22521
更新日期:2018-04-01 00:00:00
abstract::The therapeutic relationship is crucial to the ethical and effective practice of any psychotherapy. In Cognitive Behavior Therapy (CBT) as formulated by Aaron T. Beck, the generic elements of the relationship including expressed empathy, expressions of positive regard, agreement on goals, and agreement on tasks within...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/jclp.23116
更新日期:2021-01-29 00:00:00
abstract::This short article is a précis of the author's (2005a) abductive theory of scientific method. This theory of method assembles a complex of specific strategies and methods of relevance to psychology that are employed in the detection of empirical phenomena and the subsequent construction of explanatory theories. A char...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20506
更新日期:2008-09-01 00:00:00
abstract::The MMPI-168, Marlowe-Crowne, and Shipley were administered to 14 Caucasian couples as part of a pre-adoption screening procedure. The sample of adoption applicants was well educated and of above-average intelligence. Test data indicated a high level of defensiveness. Implications for test interpretation are discussed...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199411)50:6<863::aid-jclp2270500
更新日期:1994-11-01 00:00:00
abstract::Multiple regression analysis was used to examine the relation between temperament and psychological adjustment in a sample of female adult incest victims (N = 57). Several dimensions of temperament, including activity level, mood, approach/withdrawal, flexibility (adaptability), and rhythmicity were significant predic...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198903)45:2<330::aid-jclp2270450
更新日期:1989-03-01 00:00:00
abstract::The two articles discussed are integral ingredients of a greater whole Ken Howard envisioned. The first (Saunders, Howard, & Newman, 1988) refined our understanding of clinical significance, challenging researchers to clearly define the character and range of behaviors identified as normal or nonclinical for a specifi...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/jclp.10168
更新日期:2003-07-01 00:00:00
abstract::Examined the importance of therapist-client agreement for therapy outcome in group therapy. Fifty-five clients comprised 12 groups conducted by 6 therapists. The study considered data in two phases. In the first an attempt was made to reduce clients' ambiguity about relationship aspects of therapy via a preparation fo...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197907)35:3<637::aid-jclp2270350
更新日期:1979-07-01 00:00:00
abstract::Perceived criticism (PC) is a construct that plays a key role in family relationships of persons with psychiatric disorders. It can be assessed in a brief and simple way using the Perceived Criticism Measure. PC ratings made by patients about their caregivers predict adverse clinical outcomes including increases in sy...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22454
更新日期:2017-05-01 00:00:00
abstract::This article applies and illustrates the American Group Psychotherapy Association (AGPA) revised CORE battery to daily practice. The CORE can assist practitioners in periodically or continuously monitoring outcome and process factors to determine patient status (e.g., improved, deteriorated, or no change), and rupture...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20535
更新日期:2008-11-01 00:00:00
abstract::A recently developed instrument for the quantification of mother-infant interaction, the Parent-Child Early Relationship Assessment (PCERA), was used to observe drug-abusing mothers and their infants. Compared to the standardization sample used in the development of the PCERA, these drug-abusing mothers (N = 5) showed...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199103)47:2<316::aid-jclp2270470
更新日期:1991-03-01 00:00:00
abstract::Research on the nature of anger and how it differs from other emotions is reviewed. Dimensions that differentiate disturbed from normal anger are also discussed. Based on the research and results of several reviews of anger treatment, an ideal treatment package for the treatment of anger is presented. The components i...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/(sici)1097-4679(199903)55:3<365::aid-jclp8
更新日期:1999-03-01 00:00:00
abstract::Trauma in Kosovo was treated with Thought Field Therapy (TFT) during five separate trips by members of the Global Institute of Thought Field Therapy, in the year 2000. Clinicians from Sweden, the United Kingdom, and the United States were joined in Kosovo by four physicians who transported them to remote war-torn vill...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.1090
更新日期:2001-10-01 00:00:00
abstract:CONTEXT:Equine-related treatments (ERT) for mental disorders are becoming increasingly popular for a variety of diagnoses; however, they have been subjected only to limited systematic investigation. OBJECTIVE:To examine the quality of and results from peer-reviewed research on ERT for mental disorders and related outc...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/jclp.22113
更新日期:2014-12-01 00:00:00
abstract::With a sample of 84 adult patients newly admitted to the forensic unit of a metropolitan psychiatric hospital, we evaluated the psychometric properties of the Holden Psychological Screening Inventory (HPSI). Results indicated that HPSI scales were reliable, and item factor analysis confirmed the HPSI's scoring key and...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199511)51:6<811::aid-jclp2270510
更新日期:1995-11-01 00:00:00