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Guidelines for the Systematic Treatment of the Depressed
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Larry E. Beutler, John Clarkin, and Bruce Bongar

Print publication date: 2000

Print ISBN-13: 9780195105308

Published to Oxford Scholarship Online: March 2012

DOI: 10.1093/acprof:oso/9780195105308.001.0001

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Issues in Treatment-Relevant Assessment

Issues in Treatment-Relevant Assessment

(p.114) 4 Issues in Treatment-Relevant Assessment
Guidelines for the Systematic Treatment of the Depressed Patient

Larry E. Beutler

John F. Clarkin

Bruce Bongar

Oxford University Press

The complexity of problems related to defining and identifying depression, as well as to formulating and implementing its treatment, can be illustrated by some clinical examples. The cases of Alice and Harold illustrate the variety of symptoms and provoking events with which depression is associated and the diversity of what constitutes effective treatment. Systematic treatment selection (STS) is a general model for identifying patient dimensions that may contribute to predictions of treatment outcome and hence to treatment planning. The chapter proposes four levels of intervention, the first of which is patient and problem assessment. This first level is defined as the process of selecting predisposing patient qualities. The second level of decision entails selecting the context of treatment. The third level of decision making is that of relationship facilitation and clinician interventions that are designed to enhance and facilitate that relationship. The fourth decision level is the attempt to match or fit the intervention to the patient.

Keywords:   depression, treatment, systematic treatment selection, intervention, predisposing patient qualities, context of treatment, relationship facilitation

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