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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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Guidelines for Optimal and Enhanced Treatment

Guidelines for Optimal and Enhanced Treatment

Chapter:
(p.186) 7 Guidelines for Optimal and Enhanced Treatment
Source:
Guidelines for the Systematic Treatment of the Depressed Patient
Author(s):

Larry E. Beutler

John F. Clarkin

Bruce Bongar

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195105308.003.0007

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

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