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Empirically Validated Psychological Treatment: What Does It Mean in the Domain of Relationship Problems?

Published online by Cambridge University Press:  06 October 2014

W. Kim Halford*
Affiliation:
Griffith University
*
School of Applied Psychology, Griffith University, Nathan QLD 4111, Australia
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Extract

The concept of empirically validated treatments is an attempt to focus psychological training and practice on treatments that work. In this paper, I examine the complexities of defining the concept with reference to the treatment of relationship problems. The key criterion employed to define a treatment as empirically validated is established efficacy within controlled trials. I suggest that the criteria need to be expanded to include assessment of the variability, clinical significance, and durability of treatment effects, the relative efficacy of alternative approaches, and the ease of dissemination of treatments. Whilst few, if any, psychological treatments currently have data on whether they meet all these criteria, I suggest that setting these more ambitious criteria will direct us towards the ultimate goal of offering better psychological treatments.

Type
Special Issue: Empirically Validated Treatments
Copyright
Copyright © The Author(s) 1997

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References

REFERENCES

American Psychological Association. (1993, 10). Final Report of the Task Force on Promotion and Dissemination of Psychological Procedures. New York: American Psychological Association, Division of Clinical Psychologists (Division 12).Google Scholar
Backer, T.E., Liberman, R.P., & Kuehnel, T.G. (1986). Dissemination and adoption of innovative psychosocial interventions. Journal of Consulting and Clinical Psychology, 54, 111118.Google Scholar
Bakan, D. (1966). The test of significance of psychological research. Psychological Bulletin, 66, 129.Google Scholar
Bloom, B. (1985). Community mental health: A general introduction (2nd ed.). Monterey, CA: Brooks-Cole.Google Scholar
Boughner, S.R., Hayes, S.F., Bubenezer, D.L., & West, J.D. (1994). Use of standardised assessment instruments by marital and family therapists: A survey. Journal of Marital and Family Therapy, 20, 6975.Google Scholar
Christensen, A., Jacobson, N.S., & Babcock, J. (1995). Integrative behavioural couple therapy. In Jacobson, N.S. & Gurman, A.S. (Eds.), Clinical handbook of couple therapy (pp. 3164). New York: Guilford.Google Scholar
Cohen, J. (1994). The earth is round (p < .05). American Psychologist, 49, 9971003.Google Scholar
Fraenkel, P. (1996). Systematic and strategic couples therapy. In Halford, W.K. & Markman, H.J. (Eds.), Clinical handbook of marriage and couple interventions (pp. 379414). Chichester, UK: Wiley.Google Scholar
Greenberg, L.S., & Johnson, S.M. (1988). Emotionally focused therapy for couples. New York: Guilford.Google Scholar
Hahlweg, K., & Markman, H.J. (1988). Effectiveness of behavioural marital therapy: Empirical status of behavioural techniques in preventing and alleviating marital distress. Journal of Consulting and Clinical Psychology, 56, 440447.Google Scholar
Halford, W.K. (in press). Couples therapy: Helping partners manage change. New York: Guilford.Google Scholar
Halford, W.K., & Behrens, B.C. (1996). Prevention of marital difficulties. In Cotton, P. & Jackson, H.J. (Eds.), Early intervention and preventative mental health application of clinical psychology (pp. 2158). Melbourne: Australian Psychological Society.Google Scholar
Halford, W.K., Kelly, A., & Markman, H.J. (1996). The concept of healthy couples relationships. In Halford, W.K. & Markman, H.H. (Eds.), Clinical handbook of marriage and couple interventions (pp. 312). Chichester, UK: Wiley.Google Scholar
Halford, W.K., Sanders, M.R., & Behrens, B.C. (1993). A comparison of the generalization of behavioural marital therapy and enhanced behavioural marital therapy. Journal of Consulting and Clinical Psychology, 61, 5160.Google Scholar
Jacobson, N.S. (1989). The maintenance of treatment gains following social learning-based marital therapy. Behaviour Therapy, 20, 325336.Google Scholar
Jacobson, N.S. (1991). Toward enhancing the efficacy of marital therapy and marital therapy research. Journal of Family Psychology, 4, 373393.Google Scholar
Jacobson, N.S., & Addis, M.E. (1993). Research on couples and couple therapy: What do we know? Where are we going? Journal of Consulting and Clinical Psychology, 61, 8593.CrossRefGoogle ScholarPubMed
Jacobson, N.S., Follette, W.C., Revenstorf, D., Baucom, D.H., Hahlweg, L., & Margolin, G. (1984). Variability in outcome and clinical significance of behavioural marital therapy: A reanalysis of outcome data. Journal of Consulting and Clinical Psychology, 52, 497504.Google Scholar
Jacobson, N.S., Schmaling, K.B., & Holtzworth-Munroe, A. (1987). Component analysis of behavioral marital therapy: Two-year follow up and prediction of relapse. Journal of Marital and Family Therapy, 13, 187195.Google Scholar
King, N. (1997). Empirically validated treatments and AACBT. Behaviour Change, 14, 25.CrossRefGoogle Scholar
LeBow, J.L., & Gurman, A.S. (1995). Research assessing couple and family therapy. Annual Review of Psychology, 46, 2757.Google Scholar
Meehl, P.E. (1978). Theoretical risks and tabular asterisks: Sir Karl, Sir Ronald, and the slow progress of soft psychology. Journal of Consulting and Clinical Psychology, 46, 806–634.CrossRefGoogle Scholar
Rosenthal, R., & Rubin, D.B. (1982). A simple, general purpose display of magnitude of experimental effect. Journal of Educational Psychology, 67, 166169.Google Scholar
Shadish, W.R., Montgomery, L.M., Wilson, P., Wilson, M.R., Bright, L. & Okwumabua, T. (1993). Effects of family and marital psychotherapies: A meta-analysis. Journal of Consulting and Clinical Psychology, 61, 9921002.CrossRefGoogle ScholarPubMed
Snyder, D.K., & Wills, R.M. (1989). Behavioural versus insight-orientated marital therapy: Effects on individual and interspousal functioning. Journal of Consulting and Clinical Psychology, 57, 3946.CrossRefGoogle Scholar
Snyder, D.K., Mangrum, L.F., & Wills, R.M. (1993). Predicting couples' response to marital therapy: A comparison of short- and long-term predictors. Journal of Consulting and Clinical Psychology, 61, 6169.Google Scholar
Snyder, D.K., Wills, R.M., & Grady-Fletcher, A. (1991a). Long-term effectiveness of behavioral versus insight-orientated marital therapy: A four-year follow-up study. Journal of Consulting and Clinical Psychology, 59, 138–41.Google Scholar
Synder, D.K., Willis, R.M., & Grady-Fletcher, A. (1991b). Risks and challenges of long-term psychotherapy outcomes research: Reply to Jacobson. Journal of Consulting and Clinical Psychology, 59, 146149.Google Scholar
Weiss, R.L., & Halford, W.K. (1995). Managing couples therapy. In Van Hasselt, V. & Harsen, M. (Eds.). Sourcebook of psychological treatment manuals for adult disorders. New York: Plenum PressGoogle Scholar
Whisman, M.A., & Snyder, D.K. (1996). Evaluating and improving the efficacy of conjoint marital therapy. In Halford, W.K. & Markman, H.J. (Eds.). Clinical handbook of marriage and couple interventions. Chichester, England: John WileyGoogle Scholar
Wolcott, I., & Glezer, H. (1989). Marriage counselling in Australia: An evaluation. Melbourne: Institute of Family Studies.Google Scholar