: Systematic Treatment Selection

1
????????????????????????
Systematic Treatment Selection ?????

• Larry E. Beutler, PhD
• ??????????????????????? William McInnes
  ??????????
• (Distinguished Professor in Psychology )
• Pacific Graduate School of Psychology
• ?????????????? ???
• ????, ?????????

2
????????????

• Norcross, J. C., Beutler, L. E., Levant, R. F.
  (2006). Prologue and Epilogue. In Norcross, J.
  C., Beutler, L. E., Levant, R. F. (Eds),
  Evidence Based Practices in Mental Health
  Debate and Dialogue on the Fundamental Questions
  (pp. 3, 403). Washington, DC American
  Psychological Press.

3
???????

• ??????????????????????????
• ?????????????????????????????????????
• ???????????????????????????????????

4
?????????????????????????????????????????
????Beutler??????????
5
??????????????2????????

• ???????????---??????????????????????????????????
  ???????????????????-APA12 (Nathan Gorman, 1998
  2002 Chambless Ollendick, 2001 Chambless
  Hollon, 1998)
• ??????????????????---?????????????????????????????
  ????????????????????????????????????????????????
  APA29 (Norcross, 2002 Wampold, 2001 Luborsky,
  et al, 1975 Lambert, 1994)

6
???????????

• ????????????????????????????????????
• ??????????????????????????????????????????????????
  ?????????
• ?????????????????????????????????

7
??????????????

• ???????????????
• ???????????
• ??????????????????????????

8
??????????????????

• ?????????????????????????????????????????
• ??????????????????????????????????
• ???????????????????????????????????

9
?????????????????????

• ?????????????????
• ????????????????
• ????????????
• ?? x ???? x ????????????????

10
????????? ????????????????
11
????????

• ????????????????????????????????????????
• ??????????????????????????????????????????????(
  Principles)???????????????????

12
????????

• ??????????????????????????????????
• 2. ???????????????????????????????????????????????
  ?????(Principles)?????

13
?????????????????????

• ?? (Systematic Treatment Selection)
• Beutler, L. E. Clarkin, J (1990). Systematic
  Treatment Selection. New York Brunner/Mazel.
• Beutler, L. E., Clarkin, J., Bongar, B. (2000).
  Guidelines for the systematic treatment of the
  depressed patient. New York Oxford University
  Press.

14
Systematic Treatment Selection (STS)
?Beutler????????

• ????????(Principles)???????
• ????????????????????
• ????????????????????
• ?????????
• ????????????????????

15
STS???????????4?????????

• ?????
• -?? (???????????)
• ?????????
• ?????????????
• ??????????

16
????????????????????

• Beutler, L. E., Moleiro, C., Malik, M., Harwood,
  T.M., Romanelli, R., Gallagher-Thompson, D.,
  Thompson, L. (2003). A comparison of the Dodo,
  EST, and ATI indicators Among Co-Morbid Stimulant
  Dependent, Depressed Patients. Clinical
  Psychology Psychotherapy, 10, 69-85.

17
???????

• ???(????)?????????????????????????40??????
• ????3????????????---?????????????????
• 20????????6????????
• ????????????????????
• ???2???(0?1)??????????????????????????????????????
  ???4????????

18
??????????(Prescriptive Therapy)

• Beutler?Clarkin????Bongar(2000)???????????(Princip
  les)????????? (????)
• Beutler, L. E., Harwood, T.M. (2000).
  Prescriptive Therapy. New York Oxford
  University Press.

19
??(Principles)???????????????????

• ???????
• ????
• ?????????(??? vs ???)
• ?????
• ????
• ?????????
• ????????????????
• - ?? vs ?? ???
• - ??? vs ??????
• - ?? vs ?????
• ?????????
• - ???
• - ???????
• ????????????
• - ?? X ?????
• - ????? X ??/?? ??
• - ?? X ???
• - ???? X ??/?? ??

20
???????????????????????????
?1-4????????????
??
???
???
??
21
BDI(??????)??????
???
??
???
???
??
22
???????????
??
???
???
??
23
????????Castonguay, L. G. Beutler, L. E.
(Eds)(2006). Principles of Effective Change that
work. New York Oxford University Press.

• ????????????????(Principles)??????
  (???????????????????)
• 2002??????????????????????????????????????????????
  ????????????????????????????
• ???????????????????????????
• ?????????????????????????????
• ??????????????????

24
???????? ??? ?? ?? ?? ?? ??

25
????????

• ???????????????????24 ????????
• 3???????4????????????21??????????

26
????/??????

• ????????
• ??????
• ??/??
• ???????
• ???????????
• ????
• ????????????? ???
• ????????

• ???????
• ???
• ????????????
• ??
• ?????????

27
??????????????????

• Norcross, J.C. (Ed) (2002). Psychotherapy
  Relationships that Work Therapist Contributions
  and Responsiveness to Patient Needs. New York
  Oxford University Press.
• Bergin, A. E. Garfield, S. L. (Eds)(1994).
  Handbook of psychotherapy and behavior change.
  (4thed). New York John Wiley and Sons.
• Lambert, M. J. (Ed)(2004). Handbook of
  psychotherapy and behavior change (5th ed.). New
  YorkJohn Wiley and Sons

28
???????

• ? ?????????????????????????
• ???????????????
• ???
• ?????/???
• ?? vs ????????
• ??
• ?? vs ????

29
???????????

• Nathan, P. E., Gorman, J. M. (Eds.). (1998). A
  guide to treatments that work. New York Oxford
  University Press.
• Nathan, P. E., Gorman, J. M. (Eds.). (2002). A
  guide to treatments that work (2nd ed). New York
  Oxford University Press.

30
???? ? ????(Principles)

• ??(Principles) ??????????????????????????????????
  ?????????????????---Goldfried?(1987???????)
• ???? (Principles)---??????????????????
• ???? (Principles)---?????????????????????????

31
??????

• 26? ??? and 35 ??? ??(Principles)
• ????????(Principles)
• 5????23?????? (Principles)
• ??????????(Principles)
• 9????2?????? (Principles)
• ??????????(Principles)
• 12???? 10?????? (Principles)

32
???????(Principles)???

• ???????????????????
• 1. ?????????????????????????????????????
• ????
• 2.????????????????????????????????????

33
????????????

• Castonguay, L. G. Beutler, L. E. (Eds)(2006).
  Principles of therapeutic change that work. New
  York Oxford University Press.

34
??

• ???????????????????????
• ??????????????????????????????????????
• ??????????????????????????????????????????????????
  ???????