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11 Cards in this Set

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challenges of treatment efficacy
Need large number of families/children (hard for rare disorders)
Need willing parents for child to be randomized in "controlled" group
Need to define 'outcome' measures (reduction in symptoms? improvement in peer relations? reduction in parental stress?)Who reports outcome?
Internalizing vs. externalizing
Internalizing-child self report
Externalizing-wiegh parent and teacher more heavily
Effect size of therapeutic effectiveness by outcome source
Therapy outcome depends on who you ask
Internalizing=peer sees much improvement, teacher doesnt
Externalizing=parent says works best, easy to observe change
Lab vs. real life settings
Better outcome for lab studies than real life settings
Researchers=more careful, want to make sure theyre doing it right
Clinicians=hit or miss, may not be trained well
Specific processes?
identify specific processes in therapy that lead to improvement
Beh therapies: msut be empirically supported
Non-beh therapies: more of a feeling, relationships; hard to quantify/measure
...more beh. studies
standards for treatment studies
Allow replication
defined population with clear selection criteria; treatment manual
Control group: no treatment, waitlist, placebo, etc
Random assignment
Appropriate outcome measures
"ranking" of treatments
Possibly efficacious= at least 1 well done study
Efficacious=at least 2 well done studies
Efficacious and specific= at least 2 well done studies and better than another treatment
Psychoanalytic and Object Relations
Individual play therapy: children communicate thru play, not words; displace feelings onto something else
Use play as "talk" in non-threatening manner thru transference and interpretations
Mechanism of change + Psychoanalytic and OR
Pscyhoanalytic approach: thru insight or conscious understanding; get better once understand own feelings

Object relations therapy: thru the therapeutic relationship; insight unnecessary. Healing nature of relationship
Humanistic Approach
Assumes child is expert on child, already knows how to solve own problems
Therapist never provides interpretations
Mechanism of change + Humanistic approach
Thru provision of unconditional positive regard so child is free to decide for self
Praise, positive reinforcement to create nurturing enviornment for child to express self