1 / 23

Systems of Psychotherapy: A Transtheoretical Analysis

Systems of Psychotherapy: A Transtheoretical Analysis. Chapter 18. The Future of Psychotherapy. A Delphi Poll. Sensitive forecasting method named after the famous Greek oracle Structures group communication so that expert panel reaches consensus on complex problems

arivers
Télécharger la présentation

Systems of Psychotherapy: A Transtheoretical Analysis

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Systems of Psychotherapy:A Transtheoretical Analysis Chapter 18. The Future of Psychotherapy

  2. A Delphi Poll • Sensitive forecasting method named after the famous Greek oracle • Structures group communication so that expert panel reaches consensus on complex problems • Panel predicted the future of psychotherapy over next 10 years • 73 distinguished clinicians completed 2 polling phases

  3. Predicted Theoretical Orientations of the Future I What’s Hot(mean rating of 4.8 & higher) • Mindfulness therapies • Cognitive-behavior therapy • Integrative therapy • Multicultural • Motivational interviewing • Dialectical behavior therapy • Eclectic therapy • Exposure therapies • Interpersonal therapy

  4. Predicted Theoretical Orientations of the Future II What’s Mild(mean rating of 3.6 - 4.7) • Cognitive therapy • Acceptance & Commitment therapy • Systems/family systems therapy • Attachment-based therapies • Behavior therapy • Relational therapy • Experiential therapies • Narrative therapy • Solution-focused therapy • Psychodynamic therapy

  5. Predicted Theoretical Orientations of the Future III What’s Not Hot(mean rating of 3.59 & lower) • Person-centered therapy • Humanistic therapy • Feminist therapy • Male-sensitive therapy • Existential therapy • EMDR • Gestalt therapy • Reality therapy • Psychoanalysis (classical) • Jungian • Adlerian • Transactional analysis

  6. Therapy Methods of Future Methods predicted to increase: • Computer technology (smartphone apps, social networking interventions) • Client self-change (self-help, self-control procedures, bibliotherapy) • Skill-building methods (homework, problem solving, cognitive restructuring) • Interpersonal support (fostering the alliance, providing support, expressing warmth)

  7. Treatment Formats of Future • Increasing: short-term therapy, very brief therapy, psychoeducational groups, crisis intervention, population-level interventions • Remain same: Couple/marital, group, individual, conjoint family therapies • Decreasing: long-term therapy

  8. Emerging Directions • Economics of Mental Health Care • Restricting access to mental health treatment • Limiting amount of psychotherapy • Using lowest cost providers • Implementing utilization review • Reimbursing only short-term therapy • Shifting to outpatient care • Requiring referrals through gatekeepers • Restricting patient’s freedom in therapists • Denying reimbursement for certain problems

  9. Emerging Directions 2. Evidence-Based Practice (EBP) • Integration of best research evidence with clinical expertise & patient culture, preferences, and characteristics • Aim: improve effectiveness & enhance public health • What is designated as EBP will increasingly determine what therapies are reimbursed, taught, funded, and promoted • Research evidence of effectiveness will be required: treatment guidelines & outcome monitoring

  10. Evidence-Based Practices

  11. Emerging Directions 3. Therapy Relationship • Virtual unanimity that it is central to outcome • Emergence of evidence-based relationships; science tells what works relationally as well as technically • Graduate training and treatment manuals will increasingly attend to therapy relationship

  12. Emerging Directions 4. Technological Applications • Computers, behavioral e-health, virtual reality, telehealth, mHealth • Clinicians can conduct psychotherapy around the world at any hour of the day • Psychotherapy of the future may only require one person and a computer • Sensor technology provides info about patient (e.g., heart rate, mental state)

  13. Emerging Directions 5. Self-Help Resources • Self-help books, Internet sites, films, clients’ autobiographies, self-help & 12-step groups • Mental health professionals will increasingly recommend “do-it-yourself” therapies • Self-help is the country’s de facto treatment for most behavioral disorders

  14. Emerging Directions 6. Neuroscience • Psychotherapy becoming “brain therapy” • Requires a new way of thinking about & talking about how psychotherapy works • We will treat brain illnesses based on molecular biology • May enhance prevention by identifying biological indicators of vulnerability

  15. Emerging Directions 7. Personalized Psychotherapy • Tx increasingly tailored to patients’ transdiagnostic characteristics, such as stage of change, resistance level, and culture • Client preferences are frequently direct indicators of best therapy method • Clinicians will adapt treatment to patient’s religion or spirituality (religious-accommodative therapies)

  16. Emerging Directions 8. Well-Being • Identifying patients’ character strengths and virtues • Building strengths rather than focusing solely on problems • Helping organizations & communities develop resilience, justice & optimism • Simultaneously treat psychopathology and promote well-being

  17. Emerging Directions 9. Combined Psychotherapy & Pharmacotherapy • The use of psychotropic medications has risen dramatically • Combined treatment: becoming the rule, rather than the exception • Combined therapy raises questions and requires decisions on complex care

  18. Emerging Directions 10. Integrative Behavioral Health • Over 70% of health-care costs due to behaviors (e.g., smoking, alcohol, obesity, pain, stress) • Movement toward integrated primary care; collaboration with other health-care professionals • Co-action: changing multiple behaviors simultaneously • Therapists will routinely treat the behavioral side of health problems & chronic illnesses

  19. Emerging Directions 11. Proactive Treatment of Populations • Proactive outreach will increase % of high-risk people receiving treatment • Target the entire population, not only individuals in action stage • Many in the population are in contemplation or precontemplation

  20. Emerging Directions 12. Psychotherapy Works • Therapy has meaningful, positive effects on intended outcomes across settings • Average effect size = .80 (large effect); average treated client is better than 79% of untreated clients • Typical magnitude of psychotherapy rivals & exceeds that of “medical breakthroughs” • Effect sizes translate into happier & healthier people! • Practitioners, patients, policymakers, and payers will increasingly recognize science supporting effectiveness

  21. Key Terms behavioral e-health behavioral health care coaction combined treatment Delphi poll empirically supported treatments evidence-based practice (EBP) evidence-based relationships executive coaching industrialization of mental health care integratedprimary care mhealth neuroscience outcome monitoring personalizedpsychotherapy population-based interventions positive psychology practice guidelines proactive outreach religious-accommodative therapies self-help telehealth treatment adaptations

  22. Recommended Websites • Cochrane Collaboration: www.cochrane.org/ • Evidence-Based Behavioral Practice: www.ebbp.org • International Society for Research on Internet Interventionswww.isrii.org/ • National Guideline Clearinghouse: www.guideline.gov/ • Society for Neuroscience: www.sfn.org/ • Society of Behavioral Medicine: www.sbm.org/

More Related