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Flexibility within Fidelity: Breathing Life into a Psychological Treatment Manual

Autor Philip C. Kendall
en Limba Engleză Paperback – 21 oct 2021
Among mental health researchers, there is a consensus that empirically supported treatments (ESTs) have favorable outcomes and that the outcomes are typically better than other approaches. The majority of these are available as therapist manuals, brief books, or other extended volumes. However, among mental health service providers, there is often a view that these manuals and books can be formulaic and rigid, and likely insensitive to individual patient needs or presentations. With these conflicting perspectives in place, there is a need for accurate communication and reconciliation. Flexibility within Fidelity identifies how effective ESTs can be implemented with both integrity and flexibility. The book is comprised of chapters focusing on specific ESTs for identified problem areas amongst adults and children/adolescents, including anxiety disorders, PTSD, pain management, and depression among others. Chapter authors focus on the specific treatment components that are required to maintain fidelity and the features of the EST which can be applied with flexibility, promoting a personalized implementation. Written in an accessible style featuring in-depth clinical discussions, this book will equip mental health practitioners with the tools to implement ESTs across client presentations.
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Specificații

ISBN-13: 9780197552155
ISBN-10: 0197552153
Pagini: 328
Dimensiuni: 236 x 159 x 24 mm
Greutate: 0.47 kg
Editura: Oxford University Press
Colecția OUP USA
Locul publicării:New York, United States

Recenzii

This is a must-have book for any therapist treating patients with anxiety, depression, OCD, aggression, pain and a variety of other disorders. Although empirically-supported treatments are the clear gold-standard for treating these problems, clinicians often struggle with how best to balance the need for fidelity in applying manualized treatments with the flexibility necessary to meet the specific needs of a given patient and their family. This book provides expert and highly pragmatic guidance for how to achieve this balance. Dr. Kendall, one of leading developers of empirically-supported treatments, has assembled an all-star cast of clinical researchers and treatment developers to guide readers through the key steps for achieving flexibility with fidelity in service of optimal clinical outcomes.
Our own research shows that it is important to train and evaluate psychotherapists along two dimensions, adherence to the evidence-based psychological protocol so that it is delivered as intended, but also competence in its administration. We have discovered that adhering too closely to the protocol in sessions is consistently associated with lower ratings of competence. But how can a therapist be trained to administer the treatment with integrity to achieve the best results while at the same time achieving maximal competence? Now, Phil Kendall, one of the experts in the world in this area, has put together leading developers of evidence-based psychological treatments that demonstrates how to be flexible, and therefore competent, in delivering these interventions with integrity. Every clinicians or clinician in training should be familiar with these strategies."

Notă biografică

Philip C. Kendall is Distinguished University Professor and Laura H. Carnell Professor of Psychology at Temple University. He is also Director of the Child and Adolescent Anxiety Disorders Clinic (CAADC) at the university. Dr. Kendall is an active researcher, scholar, and clinician and has approximately 800 publications, with his treatment programs having been translated into over a dozen languages. Most recently, he was awarded the 2019 Career/Lifetime Achievement Award conferred at the ABCT annual convention. He is past president of both the Society of Clinical Child and Adolescent Psychology (Division 53) of APA as well as the Association for the Advancement of Behavior Therapy (AABT, now ABCT).