Making the case for using personalised outcome measures to track progress in psychotherapy

The practice-based evidence movement has become increasingly influential in the practice of counselling. One element of this approach is the recommendation that therapists regularly administer standardised or nomothetic measures to track the progress made by their clients. When this feedback indicates that therapy is off course (i.e. out of kilter with the projected course of effective treatment) therapists are alerted to the risks of potential dropout and encouraged to take some form of corrective action. Despite an expanding evidence base supporting this strategy for improving psychotherapeutic outcomes, there are also concerns that the generic measures adopted do not always possess the specificity and sensitivity required to capture the unique experiences of individual clients. The paper argues that personalised or idiographic assessments can be designed to match the language and priorities of individual clients and so provide a more nuanced measure with which to track the course of therapy and promote informed reflective conversations between client and clinician on when and whether a change in direction is needed. However the idiographic alternative is not an easy option and practical as well as theoretical challenges in adopting this approach to monitoring treatment outcomes are acknowledged and discussed. Finally the virtue of using a strategy that combines nomothetic and idiographic measures is considered.     

Bringing Back the Person into Behavioural Personality Science Using Big Data

Behaviour and the individual person are important but widely neglected topics of personality psychology. We argue that new technologies to collect and new methods to analyse Big (Behavioural) Data have the potential to bring back both more behaviour and the individual person into personality science. The call for studying the individual person in the history of personality science, the related idiographic/nomothetic divide, as well as attempts to reconcile these two approaches are briefly reviewed. Furthermore, different meanings of the term idiographic and some unique selling points that emphasize the importance of idiographic research are highlighted. A nonexhaustive literature review shows that a wealth of behaviours are considered in extant personality studies using such Big Data but only in a nomothetic way. Against this background, we demonstrate the potential of Big Data collection and analysis with regard to four idiographic research topics: (i) unique manifestations of common traits and the resurgence of personal dispositions, (ii) idiographic prediction, (iii) intraindividual consistency versus variability of behaviour and (iv) intraindividual personality trait change through intervention. Methodological, ethical and legal pitfalls of doing Big Data research with individual persons as well as potential countermeasures are considered.     

Validation of the SASB Introject Surface in a Norwegian Clinical and Nonclinical Sample

Aronow, Reznikoff, and Moreland (this issue) have written a thoughtful contribution to the debate on the status of nomothetic and idiographic approaches to the Rorschach test. One of the interesting and attractive features of the current Rorschach er a is—as the Rorschach has experienced a resurgence of interest—the continuing interest in the foundations of the test and the historic antecedents to contemporary thought about the Rorschach (cf. Handler, 1994). One cannot consider Rorschach's seminal insights or those of the first and second generation and not deepen one's contemporary understanding and practice. In other words, the more you know about the test, the better "Rorschacher" you will be. This is witness to the test's utility and profundity. For this we may be grateful for the thought-provoking contribution of Aronow and his colleagues.     

Bridging the idiographic-nomothetic divide in ratings of self and others on the Big Five

Recent discussions of the idiographic-nomothetic debate were initially reviewed in this paper. Three important issues stemming from this debate were then expounded within the context of Personal Construct Theory and evaluated in an empirical study. Participants were required to rate themselves and people they knew on 25 marker items for the Big Five personality traits and on 12 of their own unique personal constructs. The ratings were analyzed using a number of novel statistical methods, including a simple type of confirmatory factor analysis and an informative graphing procedure. Results indicated that at least half of the statistical information derived from the idiographic, personal construct ratings was unique when compared to ratings on the nomothetic Big Five items. The implications of these methods and results for person-centered and trait conceptualizations of personality were discussed.     

Idiographic complexity and the common personality dimensions insensitivity,extraversion, neuroticism,and orderliness

This paper reports on an attempt to investigate empirically whether the common personality dimensions S or Insensitivity, E or Extraversion, N or Neuroticism, and G or Orderliness, as postulated in Van Kampen's modification of Eysenck's PEN model, would in principle give rise to the same level of predictive accuracy as a set of personal traits obtained in each of a series of assessments of separate individuals. Using a special methodology to ‘convert’ the nomothetic dimensions into factors that are of idiographic relevance, (within‐person) correlations and multiple correlations between the idiographic traits and the nomothetic dimensions S, E, N, and G (predictors) were computed in a sample of 83 subjects. Results showed that the idiographic traits could be expressed in most cases as linear combinations of the four idiographically converted nomothetic factors, and that the degree to which an individual's idiographic data could be explained nomothetically was unrelated to this individual's conformity to the nomothetic zero‐correlational structure of the four dimensions. Copyright © 2000 John Wiley & Sons, Ltd.     

Experience Sampling Methods: A Modern Idiographic Approach to Personality Research

Experience sampling methods are essential tools for building a modern idiographic approach to understanding personality. These methods yield multiple snapshots of people's experiences over time in daily life and allow researchers to identify patterns of behavior within a given individual, rather than strictly identify patterns of behavior across individuals, as with standard nomothetic approaches. In this article, we discuss the origin and evolution of idiographic methods in the field of personality and explain how experience sampling methods function as modern day idiographic methods in this field. We then review four primary ways in which experience sampling methods have been used to foster idiographic approaches in personality research. Specifically, we highlight approaches that examine individual differences in temporal and behavioral distributions, situation–behavior contingencies, daily processes, and the structure of daily experience. Following a brief methodology primer, we end by discussing future directions for idiographic experience sampling approaches in personality psychology and beyond.     

Valuation theory,the self-confrontation method,and scientific personality psychology

This article presents an invited commentary on the two previous articles by Hermans and Bonarius (1991) and by Hermans (1991). Primary focus is placed on certain enduring confusions regarding the historic ‘nomothetic vs. idiographic’ controversy in personality psychology, the traces of those confusions in the writings of Hermans and Bonarius, and the importance of eliminating those confusions if the full potential of valuation theory and the self-confrontation method is to be realized, not only as a means of gaining idiographic knowledge and clinically helpful insights, but also as a means of gaining genuinely nomothetic knowledge in the domain of personality.     

Individual differences in metacontrast: An impetus for clearly specified new research objectives in studying masking and perceptual awareness?

While the majority of perceptual phenomena based research on consciousness is implicitly nomothetic, some idiographic perspective can be sometimes highly valuable for it. It may turn out that after having had a closer look at individual differences in the expression of psychometric functions a need to revise some nomothetic laws considered as the general ones arises as well. A study of individual differences in metacontrast masking published in this issue superbly illustrates this. A myriad of urgent research objectives emerges out of this study, most of them important both for clearing up the still messy theoretical picture on visual masking and for the beginning of asking whether perceptual awareness mechanisms are so universal at all. In this commentary the problems pertinent to this issue are discussed.     

The Challenge of Integrity: A Commentary on the Critique by Edwards and Lowis

Capps' idiographic analysis of Augustine's Confessions is discussed in terms of Allport's possible contradiction in stating idiographic goals while embracing nomothetic theory and techniques. The necessity of a methodological complementarity for this type of work is stressed to reduce subjective bias. The question of Augustine's religious orientation is then extended to include recent ideas. As interesting as idiographic treatments are, their most productive use may be for theory development to which nomothetic analyses are applied.     

Implicit psychophysiology: Effects of common beliefs and idiosyncratic physiological responses symptom reporting

Every individual exhibits unique perceptual, behavioral, and physiological responses within and across a variety of settings. Despite the idiosyncratic nature of responses, we seek to establish theories that generalize across a large number of individuals. A strict idiographic method intensively examines the response patterns of a small number of individuals, whereas a nomothetic approach focuses on common responses across a large number of individuals. In the present investigation, we seek to learn how individuals perceive and report physical symptoms and sensations. We offer a methodology that capitalizes on the unique physiological responses of individuals but, at the same time, assumes that the underlying perceptual processes relevant to symptom reporting are comparable across individuals. Our approach, then, is both idiographic and nomothetic. As will be discussed, this integrative approach has the potential to be applied to a multitude of behaviors and processes that are of interest to social and personality psychologists.     

The typological approach in child and family psychology: a review of theory,methods, and research

The purpose of this paper was to review the theoretical underpinnings, major concepts, and methods of the typological approach. It was argued that the typological approach offers a systematic, empirically rigorous and reliable way to synthesize the nomothetic variable-centered approach with the idiographic case-centered approach. Recent advances in cluster analysis validation make it a promising method for uncovering natural typologies. This paper also reviewed findings from personality and family studies that have revealed 3 prototypical personalities and parenting styles: Adjusted/Authoritative, Overcontrolled/Authoritarian, and Undercontrolled/Permissive. These prototypes are theorized to be synonymous with attractor basins in psychological state space. The connection between family types and personality structure as well as future directions of typological research were also discussed.     

Assessing Achievement Goals in Sport: Caveats for Consultants and a Case for Contextualization

This paper advises practitioners of the limitations of employing nomothetic research tools for the idiographic assessment of athletes' achievement goal orientations. Consultants are encouraged to appreciate the scoring trends of the Task and Ego Orientation in Sport Questionnaire (TEOSQ; Duda & Nicholls, 1992) and the Perceptions of Success Questionnaire (POSQ; Roberts, Treasure, & Balague, 1998) and to recognize that the measures may not bestow them with accurate and meaningful information on an athlete's motivational responses in the contexts of competition and practice. The contextual sensitivity of the TEOSQ and the POSQ is explored empirically among a sample of 179 high-level team and individual athletes. Repeated measures ANOVAs with follow-up paired t -tests illustrated how performers' goal orientations for competition differed significantly from their overall sport goal orientation. The findings are discussed with reference to the implications for practitioners and the development of appropriate contextual assessments of achievement goals at nomothetic and idiographic levels.     

On the Integration of Nomothetic and Idiographic Research Methods in the Study of Personal Meaning

ABSTRACT This study presents the technique of self-investigation as a research tool for the study of personal meaning from the perspective of the general and the particular After reviewing the nomothesis-idiography debate, I argue that personality psychology can benefit from a combination of nomothetic and idiographic research methodologies This creates a need for new theoretical frameworks that incorporate both nomo-concepts, enabling the study of people in general and idio-concepts, enabling the psychologist to understand the particular world of the individual Allport's term “value” is reformulated as the idio-concept “valuation,” which refers to personal meaning in an individual's history The term “affect,” as a central component in the process of valuation, is treated as a nomo-concept The relation between the two concepts is demonstrated by studying specific concerns in the history of an individual as recurrent expressions of general winner and loser experiences     

Individual differences in client reactions to counseling and psychotherapy: A challenge for research

Recent research is reviewed that suggests extensive individual differences in how clients respond to therapeutic interventions and therapist response modes. Three research strategies are proposed as parts of a therapeutic science that aims at both nomothetic generalizations and explications of idiographic meanings, while simultaneously confronting conceptual and methodological complexities arising from client individual differences in response to counseling.     

Curriculum and training reform in clinical psychology: Improving the integration of science and practice

Current graduate curricula do not fully grapple with and take advantage of the dialectical interplay of science and practice that is at the core of the scientist—practitioner (Boulder) model. This article addresses factors that interfere with the realization of the Boulder model and offers suggestions for curriculum reform. It emphasizes the importance of both science and practice, as well as the merit of both nomothetic and idiographic approaches to clinical training. The article discusses how academic politics often interfere with the incorporation of empirically supported treatments or assessment methods into training programs. Even when evidence-based approaches are a part of the curriculum, the challenges continue. Because empirically supported treatments are almost always associated with treatment manuals that rely on categorically defined diagnostic categories, they may inadvertently discourage idiographic functional analyses and the appreciation of underlying change principles. In addition, in light of the fact that many, if not most, students eventually pursue applied careers and because science-based interventions and assessment methods are currently underused by clinicians in the field, it is argued that clinical training should receive more recognition in scientist—practitioner programs. Programs should be mindful of the need to prepare a certain subset of interested students for scientifically based careers in applied settings. This article also highlights the importance of educating and training students in communicating and disseminating science-based clinical psychology to nonacademic psychologists and health professionals from other disciplines.     

Associations between appearance-related self-discrepancies and young women's and men's affect, body satisfaction, and emotional eating: a comparison of fixed-item and participant-generated self-discrepancies

This study examines the associations between appearance-related, actual-ideal self-discrepancies--from both own and romantic partner's standpoints--and negative affect, body satisfaction, and eating behavior. It extends previous research through studying both genders and the romantic partner standpoint, but its main novel contribution is a systematic comparison between idiographic, participant-generated, and nomothetic, fixed-item measures of appearance-related self-discrepancies. The findings show that these measures cannot be, and should not be, treated as equivalent. The idiographic measures were superior in predicting outcome variables when considering the own standpoint. Nomothetic measures did demonstrate some gender-specific associations, but only from the romantic partner standpoint, and only for women. These findings can be explained with respect to the assessment of accessible, versus available, self-discrepancies. Implications for self-discrepancy and body image theory and research are discussed.     

Adolescent culture brokering and family functioning: a study of families from Vietnam

In immigrant families, culture brokering (CB) refers to the ways in which children and adolescents serve as mediator between their family and aspects of the new culture. This study focused on the debate in the literature about whether CB implies "role reversal" in the family and "adultification" of the adolescent or whether CB is better understood as simply one of the many ways that immigrant children contribute to family functioning. Results indicated a mixed picture with respect to this debate. Greater amounts of adolescent CB were indeed related to higher adolescent reports of family conflict, but also to greater family adaptability. In addition, the amount of CB was unrelated to family satisfaction and family cohesion. Secondary questions centered on the relationship of CB to adolescent and parent demographic and acculturation variables. Here, CB was related to parent acculturation patterns but not those of adolescents. Implications for future research on the CB role are discussed.     

New branches on the Tree of Knowledge. Challenges for systemic family therapists

Faced with today's challenges, I question whether the framework for family therapy provided by systemic thinking is sufficient when working with children and teenagers. The aim of this paper is not to argue for an eclectic model for therapy, but rather to encourage a critical dialogue between various bodies of knowledge. The paper raises the discussion of how family therapists relate to knowledge external to the therapy field. Contemporary developmental psychology, neurobiology, behavioural genetics and group socialization theory are highlighted as useful bodies of knowledge for family therapists. Examples from clinical practice are used to illustrate this.