On the role of theoretical inquiry in psychology: A double-edged sword

Wachtel's article is as relevant today as it was over a quarter century ago, especially as public support for higher education has declined, and increased pressure to obtain external research funding is needed in order to support universities. Although Wachtel's observation that research and grant funding are more likely to be reinforced then theoretical inquiry, there is a serious question regarding whether theory can be effective in advancing the field of psychology and psychotherapy. Some of problems that typically have been associated with theory in our field are discussed, and the argument is made that theoretical inquiry be directed to the formulation of less abstract and more focal principles of human behavior and the therapy change process.     

NLP简快心理治疗方法的模式整合及其优势

NLP简快心理疗法于20世纪70年代创立于美国,80～90年代得到完善、发展和逐步推广。它吸取了精神分析、行为主义及人本主义流派的理论和治疗方法并加以整合优化,形成了以检定语言模式、思考与暗示语言模式、激发潜意识与自我暗示模式为优势和特点的心理咨询与治疗的方法,对心理咨询和治疗理论与实践的发展起到了积极的作用。     

The clinical representativeness of couple therapy outcome research

The clinical representativeness of outcome studies is defined as the generalizability of recruitment processes, assessment/diagnostic procedures, treatment protocols, and therapeutic results from research settings to naturalistic treatment settings. The main goal of the present study was to examine the clinical representativeness of couple therapy in outcome studies. The data set was formed by 50 published clinical trials, including 34 couple therapy outcome studies for marital distress (CTMD) and 16 couple therapy outcome studies for comorbid relational and mental disorders (CTMD + C). The present findings showed that, overall, the clinical representativeness of couple therapy outcome studies is only fair (i.e., the mean global score is slightly lower than the midpoint of the rating scale used to assess representativeness). CTMD + C studies fared better than CTMD studies on many dimensions of clinical relevance. Studies in which pretherapy training was less intensive (for CTMD studies only), treatment was less structured, and therapists were more experienced showed larger effect sizes than those in which such was not the case.     

Elaborate reflections on a simple manifesto

In an earlier article (^{McFall, 1991}), I urged clinical psychologists to work toward the goal of integrating science and practice and proposed the adoption of a principle and two corollaries aimed at achieving this goal. In general, I argued that all aspects of clinical psychology must be guided by the highest scientific and ethical standards, that clinical practice be limited to empirically supported procedures, and that clinical training be devoted to producing clinical scientists. In the present article, I elaborate and defend these points by offering reflections on a number of submitted questions provoked by the earlier article. I address four major issues: the philosophical foundations for a scientific epistemology, the implications of this epistemology for clinical practice, the implications for clinical training, and the likely impact of adopting this epistemology on the field of clinical psychology.     

Deployment‐Related Benefit Finding and Postdeployment Marital Satisfaction in Military Couples

Extensive research has evaluated potential negative effects of military deployments on romantic relationships. Comparatively few studies have examined potential positive effects of such deployments. In stressful situations, benefit finding (BF) has been found to be linked with better functioning on both individual and interpersonal levels. This study reports on deployment‐related BF in a sample of 67 male service members (SMs) who deployed at least once since 9/11/2001 and their wives. Couples completed measures of marital satisfaction at baseline (an average of 1 year postdeployment) and follow‐up 4–6 months later. At follow‐up, SMs also provided data on symptoms of posttraumatic stress, and both partners provided reports of deployment‐related BF. Multivariate path analysis controlling for SMs' PTSD symptom severity revealed that wives' BF was positively associated with increases in SMs' relationship satisfaction. These findings suggest that wives' responses to deployment may be more influential than SMs' responses to deployment on military couples' relationships. This pattern indicates that support for spouses during deployments is essential; furthermore, such support should include an emphasis on trying to facilitate personal growth in spouses.     

The Impact of Couple Therapy on Service Utilization among Military Veterans: The Moderating Roles of Pretreatment Service Utilization and Premature Termination

Couple therapy reduces relational and individual distress and may affect utilization of other health services, particularly among higher service utilizers. Although average decreases in service utilization are predicted among recipients of couple therapy, low utilizers of services may appropriately increase use. The relationship between couple therapy and service utilization was examined among a sample of 179 U.S. military veterans who received treatment in Veterans Affairs (VA) specialty couple therapy clinics. Consistent with hypotheses, overall mental and physical health visits decreased from the 12 months preceding couple therapy to the 12 months following treatment. Moderator analyses showed that decreases were greatest among individuals who were rated by their therapist as having completed a full course of couple therapy, suggesting that change was attributable to intervention. Pretreatment service utilization also moderated observed change—higher utilizers’ use of services decreased substantially, whereas lower utilizers’ slightly increased. Cost analyses revealed that the estimated per person mean cost in our sample decreased by $930.33 in the year following compared to the year prior to couple therapy, as per 2008 VA cost data. As service utilization data were only available for one partner and only for 1 year posttherapy, the true magnitude of this effect may be underestimated. Our findings are relevant to policy makers as they demonstrate that couple therapy reduces average service utilization and associated costs and addresses calls for analyses of cost effectiveness of systemic interventions.     

Couple resilience and life wellbeing in firefighters

The validity of the Couple Resilience Inventory was tested using 102 married or cohabiting firefighters. This instrument measures types of relationship behavior that often occur during stressful life events and that are expected to be associated with an ability to cope with employment in a stressful occupation. It includes scales measuring two nearly orthogonal dimensions, with one dimension pertaining to positive behavior and the other to negative. Firefighters completed an online questionnaire that included the Couple Resilience Inventory and measures of relationship satisfaction, exposure to traumatic events, and life wellbeing. In line with hypotheses, scales measuring positive and negative couple resilience were nearly orthogonal to each other, and distinct from a measure of relationship satisfaction, but both scales correlated positively with exposure to traumatic events, and both correlated in opposite directions with relationship satisfaction and life wellbeing. Results were consistent with the theoretical model and they supported instrument validity.