An Overview of Directions in Psychotherapy Integration Research

In general, empirical research in psychotherapy integration has lagged behind the growing theoretical and clinical interest in the field. Even though many of the theoretically integrative treatment models currently available are based on empirical findings and clinical observations, the models themselves remain, for the most part, untested. Rigorous examination of integrative psychological theories and therapeutic programs is a necessary and useful way to increase our understanding of the process of psychotherapy and establish the efficacy and effectiveness of integrative therapies. The present article explores five different research areas in the field of psychotherapy integration, discussing several published studies in each area. The utility of this research for practicing clinicians is also discussed. Additional investigations in these areas and others are encouraged, with the goals of greater understanding of psychotherapy, as well as the further development and acceptance of integrative approaches.     

Predictors of PTSD Improvement with Cognitive/Exposure Group Interventions in Operation Enduring Freedom/Operation Iraqi Freedom Female Veterans

Predictors of successful PTSD outcome have been examined through individually delivered treatments. We examined predictors using a group protocol with cognitive, exposure, and skills modules. Assessments included self-report and interview (CAPS, SCID-I/II) measures at baseline, post, and six months; treatment was a 16-week, three-member group for 32 OEF/OIF women Veterans. A regression analysis showed major depressive disorder and no baseline psychiatric medication predicted PTSD improvement. PTSD improvement predicted fewer outpatient medical visits at follow-up. The results supported past research and challenged other findings (e.g., sexual assault predicts less improvement). An additional unique contribution was examining predictors in a group treatment format.     

Act local but don’t think too global: The impact of ecological goal level on behavior

ABSTRACT

Growing awareness of humanity’s impact on the environment raises the question of how best to encourage pro-environmental actions. Numerous campaigns have been created to convince people to adopt environmentally friendly everyday behaviors, with varying success. The difficulty may be due, at least in part, to the huge gap between these small individual actions and the high-level goals, such as “saving the planet,” often used as incentives. We tested this hypothesis via four experiments. Studies 1 and 2 showed that high-level goals were less effective than low-level goals in promoting paper- and energy-saving behaviors. Study 3 showed that high-level goals engender lower perceived outcome expectancy and higher perception of cumulative effort. Study 4 showed that outcome expectancy mediates the direct effect of goal level on intention.