Understanding how and why psychotherapy leads to change
Top Cited Papers
- 1 July 2009
- journal article
- review article
- Published by Taylor & Francis Ltd in Psychotherapy Research
- Vol. 19 (4-5), 418-428
- https://doi.org/10.1080/10503300802448899
Abstract
The rich research literature on psychotherapies for children, adolescents, and adults has identified several interventions that can ameliorate or effect significant change in psychiatric disorders and a variety of social, behavioral, and emotional problems and can enhance medical outcomes and recovery. After decades of psychotherapy research and thousands of studies, there is no evidence-based explanation of how or why even the most well-studied interventions produce change, that is, the mechanisms through which treatments operate. This article discusses central requirements for demonstrating mediators and mechanisms of change. Also presented are promising lines of work to identify mediators and mechanisms, ways of bringing to bear multiple types of evidence, recommendations to make progress in understanding how therapy works, and conceptual and research challenges in evaluating mediators and mechanisms.Keywords
This publication has 44 references indexed in Scilit:
- High Impulsivity Predicts the Switch to Compulsive Cocaine-TakingScience, 2008
- Predicting Human Interactive Learning by Regret-Driven Neural NetworksScience, 2008
- Molecular Cytogenetic Analysis and Resequencing of Contactin Associated Protein-Like 2 in Autism Spectrum DisordersAmerican Journal of Human Genetics, 2008
- How and why criteria defining moderators and mediators differ between the Baron & Kenny and MacArthur approaches.Health Psychology, 2008
- Multidimensional patterns of change in outpatient psychotherapy: The phase model revisitedJournal of Clinical Psychology, 2007
- Neural mechanisms of genetic risk for impulsivity and violence in humansProceedings of the National Academy of Sciences of the United States of America, 2006
- Mediation in experimental and nonexperimental studies: New procedures and recommendations.Psychological Methods, 2002
- How Do Risk Factors Work Together? Mediators, Moderators, and Independent, Overlapping, and Proxy Risk FactorsAmerican Journal of Psychiatry, 2001
- Determinants of change in cognitive therapy for depressionCognitive Therapy and Research, 1990
- The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.Journal of Personality and Social Psychology, 1986