Predictors of Differential Response to Cognitive, Experiential, and Self-Directed Psychotherapeutic Procedures

Larry E. Beutler; David Engle; David Mohr; Roger J. Daldrup; John Bergan; Keith Meredith; William Merry

doi:10.1037/0022-006X.59.2.333

Predictors of Differential Response to Cognitive, Experiential, and Self-Directed Psychotherapeutic Procedures

Larry E. Beutler^*, David Engle, David Mohr, Roger J. Daldrup, John Bergan, Keith Meredith, William Merry

^*Corresponding author for this work

Preventive Medicine

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Abstract

Group cognitive therapy (CT), focused expressive psychotherapy (FEP; a form of group experiential psychotherapy), and supportive, self-directed therapy (S/SD) were compared among 63 patients with major depressive disorder (MDD). Variation among patients' coping styles (externalization) and defensiveness (resistance potential) was used in a prospective test of hypothesized differential treatment-patient interactions. Results suggest that patient characteristics can be used differentially to assign psychotherapy types. Externalizing depressed patients improved more than nonexternalizing depressed patients in CT, whereas nonexternalizing (internalizing) patients improved most in S/SD. Conversely, high defensive (resistant) patients improved more in S/SD than in either FEP or CT, whereas low defensive patients improved more in CT than in S/SD.

Original language	English (US)
Pages (from-to)	333-340
Number of pages	8
Journal	Journal of Consulting and Clinical Psychology
Volume	59
Issue number	2
DOIs	https://doi.org/10.1037/0022-006X.59.2.333
State	Published - Apr 1991

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1037/0022-006X.59.2.333

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title = "Predictors of Differential Response to Cognitive, Experiential, and Self-Directed Psychotherapeutic Procedures",

abstract = "Group cognitive therapy (CT), focused expressive psychotherapy (FEP; a form of group experiential psychotherapy), and supportive, self-directed therapy (S/SD) were compared among 63 patients with major depressive disorder (MDD). Variation among patients' coping styles (externalization) and defensiveness (resistance potential) was used in a prospective test of hypothesized differential treatment-patient interactions. Results suggest that patient characteristics can be used differentially to assign psychotherapy types. Externalizing depressed patients improved more than nonexternalizing depressed patients in CT, whereas nonexternalizing (internalizing) patients improved most in S/SD. Conversely, high defensive (resistant) patients improved more in S/SD than in either FEP or CT, whereas low defensive patients improved more in CT than in S/SD.",

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AU - Engle, David

AU - Mohr, David

AU - Daldrup, Roger J.

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AU - Meredith, Keith

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Predictors of Differential Response to Cognitive, Experiential, and Self-Directed Psychotherapeutic Procedures

Abstract

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