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H J Kern

Publications and source records attributed to H J Kern.

4 recordsLinked to original sources
PubMed1994

[Paradoxical interventions: explanation and categorization].

Paradoxical interventions are of major importance for the systemic family therapy. Because paradoxical interventions are widely used and more than 40 symptoms are treated by them explanations and categorizations of the different paradoxical interventions seem to be useful. The double bind hypothesis, but more the selection of specific paradoxical interventions dependent on certain client characteristics like reactance and perceived freedom of target behavior could lead to differential therapeutic effects and improved efficacy of paradoxical interventions. The explanation by decontextualization could facilitate the integration of paradoxical interventions into the mainstream of psychotherapy. To find out whether single paradoxical interventions can be integrated in broader theoretical frameworks or not, further discussions are necessary.

Child↗
PubMed1993

[Evaluation of paradoxical interventions].

In anecdotal, uncontrolled case reports the threats to internal and external validity cannot be ruled out and the drawing of valid conclusions are prevented. These limits the usefulness of the "impressive" results of anecdotal case reports of paradoxical interventions. The few of controlled single case experimental and group designs permit valid conclusions and prove the efficacy of paradoxical interventions, but not their general superiority over other treatments. Meta-analysis also point to efficacy but not to the superiority of paradoxical interventions over other procedures. The combinations of paradoxical and behavioral procedures seem to enhance efficacy. What is missing in paradoxical treatment studies is the clear and detailed description of the specific interventions as well as the proof of the treatment's integrity. What is still unclear is the range of indications for paradoxical interventions, the clients' satisfaction and acceptability of the paradoxical interventions and ethical issues.

Behavior Therapy↗