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Biomedical subjects

R Bastine

Publications and source records attributed to R Bastine.

4 recordsLinked to original sources

Measuring treatment outcome by the Beck Depression Inventory.

The construct validity of the Beck Depression Inventory (BDI) in measuring treatment outcome is assessed in 103 psychiatric inpatients. In this context, construct validity means that the BDI measures the same construct in repeated measurement and that the change scores can be explained by treatment effects. In confirmatory factor analyses, only the first factor proved to be stable. In accordance with other studies, the sensitivity to therapeutic change in long-term intervals of several weeks could be confirmed. Significant changes in a short-term interval of 1 day in the non-endogenously depressed patients indicate an overreactivity of the BDI to change which cannot be explained by treatment effects or mood changes.

Adjustment Disorders↗

[Psychotherapeutic processes--regarding the difficulty in explaining psychotherapeutic changes].

Until now, there is no sufficient answer to the question how psychotherapy works. It is argued that progress will come from three areas. First, the understanding what the term "therapeutic process" means has to be improved. It will be useful to start from the three central phenomena of psychotherapy: (a) client changes within the therapeutic situation and his/her life context, (b) therapeutic procedures including personal characteristics of therapists, (c) the context of the institution of psychotherapy. Second, there is a need to define more carefully elements of the therapeutic process, e.g. there is an inflational (mis-) use of the term "therapeutic relationship". Referring to a model by LINSENHOFF, BASTINE & KOMMER (1982), two components of psychotherapy process (problem conceptualization and therapeutic relationship) were critically examined. Third, two different ways to analyse psychotherapeutic change were evaluated: In Type A-studies, therapeutic processes were characterized by stable features as interactional factors (e.g. age, gender, education of the participants; therapeutic maxims). In contrast, Type B-studies rely on a transactional view of the therapeutic process as a sequence of heterogeneous segments (therapeutic episodes; therapeutic strategies).

Adaptation, Psychological↗