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Biomedical subjects

R M Agnew

Publications and source records attributed to R M Agnew.

4 recordsLinked to original sources

Outcomes of time-limited psychotherapy in applied settings: replicating the Second Sheffield Psychotherapy Project.

In a replication and extension of the Second Sheffield Psychotherapy Project (SPP2), a collaborative psychotherapy project (CPP) was carried out at 3 sites within the National Health Service of the United Kingdom. Clients (N = 36) stratified at 3 levels of severity of depression were randomly assigned to one of 2 treatment approaches (psychodynamic-interpersonal or cognitive-behavioral) of 2 time-limited durations (8 or 16 sessions). Gains in both treatment approaches were approximately equivalent and were similar for CPP and SPP2 clients when measured at the end of treatment. However, CPP patients did not maintain their gains to the extent that the SPP2 clients did at 3-month and 1-year follow-up assessments. In the CPP, clients given 16 sessions showed a statistically significant advantage over clients given 8 sessions on some measures at some assessments; in the SPP2, similar effects were noted only among some subgroups of clients.

Adult↗

Resolving a challenge to the therapeutic relationship: a single-case study.

The selection of a case of demonstrated change using a quantitative criterion preceded an exploration of possible change mechanisms in therapy. Between-session variations in the therapeutic relationship revealed by a quantitative measure prompted an intensive qualitative investigation of in-session events. Within these events, the study focused on challenges to the therapeutic relationship and their subsequent resolution. Understanding the resolution of such challenges to the relationship was guided by a rational model derived from the treatment rationale. A tentative account of the process of change is offered, and case replications are required to confirm and extend the findings.

Anxiety Disorders↗

The California Psychotherapy Alliance Scales: a pilot study of dimensions and elements.

The reliability and clinical utility of the rater form of the California Psychotherapy Alliance Scales (CALPAS-R) was investigated on a sample of 12 one-hour audiotapes representing differing therapeutic dyads and sampled from sessions two to six of a relationship-oriented (exploratory) therapy within pilot cases of a large outcome study. Both global dimensions and element-based ratings were used to test the feasibility of employing the elements as a way of obtaining a finer-grained analysis of the therapeutic alliance. Results are reported in terms of the interrater reliability of the dimensions and elements, and show element ratings to yield dimensional measures similar or superior to global ratings in reliability. In addition, CALPAS-R ratings were analysed in conjunction with client ratings of session depth and smoothness as well as helpfulness.

Adult↗

Antibody against Western equine encephalitis virus occurring in the serum of garter snakes (Colubridae: Thamnophis) in Saskatchewan.

A study was made of feeding and temperature as factors affecting the appearance of western equine encephalitis (WEE) virus-neutralizing serum (VNS) antibodies in the serum of garter snakes (Thamnophis spp). Eighty snakes were collected in the field, held in captivity under controlled conditions, and bled at frequent intervals. The sera were examined by standard procedures for the presence of WEE VNS-antibodies. It was found that snakes held between 10-28 degrees C showed conversion and intermittent WEE VNS-antibody appearance, whereas snakes held at 6 degrees C showed a decline in titre. The appearance of WEE VNS-antibody was related to environmental temperature, or a temperature-controlled factor, and not to feeding.

Animals↗