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Training Psychiatry Residents in Psychotherapy: The Role of Manualized Treatments

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Abstract

Evidence-based treatment and manualized psychotherapy have a recent but rich history. As interest and research have progressed, defining the role of treatment manuals in resident training and clinical practice has become more important. Although there is not a universal definition of treatment manual, most clinicians and researchers agree that treatment manuals are an essential piece of evidence-based therapy, and that despite several limitations, they offer advantages in training residents in psychotherapy. Requirements for resident training in psychotherapy have changed over the years, and treatment manuals offer a simple and straightforward way to meet training requirements. In a search limited to only depression, two treatment manuals emerged with the support of research regarding both clinical practice and resident training. In looking toward the future, it will be important for clinicians to remain updated on further advances in evidence based manualized treatment as a tool for training residents in psychotherapy, including recent developments in online and smartphone based treatments.

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References

  1. Sackett DL, William MC, Rosenberg JA, et al. Evidence based medicine: what it is and what it Isn’t. BMJ. 1996; 312:71–2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Sackett DL. Evidence-based medicine. Seminars in Perinatology. 1997;21(1):3–5.

    Article  CAS  PubMed  Google Scholar 

  3. Institute of Medicine (IOM). Crossing the quality chasm: a new health system for the twenty-first century. Washington, DC: National Academy Press; 2001.

    Google Scholar 

  4. APA Presidential Task Force on Evidence-Based Practice. Evidence-based practice in psychology. American Psychologist. 2006;61(4):271–285.

    Article  Google Scholar 

  5. Biglan A, Ogden T. The evolution of evidence-based practices. European Journal of Behavior Analysis. 2008;9(1):81–95.

    PubMed  PubMed Central  Google Scholar 

  6. Bero L, Rennie D. The Cochrane collaboration. Preparing, maintaining, and disseminating systematic reviews of the e!Ects of health care. Journal of the American Medical Association. 1995;274(24):1935–1938.

    Article  CAS  PubMed  Google Scholar 

  7. Gambrill E. Evidence-based clinical behavior analysis, evidence-based medicine and the Cochrane collaboration. Journal of Behavior Therapy and Experimental Psychiatry. 1999;30(1):1–14.

    Article  CAS  PubMed  Google Scholar 

  8. Addis ME, Wade WA, Hatgis C, Health B, Hatgis C. Barriers to dissemination of evidence-based practices: addressing practitioners ’ concerns about manual - based psychotherapies. Clinical Psychology: Science and Practice. 1999;6(4):430–441.

    Google Scholar 

  9. Beutler LE. Identifying empirically supported treatments: what if we didn’t? Journal of Consulting and Clinical Psychology. 1998;66(I):113–120.

    Article  CAS  PubMed  Google Scholar 

  10. Goldfried MR, Wolfe BE. Toward a more clinically valid approach to therapy research. Journal of Consulting and Clinical Psychology. 1998;66(1):143–150.

    Article  CAS  PubMed  Google Scholar 

  11. Herbert JD. The science and practice of empirically supported treatments. Behavior Modification. 2003;27(3):412–430.

    Article  PubMed  Google Scholar 

  12. Ollendick TH. Advances toward evidence-based practice: where to from here? Behavior Therapy. 2014;45(1):51–5.

    Article  PubMed  Google Scholar 

  13. Eysenck HJ. The effects of psychotherapy: an evaluation. Journal of Consulting Psychology. 1952;16:319–324.

    Article  CAS  PubMed  Google Scholar 

  14. Hoffman SG, Asnaani A, Vonk IJJ, Sawyer AT, Fang A. The efficacy of cognitive behavioral therapy: a review of meta-analyses. Cognitive Therapy and Research. 2012;36(5):427–440.

    Article  Google Scholar 

  15. Chambless DL, Hollon SD. Defining empirically supported therapies. Journal of Consulting and Clinical Psychology. 1998;66(1):7–18.

    Article  CAS  PubMed  Google Scholar 

  16. Kendall PC. Empirically supported psychological therapies. Journal of Consulting and Clinical Psychology. 1998;66(1):3–6.

    Article  CAS  PubMed  Google Scholar 

  17. Thomason TC. The trend toward evidence-based practice and the future of psychotherapy. American Journal of Psychotherapy. 2010;64(1):29–38.

    PubMed  Google Scholar 

  18. Chambless DL, Baker MJ, Baucom DH, Beutler LE, Calhoun KS, Crits-Christoph P, et al. Update on empirically validated therapies, II. Clinical Psychologist. 1998;51(1):3–16.

    Google Scholar 

  19. Persons JB, Silberschatz G. Are results of randomized controlled trials useful to psychotherapists? Journal of Consulting and Clinical Psychology. 1998;66(I):126–135.

    Article  CAS  PubMed  Google Scholar 

  20. Riddick FA. The code of medical ethics of the American Medical Association. The Ochsner Journal. 2003;5(2):6–10.

    PubMed  PubMed Central  Google Scholar 

  21. Jennings B, Baily MA, Bottrell M, Lynn J. Healthcare quality improvement: ethical and regulatory issues. Garrison, New York: The Hastings Center; 2007.

    Google Scholar 

  22. Bellg AJ, Borrelli B, Resnick B, et al. Enhancing treatment fidelity in health behavior change studies: best practices and recommendations from the NIH behavior change consortium. Health Psychology. 2004;23(5):443–451.

    Article  PubMed  Google Scholar 

  23. Wilson TG. Manual-based treatments: the clinical application of research findings. Behaviour Research and Therapy. 1996;34(4):295–314.

    Article  CAS  PubMed  Google Scholar 

  24. Teachman BA, Drabick DAG, Hershenberg R, Vivian D, Wolfe BE, Goldfried MR. Bridging the gap between clinical research and clinical practice: introduction to the special section. Psychotherapy. 2012;49(2):97–100.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Borkovec TD, Castonguay LG. What is the scientific meaning of empirically supported therapy? Journal of Consulting and Clinical Psychology. 1998;66(1):136–42.

    Article  CAS  PubMed  Google Scholar 

  26. Norcross JC. Collegially validated limitations of empirically validated treatments. Clinical Psychology: Science and Practice. 1999;6(4):472–476.

    Google Scholar 

  27. Farchione TJ, Fairholme CP, Ellard KK, Boisseau CL, Thompson-Hollands J, et al. Unified protocol for transdiagnostic treatment of emotional disorders: a randomized controlled trial. Behavior Therapy. 2012;43(3):666–678.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Beutler LE, Castonguay LG. The task force on empirically based principles of therapeutic change. In L. G. Castonguay & L. E. Beutler (Eds.), principles of therapeutic change that work (pp. 3–10). New York: Oxford University; 2006.

    Google Scholar 

  29. Falzon L, Davidson KW, Bruns D. Evidence searching for evidence-based psychology practice. Professional Psychology Research and Practice. 2010;41(8):550–557.

    Article  Google Scholar 

  30. Persons JB. Dissemination of effective methods: behavior therapy’s next challenge. Behavior Therapy. 1997;28:465–471.

    Article  Google Scholar 

  31. Weissman MM, Verdeli H, et al. National survey of psychotherapy training in psychiatry, psychology, and social work. Archives of General Psychiatry. 2006;63:925–934.

    Article  PubMed  Google Scholar 

  32. Giordano FL, Briones DF: Assessing residents’ competence in psychotherapy. Academic Psychiatry 2003;27(3):145–147.

    Article  PubMed  Google Scholar 

  33. Mohl PC, Lomax J, Tasman A, Chan C, Sledge W, Summergrad P, Notman M: Psychotherapy training for psychiatrists of the future. American Journal of Psychiatry. 1990;147(1):7–13.

    Article  CAS  PubMed  Google Scholar 

  34. Miller SI, Scully JH Jr, Winstead DK: The evolution of core competencies in psychiatry. Academic Psychiatry. 2003;27:129–130.

    Article  Google Scholar 

  35. Accreditation Council for Graduate Medical Education: Program requirements for graduate medical education in psychiatry; 2007. http://docplayer.net/1096821-Acgme-program-Accessed 16 Feb 2016.

  36. Accreditation Council for Graduate Medical Education: Program requirements for graduate medical education in psychiatry; 2015. www.acgme.org. Accessed 16 Feb 2016.

  37. Salkovskis P. A NICE year for CBT and a CBT year for NICE. Behav Cogn Psychother. 2004;32:129–30.

    Article  Google Scholar 

  38. Sudak DM, Beck JS, Wright J. Cognitive behavioral therapy: a blueprint for attaining and assessing psychiatry resident competency. Academic Psychiatry. 2003;27(3):154–159.

    Article  PubMed  Google Scholar 

  39. Cohen L, Sargent M, Seachrest L. Use of psychotherapy research by professional psychologists. American Psychologist. 1986;41:188–197.

    Article  Google Scholar 

  40. Beck AT, Rush J, Shaw B, Emery G. Cognitive therapy of depression. New York: Guilford Press; 1979.

    Google Scholar 

  41. McLean PD. Decision-making in the behavioral management of depression. In: Davidson PO, editor. Behavioral management of anxiety, depression, and pain. New York: Brunner/Mazel; 1976.

    Google Scholar 

  42. Klerman GL, Weissman MM, Rounsaville BJ, Chevron ES. Interpersonal psychotherapy of depression. New York: Basic Books Inc; 1984.

    Google Scholar 

  43. Pagano J, Kyle BN, Johnson TL. A manual by any other name: identifying psychotherapy training manuals for resident training. Academic Psychiatry. 2016; doi:10.1007/s40596-016-0492-4.

    PubMed  Google Scholar 

  44. Greenberg LS, Rice LN, Elliott R. Facilitating emotional change: the moment- by-moment process. New York: Guilford Press; 1993.

    Google Scholar 

  45. Burns D. Feeling Good. New York: New American Library; 1980.

    Google Scholar 

  46. Weerasekera P, Anthony MM, et al. Competency assessment in the McMaster psychotherapy program. Academic Psychiatry. 2003;27(3):166–173.

    Article  PubMed  Google Scholar 

  47. Weerasekera P. The state of psychotherapy supervision: recommendations for future training. International Review of Psychiatry. 2013;25(3):255–264.

    Article  PubMed  Google Scholar 

  48. Craighead WE, Sheets ES, Brosse AL, Ilardi SS. Psychosocial treatments for major depressive disorder. In: Nathan PE, Gorman JM, editors. A guide to treatments that work. 3rd ed. New York: Oxford University Press; 2007. p. 289–308.

    Google Scholar 

  49. Lovelock H, Mathews R, Murphy K. Evidence-based psychological interventions in the treatment of mental disorders: a literature review. 3rd ed. Melbourne: Australian Psychological Society; 2010.

    Google Scholar 

  50. Ybarra ML, Eaton WW. Internet-based mental health interventions. Mental Health Services Research. 2005;7(2):75–87.

    Article  PubMed  Google Scholar 

  51. Postel MG, de Haan HA, De Jong CAJ. E-therapy for mental health problems: a systematic review. Telemedicine and e-Health. 2008;14(7):707–714.

    Article  PubMed  Google Scholar 

  52. Carlbring P, Ekselius L, Anderson G. Treatment of panic disorder via the internet: a randomized trial of CBT vs. applied relaxation. Journal of Behavior Therapy and Expimental Psychiatry. 2003;34:129–14.

    Google Scholar 

  53. Carlbring P, Nilsson-Ihrfelt E, Waara J, et al. Treatment of panic disorder: live therapy vs. self-help via the internet. Behaviour Research and Therapy. 2005;43:1321–1333.

    Article  PubMed  Google Scholar 

  54. Donker T, Petrie K, Proudfoot J, et al. Smartphones for smarter delivery of mental health programs: a systematic review. Journal of Medical Internet Research. 2013;15(11):e247.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Price M, Yuen EK, Goetter EM, et. al. mHealth: a mechanism to deliver more accessible, more effective mental health care. Clinical Psychology and Psychotherapy. 2014;21(5):427–436.

  56. Mohr DC, Hart SL, Julian L, et al. Telephone-administered psychotherapy for depression. Archives of General Psychiatry. 2005;62(9):1007–1014.

    Article  PubMed  Google Scholar 

  57. Stubbings DR, Rees CS, Roberts LD, et al. Comparing in-person to videoconference-based cognitive behavioral therapy for mood and anxiety disorders: a randomized controlled trial. Journal of Medical Internet Research. 2013;15(11):e258.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Saeed SA, Johnson TL, Bagga M, Glass O. Training residents in the use of telepsychiatry: a proposed elective. Psychiatric Quarterly. In press.

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Medicine, Brody School of Medicine at East Carolina University, Cherry Hospital, 201 Stevens Mill Rd, Goldsboro, NC, 27530, USA

    Joshua Pagano

  2. Division of Behavioral Medicine, Department of Psychiatry and Behavioral Medicine, Brody School of Medicine, East Carolina University, Mail Stop 694, Greenville, NC, 27834, USA

    Brandon N. Kyle

  3. Department of Psychiatry and Behavioral Medicine, Psychiatric Outpatient Clinic, 905 Johns Hopkins Drive, Greenville, NC, 27834, USA

    Toni L. Johnson

  4. Department of Psychiatry and Behavioral Medicine, Brody School of Medicine at East Carolina University, 905 Johns Hopkins Drive, Greenville, NC, 27834, USA

    Sy Atezaz Saeed

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  1. Joshua Pagano
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  4. Sy Atezaz Saeed
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Correspondence to Joshua Pagano.

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Pagano, J., Kyle, B.N., Johnson, T.L. et al. Training Psychiatry Residents in Psychotherapy: The Role of Manualized Treatments. Psychiatr Q 88, 285–294 (2017). https://doi.org/10.1007/s11126-016-9476-5

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  • DOI: https://doi.org/10.1007/s11126-016-9476-5

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