Case Studies Within Psychotherapy Trials Integrating Qualitative and Quantitative Methods

Much has been written about the basic incompatibility of the dominant quantitative research model in psychotherapy and the qualitative preferences of the practitioner community providing psychotherapy. Researchers and clinicians are at odds over the most valuable type of knowledge needed: that emerging from quantitative, experimental research versus that from qualitative, case-based practice, respectively.

Recently, a number of emerging research methods have attempted to bridge and integrate these two approaches. Case Studies within Psychotherapy Trials is one such effort and significantly furthers the synergy between them. The volume provides a comprehensive illustration of the "cases-within-trials" (CWT) model of research. Quantitative findings from four randomized clinical trials (RCT) are synthesized with qualitative and quantitative findings from systematic case studies of successful and unsuccessful clients representatively drawn from each RCT.

The book opens with the history of dialectic and political controversy in psychotherapy research and recent initiatives to bridge the differing perspectives. The RCT and case study projects follow, each commented on by outside experts. In the final chapter the editors compare and contrast the separate projects and draw insightful, impactful conclusions. By bringing together quantitative, natural scientific perspectives on research and qualitative, interpretative understandings and strategies, the chapter authors demonstrate how practitioners can be meaningfully included in future psychotherapy research. This book will be of great interest to psychotherapy researchers and practitioners and those interested in research methods in the behavioral sciences more generally.

Daniel B. Fishman, PhD, is Professor of Clinical Psychology at the Rutgers Graduate School of Applied and Professional Psychology. He is the founder and editor-in-chief of the peer-reviewed, quarterly, online journal Pragmatic Case Studies in Psychotherapy.

Stanley B. Messer, PhD, is Dean of the Graduate School of Applied and Professional Psychology at Rutgers University. He has published extensively on the application of psychodynamic theory and research to the brief and integrative therapies and on the issue of evidence-based practice.

David J.A. Edwards, PhD, is Professor in the Department of Psychology at Rhodes University, Grahamstown, South Africa (part time). He has been writing on case study research methodology in clinical psychology since 1990 and is a well-known schema therapist.

Frank M. Dattilio, PhD, ABPP, is a teaching associate in psychiatry at Harvard Medical School and maintains a part-time faculty position with the Department of Psychiatry at the University of Pennsylvania Perelman School of Medicine. He is known for his work in cognitive-behavioral couple and family therapy.

Preface and Acknowledgments
About the Editors
Contributors

PART 1. INTRODUCTION

Chapter 1. The Terrain
Daniel B. Fishman and David J.A. Edwards

Chapter 2. Navigating the Projects
Daniel B. Fishman

PART II: THE PROJECTS

Chapter 3. "Cool Kids/Chilled Adolescents": Cognitive Behavioral Therapy for Youth With Anxiety Disorders in Denmark
Mikael Thastum, Irene Lundkvist-Houndoumadi, Kristian Bech Arendt, Silke Stjerneklar and Daniel B. Fishman

Commentary: International Implementation: Universal Principles Meet Local Needs
Lauren J. Hoffman, Elaina A. Zendegui, and Brian C. Chu

Chapter 4. The Efficacy of Interpersonal Psychotherapy - Adolescent Skills Training (IPT-AST) in Preventing Depression
Sarah S. Kerner and Jami F. Young

Commentary: Identifying Moderators of Change from Both RCTs and Case Studies
Laura J. Dietz

Chapter 5. Transference-Focused Psychotherapy for Adult Borderline Personality Disorder
Kenneth N. Levy, Kevin B. Meehan, Tracy L. Clouthier, Frank E. Yeomans, Mark F. Lenzenweger, John F. Clarkin, and Otto F. Kernberg

Commentary: Complementarity and Clinical Implications in Using a Mixed Methods Approach
William E. Piper and Carlos A. Sierra Hernandez

Chapter 6. Motivational Enhancement Therapy for Increasing Antidepressant Medication Adherence and Decreasing Clinical Depression Among Adult Latinos
Alejandro Interian, Ariana Prawda, Daniel B. Fishman, and William M. Buerger

Commentary: The Best of Both Worlds
John C. Norcross

PART III: REFLECTIONS AND NEXT STEPS

Chapter 7. An Outside Perspective
Harold Chui, Sarah Bloch-Elkouby, and Jacques P. Barber

Chapter 8. Themes and Lessons Learned
Daniel B. Fishman, Stanley B. Messer, David J.A. Edwards, and Frank Dattilio

Index