Flexibility within Fidelity Breathing Life into a Psychological Treatment Manual

Among mental health researchers, there is a consensus that empirically supported treatments (ESTs) have favorable outcomes and that the outcomes are typically better than other approaches. The majority of these are available as therapist manuals, brief books, or other extended volumes. However, among mental health service providers, there is often a view that these manuals and books can be formulaic and rigid, and likely insensitive to individual patient needs or presentations. With these conflicting perspectives in place, there is a need for accurate communication and reconciliation.

Flexibility within Fidelity identifies how effective ESTs can be implemented with both integrity and flexibility. The book is comprised of chapters focusing on specific ESTs for identified problem areas amongst adults and children/adolescents, including anxiety disorders, PTSD, pain management, and depression among others. Chapter authors focus on the specific treatment components that are required to maintain fidelity and the features of the EST which can be applied with flexibility, promoting a personalized implementation. Written in an accessible style featuring in-depth clinical discussions, this book will equip mental health practitioners with the tools to implement ESTs across client presentations.

Philip C. Kendall is Distinguished University Professor and Laura H. Carnell Professor of Psychology at Temple University. He is also Director of the Child and Adolescent Anxiety Disorders Clinic (CAADC) at the university. Dr. Kendall is an active researcher, scholar, and clinician and has
approximately 800 publications, with his treatment programs having been translated into over a dozen languages. Most recently, he was awarded the 2019 Career/Lifetime Achievement Award conferred at the ABCT annual convention. He is past president of both the Society of Clinical Child and Adolescent
Psychology (Division 53) of APA as well as the Association for the Advancement of Behavior Therapy (AABT, now ABCT).

Introduction

Chapter 1: Cognitive Behavioral Therapy for Social Anxiety Disorder: Being Flexible while Maintaining Fidelity
Rachel M. Butler, Emily B. O'Day, and Richard G. Heimberg

Chapter 2: Flexible Principles for the Treatment of Adult Worry
Amy R. Sewart and Michelle G. Craske

Chapter 3: PTSD Treatment with Adults: Making Modifications while Maintaining Fidelity
Colleen A. Sloan, Scott Litwack, and Denise M. Sloan

Chapter 4: Being Flexible while Maintaining Fidelity in Cognitive Behavioral Therapy of Depression
Daniel R. Strunk, Abby Adler Mandel, and Iony D. Ezawa

Chapter 5: Empirically Supported Treatment for Obsessive-Compulsive Disorder: Core Elements and Adaptive Applications
Martin E. Franklin and Sarah G. Turk Karan

Chapter 6: Being Flexible While Maintaining Fidelity for Medical Patients: Patient-Centered and Team-Based Strategies
Mira Reichman, Victoria A. Grunberg, James D. Doorley, Jafar Bakshaie, Ethan G. Lester, Ryan A. Mace, and Ana-Maria Vranceanu

Chapter 7: Goodness of Fit: Flexing Manualized Treatment for Hoarding Disorder
Suzanne Otte, Christiana Bratiotis, and Gail Steketee

Chapter 8: Treatment of Chronic Pain: Importance of Flexibility and Fidelity
John D. Otis

Chapter 9: Flexible Applications of Family-based Therapy for Youth with Bipolar Spectrum Disorders
Haley M. Brickman and Mary A. Fristad

Chapter 10: How to Bend but Not Break an Empirically Supported Treatment for Anxiety in Youth
Lara S. Rifkin, Lindsay Myerberg, Elizabeth A. Gosch, Lesley A. Norris, Margaret E. Crane, and Philip C. Kendall

Chapter 11: The Coping Power Program for Children with Aggressive Behavior Problems
John E. Lochman, Nicole P. Powell, and Shannon Jones

Chapter 12: Delivering Treatment for Adolescent Panic Disorder with Flexibility and Fidelity
Donna B. Pincus, Laura Nelson Darling, and Ovsanna Leyfer

Chapter 13: Tourette and Trichotillomania: Adapting Treatment while Maintaining Fidelity
Jennifer R. Alexander, Jordan T. Stiede, and Douglas W. Woods