Evidence-Based Psychotherapy The State of the Science and Practice

A Comprehensive, Systematic Evaluation of Treatment Effectiveness for Major Psychological Disorders 

With over 500 types of psychotherapy being practiced in the field today, navigating the maze of possible treatments can be daunting for clinicians and researchers, as well as for consumers who seek help in obtaining psychological services. Evidence-Based Psychotherapy: The State of Science and Practice offers a roadmap to identifying the most appropriate and efficacious interventions, and provides the most comprehensive review to date of treatments for psychological disorders most often encountered in clinical practice.

Each chapter applies a rigorous assessment framework to evaluate psychotherapeutic interventions for a specific disorder. The authors include the reader in the evaluation scheme by describing both effective and potentially non-effective treatments. Assessments are based upon the extant research evidence regarding both clinical efficacy and support of underyling theory. Ultimately, the book seeks to inform treatment planning and enhance therapeutic outcomes.  

Evidence-Based Psychotherapy: The State of Science and Practice:

• Presents the available scientific research for evidence-based psychotherapies commonly practiced today
• Systematically evaluates theory and intervention efficacy based on the David and Montgomery nine-category evaluative framework
• Covers essential modes of treatment for major disorders, including bipolar disorder, generalized anxiety disorder, PTSD, eating disorders, alcohol use disorder, major depressive disorder, phobias, and more
• Includes insightful discussion of clinical practice written by leading experts
• Clarifies “evidence-based practice” versus “evidence-based science” and offers historical context for the development of the treatments under discussion  

Evidence-Based Psychotherapy: The State of Science and Practice is designed to inform treatment choices as well as strengthen critical evaluation. In doing so, it provides an invaluable resource for both researchers and clinicians.    

Daniel David is Aaron T. Beck Professor of Clinical Cognitive Sciences and President of the International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health at Babes-Bolyai University, Romania, and an Adjunct Professor at the Icahn School of Medicine at Mount Sinai in New York City.

Steven Jay Lynn is a Distinguished Professor of Psychology (SUNY) at Binghamton University.

Guy H. Montgomery is Director of the Center for Behavioral Oncology at the Icahn School of Medicine at Mount Sinai.

List of Contributors xvii

1. An Introduction to the Science and Practice of Evidence-Based Psychotherapy: A Framework for Evaluation and a Way Forward 1
Daniel David, Steven Jay Lynn, and Guy H. Montgomery

1.1 Evidence-Based Psychotherapies and Clinical Practice 1

1.2 Classifying Psychotherapies: Tricky Business 3

1.3 A New Evaluation Scheme for Psychotherapy: Efficacy and Mechanisms 5

1.4 WhatWe Aim to Accomplish 6

1.5 Conclusions 6

References 7

2. Varieties of Psychotherapy for Major Depressive Disorder in Adults: An Evidence-Based Evaluation 11
Daniel David, Ioana A. Cristea, and Aaron T. Beck

2.1 Description of the Disorder 11

2.2 Classification of Psychotherapies According to David and Montgomery’s (2011) Evaluative Framework 12

2.3 Conclusions and Discussion 26

3. Evidence-Based Psychological Interventions for Bipolar Disorder 37
Aurora Szentagotai-Tatar and Daniel David

3.1 Overview of Bipolar Disorder 37

3.2 Evidence-Based Interventions for Bipolar Disorder 39

3.3 Conclusions and Future Directions 50

References 53

4. The Treatment of Panic Disorder and Phobias 63
Barbara Depreeuw, Leigh A. Andrews, Sharon Eldar, and Stefan G. Hofmann

4.1 Panic Disorder 63

4.2 Social Anxiety Disorder 71

4.3 Specific Phobia 78

4.4 Implications for Research 81

4.5 Implications for Practice 82

4.6 Conclusions 82

References 83

5. The Psychological Treatment of Generalized Anxiety Disorder 95
Hanna McCabe-Bennett, Katie Fracalanza, and MartinM. Antony

5.1 Features and Prevalence of Generalized Anxiety Disorder 95

5.2 Review of Theory and Evidence Supporting GAD Psychotherapies 96

5.3 Implications for Research 111

5.4 Implications for Practice 111

5.5 Conclusions 111

Notes 112

References 112

6 The Treatment of Obsessive–Compulsive Disorder 123
Lindsey M. Collins, Laura B. Bragdon, and Meredith E. Coles

6.1 Exposure and Ritual Prevention 125

6.2 Cognitive Therapy 128

6.3 Cognitive–Behavioral Therapy 131

6.4 Acceptance and Commitment Therapy 132

6.5 Metacognitive Therapy 134

6.6 Attention Bias Modification Training 136

6.7 Interpretation Bias Modification Training 139

6.8 Eye Movement Desensitization and Reprocessing Therapy 140

6.9 Implications for Research 142

6.10 Implications for Practice 145

6.11 Conclusions 146

Note 146

References 146

7. Evidence-Based Practice for Posttraumatic Stress Disorder 157
B. Christopher Frueh, Anouk L. Grubaugh, Alok Madan, Sandra M. Neer, Jon D. Elhai, and Deborah C. Beidel

7.1 Overview 157

7.2 Etiological Pathways and Causal Mechanisms 161

7.3 Evidence-Based Practices 166

7.4 Conclusions 178

References 178

8. Evidence-Based Psychological Interventions for Eating Disorders 189
Diana M. Candea, Daniel David, and Aurora Szentagotai-Tatar

8.1 Description of the Disorders 189

8.2 David and Montgomery’s (2011) Evaluative Framework 190

8.3 Classification of Psychological Interventions for Anorexia Nervosa 190

8.4 Classification of Psychological Interventions for Binge Eating Disorder 197

8.5 Classification of Psychological Interventions for Bulimia Nervosa 202

8.6 Discussion and Conclusions 208

References 210

9. Evidence-Based Treatment for Alcohol Use Disorders: A Review Through the Lens of the Theory × Efficacy Matrix 219
James MacKillop, Monika Stojek, Lauren Vander Broek-Stice, and Max M. Owens

9.1 A Brief History of Alcohol Use Disorder Treatment 220

9.2 Treatment Reviews 224

9.3 Implications for Research and Practice 239

9.4 Conclusions 240

Acknowledgments 240

Note 240

References 241

10. Psychotherapeutic Treatments for Male and Female Sexual Dysfunction Disorders 253
Jessica C. Emanu, Isabelle Avildsen, and Christian J. Nelson

10.1 Treatments for Sexual Dysfunction 254

10.2 Category I 254

10.3 Category III 260

10.4 Category IV 262

10.5 Category VIII 265

10.6 Other Therapies 266

10.7 Implications for Research 266

10.8 Implications for Practice 267

10.9 Conclusions 268

References 268

11. The Psychological Treatment of Psychopathy: Theory and Research 271
Lisa K. Hecht, Robert D. Latzman, and Scott O. Lilienfeld

11.1 Conceptualizing and Measuring Psychopathy 272

11.2 Is Psychopathy Treatable? A History of Negative Opinion 275

11.3 Methodological Issues in Treatment Investigations 276

11.4 Evaluation of Psychopathy Treatments 278

11.5 Implications for Research 287

11.6 Implications for Clinical Practice 289

11.7 Conclusions 290

References 290

12. The Treatment of Borderline Personality Disorder 299
Lorie A. Ritschel, Colleen M. Cowperthwait, Lindsay M. Stewart, and Noriel E. Lim

12.1 Treatments for Borderline Personality Disorder 300

12.2 Category II 301

12.3 Category IV 308

12.4 Other Therapies 315

12.5 Implications for Research 316

12.6 Implications for Practice 317

12.7 Conclusions 319

References 319

13. The Treatment of Dissociation: An Evaluation of Effectiveness and Potential Mechanisms 329
Reed Maxwell, Harald Merckelbach, Scott O. Lilienfeld, and Steven Jay Lynn

13.1 A Review of the DSM-5 Dissociative Disorders 331

13.2 Treatments for Depersonalization/Derealization Disorder 332

13.3 Treatments for Dissociative Identity Disorder 337

13.4 Treatments for Dissociative Fugue and Dissociative Amnesia 346

13.5 Innovative Treatments for Dissociation 347

13.6 Conclusions 350

References 351

14. Psychotherapy for Schizophrenia-Spectrum Disorders 363
Stacy Ellenberg, Steven Jay Lynn, and Gregory P. Strauss

14.1 Treatment for Schizophrenia 365

14.2 Category II 366

14.3 Category IV 385

14.4 Other Therapies 391

14.5 Implications for Research 392

14.6 Implications for Clinical Practice 393

14.7 Conclusion 393

References 394

15. Psychotherapy and Autism Spectrum Disorder: Conceptual and Pragmatic Challenges 407
Raymond G. Romanczyk, Rachel N. S. Cavalari, and Jennifer M. Gillis

15.1 History of the Diagnosis of Autism 407

15.2 Heterogeneity 408

15.3 Core Characteristics 408

15.4 Prevalence 409

15.5 Etiology and Theoretical Approach: The Context of Etiological Complexity 409

15.6 Defining Psychotherapy in the Context of Autism Spectrum Disorder 410

15.7 Evidence-Based Treatment Review 414

15.8 Discussion 427

15.9 Conclusion 428

Notes 429

References 429

16. Varieties of Psychotherapy for Attention-Deficit Hyperactivity Disorder: An Evidence-Based Evaluation 435
Anca Dobrean, Costina R. Pasarelu, and Manfred Dopfner

16.1 Description of the Disorder 435

16.2 Classification of Psychotherapies 437

16.3 Conclusions and Discussion 452

References 453

17. The Treatment of Insomnia 465
Elisabeth Hertenstein, Bogdan Voinescu, and Dieter Riemann

17.1 Description of the Disorder 465

17.2 Psychological Theories and Mechanisms of Change 467

17.3 Therapeutic Packages 475

17.4 Implications for Research and Practice 489

17.5 Conclusions 496

References 496

18. The Scientific Status of Evidence-Based Psychotherapies: Concluding Thoughts 507
Daniel David, Steven Jay Lynn, and Guy H. Montgomery

References 511

Index 513

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