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Research and Psychotherapy

The Vital Link

Lester Luborsky and Ellen Luborsky

Research and Psychotherapy is a valuable resource for beginner and seasoned clinicians alike. The book will serve as an excellent text for graduate level courses in psychology, especially suitable for those exploring personality disorders. Drs. Luborsky masterfully present principles of supportive-expressive psychotherapy and demonstrate how to successfully combine it with other types of psychotherapies. The authors provide extensive information on the latest research in the field.
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Jason Aronson, Inc.
Pages: 220 • Trim: 6¼ x 9¼
978-0-7657-0407-8 • Hardback • April 2006 • $120.00 • (£92.00)
978-0-7657-0408-5 • Paperback • March 2006 • $56.00 • (£43.00)
Subjects: Psychology / Psychotherapy / Counseling, Psychology / Psychotherapy / General, Psychology / Research & Methodology, Psychology / Psychotherapy / Group
Lester Luborsky, Ph.D., is professor emeritus of psychology in psychiatry at the University of Pennsylvania, where he has engaged in psychotherapy research for the past forty years. He is author of eight books and close to 400 articles and chapters. He has received numerous professional awards, including the Gold Medal Award for Lifetime Achievement in the Applications of Psychology from the American Psychological Foundation and the Sigourney Award for Research in Psychoanalysis from the American Psychoanalytic Association. He was recently honored by the Society for Psychotherapy Research with a celebration of his contributions to psychotherapy research.

Ellen Luborsky, Ph.D., is a clinical psychologist in private practice, with training from the Cornell Medical Center and the N.Y.U. Postdoctoral Program in Psychotherapy and Psychoanalysis. She also consults and speaks on topics related to early development. She is the author, with Susan Klebanoff, of a book on depression for teens. She has also written articles on psychotherapy research and on play therapy.
Chapter 1 Preface: The Book's Beginnings
Part 2 The Vital Link Between Research and Psychotherapy
Chapter 3 The Links Between Research & Psychotherapy
Chapter 4 The Essence of Supportive-Expressive (SE) Psychotherapy
Chapter 5 The Essence of SE Session-Limited Psychotherapy
Part 6 Clinical Research Methods
Chapter 7 The Core Conflictual Relationship Theme (CCRT) Method
Chapter 8 The Symptom-Context Method
Chapter 9 The Health-Sickness Rating Scale (HSRS) Method
Chapter 10 The Helping-Alliance (HA) Methods
Part 11 Doing Supportive-Expressive (SE) Psychotherapy
Chapter 12 The Opening Phase of SE Psychotherapy
Chapter 13 The Supportive Relationship: Its Hows and Whys
Chapter 14 Expressive Techniques: Ways of Listening and Understanding
Chapter 15 Expressive Techniques: Ways of Responding
Chapter 16 The Closing Phase of SE Psychotherapy
Part 17 Combining and Comparing SE Psychotherapy with Other Treatments
Chapter 18 Combining Medication with SE Psychotherapy
Chapter 19 Comparing and Combining Psychotherapies
Part 20 Summaries: Linking Research and Psychotherapy
Chapter 21 The Steps in SE Psychotherapy: A Review
Chapter 22 Twenty New Ideas for Clinical Research
Chapter 23 The Interplay of Clinical Hunches with Research Discoveries
Chapter 24 Appendix A: CCRT Scoring: Standard Categories
Chapter 25 Appendix B: Helping Alliance Questionnaire—I
Chapter 26 Appendix C: Rating Scales for SE and SE Session-Limited Psychotherapy
Among this book's many contributions, two are particularly stellar. First, the book provides a treatment manual that conveys what the therapist ought to do, say, and assess and how to watch, listen, and formulate what transpires in the session. In the therapy business, treatment manuals are not that novel these days. However, a manual for psychodynamic therapy that contains concrete assessment guidelines and explicit directives on how to use the information during ongoing treatment is quite special. The manual presents principles to guide the therapist in concrete ways and describes processes and therapist-patient exchanges that make the treatment replicable for research or practice. Second, the book elaborates four methods that Luborsky has developed toidentify core conflicts, the context in which symptoms appear, pretreatment health and sickness, and therapeutic alliance (core conflictual relationship theme, symptom-context method, Health-Sickness Rating Scale, and helpingalliance methods, respectively). Finally and perhaps foremost, the book provides a model of integrating research and practice? namely, developing and using validated measures of key constructs, obtaining data that are pertinent to individual patients, and tracking progress by using
— Alan E. Kazdin Ph.D., Yale University; PsycCRITIQUES


This book brings together the clinical work and the sophisticated and influential research conducted by Dr. Luborsky and his numerous colleagues in the last 30 years. Research and Psychotherapy is an important contribution to the literature and will be of great help for psychotherapists interested in learning more about the practice and the research conducted with supportive-expressive (SE) therapy.
— Jacques P. Barber, Ph.D., Center for Psychotherapy Research, Department of Psychiatry, University of Pennsylvania School of Medicine


Lester and Ellen Luborsky have given the field of psychoanalysis (and the larger community of psychotherapy) a gem with their book Research and Psychotherapy: The Vital Link. As a psychodynamically-oriented clinical and personality researcher and as a practicing psychoanalytic clinician, I am delighted that this book has been published. Not only does it describe how clinical psychotherapy research can be done, but it also shows how practicing clinicians can apply the findings of research immediately and directly to their clinical work. Although the book focuses on the research and practice of Supportive-Expressive (SE) Psychotherapy, which is the form of psychoanalytic psychotherapy that Lester Luborsky developed, I thought that the book applies equallywell to any form of psychoanalytic treatment. It is now more than hackneyed to write as a reviewer of a book that it will benefit both junior and senior colleagues, and most of the time when the reviewer writes such a statement, the book actually benefits only the junior colleagues, but this book is the real deal. It will benefit all colleagues. It will benefit junior colleagues who are starting out as researchers and/or clinicians and will benefit senior colleagues, because it will inform both groups a
— William H. Gottdiener, John Jay College of Criminal Justice, The City University of New York; Psychologist-Psychoanalyst: Division 39 Newsletter


This book is well worth reading.
— John C. Markowitz, M.D.; The Journal of Nervous and Mental Disease, Vol. 196, No.


Concise presentations of the fundamental contributions of a most distinguished psychotherapy investigator. A wonderful text for introducing principles and methods in psychotherapy research.
— Sidney J. Blatt, Ph.D, author, Experiences of Depression: Theoretical, Clinical and Research Perspectives; co-editor, Theory and Treatment of Depressio


Among this book's many contributions, two are particularly stellar. First, the book provides a treatment manual that conveys what the therapist ought to do, say, and assess and how to watch, listen, and formulate what transpires in the session. In the therapy business, treatment manuals are not that novel these days. However, a manual for psychodynamic therapy that contains concrete assessment guidelines and explicit directives on how to use the information during ongoing treatment is quite special. The manual presents principles to guide the therapist in concrete ways and describes processes and therapist-patient exchanges thatmake the treatment replicable for research or practice. Second, the book elaborates four methods that Luborsky has developed to identify core conflicts, the context in which symptoms appear, pretreatment health and sickness, and therapeutic alliance (coreconflictual relationship theme, symptom-context method, Health-Sickness Rating Scale, and helpingalliance methods, respectively).Finally and perhaps foremost, the book provides a model of integrating research and practice— namely, developing and using validated measures of key constructs, obtaining data that are pertinent to individual patients, and tracking progress by usingthis information to improve the quality of clinical care. This is what clinicians ought to be doing in clinical work, no matter what therapy they are using.Indeed, at a higher level of abstraction than SEP, Luborsky and Luborsky propose use of scientific thinking and methods (e.g.,observation, hypotheses, assessment, and evaluation) to help patients. Accordingly, this book is one of the few constructive efforts to bridge research and practice with concrete and research-based guidelines. Luborsky and Luborsky point the way to bridgeresearch and practice with a traditional form of therapy that looks systematically at patient problems, clinical care, and therapeutic progress. This book was published the same year Lester Luborsky turned 86, which further in
— Alan E. Kazdin Ph.D., Yale University; PsycCRITIQUES


Lester and Ellen Luborsky have given the field of psychoanalysis (and the larger community of psychotherapy) a gem with their book Research and Psychotherapy: The Vital Link. As a psychodynamically-oriented clinical and personality researcher and as a practicing psychoanalytic clinician, I am delighted that this book has been published. Not only does it describe how clinical psychotherapy research can be done, but it also shows how practicing clinicians can apply the findings of research immediately and directly to their clinical work. Although the book focuses on the research and practice of Supportive-Expressive (SE) Psychotherapy, which is the form of psychoanalytic psychotherapy that Lester Luborsky developed, I thought that the book applies equally well to any form of psychoanalytic treatment.It is now more than hackneyed to write as a reviewer of a book that it will benefit both junior and senior colleagues, and most of the time when the reviewer writes such a statement, the book actually benefits only the junior colleagues, but this book is the real deal. It will benefit all colleagues. It will benefit junior colleagues who are starting out as researchers and/or clinicians and will benefit senior colleagues, because it will inform both groups about the research behind SE and how to practice it. The book also will benefit senior psychotherapists (including psychoanalysts) by providing a corrective to those psychotherapists who claim that there is no effectual way to apply psychotherapy research to clinical practice. Finally, for those who want to learn how to conduct single-case research in the context of their private practices or who want to simply publish better clinical case reports, this book will prove highly instructive. Reading this book gave me one of those rare opportunities in my professional life to read a book and actually agree with the authors, while at the same time learning a tremendous amount. Even though I have long been familiar with this body of research, this book tied it al
— William H. Gottdiener, John Jay College of Criminal Justice, The City University of New York; Psychologist-Psychoanalyst: Division 39 Newsletter


Research and Psychotherapy

The Vital Link

Cover Image
Hardback
Paperback
Summary
Summary
  • Research and Psychotherapy is a valuable resource for beginner and seasoned clinicians alike. The book will serve as an excellent text for graduate level courses in psychology, especially suitable for those exploring personality disorders. Drs. Luborsky masterfully present principles of supportive-expressive psychotherapy and demonstrate how to successfully combine it with other types of psychotherapies. The authors provide extensive information on the latest research in the field.
Details
Details
  • Jason Aronson, Inc.
    Pages: 220 • Trim: 6¼ x 9¼
    978-0-7657-0407-8 • Hardback • April 2006 • $120.00 • (£92.00)
    978-0-7657-0408-5 • Paperback • March 2006 • $56.00 • (£43.00)
    Subjects: Psychology / Psychotherapy / Counseling, Psychology / Psychotherapy / General, Psychology / Research & Methodology, Psychology / Psychotherapy / Group
Author
Author
  • Lester Luborsky, Ph.D., is professor emeritus of psychology in psychiatry at the University of Pennsylvania, where he has engaged in psychotherapy research for the past forty years. He is author of eight books and close to 400 articles and chapters. He has received numerous professional awards, including the Gold Medal Award for Lifetime Achievement in the Applications of Psychology from the American Psychological Foundation and the Sigourney Award for Research in Psychoanalysis from the American Psychoanalytic Association. He was recently honored by the Society for Psychotherapy Research with a celebration of his contributions to psychotherapy research.

    Ellen Luborsky, Ph.D., is a clinical psychologist in private practice, with training from the Cornell Medical Center and the N.Y.U. Postdoctoral Program in Psychotherapy and Psychoanalysis. She also consults and speaks on topics related to early development. She is the author, with Susan Klebanoff, of a book on depression for teens. She has also written articles on psychotherapy research and on play therapy.
Table of Contents
Table of Contents
  • Chapter 1 Preface: The Book's Beginnings
    Part 2 The Vital Link Between Research and Psychotherapy
    Chapter 3 The Links Between Research & Psychotherapy
    Chapter 4 The Essence of Supportive-Expressive (SE) Psychotherapy
    Chapter 5 The Essence of SE Session-Limited Psychotherapy
    Part 6 Clinical Research Methods
    Chapter 7 The Core Conflictual Relationship Theme (CCRT) Method
    Chapter 8 The Symptom-Context Method
    Chapter 9 The Health-Sickness Rating Scale (HSRS) Method
    Chapter 10 The Helping-Alliance (HA) Methods
    Part 11 Doing Supportive-Expressive (SE) Psychotherapy
    Chapter 12 The Opening Phase of SE Psychotherapy
    Chapter 13 The Supportive Relationship: Its Hows and Whys
    Chapter 14 Expressive Techniques: Ways of Listening and Understanding
    Chapter 15 Expressive Techniques: Ways of Responding
    Chapter 16 The Closing Phase of SE Psychotherapy
    Part 17 Combining and Comparing SE Psychotherapy with Other Treatments
    Chapter 18 Combining Medication with SE Psychotherapy
    Chapter 19 Comparing and Combining Psychotherapies
    Part 20 Summaries: Linking Research and Psychotherapy
    Chapter 21 The Steps in SE Psychotherapy: A Review
    Chapter 22 Twenty New Ideas for Clinical Research
    Chapter 23 The Interplay of Clinical Hunches with Research Discoveries
    Chapter 24 Appendix A: CCRT Scoring: Standard Categories
    Chapter 25 Appendix B: Helping Alliance Questionnaire—I
    Chapter 26 Appendix C: Rating Scales for SE and SE Session-Limited Psychotherapy
Reviews
Reviews
  • Among this book's many contributions, two are particularly stellar. First, the book provides a treatment manual that conveys what the therapist ought to do, say, and assess and how to watch, listen, and formulate what transpires in the session. In the therapy business, treatment manuals are not that novel these days. However, a manual for psychodynamic therapy that contains concrete assessment guidelines and explicit directives on how to use the information during ongoing treatment is quite special. The manual presents principles to guide the therapist in concrete ways and describes processes and therapist-patient exchanges that make the treatment replicable for research or practice. Second, the book elaborates four methods that Luborsky has developed toidentify core conflicts, the context in which symptoms appear, pretreatment health and sickness, and therapeutic alliance (core conflictual relationship theme, symptom-context method, Health-Sickness Rating Scale, and helpingalliance methods, respectively). Finally and perhaps foremost, the book provides a model of integrating research and practice? namely, developing and using validated measures of key constructs, obtaining data that are pertinent to individual patients, and tracking progress by using
    — Alan E. Kazdin Ph.D., Yale University; PsycCRITIQUES


    This book brings together the clinical work and the sophisticated and influential research conducted by Dr. Luborsky and his numerous colleagues in the last 30 years. Research and Psychotherapy is an important contribution to the literature and will be of great help for psychotherapists interested in learning more about the practice and the research conducted with supportive-expressive (SE) therapy.
    — Jacques P. Barber, Ph.D., Center for Psychotherapy Research, Department of Psychiatry, University of Pennsylvania School of Medicine


    Lester and Ellen Luborsky have given the field of psychoanalysis (and the larger community of psychotherapy) a gem with their book Research and Psychotherapy: The Vital Link. As a psychodynamically-oriented clinical and personality researcher and as a practicing psychoanalytic clinician, I am delighted that this book has been published. Not only does it describe how clinical psychotherapy research can be done, but it also shows how practicing clinicians can apply the findings of research immediately and directly to their clinical work. Although the book focuses on the research and practice of Supportive-Expressive (SE) Psychotherapy, which is the form of psychoanalytic psychotherapy that Lester Luborsky developed, I thought that the book applies equallywell to any form of psychoanalytic treatment. It is now more than hackneyed to write as a reviewer of a book that it will benefit both junior and senior colleagues, and most of the time when the reviewer writes such a statement, the book actually benefits only the junior colleagues, but this book is the real deal. It will benefit all colleagues. It will benefit junior colleagues who are starting out as researchers and/or clinicians and will benefit senior colleagues, because it will inform both groups a
    — William H. Gottdiener, John Jay College of Criminal Justice, The City University of New York; Psychologist-Psychoanalyst: Division 39 Newsletter


    This book is well worth reading.
    — John C. Markowitz, M.D.; The Journal of Nervous and Mental Disease, Vol. 196, No.


    Concise presentations of the fundamental contributions of a most distinguished psychotherapy investigator. A wonderful text for introducing principles and methods in psychotherapy research.
    — Sidney J. Blatt, Ph.D, author, Experiences of Depression: Theoretical, Clinical and Research Perspectives; co-editor, Theory and Treatment of Depressio


    Among this book's many contributions, two are particularly stellar. First, the book provides a treatment manual that conveys what the therapist ought to do, say, and assess and how to watch, listen, and formulate what transpires in the session. In the therapy business, treatment manuals are not that novel these days. However, a manual for psychodynamic therapy that contains concrete assessment guidelines and explicit directives on how to use the information during ongoing treatment is quite special. The manual presents principles to guide the therapist in concrete ways and describes processes and therapist-patient exchanges thatmake the treatment replicable for research or practice. Second, the book elaborates four methods that Luborsky has developed to identify core conflicts, the context in which symptoms appear, pretreatment health and sickness, and therapeutic alliance (coreconflictual relationship theme, symptom-context method, Health-Sickness Rating Scale, and helpingalliance methods, respectively).Finally and perhaps foremost, the book provides a model of integrating research and practice— namely, developing and using validated measures of key constructs, obtaining data that are pertinent to individual patients, and tracking progress by usingthis information to improve the quality of clinical care. This is what clinicians ought to be doing in clinical work, no matter what therapy they are using.Indeed, at a higher level of abstraction than SEP, Luborsky and Luborsky propose use of scientific thinking and methods (e.g.,observation, hypotheses, assessment, and evaluation) to help patients. Accordingly, this book is one of the few constructive efforts to bridge research and practice with concrete and research-based guidelines. Luborsky and Luborsky point the way to bridgeresearch and practice with a traditional form of therapy that looks systematically at patient problems, clinical care, and therapeutic progress. This book was published the same year Lester Luborsky turned 86, which further in
    — Alan E. Kazdin Ph.D., Yale University; PsycCRITIQUES


    Lester and Ellen Luborsky have given the field of psychoanalysis (and the larger community of psychotherapy) a gem with their book Research and Psychotherapy: The Vital Link. As a psychodynamically-oriented clinical and personality researcher and as a practicing psychoanalytic clinician, I am delighted that this book has been published. Not only does it describe how clinical psychotherapy research can be done, but it also shows how practicing clinicians can apply the findings of research immediately and directly to their clinical work. Although the book focuses on the research and practice of Supportive-Expressive (SE) Psychotherapy, which is the form of psychoanalytic psychotherapy that Lester Luborsky developed, I thought that the book applies equally well to any form of psychoanalytic treatment.It is now more than hackneyed to write as a reviewer of a book that it will benefit both junior and senior colleagues, and most of the time when the reviewer writes such a statement, the book actually benefits only the junior colleagues, but this book is the real deal. It will benefit all colleagues. It will benefit junior colleagues who are starting out as researchers and/or clinicians and will benefit senior colleagues, because it will inform both groups about the research behind SE and how to practice it. The book also will benefit senior psychotherapists (including psychoanalysts) by providing a corrective to those psychotherapists who claim that there is no effectual way to apply psychotherapy research to clinical practice. Finally, for those who want to learn how to conduct single-case research in the context of their private practices or who want to simply publish better clinical case reports, this book will prove highly instructive. Reading this book gave me one of those rare opportunities in my professional life to read a book and actually agree with the authors, while at the same time learning a tremendous amount. Even though I have long been familiar with this body of research, this book tied it al
    — William H. Gottdiener, John Jay College of Criminal Justice, The City University of New York; Psychologist-Psychoanalyst: Division 39 Newsletter


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