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After decades of psychotherapy research and thousands of studies, there is no evidence-based explanation of how or why even the most well-studied interventions produce change, that is, the mechanisms through which treatments operate. This article discusses central requirements for demonstrating mediators and mechanisms of change. Also presented are promising lines of work to identify mediators and mechanisms, ways of bringing to bear multiple types of evidence, recommendations to make progress in understanding how therapy works, and conceptual and research challenges in evaluating mediators and mechanisms. 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However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. 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Copyright: American Psychological Association. 2000.;", "tags": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "XBHTMSZH", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/XBHTMSZH", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/XBHTMSZH", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/16548/items/ITTI5Q9D", "type": "application/json" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } } }, "data": { "key": "XBHTMSZH", "version": 1, "parentItem": "ITTI5Q9D", "itemType": "attachment", "linkMode": "linked_url", "title": "login.aspx?direct=true&db=pdh&AN=pst-47-1-3&site=ehost-live", "accessDate": "2010-04-17T02:19:28Z", "url": "http://navigator-iup.passhe.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=pdh&AN=pst-47-1-3&site=ehost-live", "note": "", "contentType": "", "charset": "", "tags": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "5XN2C4TK", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/5XN2C4TK", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/5XN2C4TK", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/16548/items/ITTI5Q9D", "type": "application/json" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "5XN2C4TK", "version": 1, "parentItem": "ITTI5Q9D", "itemType": "note", "note": "Accession Number: pst-47-1-3. First Author & Affiliation: Boswell, James F.; Department of Psychology, Pennsylvania State University, University Park, PA, US. Other Journal Titles: Psychotherapy: Theory, Research & Practice. Other Publishers: Division of Psychotherapy (29), American Psychological Association. Release Date: 20100322. Publication Type: Journal, Peer Reviewed Journal. Media Covered: Electronic. Media Available: Electronic; Print. Document Type: Journal Article. Language: English. Major Descriptor: Integrative Psychotherapy; Professional Supervision; Psychotherapy Training. Classification: Professional Education & Training (3410); Population: Human (10); . References Available: Y.. Issue Publication Date: Mar, 2010. Copyright: American Psychological Association. 2010.;", "tags": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "4DT9XHHG", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/4DT9XHHG", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/4DT9XHHG", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/16548/items/6BPT4AMN", "type": "application/json" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } } }, "data": { "key": "4DT9XHHG", "version": 1, "parentItem": "6BPT4AMN", "itemType": "attachment", "linkMode": "linked_url", "title": "login.aspx?direct=true&db=a9h&AN=7499424&site=ehost-live", "accessDate": "2010-04-17T15:33:22Z", "url": "http://navigator-iup.passhe.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=7499424&site=ehost-live", "note": "", "contentType": "", "charset": "", "tags": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "C96EF3VV", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/C96EF3VV", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/C96EF3VV", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/16548/items/6BPT4AMN", "type": "application/json" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "C96EF3VV", "version": 1, "parentItem": "6BPT4AMN", "itemType": "note", "note": "Examines the use of empirical evidence in treatment selection of patients by practitioners. Identification of common and differential principles of change; Evidence supporting the value of learning exhaustive lists of procedures; Difficulty in justifying the expenditure of energy required to learn procedures.", "tags": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "3P5ZT7WM", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/3P5ZT7WM", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/3P5ZT7WM", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/16548/items/6BPT4AMN", "type": "application/json" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "3P5ZT7WM", "version": 1, "parentItem": "6BPT4AMN", "itemType": "note", "note": "Accession Number: 7499424; Beutler, Larry E. Moleiro, Carla Talebi, Hani; Source Info: Oct2002, Vol. 58 Issue 10, p1199; Subject Term: PATIENTS; Subject Term: MEDICAL care; Subject Term: TREATMENT; Number of Pages: 14p; Document Type: Article", "tags": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "UIRIPBTX", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/UIRIPBTX", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/UIRIPBTX", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/16548/items/J6MXQSP3", "type": "application/json" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } } }, "data": { "key": "UIRIPBTX", "version": 1, "parentItem": "J6MXQSP3", "itemType": "attachment", "linkMode": "linked_url", "title": "login.aspx?direct=true&db=pdh&AN=pre-3-1-27a&site=ehost-live", "accessDate": "2010-04-18T16:06:32Z", "url": "http://navigator-iup.passhe.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=pdh&AN=pre-3-1-27a&site=ehost-live", "note": "", "contentType": "", "charset": "", "tags": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "CG5UMAX3", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/CG5UMAX3", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/CG5UMAX3", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/16548/items/J6MXQSP3", "type": "application/json" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "CG5UMAX3", "version": 1, "parentItem": "J6MXQSP3", "itemType": "note", "note": "Accession Number: pre-3-1-27a. First Author & Affiliation: Beutler, Larry E.; U California, Dept of Education, Counseling/Clinical/School Psychology Program, Santa Barbara, CA, US. Other Journal Titles: Treatment. Release Date: 20060710. Correction Date: 20090316. Publication Type: Journal, Peer Reviewed Journal. Media Covered: Electronic. Media Available: Electronic. Document Type: Journal Article. Language: English. Conference Information: Canadian Psychological Association meetings. Major Descriptor: Clinical Practice; Decision Making; Models; Psychotherapy; Treatment Planning. Classification: Psychotherapy & Psychotherapeutic Counseling (3310); Population: Human (10); . References Available: Y. ArtID: 27a.. Issue Publication Date: Sep, 2000. Copyright: American Psychological Association. 2000.;", "tags": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "2R55F3NV", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/2R55F3NV", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/2R55F3NV", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/16548/items/52U5NVGU", "type": "application/json" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } } }, "data": { "key": "2R55F3NV", "version": 1, "parentItem": "52U5NVGU", "itemType": "attachment", "linkMode": "linked_url", "title": "341", "accessDate": "2010-04-17T15:04:41Z", "url": "http://tcp.sagepub.com/cgi/content/abstract/34/3/341", "note": "", "contentType": "", "charset": "", "tags": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "A2F4WPPX", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/A2F4WPPX", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/A2F4WPPX", "type": "text/html" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } }, "creatorSummary": "Gelso", "parsedDate": "2008-06", "numChildren": 2 }, "data": { "key": "A2F4WPPX", "version": 1, "itemType": "journalArticle", "title": "Editorial introduction.", "creators": [ { "creatorType": "author", "firstName": "Charles J. (Ed.)", "lastName": "Gelso" } ], "abstractNote": "This editorial discusses the Special Section on New Psychotherapy Treatments. The articles in this section each present individual studies of new psychotherapeutic treatments or literature reviews of research on such treatments. These studies do not meet what currently is viewed as the methodological gold standard for treatment outcome studies in our field. Instead, they generally represent beginning efforts at studying new treatments. They reflect the kinds of studies and reviews that have great heuristic potential, and they also ought to be of value to the psychotherapy practitioner. (PsycINFO Database Record (c) 2009 APA, all rights reserved)", "publicationTitle": "Psychotherapy: Theory, Research, Practice, Training", "publisher": "", "place": "", "date": "June 2008", "volume": "45", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "121", "series": "New treatments in psychotherapy", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "", "citationKey": "", "url": "http://navigator-iup.passhe.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=pdh&AN=pst-45-2-121&site=ehost-live", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "0033-3204", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Experimentation" }, { "tag": "Psychotherapeutic Processes" }, { "tag": "Psychotherapy" }, { "tag": "RESEARCH" }, { "tag": "Scientific Communication" }, { "tag": "psychotherapy treatments" }, { "tag": "special section" }, { "tag": "treatment outcomes" } ], "collections": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "QXZD995G", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/QXZD995G", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/QXZD995G", "type": "text/html" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } }, "creatorSummary": "Garb", "parsedDate": "2000", "numChildren": 2 }, "data": { "key": "QXZD995G", "version": 1, "itemType": "journalArticle", "title": "On empirically based decision making in clinical practice.", "creators": [ { "creatorType": "author", "firstName": "Howard N.", "lastName": "Garb" } ], "abstractNote": "Posted 09/01/2000. Comments are made about current assessment and treatment practices. Recommendations are made for improving clinical practice, and reasons are given for why it is difficult to bring about change. Empirically based decision making (as recommended by L. E. Beutler, see record 2000-02994-001) can help to improve clinical practice, but so can efforts to have clinicians use empirically supported assessment instruments and treatment interventions. (PsycINFO Database Record (c) 2009 APA, all rights reserved)", "publicationTitle": "Prevention & Treatment", "publisher": "", "place": "", "date": "2000", "volume": "3", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "29c", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "", "citationKey": "", "url": "http://navigator-iup.passhe.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=pdh&AN=pre-3-1-29c&site=ehost-live", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1522-3736", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Clinical Practice" }, { "tag": "Models" }, { "tag": "Psychotherapy" }, { "tag": "Treatment Planning" }, { "tag": "decision making" }, { "tag": "treatment planning model for decision making in clinical practice of psychotherapy, commentary" } ], "collections": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "ITTI5Q9D", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/ITTI5Q9D", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/ITTI5Q9D", "type": "text/html" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } }, "creatorSummary": "Boswell et al.", "parsedDate": "2010-03", "numChildren": 2 }, "data": { "key": "ITTI5Q9D", "version": 1, "itemType": "journalArticle", "title": "Competency in integrative psychotherapy: Perspectives on training and supervision.", "creators": [ { "creatorType": "author", "firstName": "James F.", "lastName": "Boswell" }, { "creatorType": "author", "firstName": "Dana L.", "lastName": "Nelson" }, { "creatorType": "author", "firstName": "Samuel S.", "lastName": "Nordberg" }, { "creatorType": "author", "firstName": "Andrew A.", "lastName": "McAleavey" }, { "creatorType": "author", "firstName": "Louis G.", "lastName": "Castonguay" } ], "abstractNote": "Increasingly, many psychotherapists identify with an integrative approach to psychotherapy. In recent years, more attention has been directed toward the operationalization and evaluation of competence in professional psychology and health care service delivery. Aspects of integrative psychotherapy competency may differ from competency in other psychotherapy orientations, although convergence is more often the case. Despite the potential differences, there exist very few formal training programs or guidelines to systematically guide clinicians in developing a competent integrative practice. This paper attempts to distill the essential elements of competent integrative psychotherapy practice and focuses on how these might be developed in training and supervision. We address most of these complex issues from a specific integrative perspective: principle-based assimilative integration. (PsycINFO Database Record (c) 2010 APA, all rights reserved). (from the journal abstract)", "publicationTitle": "Psychotherapy: Theory, Research, Practice, Training", "publisher": "", "place": "", "date": "March 2010", "volume": "47", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "3-11", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "", "citationKey": "", "url": "http://navigator-iup.passhe.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=pdh&AN=pst-47-1-3&site=ehost-live", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "0033-3204", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Integrative Psychotherapy" }, { "tag": "Professional Supervision" }, { "tag": "psychotherapy integration" }, { "tag": "psychotherapy supervision" }, { "tag": "psychotherapy training" } ], "collections": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "6BPT4AMN", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/6BPT4AMN", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/6BPT4AMN", "type": "text/html" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } }, "creatorSummary": "Beutler et al.", "parsedDate": "2002-10", "numChildren": 3 }, "data": { "key": "6BPT4AMN", "version": 1, "itemType": "journalArticle", "title": "How Practitioners Can Systematically Use Empirical Evidence in Treatment Selection.", "creators": [ { "creatorType": "author", "firstName": "Larry E.", "lastName": "Beutler" }, { "creatorType": "author", "firstName": "Carla", "lastName": "Moleiro" }, { "creatorType": "author", "firstName": "Hani", "lastName": "Talebi" } ], "abstractNote": "", "publicationTitle": "Journal of Clinical Psychology", "publisher": "", "place": "", "date": "October 2002", "volume": "58", "issue": "10", "section": "", "partNumber": "", "partTitle": "", "pages": "1199", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "Article", "citationKey": "", "url": "http://navigator-iup.passhe.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=7499424&site=ehost-live", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "00219762", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "MEDICAL care" }, { "tag": "PATIENTS" }, { "tag": "TREATMENT" } ], "collections": [], "relations": {}, "dateAdded": "2010-04-22T20:34:48Z", "dateModified": "2010-04-22T20:34:48Z" } }, { "key": "J6MXQSP3", "version": 1, "library": { "type": "group", "id": 16548, "name": "Research on Psychotherapy", "links": { "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/16548/items/J6MXQSP3", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/research_on_psychotherapy/items/J6MXQSP3", "type": "text/html" } }, "meta": { "createdByUser": { "id": 192086, "username": "j.harms", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/j.harms", "type": "text/html" } } }, "creatorSummary": "Beutler", "parsedDate": "2000", "numChildren": 2 }, "data": { "key": "J6MXQSP3", "version": 1, "itemType": "journalArticle", "title": "Empirically based decision making in clinical practice.", "creators": [ { "creatorType": "author", "firstName": "Larry E.", "lastName": "Beutler" } ], "abstractNote": "Posted 09/01/2000. Evidence suggests that while clinical practitioners generally value scientific validity, most clinical practices are not strongly supported by empirical evidence. They are supported by personal experience and strong belief (or faith). Practices that are based on belief and personal experience, while advantageous from several perspectives, are highly prone to error and misuse. The currently available empirical standards are highly disputed and are difficult for practitioners to implement. A standard by which clinicians can select and use scientifically tested treatments is needed to bring credibility to the practice of psychotherapy. This article presents an example of an alternative standard that offers the hope of using clinician experience in ways that enhance the application of scientific principles and that advance the generalization of research to clinical practice. The example offered develops cross-cutting principles that can be applied to patients with depression, drawing from both extant literature and new, cross-validation research. 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