Jaargang 30 (2010)
Nummer: 2
Artikel: 113


DT-30-2-113.pdf 498.86 KB 72 downloads

Effectiviteit en gemeenschappelijke factoren ...


Dit artikel verschijnt eind 2010 als hoofdstuk in het Handboek voor GZ-psychologen onder redactie van M. Verbraak, S.Visser, P. Muris en K. Hoogduin bij Boom uitgeverij, Amsterdam. Het artikel beschrijft hoe non-specifieke therapeutische variabelen, zoals het creëren van hoop, het motiveren van de cliënt, het bieden van een duidelijke en geloofwaardige therapierationale, en een optimale therapeutische relatie evidence-based behandelingen effectiever maken.


This article will be published at the end of 2010 as a chapter in the Dutch treatment manual voor Healthcare psychologists (Handboek voor GZ-psychologen) under editorial staff of M. Verbraak, S. Visser, P. Muris en K. Hoogduin at Boom uitgeverij, Amsterdam. The article describes how non-specific therapeutic variables (creating hope, motivating, giving a clear and trustworthy rationale and creating a good therapeutic relationship) make evidence-based treatments more effective.


Atkins, D.C., Bedics, J.D., McGlinchey, J.B., & Beauchaine, T.P. (2005). Assessing clinical significance: Does it matter which method we use? Journal of Consulting & Clinical Psychology, 73(5), 982-989.

Beutler, L.E., Machado, P.P., & Allstetter Neufeldt, S. (1994). Therapist variables. In A.E. Bergin & S.L. Garfield (red.), Handbook of psychotherapy and behavior change (4e druk), pp. 229-269. New York: John Wiley.

Björn, P. (2009). Comparing apples and oranges: How do patient characteristics and treatment goals vary between different forms of psychotherapy? Psychology and Psychotherapy: Theory, Research and Practice, 82, 323-336.

Blaauw, E., & Emmelkamp, P.M.G. (1994). The therapeutic relationship: A study on the value of the Therapist Client Rating Scale. Behavioural and Cognitive Psychotherapy, 22, 25-35.

Blatt, S.J., Sanislow, C.A., Zuroff, D.C., & Pilkonis, P.A. (1996). Characteristics of effective therapists: Further analysis of data from the NIMH treatment of depression collaborative research program. Journal of Consulting & Clinical Psychology, 64, 1276-1284.

Bohart, A.C., Elliott, R.L., Greenberg, L.S., & Watson, J.C. (2002). Empathy. In J.C. Norcross (ed.), Psychotherapy relationships that work, New York: Oxford University Press.

Buckner, J.D. & Schmidt, N.B. (2009). A randomized pilot study of motivation enhancement therapy to increase utilization of cognitive-behavioral therapy for social anxiety. Behaviour research & Therapy, 47, 710-715.

Chambless, D.L., & Hollon, S.D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7-18.

Chambless, D.L., & Ollendick, T.H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685-716.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2e druk). Hillsdale, NJ: Erlbaum.

Chrits-Christoph, P., & Mintz, J. (1991). Implications of therapist effects for the design and analysis of comparative studies of psychotherapies. Journal of Consulting & Clinical Psychology, 59, 20-26.

Emmelkamp, P.M.G. (1975). Effects of expectancy on systematic desensitization and flooding. European Journal of Behavioural Analysis and Modification, 1, 1-11.

Emmelkamp, P.M.G. (2004). Behavior therapy with adults. In M. Lambert (ed.), Bergin and Garfield’s Handbook of Psychotherapy and Behavior Change (5e druk), pp. 393-446. Wiley: New York.

Emmelkamp, P.M.G., Ehring, T., & Powers, M.B. (2009). Philosophy, psychology, causes, and treatments of mental disorders. In Kazantis, N., Reinecke, M.A., & Freeman, A. (eds.), Cognitive and Behavior Theories in Clinical Practice, pp. 1-27. New York: Guilford Press.

Emmelkamp, P.M.G., & Kamphuis, J.H. (2007). Personality Disorders. Hove/New York: Psychology Press/Taylor & Francis.

Emmelkamp, P.M.G., & Dyck, R. van. Psychotherapie: effectiviteit en indicatiestelling. (2006). In Vandereycken, W., Hoogduin, C.A.L., & Emmelkamp, P.M.G. (red.). Handboek Psychopathologie, deel II: Klinische Praktijk, pp. 83-98. Houten: Bohn Stafleu van Loghum.

Emmelkamp, P.M.G., & Vedel, E. (2007). Alcohol en drugsgebruik: Een gids voor effectief gebleken behandelingen. Nieuwezijds: Amsterdam.

Emmelkamp, P.M.G., & Walta, C. (1978). The effects of therapy-set on electrical aversion therapy and covert sensitization. Behaviour Therapy, 9, 185-188.

Frank, J.D. (1976). Psychotherapy and the sense of mastery. In R.L. Spitzer & D.F. Klein (Eds.), Evaluation of psychotherapies, pp. 47-56. Baltimore: Johns Hopkins University Press.

Greenberg, R.P., Constantino, M.J., & Bruce, N. (2006). Are patient expectations still relevant for psychotherapy process and outcome? Clinical Psychology Review, 26, 657-678.

Horvath, A.O., & Bedi, R.P. (2002). The alliance. In J.C. Norcross (ed.), Psychotherapy Relationships that work (pp. 37-69). New York: Oxford University Press.

Ingram, R.E., Hayes, A., & Scott, W. Empirically supported treatments: A critical analysis. In C.R. Snyser & R.E. Ingram (red.), Handbook of Psychological Change: Psychotherapy proceses & practices for the 21 st century, pp. 40-60. New York: Wiley.

Jacobson, N.S., Follette, W.C., & Revenstorf, D. (1984). Psychotherapy outcome research: methods for reporting variability and evaluating clinical significance. Behavior Therapy,
15, 336-352.

Karoly, P., & Wheeler-Anderson, C. (2000). The long and short of psychological change: Towards a goal-centered understanding of treatment durability and adaptive success. In C.R. Snyser & R.E. Ingram (red.), Handbook of Psychological Change: Psychotherapy proceses & practices for the 21 st century, 154-176. New York: Wiley.

Kazdin, A.E., Whitley, M., & Marciano, P.L. (2006). Child-therapist and parent-therapist alliance and therapeutic change in the treatment of children referred for oppositional, aggressive, and antisocial behavior. Journal of Child Psychology and Psychiatry, 47, 436-445.

Kendall, P.C., Comer, J.S., Marker, C.D. Creed, T.A., Puliafico, A.C., Hughes, A.A., Martin, E.D., Suveg, C., & Hudson, J. (2009). In-session exposure tasks and therapeutic alliance across the treatment of childhood anxiety disorders. Journal of Consulting and Clinical Psychology, 77(3), 517-525.

Klein, M.H., Kolden, G.G., Michels, J.L., & Chisholm-Stockard, S. (2002). In J.C. Norcross (ed.), Psychotherapy relationships that work. New York: Oxford University Press.

Lambert, M.J., & Barley, D.E. (2002). Research summary on the therapeutic relationship and psychotherapy outcome. In J.C. Norcross (ed.), Psychotherapy relationships that work (pp.17-32). New York: Oxford University Press.

Lambert, M.J., & Ogles, B.M. (2004). The efficacy and effectiveness of psychotherapy. In M. Lambert (ed.), Bergin and Garfield’s Handbook of Psychotherapy and Behavior Change (5e druk), pp. 139-193. Wiley: New York.

Luborsky, L., Crist-Christoph, P., Mintz, J., & Auerbach, A. (1988). Who will benefit from psychotherapy? New York: Basic Books.

Martin, D.J., Graske, J.P., & Davis, M.K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting & Clinical Psychology, 68, 438-450.

Meyerbröker, K., & Emmelkamp, P.M.G. (2008). Therapeutic processes in virtual reality exposure therapy: The role of cognitions and the therapeutic alliance. Journal of CyberTherapy & Rehabilitation, 1, 247-257.

NICE guideline (2009). CG 78: Borderline personality disorder: treatment and management. National Institute for Health and Clinical Excellence.

Orlinsky, D.E., Ronnestad, M.H., & Willutzki, U. (2004). Fifty years of psychotherapy process-outcome research: Continuity and change. In M. Lambert (ed.), Bergin and Garfield’s Handbook of Psychotherapy and Behavior Change (5e druk), pp. 307-390. Wiley: New York.

Powers, M.B., & Emmelkamp, P.M.G. (2009). Dissemination of research findings. In D.C.S. Richard & S.K. Huprich (eds.). Clinical psychology: assessment, treatment and research, (pp. 495-524). New York: Academic Press.

Price, C., Anderson, P., Henrich, C.C., & Rothbaum, B.O. (2008). Greater expectations: using hierarchical linear modeling to examine expectancy for treatment outcome as a predictor of treatment response. Behavior Therapy, 39, 398-405.

Raue, P.J., & Goldfried, M.R. (1994). The therapeutic alliance in cognitive-behavior therapy. In A.O. Horvath & L.S. Greenberg (red.), The working alliance, pp. 131-152. New York: John Wiley.

Rosenzweig, S. (1936). Some implicit common factors in diverse methods of psychotherapy. American Journal of Orthopsychiatry, 6, 412-415.

Schaap, C., Bennun, I., Schindler, L., & Hoogduin, C.A.L. (1993). The therapeutic relationship in behavioural psychotherapy. New York: John Wiley.

Shelef, K. & Diamond, G.M. (2008). Short form of the revised vanderbilt therapeutic alliance scale: Development, reliability, and validity. Psychotherapy Research, 18, 433-443.

Shirk, S.R., Gudmundsen, G., Kaplinski, H.C., & McMakin, D.L. (2008). Alliance and outcome in cognitive-behavioral therapy for adolescent depression. Journal of Clinical Child & Adolescent Psychology, 37(3), 631-639.

Shirk, S.R., & Karver, M. (2003). Prediction of treatment outcome from relationship variables in child and adolescent therapy: A meta-analytic review. Journal of Consulting & Clinical Psychology, 71, 452-464.

Stewart, R.E., & Chambless, D.J. (2009). Cognitive-behavioral therapy for adult anxiety disorders in clinical practice: A meta-analysis of effectiveness studies. Journal of Consulting and Clinical Psychology, 77(4), 595-606.

Trepka, C., Rees, A., Shapiro, D.A., Hardy, G.E. and Barkham, M. (2004). Therapist competence and outcome of cognitive therapy for depression. Cognitive Therapy and Research, 28, 143-157.

Vedel, E. & Emmelkamp, P.M.G. Psychological treatments for borderline personality disorder: Are all treatments equal or are some treatments more equal than others? Personality and Mental Health, 4, 50-54.

Wampold, B.E. (2001). The great psychotherapy debate: Models, methods and findings. Mahwah, NJ: Erlbaum.

Westen, D., Novotny, C.M., & Thompson-Brenner, H. (2004). The empirical status of empirically supported psychotherapies: Assumptions, findings, and reporting in controlled clinical trials. Psychological Bulletin, 130, 631-663.

Westra, H.A., Arkowitz, H., & Dozois, D.J.A. (2007). Adding a motivational interviewing pretreatment to cognitive behavioral therapy for generalized anxiety disorder: A preliminary randomized controlled trial. Journal of Anxiety Disorders, 23, 1106-1117.

Westra, H.A., Dozois, D.J.A., & Marcus, M. (2007). Early improvement, expectancy, and homework compliance as predictors of outcome in cognitive behavioural therapy for anxiety. Journal of Consulting and Clinical Psychology, 75(3), 363-373.


DT-30-2-113.pdf 498.86 KB 72 downloads

Effectiviteit en gemeenschappelijke factoren ...