A Systematic Framework for Integrating Psychological Evaluations and Interventions

Journal of Psychotherapy Integration - Tập 9 - Trang 313-336 - 1999
Peter Horvath1, Jane M. Russell1
1Psychology Department, Acadia University, Wolfville, Canada

Tóm tắt

A systematic framework for an integrative approach to psychological evaluations and interventions is proposed based on the executive system model of intelligence, the transactional processes of stress and coping, and the field properties of the personal domain. The executive system of intelligence is a comprehensive model that helps to explain the active components of various types of psychotherapies. We are proposing that psychotherapies facilitate clients' uses of their executive functions to develop coping strategies in their transactions with the environment and the events in their life space. A clinical case is presented to illustrate our systematic approach to psychological evaluation and intervention.

Tài liệu tham khảo

Alford, B. A. (1995). Introduction to the special issue: “Psychotherapy integration” and cognitive psychotherapy. Journal of Cognitive Psychotherapy, 9(3), 147–151. Alford, B. A., & Beck, A. T. (1997). The integrative power of cognitive therapy. New York: Guilford Press. Arkowitz, H. (1989). The role of theory in psychotherapy integration. Journal of Integrative and Eclectic Psychotherapy, 8(1), 8–16. Arnkoff, D. B., Victor, B. J., & Glass, C. R. (1993). Empirical research on factors in psychotherapeutic change. In G. Stricker & J. R. Gold (Eds.), Comprehensive handbook of psychotherapy integration (pp. 27–42). New York: Plenum Press. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman. Barnett, P. A., & Gotlib, I. H. (1988). Psychosocial functioning and depression: Distinguishing among antecedents, concomitants, and consequences. Psychological Bulletin, 104(1), 97–126. Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press. Beitman, B. D., Goldfried, M. R., & Norcross, J. C. (1989). The movement toward integrating the psychotherapies: An overview. American Journal of Psychiatry, 146(2), 138–147. Berzonsky, M. D. (1992). Identity style and coping strategies. Journal of Personality, 60(4), 771–788. Billings, A. G., & Moos, R. H. (1984). Coping, stress, and social resources among adults with unipolar depression. Journal of Personality and Social Psychology, 46, 877–891. Billings, A. G., & Moos, R. H. (1985). Psychosocial processes of remission in unipolar depression: Comparing depressed patients with matched community controls. Journal of Consulting and Clinical Psychology, 53, 314–325. Bohart, A. C. (1993). Experiencing: The basis of psychotherapy. Journal of Psychotherapy Integration, 3(1), 51–67. Borkowski, J. G. (1985). Signs of intelligence: Strategy generalization and metacognition. In S. R. Yussen (Ed.), The growth of reflection in children (pp. 105–144). Orlando, FL: Academic Press. Bricker, D., Young, J. E., & Flanagan, C. M. (1993). Schema-focused cognitive therapy: A comprehensive framework for characterological problems. In K. T. Kuehlwein & H. Rosen (Eds.), Cognitive therapies in action (pp. 88–125). San Francisco, CA: Jossey-Bass. Campione, J. C., & Brown, A. L. (1978). Toward a theory of intelligence: Contributions from research with retarded children. Intelligence, 2, 279–304. Cantor, N., & Kihlstrom, J. F. (1987). Personality and social intelligence. Englewood Cliffs, NJ: Prentice-Hall. Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56(2), 267–283. Castonguay, L. G., & Goldfried, M. R. (1994). Psychotherapy integration: An idea whose time has come. Applied and Preventive Psychology, 3(3), 159–172. Chwalisz, K. D., Altmaier, E. M., & Russell, D. W. (1992). Causal attribution, self-efficacy cognitions, and coping with stress. Journal of Social and Clinical Psychology, 11, 377–400. Coolidge, F. L., & Griego, J. A. (1995). Executive functions of the frontal lobes: Psychometric properties of a self-rating scale. Psychological Reports, 77, 24–26. Detterman, D. K. (1986). Qualitative integration: The last word? In R. J. Sternberg & D. K. Detterman (Eds.), What is intelligence? (pp. 163–166). Norwood, NJ: Ablex. Dobson, K. S., & Block, L. (1988). Historical and philosophical bases of the cognitive-behavioral therapies. In K. S. Dobson (Ed.), Handbook of cognitive-behavioral therapies (pp. 3–38). New York: Guilford Press. Dozois, D. J., & Dobson, K. S. (1999, May). Structural properties of the schema in clinical depression: Evidence of content-specificity. Paper presented at the annual meeting of the Canadian Psychological Association, Halifax, Nova Scotia. Eifler, N., DiTommaso, E., & Cotter, C. (1999, May). Adult attachment and coping with work-related stress. Paper presented at the annual meeting of the Canadian Psychological Association, Halifax, Nova Scotia. Endler, N. S., & Parker, J. D. A. (1990). Coping Inventory for Stressful Situations (CISS): Manual. Toronto, ON: Multi-Health Systems. Fitzsimmons, K., & Martin, R. A. (1999, May). Emotion regulation as a mediator between early childhood experiences and adult dysphoric mood. Paper presented at the annual meeting of the Canadian Psychological Association, Halifax, Nova Scotia. Folkman, S., & Lazarus, R. S. (1988). Manual for the Way of Coping Questionnaire (research edition). Palo Alto, CA: Consulting Psychologists Press. Forman, S. G. (1990). Rational-emotive therapy: Contributions to teacher stress management. School Psychology Review, 19(3), 315–321. Friedman, N. (1976). From the experiential in therapy to experiential psychotherapy: A history. Psychotherapy: Theory, Research & Practice, 13(3), 236–243. Gendlin, E. T. (1962). Experiencing and the creation of meaning: A philosophical and psychological approach to the subjective. Toronto, Ontario: Free Press of Glencoe. Gold, J. R. (1993). The sociohistorical context of psychotherapy integration. In G. Stricker & J. R. Gold (Eds.), Comprehensive handbook of psychotherapy integration (pp. 3–8). New York: Plenum Press. Gray, J. J., & Hoage, C. M. (1990). Bulimia nervosa: Group behavior therapy with exposure plus response prevention. Psychological Reports, 66, 667–674. Greenberg, L. S. (1988). Constructive cognition: Cognitive therapy coming of age. Counseling Psychologist, 16(2), 235–238. Gregory, R. J. (1992). Psychological testing: History, principles, and applications. Boston: Allyn & Bacon. Hartmann, H., Kris, E., & Loewenstein, R. M. (1964). Papers on psychoanalytic psychology. Psychological Issues, 4(2), 1–205. Hauck, J. A. (1999, May). A meta-analysis of the efficacy of problem-solving therapy. Paper presented at the annual meeting of the Canadian Psychological Association, Halifax, Nova Scotia. Heppner, P. P., Baumgardner, A., & Jackson, J. (1985). Problem-solving self-appraisal, depression, and attributional style: Are they related? Cognitive Therapy and Research, 9(1), 105–113. Higgins, E. T. (1987). Self-discrepancy: A theory relating self and affect. Psychological Review, 94, 319–340. Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44(3), 513–524. Holahan, C. J., & Moos, R. H. (1987). Personal and contextual determinants of coping strategies. Journal of Personality and Social Psychology, 52, 946–955. Horowitz, M. J. (1991). States, schemas, and control: General theories for psychotherapy integration. Journal of Psychotherapy Integration, 1(2), 85–102. Horvath, P. (1999). The organization of social action. Canadian Psychology, 40(3), 221–231. Ingram, R. E., & Hollon, S. D. (1986). Cognitive therapy for depression from an information processing perspective. In R. E. Ingram (Ed.), Information processing approaches to clinical psychology (pp. 259–281). Orlando: FL: Academic Press. Kelly, G. (1955). The psychology of personal constructs. New York: Norton. Kohut, H. (1971). The analysis of the self. New York: International Universities Press. Lazarus, R. S. (1991). Emotion and adaptation. New York: Oxford University Press. Lazarus, R. S. (1993). From psychological stress to the emotions: A history of changing outlooks. Annual Review of Psychology, 44, 1–21. Lewin, K. (1936). Principles of topological psychology. New York: McGraw-Hill. Lezak, M. (1995). Neuropsychological assessment (3rd ed.). New York: Oxford University Press. Logan, G. D. (1985). Executive control of thought and action. Acta Psychologica, 60, 193–210. Mahoney, M. J. (1993). Diversity and the dynamics of development in psychotherapy integration. Journal of Psychotherapy Integration, 3(1), 1–13. Nezu, A. M., Kalmar, K., Ronan, G. F., & Clavijo, A. (1986). Attributional correlates of depression: An interactional model including problem solving. Behavior Therapy, 17, 50–56. Nezu, C. M., Nezu, A. M., & Houts, P. S. (1993). Multiple applications of problem-solving principles in clinical practice. In K. T. Kuehlwein & H. Rosen (Eds.), Cognitive therapies in action (pp. 353–378). San Francisco: Jossey-Bass. Norcross, J. C., Glass, C. R., Arnkoff, D. B., Horowitz, M. J., Karasu, T. B., Lambert, M. J., Shohan, V., Stiles, W. B., Shapiro, D. A., Barkham, M., & Strupp, H. H. (1995). A roundtable on psychotherapy integration: Common factors, technical eclecticism, and psychotherapy research. Journal of Psychotherapy Practice and Research, 4(3), 248–271. Parker, G. B., & Brown, L. B. (1982). Coping behaviors that mediate between life events and depression. Archives of General Psychiatry, 39, 1386–1391. Peacock, E. J., Wong, P. T. P., & Reker, G. T. (1993). Relations between appraisals and coping schemas: Support for the congruence model. Canadian Journal of Behavioural Science, 25(1), 64–80. Pennington, B. F., & Ozonoff, S. (1996). Executive functions and developmental psychopathology. Journal of Child Psychology and Psychiatry and Allied Disciplines, 37(1), 51–87. Pollens, R., McBratnie, B., & Burton, P. (1988). Beyond cognition: Executive functions. Cognitive Rehabilitation, 6, 26–33. Prochaska, J. O., & DiClemente, C. C. (1992). The transtheoretical approach. In J. C. Norcross & M. R. Goldfried (Eds.), Handbook of pychotherapy integration (pp. 300–334) New York: Basic Books. Rangell, L. (1986). The executive functions of the ego: An extension of the concept of ego autonomy. Psychoanalytic Study of the Child, 41, 1–37. Reeve, J., Inck, T. A., & Safran, J. (1993). Toward an integration of cognitive, interpersonal, and experiential approaches to therapy. In G. Stricker & J. R. Gold (Eds), Comprehensive handbook of psychotherapy integration (pp. 113–123). New York: Plenum Press. Rosen, H. (1993). Developing themes in the field of cognitive therapy. In K. T. Kuehlwein & H. Rosen (Eds.), Cognitive therapies in action (pp. 403–434). San Francisco: Jossey-Bass. Russell, J. (1997). Exploring the components of hope. Unpublished honors thesis, Acadia University, Wolfville, Nova Scotia, Canada. Safran, J. D., & Greenberg, L. S. (1988). Feeling, thinking, and acting: A cognitive framework for psychotherapy integration. Journal of Cognitive Psychotherapy: An International Quarterly, 2(2), 109–131. Scott, L., & Clark, D. A. (1999, May). An exploratory study of mood repair in college students. Paper presented at the annual meeting of the Canadian Psychological Association, Halifax, Nova Scotia. Snyder, C. R. (1994a). Hope and optimism. Encyclopedia of Human Behavior, 2, 535–542. Snyder, C. R. (1994b). The psychology of hope: You can get there from here. New York: Free Press. Snyder, C. R. (1995). Conceptualizing, measuring, and nurturing hope. Journal of Counseling and Development, 73, 355–360. Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irving, L. M., Sigmon, S. T., Yoshinobu, L., Gibb, J., Langelle, C., & Harney, P. (1991). The will and the ways: Development and validation of an individual-differences measure of hope. Journal of Personality and Social Psychology, 60(4), 570–585. Spivack, G., Platt, J. J., & Shure, M. B. (1976). The problem-solving approach to adjustment. San Francisco: Jossey-Bass. Sternberg, R. J. (1985). Beyond IQ: A triarchic theory of human intelligence. New York: Cambridge University Press. Sternberg, R. J. (1986). Intelligence applied: Understanding and increasing your intellectual skills. Orlando, FL: Harcourt Brace Jovanovich. Sternberg, R. J. (1989). The triarchic mind: A new theory of human intelligence. New York: Viking Penguin. Sternberg, R. J. (1997). The concept of intelligence and its role in lifelong learning and success. American Psychologist, 52(10), 1030–1037. Sternberg, R. J., & Berg, C. A. (1986). Quantitative integration: Definitions of intelligence: A comparison of the 1921 and 1986 symposia. In R. J. Sternberg & D. K. Detterman (Eds.), What is intelligence? Contemporary viewpoints on its nature and definition (pp. 155–162). Norwood, NJ: Ablex. Stiles, W. B., Elliot, R., Llewelyn, S. P., Firth-Cozens, J. A., Margison, F. R., Shapiro, D. A., & Hardy, G. (1990). Assimilation of problematic experiences by clients in psychotherapy. Psychotherapy, 27(3), 411–420. Stricker, G. (1993). The current status of psychotherapy integration. In G. Stricker & J. R. Gold (Eds.), Comprehensive handbook of psychotherapy integration (pp. 533–545). New York: Plenum Press. Stricker, G. (1994). Reflections on psychotherapy integration. Clinical Psychology (Science and Practice), 1(1), 3–12. Tucker, D. M., & Derryberry, D. (1992). Motivated attention: Anxiety and the frontal executive functions. Neuropsychiatry, Neuropsychology, and Behavioral Neurology, 5(4), 233–252. Warkentin, J. (1976). Experiential psychotherapy: A contrast to rational-emotive psychotherapy. Journal of Contemporary Psychotherapy, 8(1), 29–33. Winfrey, L. P. L., & Goldfried, M. R. (1986). Information processing and the human change process. In R. E. Ingram (Ed.), Information processing approaches to clinical psychology (pp. 241–258). Orlando, FL: Academic Press.