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Download CSEP-2 Protocol 6-03.DOC

CSEP
Center for the Study of Experiential Psychotherapy
University Hall 1420
Department of Psychology
University of Toledo
Director: Robert Elliott, Ph.D.,
419-530-2715
Contact/Voicemail: 419-530-4014

Research Protocol Summary (6/2003)

• Emotion-focused treatment of depression, trauma and other personal and interpersonal difficulties
• Up to 40 individual therapy sessions; evaluations every 10 sessions. After 40 sessions, up to 12 monthly maintenance sessions to prevent relapse.
• Free with research participation, up to 40 sessions; or fee for service (sliding fee schedule: $10-$70/session; fee reduction for continued participation in research)

• Process-Experiential Psychotherapy: Greenberg, Rice & Elliott, 1993, Facilitating Emotional Change; Elliott et al. (in preparation), Learning Process-Experiential Psychotherapy.
• Integrates Client-Centered (relationship conditions) & Gestalt (active chairwork) treatments.
• Organized around therapeutic tasks presented by clients (e.g., conflict splits).
• Growing body of research supports effectiveness, especially with depression.
• Treatment length: client choice (up to 40 sessions); 12-20 session recommended protocols for depression, PTSD.
• Therapists: clinical psychology graduate students (2nd year+) & faculty at CSEP: close supervision; didactic and experiential training.
• Video & audiorecording for supervision & research.

• Advertise as "Emotion-Focused Psychotherapy"
• Realistic clinical populations (inclusive sample); emphasize outreach to diverse populations
• Exclusion criteria: psychotic, actively suicidal, antisocial pd; current severe substance abuse/dependence, domestic violence or other current severe crises.
• Not for clients who clearly prefer a cognitively-oriented, exclusively problem-solving approach; who need marital or family therapy; or who can’t stand being taped or filling out questionnaires.
• Case mix: roughly 50% male; Major Depressive Disorder; PTSD; anger issues; Axis II problems, substance abuse.

A. Pretreatment screening & assessment of clients

1. Phone screening

2. Diagnostic assessment:

Session I:

• 60 min mini-intake: Presenting problem; PQ worksheet, Self-description form
• Axis I: SCID
• Give Informed Consent Form; evaluate for BSR protocol

Session II:

• Review, discuss Consent Form
• Axis II: SCID-II PQ + CAS II
• Generate Personal Questionnaire

3. Present client at CSEP meeting; case disposition

B. Outcome assessment for treatment progress audit

• Timing: before therapy, every 10 sessions and at end, plus 6-month & 18-month follow-ups
• Given by therapist and returned to researcher at Change Interview

1. Pretreatment packet: [predictor variables]

• Demographics (gender, age, ethnicity, medication):
• NEO-FFI [general personality (Five-Factor model: neuroticism, extraversion, openness to experience, agreeableness, conscientiousness)]
• Opinions of Help for Psychological Problems [PE ideology]

2. Change packet (pre; every 10 sessions; post [if 3+ since last assessment], follow-ups):

• CORE [distress]
• Inventory of Interpersonal Problems (L. Horowitz) [Relational]
• Health Care Utilization Questionnaire [physical health/medical utilization]
• Self-affiliation: SASB Introject Questionnaire - Long Form (Benjamin) [Self]
• SEE: Stuttgart Emotional Experiencing scale [experiential processing]
• Toronto Alexithymia Scale - 20 [experiential processing]
• Tennessee Self-concept scale -II [Self, validity scales]

3. Additional change measures:

• Change Interview (perceived changes & attributions for changes; helpful, hindering aspects of treatment)
• Personal Questionnaire [individualized distress]

4. Post only: Change Interview sections:

• Qualitative self-description
• Review pretreatment PQ

C. Session-level Process Measures:

1. Presession:

• Personal Questionnaire [client]

2. Postsession:

• Client Postsession Questionnaire (Session Effectiveness scale, Revised Session Reactions Rscale; Working Alliance Inventory-12; HAT form)
• Therapist Experiential Session Form (process notes, session helpfulness, client modes of engagement, treatment principles, tasks, experiential response modes, content directive responses)

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Last modified: 17 June 2003