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Systematic treatment selection is an empirically developed procedure for identifying the mix of therapist, treatment strategies, and psychotherapeutic interventions that are most likely to produce a favorable response in any given patient. Two basic assumptions underlie this approach: (a) There is no treatment method or model that works well on all patients, and (b) most treatment methods work well on some patients. The principles and applications of STS have been defined and developed through a four-step process. The first step was a series of literature reviews designed to identify predictors and moderators of therapeutic change. The second step was to collapse and combine these predictors and moderators into a smaller set of clusters, each of which identified a particular fit or match between patient qualities and treatment strategies that reliably relate to change and improvement. The third step was to develop means for measuring the patient qualities and treatment strategies that emerged from the prior steps. The fourth step tested a series of hypotheses that had been extracted from the reviews of literature, all of which bore on the question of what factors accounted for optimal therapeutic change. The application of the original STS dimensions for the task of planning treatment is illustrated in the next section, as applied to the case of Frank, a patient experiencing comorbid depression and chemical abuse disorder and who was seen as part of a randomized trial study of the efficacy of STS predictions. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
Published: May 7, 2007
Keywords: systematic treatment selection; prescriptive therapy; therapist; treatment strategies; psychotherapeutic interventions; depression; chemical abuse disorder
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