From Theory to Practice: A Transtheoretical Treatment and Training Model (4TM).

Background: In this paper, we present the conceptual background and clinical implications of a research-based transtheoretical treatment and training model (4TM).

Method: The model implements findings from psychotherapy outcome, process, and feedback research into a clinical and training framework that is open to future research.

Results: The framework is based on interventions targeting patient processes on a behavioral, cognitive, emotional, motivational, interpersonal, and systemic/socio-cultural level.

Within and between associations of clinical microskills and correct application of techniques/strategies: A longitudinal multilevel approach.

Objective: The therapist effect has been demonstrated in various studies. However, studies on putative therapist characteristics show heterogeneous results. Although the majority of studies have solely examined effects between therapists, a growing interest in effects within therapists has emerged.

Therapist Interventions and Skills as Predictors of Dropout in Outpatient Psychotherapy.

The current study employed machine learning to investigate whether the inclusion of observer-rated therapist interventions and skills in early sessions of psychotherapy improved dropout prediction beyond intake assessments. Patients were treated by postgraduate clinicians at a university outpatient clinic. Psychometric instruments were assessed at intake and therapeutic interventions and skills in the third session were routinely rated by independent observers.

Prospective evaluation of a clinical decision support system in psychological therapy.

Objective: Thus far, most applications in precision mental health have not been evaluated prospectively. This article presents the results of a prospective randomized-controlled trial investigating the effects of a digital decision support and feedback system, which includes two components of patient-specific recommendations: (a) a clinical strategy recommendation and (b) adaptive recommendations for patients at risk for treatment failure.

Method: Therapist-patient dyads ( = 538) in a cognitive behavioral therapy outpatient clinic were randomized to either having access to a decision support system (intervention group; = 335) or not (treatment as usual; = 203).

The influence of extra-therapeutic social support on the association between therapeutic bond and treatment outcome.

Both good therapeutic bond as well as extra-therapeutic social support seem to enhance treatment outcomes. Some features of the therapeutic bond are similar to experiences in extra-therapeutic relationships (e.g.