Please Describe Or Provide Examples of Ways in Which Empirical Research Is Helpful in Your Clinical Practice Responses

Please describe or provide examples of ways in which empirical research is helpful in your clinical practice Responses (direct quotes): In the areas of behavioral problems such as ADD, sleep difficulty, executive functioning as well as medication Advances in attachment theory and research. Neurological correlates of trauma, attachment and EMDR to investigate new interventions Assessment Attachment research Attachment research and mentalization based research has been tremendously helpful in helping me to conceptualize impasses with patients Attachment research has informed my practice quite a bit Basic research on human functioning & process research Beck’s early work on depression showed me that focus on superego functions was a useful first intervention. A few flawed (unfortunately) studies of interventions in psychoanalysis supposed my focus in on clarification rather than deep interpretation, a key shift in technique. Can provide new techniques, reinforce or reject theoretical formulations Case studies do, RCT's not so much--case studies give me examples of actual patients with specific issues, and describe the Ways that clinicians adapt their usual ways of working to address real world problems. cbt related research Certain evidence-based treatments work best for certain disorders Citing research for treatment interventions and better understanding clinical phenomena Clinical Cases, metanalysis, strategic steps, important issues to consider, implications to practice parts of the articles. Common factors research Common factors research, progress monitoring, responsiveness to client factors Context, language, prevalence, intervention Data from Infant research and trauma research Dealing with certain kind of problems Debunked myth of the efficacy of CBT. Deciding which techniques to use and with whom. bringing clinical observations into the lab to help resolve theoretical debates (such as self-disclosure vs neutrality) has also been important, even if still very new Design better treatment plan for a patient that is evidence based Determines treatment modalities adopted by correctional agency in which I work Development and validation of new assessment tools Diagnosis, prognosis treatment Efficacy in treatment approaches Efficacy of istdp for psychosomatics. Affect activation related to outcome. Alliance rupture repair related ti outcome Emerging research on transgender issues for example. I look to that to help me work with patients. Empirical research (particularly qualitative studies) that explores the lived experiences of members of marginalized groups often helps me to ask more informed questions and better mentalize the experiences of patients from those groups. Empirical research is good to better integrate techniques, ideas and psychotherapy factors such as therapeutic alliance, relationship, empathy, etc. Establishes principles that assist in case formulation Evaluating outcomes Evidence based approaches, protocols, training Evidence based relationship process Evidence based treatment for substance abusers FMRI and early attachment For knowing specific data, ie. Demographic data re: clinical syndromes. Frequency information. General biological science Gives me a way to put clinical experience and research findings into dialogue Good source of ideas that can sometimes suggest directions to explore with patients Gottman’s research into couples has taught me some of what a couple does that leads to their success and happiness in the marriage. Grounds me from fusing with therapy brands Guidance on interventions Help to focus on really essential matters Helps me in thinking about interventions or perspective I had not thought of, particularly when the therapy is not going too well. Helps me learn and implement more therapeutic technics and perspectives Helps me select interventions Helps me to understand clinical issues How to be more responsive to client characteristics and in-session process. How to help create the capacity for change in a suffering patient. How to decrease various behaviors that may feel right in the short run and do harm in the long run. I am a full-time clinical researcher, running an RCT. I read many research papers to help guide my thinking about how to intervene and how to think about clinical work. I think papers that include research findings and clinical examples are most helpful I am a trauma researcher and I work with a lot of clients with a history of trauma. I am interested in attachment research (Fonagy, Steeles, Lyons Ruth) and Beatrice Beebe’s research. Their findings are helpful with working with couples, individuals and parent/infant dyads I am working for the VA and find it useful to look for articles on treatments specifically using veteran populations at times. I appreciate knowing that the interventions and type of therapy that I do have a basis in research. Also research can be helpful when I am exploring a particular issue with a patient. I can see how different treatments are assessed and decide to use what has been demonstrated to be clinically helpful I don't really seek it out. I will read about a subject I'm struggling with in my practice, but focus more on clinical emphasis. I feel more confident with my interventions I find research into the mutative elements of psychotherapy helpful. I find that I'm more interested in the way the clinical problem is formulated that can be implicit in the research model as well as information about clinical techniques. I don't trust empirical research to offer much beyond that about individual clinical cases. I have a better understanding of unconscious processes, of how the mind works and of areas of research not strictly clinical but relevant. I have recently integrated circular diaphragmatic breathing into my practice with virtually every patient in virtually every session. I keep up with literature mostly related to neuroscience. I find it helpful in thinking about patients. I like to know what is validated and give that preference in integrating it into my practice. I need to follow developments in assessment, e.g, new instruments, new MMPI and other tests research, etc. I prefer the psychoanalytic single case study approach. I frequent conferences and pour over journal articles in psychoanalysis. I recently discovered the effectiveness of TMS. I continue to learn about which interventions are best for anxiety and panic. I tend to read articles that describe discrete technical issues & approaches in psychotherapy and then read meta-analyses of such techniques. I tend to seek out consultation, reading and classes around theory & more hermeneutic type research I use it to inform my theoretical understanding I use ROM in my practice to keep track of patient change. I use Rupture Resolution a lot. I try to use common factors individually tailored. I use the Mentalizing model with patients when they are in emotional dysregulation Identifying useful interventions If empirical research means case studies and attention to the nature of therapist attitudes and patient/therapist interactions, these have been very helpful. I'm more flexible now because research suggests that that is beneficial. In dealing with insurance rejections, research is helpful, but ultimately it doesn't matter to them In deciding treatment course in every way. in improving the conceptual apparatus, and in providing empirical evidence In talking with clients about sleep and depression, exercise and depression Increases my knowledge base Informs my work with patients through support for clinical formulation and intervention as the work unfolds. Informs psychological assessment/testing. It helps me choose diagnostic and testing materials; it provides efficacy studies for various therapeutic approaches; it guides choices we make regarding integration of care with our primary care partners, etc. It helps me to understand the process of the clinical work and what is and is not effective. It helps me understand brain development, which is important as I treat and test children and adolescents. It helps provide an empirical basis to decisions and conducting research helps refine my reasoning skills. It is not really except to justify my belief that the relationship is what matters most It is not. it supports many psychoanalytic principles and practices and provides a modicum of confidence about my work It would be far more influential if I didn’t have to pay for journals It’s not so helpful. It seems biased towards one theory-behavioral. I’m not impressed with current quality of research. We need more than RCTs which can be manipulated. We need qualitative studies and studies on psychodynamic therapy. Recent review of psychological research found that most research done is problematic. Keeps me up-to-date on current approaches to understanding clinical and ethical issues, as well as developments in treatment and assessment. Knowing that behavior therapy works for certain problems Knowing that my clinical method is empirically tested and retested on a regular basis brings me confidence in my interventions. Knowledge about efficiency of different approaches with specific clienteles, knowledge about efficiency of supervision Learning about new innovations in treatment. Learning evidenced based approaches to psychotherapy, looking for protocols for specific populations, reading guldlines for psycho education. Learning that depression starts and can be diagnosed much earlier than thought when I was trained (and even on the licensing exam). Links between structure of brain

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