Abstract
It is vital for the mental health disciplines, in this era of public and scientific demands to identify empirically supported treatments (ESTs), to differentiate themselves from other types of health-care providers, to define more precisely the uniqueness of the disorders with which we work, and to identify the central features of the treatments we provide and the dimensions that contribute to constructive and sustained therapeutic change.
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Notes
- 1.
The clinical management (CM) component was designed to manage the medications and to “provide a generally supportive atmosphere and to enable the psychiatrist to assess the patient’s status.” “The manual and training … include guidelines for providing support and encouragement to the patient and giving direct advice when necessary. This CM component thus approximates a ‘minimal supportive therapy’ condition” [88].
- 2.
Several studies of brief cognitive and pharmacological treatment of depression provide further support for the influence of the patients’ personality styles on therapeutic outcome. Peselow, Robins, Sanfilipo, Block, and Fieve [107], investigating the response to pharmacotherapy among 217 depressed outpatients, found that patients with high autonomous–low sociotropic profile on the SAS (introjective patients) responded better to antidepressants than patients who had a high sociotropic–low autonomous profile (anaclitic patients). According to Peselow and colleagues (1992), these findings support Beck’s [15] contention that the autonomous form of depression includes endogenomorphic characteristics. Rector, Bagby, Segal, Joffe, and Levitt [108], investigating depressed outpatients treated with either cognitive therapy (N = 51) or pharmacotherapy (N = 58), found that DEQ self-criticism did not influence the response to medication but did predict poorer response to cognitive therapy. Zettle and colleagues [109, 110] compared the responses of sociotropic and autonomous (anaclitic and introjective) depressed outpatients to individual and group cognitive therapy for depression and found that sociotropic patients had greater therapeutic response in group therapy, while autonomous patients had greater therapeutic response to individual therapy.
- 3.
Similarily, Cox, Walker, Enns, and Karpinski [111] found that changes in level of self-critical perfectionism/autonomy were significantly related to outcome in brief group CBT of patients with generalized social phobia. The extent of change of self-critical perfectionism predicted therapeutic outcome.
References
Luyten, P., & Blatt, S. J. (2007). Looking back towards the future: Is it a time to change the DSM approach to psychiatric disorders? Psychiatry: Interpersonal and Biological Processes, 70, 85–99.
Blatt, S. J., & Zuroff, D. C. (2005). Empirical evaluation of the assumptions in identifying evidence based treatments in mental health. Clinical Psychology Review, 25, 459–486.
Barber, J. P., Connolly, M. B., Crits-Christoph, P., Gladis, L., & Sigueland, L. (2000). Alliance predicts patients’ outcome beyond in-treatment change in symptoms. Journal of Consulting and Clinical Psychology, 68, 1027–1032.
Klein, D. N., Schwartz, J. E., Santiago, N. J. Vivan, D., Vocisano, C., & Catonguay, L. G. (2003) Therapeutic alliance in depression treatment: Controlling for prior change and patient characterisitics. Journal of Consulting and Clinical Psychology, 71, 997–1006.
Wampold, B. E. (2001). The great psychotherapy debate: Models, methods, and findings. Mahwah, NJ: Erlbaum.
Zuroff, D. C., & Blatt, S. J. (2006). The therapeutic relationship in the brief treatment of depression: Contributions to clinical improvement and enhanced adaptive capacities. Journal of Consulting and Clinical Psychology, 47, 130–140.
American Psychiatric Association Commission on Psychotherapies (1982). Psychotherapy research: Methodological and efficacy issues. Washington, DC: American Psychiatric Association.
Luyten, P., Blatt, S. J., van Houdenhove, B., & Corveleyn, J. (2006). Depression research and treatment: Are we skating to where the puck is going to be? Clinical Psychology Review, 26, 985–999.
Elkin, I. (1994). The NIMH Treatment of Depression Collaborative Research Program: Where we began and where we are now. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change(4th edition, pp. 114–135). New York: Wiley.
Shea, M. T., Elkin, I., Imber, S. D., Sotsky, S. M., Watkins, J. T., Collins, J. F., Pilkonis, P. A., Beckham, E., Glass, D. R., Dolan, R. T., & Parloff, M. B. (1992). Course of depressive symptoms over follow-up: Findings from the National Institute of Mental Health treatment of depression collaborative research program. Archives of General Psychiatry, 49, 782–787.
Westen, D., Novotny, C. M., Thompson-Brenner, H. (2004). The empirical status of empirically supported psychotherapies: Assumptions, findings, and reporting in controlled clinical trials. Psychological Bulletin, 130, 631–663.
Ingram, R. E., & Price, J. M. (Eds.) (2002) Vulnerablity to psychopathology:Risk across the lifespan. New York: Lippincott, Williams & Wilkins.
Luyten, P., Corveleyn, J., & Blatt, S. J. (2005). The convergence among psychodynamic and cognitive-behavioral theories of depression: A critical review of empirical research. In J. Corveleyn, P. Luyten, & S. J. Blatt (Eds.), The theory and treatment of depression: Towards a dynamic interactionism model (pp. 95–136). Leuven: University of Leuven Press.
Luyten, P., Blatt, S. J., & Corveleyn, J. (2005) Introduction. In Corveleyn, J., Luyten, P., & Blatt, S. J. (Eds.), The theory and treatment of depression: Towards a dynamic interactionism model (pp. 5–15). Leuven: University of Leuven Press.
Beck, A. T. (1983). Cognitive therapy of depression: New perspectives. In P. J. Clayton, & J. E. Barrett (Eds.), Treatment of depression: Old controversies and new approaches (pp. 265–290). New York: Raven.
Beck, A. T. (1999). Cognitive aspects of personality disorders and their relation to syndromal disorders: A psychoevolutionary approach. In C. R. Cloninger (Ed.), Personality and psychopathology (pp. 411–429). Washington, DC: American Psychiatric Press.
Blatt, S. J. (1974). Levels of object representation in anaclitic and introjective depression. Psychoanalytic Study of the Child, 29, 107–157.
Blatt, S. J. (1998). Contributions of psychoanalysis to the understanding and treatment of depression. Journal of the American Psychoanalytic Association, 46, 723–752.
Blatt, S. J. (2004). Experiences of depression: Theoretical, clinical and research perspectives. Washington, DC: American Psychological Association.
Blatt, S. J., & Auerbach, J. S. (2001). Mental representation, severe psychopathology and the therapeutic process. Journal of the American Psychoanalytic Association, 49, 113–159.
Blatt, S. J, Auerbach, J. S., & Levy, K. N. (1997). Mental representation in personality development, psychopathology and the therapeutic process. Review of General Psychology, 1, 351–374.
McCullough, J. P. (2003). Treatment for chronic depression: Cognitive Behavioral Analysis System of Psychotherapy (CBASP). London: Guilford Press.
Linehan, M. M. (1993). Cognitive-behavior treatment of borderline personality disorder. New York: Guilford Press.
Segal, Z. V. Williams. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to prevention relapse. New York: Guilford Press.
Young, J. E. (1999). Cognitive therapy for personality disorders: A schema focused approach (3rd edition). Sarasota, FL: Professional Resource Exchange.
Blatt, S. J., & Zuroff, D. C. (1992). Interpersonal relatedness and self-definition: Two prototypes for depression. Clinical Psychology Review, 12, 527–562.
Blatt, S. J., D’Afflitti, J. P., & Quinlan, D. M. (1976). Experiences of depression in normal young adults. Journal of Abnormal Psychology, 85, 383–389.
Blatt, S. J., Quinlan, D. M., Chevron, E. S., McDonald, C., & Zuroff, D. (1982). Dependency and self-criticism: Psychological dimensions of depression. Journal of Consulting and Clinical Psychology, 50, 113–124.
Zuroff, D. C., & Fitzpatrick, D. (1995). Depressive personality styles: Implications for adult attachment. Personality and Individual Differences, 18, 253–265.
Zuroff, D. C., Mongrain, M., & Santor, D. A. (2004). Conceptualizing and measuring personality vulnerability to depression: Revisiting issues raised by Coyne and Whiffen (1995). Psychological Bulletin, 130, 489–511.
Hammen, C., Marks, T., Mayol, A., & deMayo, R. (1985). Depressive self-schemas, life stress, and vulnerability to depression. Journal of Abnormal Psychology, 94, 308–319.
Blatt, S. J., Shahar, G., & Zuroff, D. C. (2002). Anaclitic (sociotropic) and introjective (autonomous) dimensions. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness to patients (pp. 306–324). New York: Oxford University Press.
Widiger, T. A., & Anderson, K .G. (2003). Personality and depression in women. Journal of Affect Disorder, 74, 59–66.
Ablon, J. S., & Jones, E. E. (1999). Psychotherapy process in the National Institute of Mental Health Treatment of Depression Collaborative Research Program. Journal of Consulting and Clinical Psychology, 67, 64–75.
Ablon, J. S., & Jones, E. E. (2002). Validity of controlled clinical trials of psychotherapy: Findings from the NIMH Treatment of Depression Collaborative Research Program. American Journal of Psychiatry, 159, 775–783.
Shaw , B. F., Elkin, I., Yamaguchi, J., Olmsted, M., Vallis, T. M., Dobseon, K. S., Lowery, A., Sotsky, S. M., Watkins, J. T, & Imber, S. D. (1999). Therapist competence ratings in relation to clinical outcome in cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 67, 837–846.
Waddington, L. (2002). The therapy relationship in cognitive therapy: A review. Behavioural and Cognitive Psychotherapy, 30, 179–191.
Blatt, S. J., Auerbach, J. S., & Behrends, R. (in press). Changes in the representation of self and significant others in the treatment process: Links among representation, internalization, and mentalization. In A. Slade and E. Jurist (Eds.), Representation and mentalization in the treatment process. New York: Other Press.
Behrends, R. S., & Blatt, S. J. (1985). Internalization and psychological development throughout the life cycle. Psychoanalytic Study of the Child, 40, 11–39. Translated and reprinted in Arbeitshefte Kinderanalyse.
Blatt, S. J., & Behrends, R. S. (1987). Internalization, separation-individuation, and the nature of therapeutic action. International Journal of Psychoanalysis, 68, 279–297.
Loewald, H. W. (1962). Internalization, separation, mourning, and the superego. Psychoanalytic Quarterly, 31, 483–504.
Schafer, R. (1967). Projective testing and psychoanalysis. New York: International Universities Press.
Blatt, S. J. (1995a). Representational structures in psychopathology. In D. Cicchetti, & S. Toth (Eds.), Rochester symposium on developmental psychopathology: Vol. 6. Emotion, cognition, and representation (pp. 1–33). Rochester, NY: University of Rochester Press.
Blatt, S. J., Stayner, D., Auerbach, J., & Behrends, R. S. (1996). Change in object and self representations in long-term, intensive, inpatient treatment of seriously disturbed adolescents and young adults. Psychiatry: Interpersonal and Biological Processes, 59, 82–107.
Luyten, P., Blatt, S. J., & Corveleyn, J. (2005). The convergence among psychodynamic and cognitive-behavioral theories of depression: Theoretical overview. In J. Corveleyn, P. Luyten, & S. J. Blatt (Eds.), The theory and treatment of depression: Towards a dynamic interactionism model (pp. 67–94). Leuven: University of Leuven Press.
Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., & Kernberg, O. F. (2004). The Personality Disorders Institute/Borderline Personality Disorder Research Foundation randomized control trial for borderline personality disorder: Rationale, methods, and patient characteristics. Journal of Personality Disorders 18, 52–72.
Blatt, S. J., Sanislow, C. A., Zuroff, D. C., & Pilkonis, P. A. (1996). Characteristics of effective therapists: Further analyses of data from the NIMH TDCRP. Journal of Consulting and Clinical Psychology, 64, 1276–1284.
Krupnick, J. L., Sotsky, S. M., Simmens, S., Moyer, J., Elkin, I., Watkins, J., & Pilkonis, P. A. (1996). The role of the therapeutic alliance in psychotherapy and pharmacotherapy outcome: Findings in the NIMH Treatment of Depression Collaborative Research Program. Journal of Consulting and Clinical Psychology, 64, 532–539.
Zuroff, D. C., & Blatt, S. J. (2006). The therapeutic relationship in the brief treatment of depression: Contributions to clinical improvement and enhanced adaptive capabilities. Journal of Consulting and Clinical Psychology, 74, 130–140.
Rogers, C. R. (1951). Client-centered therapy. Boston: Houghton Mifflin.
Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21, 95–103.
Rogers, C. R. (1959). A theory of therapy, personality, and interpersonal relationships as developed in the client-centered framework in psychology: A study of science. In S. Koch (Ed.), Formulations of the person and the social context (pp. 184–256). New York: McGraw-Hill.
Hartley, D. E., & Strupp, H. H. (1983). The therapeutic alliance: Its relationship to outcome in brief psychotherapy. In J. Masling (Ed.), Empirical studies of psychoanalytic theories(Vol. 1, pp. 1–27). Hillsdale, NJ: Analytic Press.
Paykel, E. S., Weissman, M. M., & Prusoff, B. A. (1978). Social maladjustment and severity of depression. Comprehensive Psychiatry, 19, 121–128.
Watkins, J. T., Leber, W. R., Imber, S. D., Collins, J. R., Elkin, I., Pilkonis, P. A., Sotsky, S. M., Shea, M. T., & Glass, D. R. (1993). NIMH Treatment of Depression Collaborative Research Program: Temporal course of change of depression. Journal of Consulting and Clinical Psychology, 61, 858–864.
Blatt, S. J., Zuroff, D. C., Quinlan, D. M., & Pilkonis, P. A. (1996). Interpersonal factors in brief treatment of depression: Further analyses of the National Institute of Mental Health Treatment of Depression Collaborative Research Program.Journal of Consulting and Clinical Psychology, 64, 162–171.
Weissman, A. N., & Beck, A. T. (1978, August–September). Development and validation of the Dysfunctional Attitudes Scale: A preliminary investigation. Paper presented at the 86th Annual Convention of the American Psychological Association, Toronto.
Segal, Z. V., Shaw, B. F., & Vella, D. D. (1987, August). Life stress and depression: A test of the congruence hypothesis for life event content and depressive subtypes. Paper presented at the Annual Convention of the American Psychological Association, Toronto, Canada.
Elkin, I., Gibbons, R. D., Shea, M. T., Sotsky, S. M., Watkins, J. T., Pilkonis, P. A., & Hedeker, D. (1995). Initial severity and differential treatment outcome in the National Institute of Mental Health Treatment of Depression Collaborative Research Program. Journal of Consulting and Clinical Psychology, 63, 841–847.
Arieti, S., & Bemporad, J. R. (1978). Severe and mild depression: The therapeutic approach. New York: Basic Books.
Arieti, S., & Bemporad, J. R. (1980).The psychological organization of depression. American Journal of Psychiatry, 137, 1360–1365.
Blatt, S. J., Quinlan, D. M., & Chevron, E. (1990). Empirical investigations of a psychoanalytic theory of depression. In J. Masling (Ed.), Empirical studies of psychoanalytic theories, (Vol. 3, pp. 89–147). Hillsdale, NJ: Analytic Press.
Bowlby, J. (1988). Developmental psychology comes of age. American Journal of Psychiatry, 145, 1–10.
Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. London: Routledge & Kegan Paul.
Blatt, S. J., & Maroudas, C. (1992). Convergence of psychoanalytic and cognitive behavioral theories of depression, Psychoanalytic Psychology 9, 157–190.
Bowlby, J. (1980). Attachment and loss: Vol. 3: Loss, sadness and depression. New York: Basic Books.
Robins, C. J., & Luten, A. G. (1991). Sociotropy and autonomy: Differential patterns of clinical presentation in unipolar depression. Journal of Abnormal Psychology, 100, 74–77.
Blatt, S. J., Quinlan, D. M., Chevron, E. S. McDonald, C., & Zuroff, D. (1982). Dependency and self-criticism: Psychological dimensions of depression. Journal of Consulting and Clinical Psychology, 50, 113–124.
Blatt, S. J., & Homann, E. (1992). Parent–child interaction in the etiology of dependent and self-critical depression. Clinical Psychology Review, 12, 47–91.
Blatt, S. J. (1992). The differential effect of psychotherapy and psychoanalysis on anaclitic and introjective patients: The Menninger Psychotherapy Research Project revisited. Journal of the American Psychoanalytic Association, 40, 691–724.
Blatt, S. J., & Felsen, I. (1993). “Different kinds of folks may need different kinds of strokes”: The effect of patients’ characteristics on therapeutic process and outcome. Psychotherapy Research, 3, 245–259.
Blatt, S. J., & Ford, R. (1994). Therapeutic change: An object relations perspective. New York: Plenum.
Blatt, S. J., & Shahar, G. (2004). Psychoanalysis: For what, with whom, and how: A comparison with psychotherapy. Journal of the American Psychoanalytic Association, 52, 393–447.
Imber, S. D., Pilkonis, P. A., Sotsky, S. M., Elkin, I., Watkins, J. T., Collins, J. F., Shea, M. T., Leber, W. R., & Glass, D. R. (1990). Mode-specific effects among three treatments for depression. Journal of Consulting and Clinical Psychology, 58, 352–359.
Cane, D. B., Olinger, L. J., Gotlib, I. H., & Kuiper, N. A. (1986). Factor structure of the Dysfunctional Attitude Scale in a student population. Journal of Clinical Psychology, 42, 307–309.
Oliver, J. M., & Baumgart, B. P. (1985). The Dysfunctional Attitude Scale: Psychometric properties in an unselected adult population. Cognitive Theory and Research, 9, 161–169.
Rude, S. S., & Burnham, B. L. (1995). Connectedness and neediness: Factors of the DEQ and SAS dependency scales. Cognitive Therapy and Research, 19, 323–340.
Blaney, P. H., & Kutcher, G. S. (1991). Measures of depressive dimensions: Are they interchangeable? Journal of Personality Assessment, 56, 502–512.
Dunkley, D. M., & Blankstein, K. R. (2000). Self-critical perfectionism, coping, hassles, and current distress: A structural equation modeling approach. Cognitive Therapy and Research, 24, 713–730.
Enns, M. W., & Cox, B. J. (1999). Perfectionism and depressive symptom severity in major depressive disorder. Behavioral Research and Therapy, 37, 783–794.
Blatt, S. J., Quinlan, D. M., Pilkonis, P. A., & Shea, T. (1995). Impact of perfectionism and need for approval on the brief treatment of depression: The National Institute of Mental Health Treatment of Depression Collaborative Research Program revisited. Journal of Consulting and Clinical Psychology, 63, 125–132.
Blatt, S. J. (1999). Personality factors in the brief treatment of depression: Further Analyses of the NIMH Sponsored Treatment for Depression Collaborative Research Program. In D. S. Janowsky (Ed.), Psychotherapy indications and outcomes (pp. 23–45). Washington, DC: American Psychiatric Press.
Blatt, S. J., Zuroff, D. C., Bondi, C. M., Sanislow, C., & Pilkonis, P. A. (1998). When and how perfectionism impedes the brief treatment of depression: Further analyses of the NIMH TDCRP. Journal of Consulting and Clinical Psychology, 66, 423–428.
Blatt, S. J. (1995). The destructiveness of perfectionism: Implications for the treatment of depression. American Psychologist, 50, 1003–1020.
Blatt, S. J. (2006). A fundamental polarity in psychoanalysis: Implications for personality development, psychopathology, and the therapeutic process. Psychoanalytic Inquiry, 26, 492–518.
Zuroff, D. C., Blatt, S. J., Sotsky, S. M., Krupnick, J. L., Martin, D. J., Sanislow, C. A., & Simmens, S. (2000). Relation of therapeutic alliance and perfectionism to outcome in brief outpatient treatment of depression. Journal of Consulting and Clinical Psychology, 68, 114–124.
Shahar, G., Blatt, S. J., Zuroff, D. C., Krupnick, J., & Sotsky, S. M. (2004). Perfectionism impedes social relations and response to brief treatment of depression. Journal of Social and Clinical Psychology, 23, 140–154.
Elkin, I., Parloff, M. B., Hadley, S. W., & Autry, J. H. (1985). NIMH treatment of Depression Collaborative Research Program: Background and research plan. Archives of General Psychiatry, 42, 305–316.
Zuroff, D. C., & Blatt, S. J. (2002) Vicissitudes of life after the short-term treatment of depression: Role of stress, social support, and personality. Journal of Social and Clinical Psychology, 21, 473–496.
Vermote, R. (2005). Touching inner change. Psychoanalytically informed hospitalization-based treatment of personality disorders. A process-outcome study. Dissertation.
Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Mattoon, G., Target, M., & Gerber, A. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64, 22–31.
Gabbard, G. O., Horowitz, L., Allen, J. G., Frieswyk, S., Newson, G., Colson, D. B., & Coyne, L. (1994). Transference interpretation in the psychotherapy of borderline patients: A high-risk, high-gain phenomenon. Harvard Review of Psychiatry, 2, 59–69.
Barrett-Lennard, G. T. (1962). Dimensions of therapist responses as causal factors in therapeutic change. Psychological Monographs, 76, (43, Whole No. 562).
Barrett-Lennard, G. T. (1985). The Relationship Inventory now: Issues and advances in theory, method, and use. In L. S. Greenberg and W. M. Pinsof (Eds.), The psychoanalytic process: A research handbook (pp. 439–476). New York: Guilford Press.
Gurman, A. S. (1977). The patient’s perception of the therapeutic relationship. In A. S. Gurman & A. M. Razin (Eds.), Psychotherapy: A handbook of research (pp. 503–543). New York: Pergamon.
Gurman, A. S. (1977). Therapist and patient factors influencing the patient’s perception of facilitative therapeutic conditions. Psychiatry, 40, 218–231.
Burns, D. D., & Nolen-Hoeksema, S. (1992). Therapeutic empathy and recovery from depression in cognitive-behavioral therapy: A structural equation model. Journal of Consulting and Clinical Psychology, 60, 441–449.
Horvath, A. O., & Symonds, B. D. (1991). Relation between working alliance and outcome in psychology: A meta-analysis. Journal of Couselling, 24, 240–260.
Lambert, M. J., & Barley, D. E. (2002). Research Summary on the Therapeutic Relationship and Psychotherapy Outcome. In J. D. Norcross (Ed.), Psychotherapy relationship that work: Therapist contributions and responsiveness to patients (pp. 17–32). London: Oxford University Press.
Luyten, P., Blatt, S. J., van Houdenhove, B., & Corveleyn, J. (2006). Depression research and treatment: Are we skating to where the puck is going to be? Clinical Psychology Review, 26, 985–999.
Norcross, J. (2002). Psychotherapy relationships that work: Therapist contributions and responsiveness to patients. New York: Oxford University Press.
Soffer, N. and Shahar, G. (in press). Evidence-based psychiatric practice? Long-live the (Individual) difference. Israel Journal of Psychiatry, 44, 301–308.
Dunkley, D. M., Zuroff, D. C., & Blankstein, K. R. (2005). Specific perfectionism components versus self-criticism in predicting maladjustment. Personality and Individual Differences, 40, 665–676.
Hawley, L. L., Moon-Ho, R. H., Zuroff, D. C., & Blatt, S. J. (2006). The relationship of perfectionism, depression, and therapeutic alliance during treatment for depression: Latent difference score analysis. Journal of Consulting and Clinical Psychology, 74, 930–942.
Hawley, L. L., Moon-Ho, R. H., Zuroff, D. C., & Blatt, S. J. (2007). Stress reactivity following brief treatment for depression: Differential effects of psychotherapy and medication. Journal of Consulting and Clinical Psychology, 75, 244–256.
Zuroff, D. C., Blatt, S. J., Krupnick, J. L., & Sotsky, S. M. (2003). Enhanced adaptive capacities after brief treatmeant for depression. Psychotherapy Research, 13, 99–115.
Peselow, E. D., Robins, C. J., Sanfilipo, M. P., Block, P., & Fieve, R. R. (1992). Sociotropy and autonomy relationship to antidepressants drug treatment response and endogenous-onendogenous dichotomy. Journal of Abnormal Psychology, 101, 479–486.
Rector, N. A., Bagby, R. M., Segal, Z. V., Joffe, R. T., & Levitt, A. (2000). Self-criticism and dependency in depressed patients treated with cognitive therapy or pharmacotherapy. Cognitive Therapy and Research, 24, 571–584.
Zettle, R. D., Haflich, J. L., & Reynolds, R. (1992). Responsivity to cognitive therapy as a function of treatment format and client personality dimensions. Journal of Clinical Psychology, 48, 787–797.
Zettle, D. D., & Herring, E. L. (1995). Treatment utility of the sociotropy-autonomy distinction: Implications for cognitive therapy. Journal of Clinical Psychology, 51, 280–289.
Cox, B. J., Walker, J. R., Enns, M. W., & Karpinski, D. C. (2002). Self-criticism in generalized social phobia and reponse to cognitive-behavioral treatment. Behavior Therapy, 33, 479–491.
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Blatt, S.J., Zuroff, D.C., Hawley, L. (2009). Factors Contributing to Sustained Therapeutic Gain in Outpatient Treatments of Depression. In: Levy, R.A., Ablon, J.S. (eds) Handbook of Evidence-Based Psychodynamic Psychotherapy. Current Clinical Psychiatry. Humana Press. https://doi.org/10.1007/978-1-59745-444-5_12
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