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Home : Other Subjects : Psychology Study Guides : 101 : Psychological Treatment : Effectiveness of Treatment
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Effectiveness of Treatment
Research has shown that many people with psychological disorders benefit from
treatment. Effectiveness depends on the specific disorder being treated and the
skill of the therapist.
Ways of Assessing Effectiveness
The effectiveness of a particular therapeutic approach can be assessed in
three ways: client testimonials, providers’ perceptions, and empirical research.
Client Testimonials
Clients who get treatment for psychological problems often testify to
their effectiveness. However, such testimonials can be unreliable for
several reasons:
- Regression toward the mean: People often go into treatment because they are in extreme distress. When their distress becomes less extreme, they may attribute this to the treatment’s effectiveness. But even without treatment, extreme distress tends to decrease. The tendency for extreme states to move toward the average when assessed a second time is called regression toward the mean.
- The placebo effect: People often feel better after being in treatment because of their expectations that they will improve. (See Chapter 1 for more information on placebo effects.)
- The justification of effort effect: People may believe that treatment was effective because they spent time, effort, and money on it. If people work hard to reach a goal, they are likely to value the goal more. This phenomenon is called justification of effort.
Providers’ Perceptions
Treatment providers can say whether a treatment is effective, but this
can be unreliable for several reasons:
- Regression toward the mean affects providers’ perceptions of success. They may believe that a client who entered treatment in crisis became less extremely distressed because of the treatment. However, such an improvement may have occurred without any intervention.
- Providers’ perceptions may be biased because clients often emphasize improvements in order to justify discontinuing treatment.
- Providers may also have biased perceptions because they continue to hear from past clients only when those clients were satisfied with treatment. They don’t often hear from clients who found treatment ineffective.
Empirical Research
Another way to assess effectiveness is through careful
empirical research. Research has shown that some treatments are more
effective for a particular problem than a placebo or no treatment. These
treatments are known as empirically validated treatments.
Researchers have to conduct two or more studies in order to conclude
that a specific treatment is effective for a particular
problem.
Research shows that psychotherapy works for many psychological
problems. Although people who do not receive therapy also sometimes improve
with time, people who do receive therapy are more likely to improve.
Research also shows that all approaches to therapy are about equally
effective, though certain kind of therapies do seem somewhat more effective
for specific problems.
| Specific Disorder | Most Effective Treatment |
| Panic disorders | Cognitive therapy |
| Specific phobias | Systematic desensitization |
| Obsessive-compulsive disorder | Behavior therapy or medication |
| Depression | Cognitive therapy |
| Post–traumatic stress disorder and agoraphobia | Exposure treatment |
Who Benefits from Treatment?
Clients who are likely to benefit from therapy share some common features:
- Motivation to get better
- Family support
- Tendency to deal actively with problems rather than avoid them
Clients who are less likely to benefit from therapy also share some
features:
- Hostility and negativity
- Personality disorders
- Psychotic disorders
Can Therapy Be Harmful?
Under some conditions, therapy can be harmful to the client. Clients may
be harmed if:
- Therapists engage in unethical behavior, such as by having sexual relationships with clients
- Therapists act according to personal prejudices or are ignorant of cultural differences between themselves and their clients
- Therapists coerce clients into doing things they don’t want to do
- Therapists use techniques that research has not demonstrated as being effective
- Therapists lead their clients to produce false memories of past traumas through careless use of techniques such as hypnosis or free association
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