OUTCOME EVALUATION AND PATIENT/TREATMENT INTERACTION

这是对研究科学家奖（RSA）申请的修订。 检讨委员会提出的问题已在 介绍和应用程序的主体中。的主要目标 拟议的研究是解决心理治疗的两个领域的问题 研究：结果评估和患者治疗的作用 互动在成果方面，我将侧重于某些领域， 功能，评级者的观点和评价水平， 在治疗抑郁症的研究中得到了足够的重视。 这些领域包括功能的积极方面（幸福感 和应对能力）和情绪的行为测量（面部 表达）;额外的视角是一个人的重要性， 病人的生命。l还将讨论实质性和方法性问题 在使用个性化的变化措施的问题。领域的 患者-治疗相互作用，将开发方法和假设 将测试患者治疗“适合”和治疗师的作用 这些行为可能会增强这种适应性。这一概念与 患者早期参与各种治疗方法。 拟议的研究将借鉴我在协调 抑郁症治疗合作研究计划（TDCRP） 研究中收集的数据和录像带。它具有普遍意义， 了解抑郁症治疗的过程和结果， 解决心理治疗研究中的重要方法论问题。 这也将为我指导社会工作提供一个很好的背景 博士生干预研究方法。

This is a revision of an application for a Research Scientist Award (RSA). Questions raised by the Review Committee have been addressed in the Introduction and in the body of the application. The major goals of the proposed research are to address issues in two areas of psychotherapy research: the evaluation of outcome and the role of patient-treatment interaction. In the area of outcome, I will focus on certain domains of functioning, rater perspectives, and levels of evaluation that have not received sufficient attention in studies of the treatment of depression. The domains include positive aspects of functioning (sense of well-being and coping ability) and behavioral measures of emotion (facial expression); the additional perspective is that of a person significant in the patient's life. l will also address substantive and methodological issues in the use of individualized measures of change. In the area of patient-treatment interaction, methods will be developed and hypotheses will be tested regarding the role of patient-treatment "fit" and therapist behaviors which may enhance that fit. This concept has relevance for the early engagement of patients in a variety of therapeutic approaches. The proposed research will draw both on my experience in coordinating the NIMH Treatment of Depression Collaborative Research Program (TDCRP) and on data and videotapes collected in that study. It has general relevance for understanding processes and outcomes in the treatment of depression and for addressing important methodological issues in psychotherapy research. It will also provide an excellent context for my mentoring of social work doctoral students in intervention research methods.