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Flexibility within Fidelity: Breathing Life into a Psychological Treatment Manual
Philip C. Kendall (Edt)
Oxford University Press / Softcover / 2021-08-01 / 0197552153
Empirically Based Therapy
price: $61.50 (may be subject to change)
320 pages
Not in Stock, usually ships in 7-10 business days

Among mental health researchers, there is a consensus that empirically supported treatments (ESTs) have favorable outcomes and that the outcomes are typically better than other approaches. The majority of these are available as therapist manuals, brief books, or other extended volumes. However, among mental health service providers, there is often a view that these manuals and books can be formulaic and rigid, and likely insensitive to individual patient needs or presentations. With these conflicting perspectives in place, there is a need for accurate communication and reconciliation.

Flexibility within Fidelity identifies how effective ESTs can be implemented with both integrity and flexibility. The book is comprised of chapters focusing on specific ESTs for identified problem areas amongst adults and children/adolescents, including anxiety disorders, PTSD, pain management, and depression among others. Chapter authors focus on the specific treatment components that are required to maintain fidelity and the features of the EST which can be applied with flexibility, promoting a personalized implementation. Written in an accessible style featuring in-depth clinical discussions, this book will equip mental health practitioners with the tools to implement ESTs across client presentations.

Overview:

• Introduces strategies to adapt empirically supported treatments (EST) for a client's specific needs
• Identifies the essential components of certain ESTs to maintain fidelity to an effective treatment
• Provides step-by-step guidance for flexible implementation with clients experiencing common mental health disorders such as depression, obsessive-compulsive disorder, and generalized anxiety

Reviews:

"This is a must-have book for any therapist treating patients with anxiety, depression, OCD, aggression, pain and a variety of other disorders. Although empirically-supported treatments are the clear gold-standard for treating these problems, clinicians often struggle with how best to balance the need for fidelity in applying manualized treatments with the flexibility necessary to meet the specific needs of a given patient and their family. This book provides expert and highly pragmatic guidance for how to achieve this balance. Dr. Kendall, one of leading developers of empirically-supported treatments, has assembled an all-star cast of clinical researchers and treatment developers to guide readers through the key steps for achieving flexibility with fidelity in service of optimal clinical outcomes."
John Piacentini, PhD, ABPP, Director, UCLA Center for Child Anxiety, Resilience, Education and Support (CARES) and Child OCD, Anxiety and Tic Disorders Program

"Our own research shows that it is important to train and evaluate psychotherapists along two dimensions, adherence to the evidence-based psychological protocol so that it is delivered as intended, but also competence in its administration. We have discovered that adhering too closely to the protocol in sessions is consistently associated with lower ratings of competence. But how can a therapist be trained to administer the treatment with integrity to achieve the best results while at the same time achieving maximal competence? Now, Phil Kendall, one of the experts in the world in this area, has put together leading developers of evidence-based psychological treatments that demonstrates how to be flexible, and therefore competent, in delivering these interventions with integrity. Every clinicians or clinician in training should be familiar with these strategies."
David H. Barlow PhD, ABPP, Professor Psychology and Psychiatry Emeritus, Founder, Center for Anxiety and Related Disorders Boston U

Table of Contents

Introduction

Chapter 1: Cognitive Behavioral Therapy for Social Anxiety Disorder: Being Flexible while Maintaining Fidelity
Rachel M. Butler, Emily B. O'Day, and Richard G. Heimberg

Chapter 2: Flexible Principles for the Treatment of Adult Worry
Amy R. Sewart and Michelle G. Craske

Chapter 3: PTSD Treatment with Adults: Making Modifications while Maintaining Fidelity
Colleen A. Sloan, Scott Litwack, and Denise M. Sloan

Chapter 4: Being Flexible while Maintaining Fidelity in Cognitive Behavioral Therapy of Depression
Daniel R. Strunk, Abby Adler Mandel, and Iony D. Ezawa

Chapter 5: Empirically Supported Treatment for Obsessive-Compulsive Disorder: Core Elements and Adaptive Applications
Martin E. Franklin and Sarah G. Turk Karan

Chapter 6: Being Flexible While Maintaining Fidelity for Medical Patients: Patient-Centered and Team-Based Strategies
Mira Reichman, Victoria A. Grunberg, James D. Doorley, Jafar Bakshaie, Ethan G. Lester, Ryan A. Mace, and Ana-Maria Vranceanu

Chapter 7: Goodness of Fit: Flexing Manualized Treatment for Hoarding Disorder
Suzanne Otte, Christiana Bratiotis, and Gail Steketee

Chapter 8: Treatment of Chronic Pain: Importance of Flexibility and Fidelity
John D. Otis

Chapter 9: Flexible Applications of Family-based Therapy for Youth with Bipolar Spectrum Disorders
Haley M. Brickman and Mary A. Fristad

Chapter 10: How to Bend but Not Break an Empirically Supported Treatment for Anxiety in Youth
Lara S. Rifkin, Lindsay Myerberg, Elizabeth A. Gosch, Lesley A. Norris, Margaret E. Crane, and Philip C. Kendall

Chapter 11: The Coping Power Program for Children with Aggressive Behavior Problems
John E. Lochman, Nicole P. Powell, and Shannon Jones

Chapter 12: Delivering Treatment for Adolescent Panic Disorder with Flexibility and Fidelity
Donna B. Pincus, Laura Nelson Darling, and Ovsanna Leyfer

Chapter 13: Tourette and Trichotillomania: Adapting Treatment while Maintaining Fidelity
Jennifer R. Alexander, Jordan T. Stiede, and Douglas W. Woods

About the Editor:

Philip C. Kendall is Distinguished University Professor and Laura H. Carnell Professor of Psychology at Temple University. He is also Director of the Child and Adolescent Anxiety Disorders Clinic (CAADC) at the university. Dr. Kendall is an active researcher, scholar, and clinician and has approximately 800 publications, with his treatment programs having been translated into over a dozen languages. Most recently, he was awarded the 2019 Career/Lifetime Achievement Award conferred at the ABCT annual convention. He is past president of both the Society of Clinical Child and Adolescent Psychology (Division 53) of APA as well as the Association for the Advancement of Behavior Therapy (AABT, now ABCT).

Contributors:

Jennifer R. Alexander, PhD
Department of Psychiatry and Behavioral Sciences
University of Minnesota

Jafar Bakshaie, MD, PhD
Department of Psychiatry
Massachusetts General Hospital

Christiana Bratiotis, PhD
School of Social Work
The University of British Columbia

Haley M. Brickman, PhD
Big Lots Behavioral Health Services and Division of Child and Family Psychiatry
Nationwide Children's Hospital

Rachel M. Butler, MA
Department of Psychology
Temple University

Margaret E. Crane, MA
Department of Psychology
Temple University

Michelle G. Craske, PhD
Department of Psychology
University of California

Laura Nelson Darling, MA
Department of Psychological & Brain Sciences
Boston University

James D. Doorley, MA
Department of Psychiatry
Massachusetts General Hospital

Iony D. Ezawa, MA
Department of Psychology
The Ohio State University

Martin E. Franklin, PhD
Rogers Behavioral Health in Philadelphia

Mary A. Fristad, PhD
Division of Child & Family Psychiatry/Big Lots Behavioral Health Services
Nationwide Children's Hospital

Elizabeth A. Gosch, PhD, ABPP
Department of Clinical Psychology
Philadelphia College of Osteopathic Medicine

Victoria A. Grunberg, MS
Integrated Brain Health Clinical and Research Program, Department of Psychiatry
Massachusetts General Hospital/Harvard Medical School

Richard G. Heimberg, PhD
Department of Psychology
Temple University

Shannon Jones, MSW
Center for Youth Development and Intervention
University of Alabama

Sarah G. Turk Karan, BA
Department of Psychology
Brandeis University

Philip C. Kendall, PhD, ABPP
Department of Psychology
Temple University

Ethan G. Lester, PhD
Department of Psychiatry
Massachusetts General Hospital/Harvard Medical School

Ovsanna Leyfer, PhD
Department of Psychological and Brain Sciences
Boston University

Scott Litwack, PhD
Mental Health and Department of Psychiatry
VA Boston Healthcare System and Boston University School of Medicine

John E. Lochman, PhD
Department of Psychology
The University of Alabama

Ryan A. Mace, PhD
Department of Psychiatry
Massachusetts General Hospital/Harvard Medical School

Abby Adler Mandel, PhD
Department of Psychology
The Catholic University of America

Lindsay Myerberg, MA
Department of Psychology
Temple University

Lesley A. Norris, MA
Department of Clinical Psychology
Temple University

Emily B. O'Day, MA
Department of Psychology
Temple University

John D. Otis, PhD
Department of Psychological and Brain Sciences
Boston University

Suzanne Otte, MS, MBA, MSW, LCSW
School of Social Work
Boston University

Donna B. Pincus, PhD
Department of Psychological and Brain Sciences
Boston University

Nicole P. Powell, PhD, MPH
Center for Youth Development and Intervention
University of Alabama

Mira Reichman, BA
Integrated Brain Health Clinical and Research Program, Department of Psychiatry
Massachusetts General Hospital

Lara S. Rifkin, MA
Department of Psychology
Temple University

Amy R. Sewart, PhD
Department of Psychology
California State University, Dominguez Hills

Colleen A. Sloan, PhD
Department of Psychology
VA Boston HCS & Boston University School of Medicine

Denise M. Sloan, PhD
National Center for PTSD and Department of Psychiatry
VA Boston Healthcare System and Boston University School of Medicine

Gail Steketee, PhD, MSW
School of Social Work
Boston University

Jordan T. Stiede, MS
Department of Psychology
Marquette University

Daniel R. Strunk, PhD
Department of Psychology
The Ohio State University

Ana-Maria Vranceanu, PhD
Integrated Brain Health Clinical and Research Program
Department of Psychiatry
Massachusetts General Hospital/Harvard Medical School

Douglas W. Woods, PhD
Graduate School
Marquette University

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