On 29 Mar 2000, at 12:31, g. crealock wrote:
> Terry: Re measuring change: From a research perspective, you've identified
> an issue which has been controversial. Of course there are different ways
> of slicing the question: therapist evaluation/judgment vs. client
> evaluation vs. expert evaluation; symptom relief vs. characterological
> change; ending therapy when most of the immediate change benefits have
> been achieved (and more benefits might take a lot more time) vs. the
> maximal benefit possible regardless of the expense in terms of number of
> sessions. Probably there would be slices which I have missed above. My
> last reading indicated that the client's perspective was the most
> reliable. Like, if the client hasn't noticed the benefits what is the
> point? Phenomenologically it is of importance if the therapist believes
> he/she has done a good job but then we're into the therapist's self esteem
> and capacity to look at his/her performance supportively and
> unflinchingly. I try to measure my performance with the Symptom Checklist
> 90 - R. It seems to be a good record of when I've started with new
> clients.
Be very careful. It's copyright and the owners are fearsome in
protecting that. I think it's a bit under a pound a copy.
I hear that the IIP (Inventory of Interpersonal Problems) has also
sold out to Psychological Corp. so is now potentially costly. Can't
resist putting in a plug for the CORE system which was developed
by a multi-disciplinary/multi-theoretical group of us and is now in
widespread use (170 services paid up to use Leeds to process
their data for them and others using it for free.) It's copyleft for the
excellent and simple 34 item self-report "outcome measure (OM)"
or the session-by-session short forms though I think the therapist
assessment/end of episode form (CORE-A) isn't (must check
that!). If you want more information, do ask me!
Best wishes all,
Chris
Chris Evans <[log in to unmask] or [log in to unmask]>
Consultant Psychiatrist in Psychotherapy,
Rampton Hospital; Associate R&D Director,
Tavistock & Portman NHS Trust;
Hon. SL Institute of Psychiatry
*** My views are my own and not representative
of those institutions ***
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