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Biomedical subjects

R Sandell

Publications and source records attributed to R Sandell.

24 records · Page 2Linked to original sources

Assessing the effects of psychotherapy. IV. The incompatibility between the logic of the experiment and the nature of psychotherapy.

The reverence of the experimental method in psychotherapy research, even where it is pointless or unwarranted, is taken as an instance of the rhetoric function of science. The distinguishing features of an experiment, manipulation and randomization, are explicated. The vital assumption of the effect of the experimental treatment being constant among subjects is demonstrated, and it is concluded that this assumption is unwarranted, on both theoretical and empirical grounds, as applied to psychotherapy.

Humans↗

Assessing the effects of psychotherapy. V. Nonexperimental methods in the analysis of causality.

On the basis of an explication of the experimental method of control for causal order and spuriousness, nonexperimental alternatives are explored. Controlling for both causal order and spuriousness, the partial correlation approach is explained, particularly as developed in structural equation models. Advantages and disadvantages in comparison with the experimental method are discussed.

Humans↗

Patient involvement in oral hygiene cooperation: a factor analytic study.

In a previous study the concept "patient involvement" was found to be strongly predictive of therapy outcome. On the basis of a questionnaire concerning patients' background and motivation, 82 patients were interviewed before treatment. To cover the concept "patient involvement" 16 variables were considered as relevant measures. In a factor analysis four factors accounted for 90% of the common variance. The factors were interpreted in terms of: initial attitudes, attendance, self-confidence and teeth-mindedness.

Adult↗

Influence of supervision, therapist's competence, and patient's ego level on the effects of time-limited psychotherapy.

The effects of time-limited psychotherapy, of the Mann (1973) type, were followed-up in a patient sample during 22 months. The effect ratings were highly reliable and showed a strikingly large variation. A path analysis was performed on the data and a causal model inferred that accounts for over 50% of the effect variation. The effect remained stable over time and was primarily influenced (positively) by patient's ego level and (negatively) by therapist's competence. Supervision had, if anything, a negative influence.

Clinical Competence↗

Treatment utilization and personality organization among drug abusers in Sweden.

Treatment utilization and personality organization in a case-finding sample of 1824 drug abusers in the greater Stockholm area were assessed by using a standardized questionnaire, with the client's contact persons as informants. Level of personality organization was strongly associated, negatively with the number of concurrent treatment contacts, problems of coordination between concurrent treatment agents, and was positively correlated with agreement between treatment agents in the assignment of principal treatment responsibility and their opinions about the appropriateness of this assignment. Psychiatric ICD-9 diagnosis was not associated with any of these variables.

Borderline Personality Disorder↗