What Works for Whom?, Second Edition

Anthony Roth, PhD, is Joint Course Director of the Doctoral Course in Clinical Psychology at University College London (UCL). He has contributed to the development of clinical training both in London and at a national level, and has worked in hospital and community settings for over 20 years. Dr. Roth (along with Peter Fonagy) was commissioned by the English Department of Health to identify evidence for the impact of the psychological therapies, a review that emerged as the first edition of What Works for Whom? His recent research has focused on patient and therapist attachment patterns and the therapeutic alliance, the impact of therapist attachment patterns on therapist behavior, and the application of family interventions for people with schizophrenia.Peter Fonagy, CBE, FMedSci, FBA, FAcSS, is Professor of Contemporary Psychoanalysis and Developmental Science and Director of the Division of Psychology and Language Sciences at University College London (UCL). Dr. Fonagy is Senior Clinical Advisor on Children’s Mental Health at NHS England, Director of the UCLPartners Integrated Mental Health and Behaviour Change Programme, Consultant to the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine, and Visiting Professor at Yale and Harvard Medical Schools. His clinical interests center on early attachment relationships, social cognition, borderline personality disorder, and violence. A codeveloper of mentalization-based treatment, Dr. Fonagy has published more than 550 scientific papers, 250 chapters, and 20 books.

"This book is a remarkable feat of scholarship. Not only does the second edition encompass the latest research on treatment for many of the problems commonly seen in psychotherapy, but, like its predecessor, it also provides in-depth consideration of issues critical to research design, evaluation, and clinical practice. For researchers, practitioners, and service providers, this book more than fulfills its aims."--Alan E. Kazdin, PhD, Child Study Center, Yale University School of Medicine"The best-titled book in the psychotherapy field returns for a triumphant second edition. The original authors have updated their analysis of the literature using an approach that is calm in tone, liberal in outlook, and judicious in evaluation. They are passionate about evidence-based practice and the proper use of clinical judgment, and they anticipate an evolution of existing psychotherapies in ways that respect necessary complexity and creativity. As experienced researchers and clinicians, they clearly describe the limitations as well as the strengths of the different research methodologies and are opposed to privileging one strategy over another. Without doubt, this book is essential reading for all psychotherapy researchers, trainers, practitioners, and students."--Mark Aveline, MD, FRCPsych, Institute of Lifelong Learning, University of Leicester, UK: and President (2003-2004), Society for Psychotherapy Research"In this era of evidence-based treatment, researchers are proud of their 'significant differences,' and clinicians often find research based on the mean score to be wanting in the individual case. The Roth and Fonagy volume, now in its updated second edition, provides a clinically sophisticated guide to utilizing the existing research with judicious sensitivity to the client who does not fit neatly into oversimplified categories of diagnosis and treatment brands. Simply put, this is the best book on the topic. Researchers will find their work put into a broader context, and clinicians will relish a thoughtful guide through the complicated tasks of assessment and treatment planning."--John F. Clarkin, PhD, Department of Psychiatry, Weill-Cornell Medical College"Given that 'What works for whom?' is the perennial question asked by psychotherapy trainees, this superb book should be required reading in any psychotherapy course or seminar. Roth and Fonagy underscore not only the importance of understanding the answer to this question, but also the importance of asking the question in the first place."--Wendy K. Silverman, PhD, Department of Psychology, Florida International University"A worthy successor and expansion of the first edition. Readers will find comprehensive reviews of empirical outcome studies on psychosocial treatments and selected medications found helpful in working with clients with specific disorders. In addition, the book discusses methodological considerations in designing and evaluating psychotherapy outcome studies, offering a masterful exposition of this complex topic. This is a clinically useful resource that would make an excellent text for graduate students in the mental health fields. I highly recommend it."--Bruce A. Thyer, PhD, LCSW, School of Social Work, Florida State University-

• Introduction 1. Defining the Psychotherapies 2. Research and Practice: Methodological Considerations and Their Influence on This Review3. Psychotherapy Research, Health Policy, and Service Provision, Glenys Parry, Anthony Roth,and Peter Fonagy 4. Depression 5. Bipolar Disorder 6. Anxiety Disorders I: Specific Phobia, Social Phobia, Generalized Anxiety Disorder, and Panic Disorder with and without Agoraphobia7. Anxiety Disorders II: Obsessive-Compulsive Disorder 8. Posttraumatic Stress Disorder 9. Eating Disorders: Anorexia Nervosa, Bulimia Nervosa, and Binge-Eating Disorder10. Schizophrenia11. Personality Disorders12. Substance Abuse: Alcohol, Cocaine, and Opiate Dependence and Abuse13. Sexual Dysfunctions 14. The Psychological Treatment of Child and Adolescent Psychiatric Disorders, Mary Target and Peter Fonagy15. Effectiveness of Psychological Interventions with Older People, Robert Woods and Anthony Roth16. The Contributions of Therapists and Patients to Outcome17. Conclusions and Implications Appendix I. Converting Effect Sizes to PercentilesAppendix II. An Illustration of Commonly Used Clinically Intuitive Ways of Representing the Outcome of TrialsAppendix III. Contrast between Prevalence Rates from Different Epidemiological Surveys