This article focuses on an attempt to integrate stress and coping theory into a framework of
evaluation research. An expanded evaluation paradigm is illustrated: This paradigm encompasses the careful study of treatment implementation and considers patients'life context factors
and how they influence treatment entry, duration, and outcome. Examples of the value of this
paradigm are taken from a program of research on the long-term outcome of alcoholism and
depression. Implications are drawn for comprehensive assessment and diagnosis, designing and
improving intervention programs, and expanding stress and coping theory.
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