Hofmann and Hayes (this issue, p. 37) argue for a move away from a reliance on a medical illness model in which rigid therapy protocols are targeted at presumed disease entities in favor of a more process-based approach that targets core mediators and moderators based on testable theories. I could not agree more. I find their arguments persuasive and their implications exciting.
Get full access to this article
View all access options for this article.
References
1.
CronbachL. J.MeehlP. E. (1955). Construct validity in psychological tests. Psychological Bulletin, 52(4), 281–302.
2.
CuijpersP.HollonS. D.van StratenA.BocktingC.BerkingM.AnderssonG. (2013). Does cognitive behavior therapy have an enduring effect that is superior to keeping patients on continuation pharmacotherapy?BMJ Open, 3(4), Article e002542. doi:10.1136/bmjopen-2012-002542
3.
DawkinsR. (2016). The selfish gene (40th anniv. ed.). Oxford, UK: Oxford University Press.
4.
FonagyP.RostF.CarlyleJ.McPhersonS.ThomasR.Pasco FearonR. M.. . . TaylorD. (2015). Pragmatic randomized controlled trial of long-term psychoanalytic psychotherapy for treatment-resistant depression: The Tavistock Adult Depression Study (TADS). World Psychiatry, 14, 312–321.
5.
GrayJ. A. (2003). The neuropsychology of anxiety: An enquiry into the functions of the septo-hippocampal system (2nd ed.). Oxford, UK: Oxford University Press.
6.
HofmannS. G.HayesS. C. (2019). The future of intervention science: Process-based therapy. Clinical Psychological Science, 7, 37–50. doi:10.1177/2167702618772296
7.
HollonS. D. (2011). Cognitive and behavior therapy in the treatment and prevention of depression. Depression and Anxiety, 28, 263–266.
8.
HollonS. D.DeRubeisR. J.EvansM. D. (1987). Causal mediation of change in treatment for depression: Discriminating between nonspecificity and noncausality. Psychological Bulletin, 102, 139–149.
9.
MaierS. F.AmatJ.BarattaM. V.PaulE.WatkinsL. R. (2006). Behavioral control, the medial prefrontal cortex, and resilience. Dialogues in Clinical Neuroscience, 8(4), 353–373.
10.
PatelV.WeobongB.WeissH. A.AnandA.BhatB.KattiB.. . . FairburnC. G. (2017). The Healthy Activity Program (HAP), a lay counsellor delivered brief psychological treatment for severe depression, in primary care in India: A randomised controlled trial. Lancet, 389(10065), 176–185.
11.
PopperK. R. (1959). The logic of scientific discovery. Oxford, UK: Basic Books.
12.
SapolskyR. (2017). Behave: The biology of humans at our best and worst. New York, NY: Penguin Books.
13.
StrunkD. R.DeRubeisR. J.ChiuA. W.AlvarezJ. (2007). Patients’ competence in and performance of cognitive therapy skills: Relation to the reduction of relapse risk following treatment for depression. Journal of Consulting and Clinical Psychology, 75(4), 523–530.