Academic research of therapy process and efficient: history and main topics



The historical review of the researches on efficiency of psychotherapy is analysed. Two approaches to a periodization of these researchers are consi-dered: Kalmykovoj E.S., H.Kehele (2000), and Russell R.L., Orlinsky D.E. (1996). The most known researches are systematized according to the stages by Russell R.L., Orlinsky D.E. They are: the period of formation of a field of scientific researches (1927-1954); the period of search of a scientific support (1955 – 1969); the period of expansion of a field of researches and strengthening of their purposeful organization (1970 – 1983); and the period of consolidation of methodology of researches and reformulation of former conclusions (1984 – present). For each of these stages development of research methodology is described and the examples of concrete re-searches for each of strategy are given. The critical analysis of methodology of each stage is carried out. It is shown that the basic research questions are far from the definitive solutions.

General Information

Keywords: psychotherapy, psychotherapy efficiency, therapy efficiency factors, research methodologies in psychotherapy efficiency studies

Journal rubric: Theory and Methodology

For citation: Pugovkina O.D., Nikitina I.V., Kholmogorova A.B., Garanyan N.G. Academic research of therapy process and efficient: history and main topics. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2009. Vol. 17, no. 1, pp. 30–63. (In Russ., аbstr. in Engl.)


  1. Ajzenk G.Dzh. Sorok let spustja: novyj vzgljad na problemy jeffektivnosti v psihoterapii // Psihologicheskij zhurnal. 1994. T. 14. № 4. S.3-19.
  2. Vlasov V.V. Vvedenie v dokazatel'nuju medicinu. M., 2001. 392 s.
  3. Kalmykova E.S., Kjehele H. Izuchenie psihoterapii za rubezhom: istorija, so-vremennoe sostojanie // Zhurnal prakticheskoj psihologii i psihoanaliza. 2000. № 1.
  4. Lauterbah B. Jeffektivnost' psihoterapii: kriterii i rezul'taty ocenki // Psihoterapija: Ot teorii k praktike. Materialy I s#ezda Rossijskoj Psihoterapevticheskoj Associacii. SPb.:  Psihonevrologicheskogo instituta im.V.M.Behtereva, 1995. S.28-41.
  5. Tukaev R.D. Ocenka jeffektivnosti psihoterapii s pozicii mediciny, os-novannoj na dokazatel'stvah. // Social'naja i klinicheskaja psihiatrija. 2004. № 1. s.87-96.
  6. Auerbach A.H., Johnson M. Research on the therapist’s level of experience. // In A.S.Gurman, A.M.Razin (Eds.): Effective psychotherapy: A hand-book of research. New York: Pergamon Press, 1977. p.84-102.
  7. Bergin A.E. Some implications of psychotherapy research for the therapeutic practice // Journal of Abnormal Psychology. 1966. V. 71. p.235-246.
  8. Bergin A.E. The evaluation of therapeutic outcomes. // In A.E.Bergin, S.L.Garfield (Eds.): Handbook of Psychotherapy and Behavior change. New York: Wiley, 1971. p.217-270.
  9. Bergin A.E., Lambert M.J. The evaluation of therapeutic outcomes. // In S.L.Garfield, A.E.Bergin  (Eds.): Handbook of Psychotherapy and Behavior change: An empirical analysis. New York, 1978.
  10. Berman J.S., Miller R.C., Massman P.J. Cognitive therapy versus systematic desensitization: Is one treatment superior? // Psychological Bulletin. 1985. V. 97. p.451-461.
  11. Beutler L.E., Crago M., Arizmend T.G. Therapist variables in psychotherapy process and outcome. // In S.L.Garfield, A.E.Bergin  (Eds.): Handbook of Psychotherapy and Behavior change. New York: Wiley, 1986.
  12. Durlak J.A. Comparative effectiveness of paraprofessional and professional helpers // Psychological Bulletin. 1979. V. 86. p.80-92.
  13. Dush D.M., Hirt M.L., Schroeder H. Self-statement modification with adults: A meta-analysis // Journal of Consulting and Clinical Psychology. 1983. V. 94. p.408-422.
  14. Elkin I., Parloff M.B., Hadley S.W., Autry J.H. NIMH Treatment of Depression Collaborative Research Program. Background and Research plan // Archives of  General Psychiatry. 1985. V. 42. p.305-316.
  15. Eysenck H.J. The effects of psychotherapy: An evaluation // Journal of Consulting Psychology.1952. V. 16. p. 319-324.
  16. Fairweather G., Simon R., Gebhard M.E., Weingarten E., Holland J.L., Sanders R., Stone G.B., Reahl J.E. Relative effectiveness of psychotherapeutic programs: A multicriteria comparison of four programs for three different patient groups. // Psychological Monographs: General and Applied. 1960. V. 74(492).
  17. Garfield S.L., Bergin A.E. Introduction and historical overview // In: Handbook of Psychotherapy and Behavior change. 1986. p.3-23.
  18. Gordon W.A., Freidenbergs I., Diller L., Hibbard M., Wolf C., Levine L., Lipkins R., Ezrachi O. & Lucido D. Efficacy of psychosocial  intervention with cancer patients // Journal of Consulting and Clinical Psychology. 1980. V. 48. p.743-759.
  19. Grаwе К., Donati R., Bernauer F. Psychоtherapie im Wandel. Vоn der Kоnfessiоn zur Profession. Hоgrefe-Gottingen-Bern-Toronto-Seattle, 1994.
  20. Horwitz L. Clinical prediction in psychotherapy. New York: Jason Aronson, 1974.
  21. Jacobson N.S. A component analysis of behavioral marital therapy: The relative effectiveness of behavior exchange and communication/problem-solving training // Journal of Consulting and Clinical Psychology. 1984. V.52. p.295-305.
  22. Jones M.C. The elimination of children’s fears // Journal of Experimental Psychology.1924. V. 7. p.383-390.
  23. Kazdin A.E. Research Designs and Methodology // In: Handbook of Psychotherapy and Behavior change. 1986. p. 23-69.
  24. Kernberg O.F. Summary and conclusion pf “psychotherapy and psychoanalysis: Final report of the Menninger Foundation’s Psychotherapy Research Project.” // International Journal of Psychiatry. 1973.  V. 11. p.62-77.
  25. Kernberg O.F., Bursteine E.D., Coyne L. Psychotherapy and psychoanalysis. Final report of the Menninger Foundation // Bull. of Menninger Clin. 1972. V. 36. p.3-275.
  26. Lambert M.J., Shapiro D.A., Bergin A.E. The Effectiveness of Psychotherapy // In: Handbook of Psychotherapy and Behavior change. 1986. р.157-213.
  27. Lazarus A.A. Behavior therapy and beyond. New York: McGraw-Hill, 1971.
  28. Lieberman M.A., Yalom I.D., Miles M.B. Encounter groups: First facts. New York: Basic Books, 1973.
  29. Lorr M. Client perceptions of therapists // Journal of Consulting Psychology. 1965. V. 29. p.146-149.
  30. Luborsky L., DeRubeis R.J. The use of psychotherapy treatment manuals – a small revolution in psychotherapy research style // Clinical Psychology review. 1984. V. 4. p.5-14.
  31. Luborsky L., Schimek J. (1964). Psychoanalytic theories of therapeutic and developmental change: implications for assessment. Personality change / Eds. P.Worche, N.Byrne.  New York: Wiley, 1964.
  32. Luborsky L., Singer B., Luborsky L. Comparative studies of psychotherapy // Archives of General Psychiatry. 1975. V. 32. p.995-1008.
  33. Miller R.C., Berman J.S. The efficacy of cognitive behavior therapies: A quantitative review of the research evidence // Psychological Bulletin. 1983. V. 94. p.39-53.
  34. Miller W.R., Taylor C.A., West J.C. Focused versus broad-spectrum behavior therapy for problem drinkers // Journal of Consulting and Clinical Psychology. 1980. V. 48. p.590-601.
  35. Mowrer O.H., Mowrer W. Enuresis: A method of its study and treatment // American Journal of Ortopsychiatry. 1938. V. 8. p.436-459.
  36. Nicholson R.A., Berman J.S. Is follow-up necessary in evaluating psychotherapy? //  Psychological Bulletin. 1983. l93. p.261-278.
  37. Orlinsky D.E., Howard K.I. The relation of process to outcome in psychotherapy. // In S.L.Garfield, A.E.Bergin  (Eds.): Handbook of Psychotherapy and Behavior change: An empirical analysis (2 ed.). New York: Wiley, 1978. p.283-329.
  38. Orlinsky D.E., Howard K.I. Gender and psychotherapeutic outcome // In A.M.Brodsky, R.T.Hare-Mustin (Eds.): Women and psychotherapy. New York: Guilford. 1980. p.30-34.
  39. Parloff M.B., Waskow I.E., Wolfe B.E. Research on therapist variables in relation to process and outcome // In S.L.Garfield, A.E.Bergin  (Eds.): Handbook of Psychotherapy and Behavior change. New York: Wiley, 1978.
  40. Paul G.L. Outcome research in psychotherapy // Journal of consulting psychology. 1967. V. 31. p.109-118.
  41. Paul G.L., Lentz R.J. Psychosocial Treatment of chronic mental patients: Milieu versus social-learning program.Cambridge, MA: Harvard University Press, 1977.
  42. Rabavilas A.D., Boulougouris J. C., Stefanis C. Duration of flooding sessions in the treatment of obsessive-compulsive patients // Behavior Research and Therapy. 1976. V. 14. p.349-355.
  43. Rioch M.J. Pilot projects in training mental health counselors // In E.L.Cowen, E.A.Gardner, M.Zax (Eds.): Emergent approaches to mental health problems. New York: Appleton-Century-Crofts, 1967. p.110-127.
  44. Rush A.J., Beck A.T., Kovacs M., Hollon S. Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients. // Cognitive Therapy and Research. 1977. V.1. p.17-38.
  45. Russell R.L., Orlinsky D.E. Psychotherapy research in historical perspective // Archives of General  Psychiatry. 1996. V. 53. N 8.
  46. Sachs J.S. Negative factors in brief psychotherapy: An empirical assessment // Journal of Consulting and Clinical Psychology. 1983. V. 51. p.557-564.
  47. Shapiro D.A., Shapiro D. Meta-analysis of comparative therapy outcome studies: A and assertion skills treatment of depression // Behavior Therapy. 1982. V.10. p.429-442.
  48. Shapiro D.A., Shapiro D. Comparative therapy outcome research: Methodological implications of meta-analysis // Journal of Consulting and Clinical Psychology.1983. V. 51. p.42-53.
  49. Sloane R.B., Staples F.R., Cristol A.H., Yorkson N.J., Whipple K. Psychotherapy versus behavior therapy. Cambridge, MA : Harvard University Press, 1975.
  50. Smith M.L., Glass G.V., Miller T.I. The benefits of psychotherapy. Baltimore: John Hopkins University Press, 1980.
  51. Stern R., Marks I.M. Brief and prolonged flooding // Archives of General Psychiatry. 1973. V. 28. p.270-276.
  52. Strupp H.H. Success and failure in time-limited psychotherapy: A systematic comparison of two cases – comparison 1 // Arch. Of Gen Psychiatry. 1980. V. 37. p.595-603.
  53. Strupp H.H., Hadley S.W. Specific versus nonspecific factors in psychotherapy: A controlled study of outcome // Archives of General Psychiatry. – 1978. – V. 36. – p.1125-1136.
  54. Strupp H.H., Hadley S.W., Gomes-Schwartz B. Psychotherapy for better or worse. New York: Jason Aronson, 1977.
  55. Veroff J., Kulka R.A., Douvan E. Mental health in America. New York: Basic Books, 1981.
  56. Wallerstein R.S. Forty-two lives in treatment: A study of psychoanalysis and psychotherapy. New  York: Guilford, 1986.
  57. Wallerstein R.S. The psychotherapy research prоjet (PRP) of the Menninger Foundation: An overview // Journal of Consulting and Clinical Psychology.1989. V. 57. p.95-205.
  58. Weissman M.M., Prusoff B.A., Dimascio A., Neu C., Goklaney M., Klerman G.L. The efficacy of drugs and psychotherapy in the treatment of acute depressive episodes // American Journal of Psychiatry. 1979. V.136 p.555-558.
  59. Yalom I.D., Leiberman M.A. A study of encounter group casualties // Archives of General Psychiatry. 1971. V. 25. p.16-30.

Information About the Authors

Olga D. Pugovkina, PhD in Psychology, Assistant Professor, Chair of Clinical Psychology and Psychotherapy, Department of Clinical and Counseling Psychology, Moscow State University of Psychology & Education, Senior Research Associate, Department of Clinical Psychology and Psychological Counseling, Moscow Research Institute of Psychiatry — Branch of The Serbsky Federal Medical Research Center for Psychiatry and Narcology, Moscow, Russia, ORCID:, e-mail:

Irina V. Nikitina, Junior researcher at the state institution " Moscow scientific-research institute of psychiatry", Moscow, Russia, e-mail:

Alla B. Kholmogorova, Doctor of Psychology, Professor, Dean of the Faculty of Counseling and Clinical Psychology, Moscow State University of Psychology & Education, Leading Researcher, Moscow Research Institute of Psychiatry (A Branch of the National Medical Research Centre for Psychiatry and Narcology), Moscow, Russia, ORCID:, e-mail:

Natalia G. Garanyan, Doctor of Psychology, Professor of the Department of Counseling and Clinical Psychology, Moscow State University of Psychology and Education, Associate Professor, leading researcher at the Moscow Research Institute of Psychiatry of the Ministry of Health of the Russian Federation, member of the editorial board of the journal "Consultative Psychology and Psychotherapy", Moscow, Russia, ORCID:, e-mail:



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