Optimizing Outcomes Through Patient-Therapist Matching with Dr. Michael Constantino

Psychotherapy and Applied Psychology

Dan welcomes Dr. Michael Constantino, a professor of clinical psychology and director of the Psychotherapy Research Lab at the University of Massachusetts Amherst.

Dr. Constantino discusses the evolution of psychotherapy research, and the importance of understanding therapist effects and patient-therapist matching. Dr. Constantino emphasizes the limitations of one-size-fits-all treatments and explores how matching patients to therapists based on their strengths can lead to better outcomes, particularly for those with severe issues. Dan and Dr. Constantino dive into findings of the Match Trial, which demonstrated significant benefits of matching patients to therapists with proven effectiveness in treating their specific problems.

Special Guest: Dr. Michael Constantino

Psychotherapy Research Lab

https://www.pcori.org/research-results/2015/matching-patients-therapists-improve-mental-health-care

https://www.pcori.org/research-results/2022/implementing-matching-patients-mental-healthcare-therapists-strengths

Constantino, M. J., Coyne, A. E., Boswell, J. F., Goldfried, M. R., & Castonguay, L. G. (2023). Training on context-responsive psychotherapy integration: An evidence-informed framework. In L. G. Castonguay & C. E. Hill (Eds.), Becoming better psychotherapists: Advancing training and supervision (pp. 85–105). American Psychological Association. https://doi.org/10.1037/0000364-005

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บท

1. Introduction (00:00:00)

2. Process vs. Outcome Research & Limitations of One-Size Treatments (00:05:27)

3. Understanding Therapist Effects: Between vs. Within Therapists (00:10:48)

4. Matching Therapists to Client Needs & Therapist Self-Awareness (00:16:19)

5. Designing and Running the Therapist-Client Match Trial (00:24:00)

6. Results, Expectancy Effects, and Implementation in Clinics (00:33:38)

7. Who Benefits Most from Matching (00:36:57)

8. Implications for Mild vs. Severe Clients (00:39:41)

9. Severity Profiles & Research Directions (00:46:25)