You do not currently have permission to view the full text for this document. Please sign in to an account with an active subscription or contact support.
Especially in the realm of unmanualized outcome studies comparing psy-chodynamic treatment models (e.g., psychodynamic psychotherapy and psychoanalytic psychotherapy), assessment of adherence is still a problem due to the broad overlap between such models, in both theoretical conceptualization and practical implementation. The aim of this study is to create an adherence scale of high discriminant power for differentiation between the psychodynamic pole and the psychoanalytic pole of psycho-therapeutic technique.
Adherence is defined as the extent to which therapists follow the rules specified in treatment manuals or to which they apply the principles and techniques prototypical of a given treatment model. Thus, the assessment of adherence plays an essential role in both manualized RCTs and quasi-experimental unmanualized outcome studies to assure replicability and comparability (Kendall, Holmbeck, and Verduin 2004). Adherence to manuals or treatment models also serves as a criterion of quality in