Michael J. Lambert (born July 17, 1944) is an American psychologist, professor, researcher, and author whose work in psychotherapy led to the development of Routine Outcome Monitoring, which involves regularly measuring and monitoring client progress with standardized self-report scales throughout the course of treatment. [1] [2] Lambert and colleague Gary Burlingame are recognized as experts in psychotherapy outcome measurement research. [3] [4]
Psychotherapy is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Numerous types of psychotherapy have been designed either for individual adults, families, or children and adolescents. Certain types of psychotherapy are considered evidence-based for treating some diagnosed mental disorders; other types have been criticized as pseudoscience. Hupp and Santa Maria have described some of the ways a potential client may identify a therapeutic practice that is not based on pseudoscientific principles.This book explores the difficulties involved when therapy must consider the complexity of real people living in a complex world. The numerous contributors explain how science based evidence can be used to assist an individual in selecting an appropriate treatment for a wide variety of psychological problems.
Alexithymia, more simply known as emotional blindness, is a neuropsychological phenomenon characterized by significant difficulties in recognizing, expressing, and describing one's own or others' experienced emotions. Additionally, it encompasses emotional challenges related to attachment theory and interpersonal relations. There is no scientific consensus whether this phenomenon is a personality trait, a medical symptom, or a mental disorder.
Psychodynamic psychotherapy and psychoanalytic psychotherapy are two categories of psychological therapies. Their main purpose is revealing the unconscious content of a client's psyche in an effort to alleviate psychic tension, which is inner conflict within the mind that was created in a situation of extreme stress or emotional hardship, often in the state of distress. The terms "psychoanalytic psychotherapy" and "psychodynamic psychotherapy" are often used interchangeably, but a distinction can be made in practice: though psychodynamic psychotherapy largely relies on psychoanalytical theory, it employs substantially shorter treatment periods than traditional psychoanalytical therapies.
Somnology is the scientific study of sleep. It includes clinical study and treatment of sleep disorders and irregularities. Sleep medicine is a subset of somnology.
The Dodo bird verdict is a controversial topic in psychotherapy, referring to the claim that all empirically validated psychotherapies, regardless of their specific components, produce equivalent outcomes. It is named after the Dodo character in Alice in Wonderland. The conjecture was introduced by Saul Rosenzweig in 1936, drawing on imagery from Lewis Carroll's novel Alice's Adventures in Wonderland, but only came into prominence with the emergence of new research evidence in the 1970s.
A pain scale measures a patient's pain intensity or other features. Pain scales are a common communication tool in medical contexts, and are used in a variety of medical settings. Pain scales are a necessity to assist with better assessment of pain and patient screening. Pain measurements help determine the severity, type, and duration of the pain, and are used to make an accurate diagnosis, determine a treatment plan, and evaluate the effectiveness of treatment. Accurately measuring pain is a necessity in medical settings, especially if the pain measurement is going to be used as a screening tool, either for potential diseases or medical problems, or as a type of triage to determine urgency of one patient over another. Pain scales are based on trust, cartoons (behavioral), or imaginary data, and are available for neonates, infants, children, adolescents, adults, seniors, and persons whose communication is impaired. Pain assessments are often regarded as "the 5th Vital Sign".
A patient-reported outcome (PRO) is a health outcome directly reported by the patient who experienced it. It stands in contrast to an outcome reported by someone else, such as a physician-reported outcome, a nurse-reported outcome, and so on. PRO methods, such as questionnaires, are used in clinical trials or other clinical settings, to help better understand a treatment's efficacy or effectiveness. The use of digitized PROs, or electronic patient-reported outcomes (ePROs), is on the rise in today's health research setting.
PatientsLikeMe is an integrated community, health management, and real-world data platform. The platform currently has over 830,000 members who are dealing with more than 2,900 conditions. Data generated by patients themselves are systemically collected and quantified with a goal to provide an environment for peer support and learning. These data capture the complex temporality and competing influences of different lifestyle choices, socio-demographics, conditions, and treatments on a person's health. While striving to empower the community with personal agency, PLM has also established itself as a clinical resource, with more than 100 studies in peer-reviewed medical and scientific journals.
A depression rating scale is a psychometric instrument (tool), usually a questionnaire whose wording has been validated with experimental evidence, having descriptive words and phrases that indicate the severity of depression for a time period. When used, an observer may make judgements and rate a person at a specified scale level with respect to identified characteristics. Rather than being used to diagnose depression, a depression rating scale may be used to assign a score to a person's behaviour where that score may be used to determine whether that person should be evaluated more thoroughly for a depressive disorder diagnosis. Several rating scales are used for this purpose.
In general, quality of life is the perceived quality of an individual's daily life, that is, an assessment of their well-being or lack thereof. This includes all emotional, social and physical aspects of the individual's life. In health care, health-related quality of life (HRQoL) is an assessment of how the individual's well-being may be affected over time by a disease, disability or disorder.
Common factors theory, a theory guiding some research in clinical psychology and counseling psychology, proposes that different approaches and evidence-based practices in psychotherapy and counseling share common factors that account for much of the effectiveness of a psychological treatment. This is in contrast to the view that the effectiveness of psychotherapy and counseling is best explained by specific or unique factors that are suited to treatment of particular problems.
Behavioral health outcome management (BHOM) involves the use of behavioral health outcome measurement data to help guide and inform the treatment of each individual patient. Like blood pressure, cholesterol and other routine lab work that helps to guide and inform general medical practice, the use of routine measurement in behavioral health is proving to be invaluable in assisting therapists to deliver better quality care.
The Youth Outcome Questionnaire is a collection of questions designed to collect data regarding the effectiveness of youth therapies. The Y-OQ is a parent report measure of treatment progress for children and adolescents receiving mental health interventions. The Y-OQ–SR is an adolescent self report measure appropriate for ages 12–18.
The Partners for Change Outcome Management System (PCOMS) is a behavioral health outcomes management system for counseling and therapy services developed by Barry Duncan and Scott Miller. The therapeutic approach was inspired by Michael J. Lambert’s research regarding the use of consumer feedback during the therapeutic process with the Outcome Questionnaire 45.2 (OQ) and is designed to be a briefer method to measure therapeutic outcome.
PSYCHLOPS is a type of psychological testing, a tool used in primary care to measure mental health outcomes and as a quality of life measure.
The Outcome Questionnaire 45 (OQ-45), created by Gary M Burlingame and Michael J. Lambert at Brigham Young University, is a 45-item multiple-choice self-report inventory used to measure psychotherapy progress in adults patients. The OQ-45 is currently in its second version (OQ-45.2), which was released in October 2013 by OQ Measures, the company founded by Burlingame and Lambert.
Gary M. Burlingame is an American psychologist, Professor of Psychology at Brigham Young University in Utah. His work in psychotherapy led to the development of Routine Outcome Monitoring. With his colleague Michael J. Lambert he co-created Outcome Questionnaire 45, a 45-item multiple-choice self-report inventory used to measure psychotherapy progress in adult patients throughout therapy and following termination.
Feedback Informed Treatment (FIT) is an empirically supported, pantheoretical approach for evaluating and improving the quality and effectiveness of behavioral health services, originally developed by psychologist Scott D. Miller. It involves routinely and formally soliciting feedback from clients regarding the therapeutic relationship and progress of care and using the resulting information to inform and tailor service delivery.: