Dr. Larry Beutler received his
Ph.D. from the University of Nebraska and
subsequently served on the faculties of Duke
University Medical Center, Stephen F. Austin
State University, Baylor College of Medicine,
the University of Arizona Health Sciences
Center, and the University of California at
Santa Barbara. He is the Past Director of the
National Center for the Psychology of
Terrorism and the continuing Director of the
Institute for the Study of Equine Assisted
Change at Palo Alto University (PAU). He
is a Distinguished Professor Emeritus of
Psychology a previous Chair of the Faculty,
and Director of Clinical Training at Palo Alto
University. He is also Professor Emeritus at
the University of California, a diplomate of
the American Board of Professional Psychology
(ABPP), a fellow of both the American
Psychological Association (APA) and
Association of Psychological Science (APS), a
Past President of Divisions 29 (Psychotherapy)
and 12 (Clinical) of APA, and a two term Past
President (international) of the Society for
Psychotherapy Research (SPR). Among his
citations and achievements, he is a recipient
of the Distinguished Career award from SPR,
and a Presidential citation for achievement
from the APA. He has also been honored for his
contributions by the States of Arizona and
California. He has published over 450
scholarly articles and chapters and is the
author or co-author of 26 books on
psychotherapy, assessment, and
psychopathology.
CONFERENCE ABSTRACT
Selection the most
appropriate treatment for each patient
“Systematic Treatment
Selection”, is a means of applying the
scientific knowledge that has accumulated on
the change process to the practicality of
tailoring treatments to each individual
patient. Its greatest advantages are
that it is cross-cutting, minimizes the role
of unsupported theory, and is practical. We
look at the ever accumulating brands and
sub-brands of psychotherapies for different
conditions and find these lists largely to be
in contradiction to the now overwhelming
evidence that “all [brands] have won and all
must have prizes”. We are different than
most empirically oriented
research/practitioners because we believe what
good research tells us. Namely,
that 1) Among the 1000+ brands of
psychotherapy, there are few (if any)
treatments whose effects are diagnosis
specific; 2) Most evidence-based
psychotherapies produce similar and nearly
equivalent results; 3) There are large
therapist and (non-diagnosis related) patient
factors that contribute more to change than
the brand of psychotherapy practiced or the
diagnosis of the patients receiving it; 4)
relationship and contextual factors are
probably more important than the “treatment”
in effecting change; and 5) the research
methods that are currently favored among
evidence based researchers are designed to
minimize or ignore the importance of these
therapist, patient, relationship, and
contextual factors in change. They are only
about the “interventions”—among the least
important of the many contributors to change.
STS is a means of creating an individualized,
cross-cutting and empirically driven treatment
for each patient rather than for those in a
diagnostic class. This individualized
treatment plan can be applied systematically
and prescriptively by therapists with many
different views, who can be quite easily
trained to integrate STS principles with their
theory-driven approaches.
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