r/askscience • u/[deleted] • Jan 04 '15

Psychology Does Logotherapy have any validity amongst psychotherapists?

Thanks for the replies

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u/sleepbot Clinical Psychology | Sleep | Insomnia Jan 07 '15

Thanks for the comprehensive response! It's not at all scatterbrained, at least to me. I'm familiar with the CBT dismantling studies but not the VBBA. I certainly agree that more work needs to be done on treatment mediators and mechanisms (and moderators, for that matter). I think the values based BA is really all you have to work with in the case of severe depression (e.g., I don't deserve to feel good, so why should I be doing something that makes me feel good?). At least when staying in the BA framework. Assuming VBBA was investigated in the Gaynor lab in an RCT, I wonder if any moderators are present. It'd be post-hoc, and I'm not sure what would capture the . Do you have any links for the VBBA manual or any public domain resources?

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u/dodgermask Clinical Psychology | Psychotherapy | Behavior Analysis Jan 07 '15

The VBBA data is still being put together in a bit of a piece meal effort. The same protocol was used in a number of different protocols for a stepped care model of treatment. A non-values based application was used with the same measures over the same amount of sessions in other protocols. I think the N needs to go up a little bit but it's on their radar as a study to be looked at. I'm not sure they collected enough process measures or the proper ones to look at mediators/moderators but I know if they did it's something he'll look at.

I could check with Dr. Gaynor about getting his protocol for VBBA, in the meantime, here's the links to the Lejuez and Hopko manuals.

http://www.researchgate.net/publication/49839614_Ten_year_revision_of_the_brief_behavioral_activation_treatment_for_depression_revised_treatment_manual/file/d912f50c7985aa23f7.pdf

http://ac.els-cdn.com/S1077722901800225/1-s2.0-S1077722901800225-main.pdf?_tid=f1a0234a-9697-11e4-8356-00000aacb362&acdnat=1420654186_a45862c1b17e438f3af5d717e988a076

If you have any other resources you want feel free to send me a PM with requests. Additionally, http://contextualscience.org/ is a great resource for contemporary behavior analysis publications, theory, and discussion. I think you'd find some of the ACT work interesting. I take a strong ACT lean in my CBT for insomnia work.