Open research questions in Psychotherapy Techniques and Applications
1,807 gap statements mined from Psychotherapy Techniques and Applications papers in our 7.9M-paper local library, which holds 12,689 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
However, many therapists report lacking confidence and clarity in how best to facilitate enactments, and it remains understudied which therapist interventions within enactment episodes contribute to vulnerability sharing and responsiveness expression.
Guiding connections: The role of therapist interventions in facilitating couples’ vulnerability and responsiveness in enactments. · 2026 · DOIYet, clinician perceptions of these and how they relate to MBC uptake are understudied.
Tuning in: A mixed methods study evaluating clinician perceptions of measurement-based care training and their association with posttraining skills use. · 2026 · DOIAlthough it is common to encounter dissociative clients in the therapy room, little is known about how clinicians adapt therapy for these clients.
A qualitative meta-analysis on therapist responsiveness to dissociation: Introducing the dissociation-responsive therapy model. · 2026 · DOIBoth DAE and ThePosAE are novel conceptual models, which have not been thoroughly compared until now.
Therapeutic positive autoethnography and developmental autoethnography – same but different? An autoethnographic approach · 2026 · DOIHowever, little is known about how individual differences, particularly interpersonal problems, shape the impact of ruptures on treatment response in depression.
Predicting Heterogenous Effects of Alliance Ruptures in Depression: Implications for Personalized Psychotherapy Based on Interpersonal Functioning · 2026 · DOIFuture research should examine rupture-repair cycles and incorporate multiple perspectives on alliance processes.
Predicting Heterogenous Effects of Alliance Ruptures in Depression: Implications for Personalized Psychotherapy Based on Interpersonal Functioning · 2026 · DOIHowever, the transdiagnostic robustness of these mechanisms remains to be quantified in more severely affected populations.
Mechanisms of Change in the Treatment of Depression: On the Role of Attachment, Reappraisal and Suppression · 2026 · DOIFuture research could examine whether explicit interventions to reduce EI could amplify its ameliorative effect on treatment outcome.
Patient‐Rated Existential Isolation, Therapy Alliance Quality and Outcome in Naturalistic Psychotherapy · 2026 · DOIHowever, the underlying mechanisms of ROM systems remain unknown, although the therapeutic alliance has been discussed as a potential mechanism.
Does structured, psychometrically based feedback discussion cause improvements of the therapeutic alliance? A single-case experimental study · 2025 · DOIDespite efforts to implement evidence-based guidelines, little is known about the quality of cognitive-behavioural therapy (CBT) for depression, anxiety disorders, obsessive-compulsive disorder, and posttraumatic stress disorder in routine clinical practice.
Therapist adherence to cognitive-behavioural therapy and quality of care from a patient perspective · 2025 · DOIIt remains unclear what levels of proficiency are necessary to improve client outcomes.
What’s wrong with motivational interviewing? I. Theoretical and methodological critiques · 2025 · DOIHowever, it has not been validated in team-based healthcare settings, such as hospitals.
Does therapeutic alliance exist in team-based hospital settings? A qualitative study in complex continuing care · 2025 · DOIA powered trial to interrogate these effects and identify moderators of effectiveness is warranted.
Walk‐and‐Talk Therapy Versus Conventional Indoor Therapy for Men With Low Mood: A Randomised Pilot Study · 2025 · DOIThe value of alternative therapeutic approaches for men needs to be investigated.
Walk‐and‐Talk Therapy Versus Conventional Indoor Therapy for Men With Low Mood: A Randomised Pilot Study · 2025 · DOIFurther research on site characteristics' impact could enhance understanding of psychotherapeutic treatment efficacy across diverse contexts.
Heterogeneity of Treatment Outcomes Across Therapists and Sites in a Randomized Multicentre Psychotherapy Trial · 2025 · DOIWhile this has been frequently observed in naturalistic settings, therapist- and site-related heterogeneity in treatment outcomes has been understudied in RCTs.
Heterogeneity of Treatment Outcomes Across Therapists and Sites in a Randomized Multicentre Psychotherapy Trial · 2025 · DOIHowever, its effectiveness in patients with attachment insecurities-commonly observed in PDD-remains unclear.
Reciprocal Dynamics of Therapeutic Alliance and Depressive Symptoms in Inpatient Cognitive Behavioural Analysis System of Psychotherapy: The Role of Attachment Insecurity · 2025 · DOIThe impact of therapists' emotion regulation abilities on therapeutic processes and outcomes remains understudied despite its theoretical significance.
Therapists' Difficulties in Emotion Regulation and Their Association With Treatment Outcomes and Alliance in Short‐Term Psychodynamic Psychotherapy · 2025 · DOIThe unwanted events-adverse treatment reaction (UE-ATR) checklist was developed to encourage a more balanced reflection on treatment difficulties, but its effectiveness remains unclear.
Evaluating the UE‐ATR Checklist: Nuanced Attribution in Unsuccessful Therapeutic Outcomes · 2025 · DOIUp to now, little is known about how interventions should be structured in modular or enhanced psychotherapies.
However, knowledge about the underlying regulatory processes that occur amid ruptures is scarce.
Physiological regulation processes differentiate the experience of ruptures between patient and therapist. · 2024 · DOIIn particular, while both the therapist and client are believed to contribute to ruptures and to their repair (Safran & Muran, 2000), little is known about how therapist contributions impact rupture events, rupture resolution, and treatment progress.
Therapist contribution, client reflective functioning, and alliance rupture–repair: A microprocess case study of psychodynamic therapy for pregnancy after loss. · 2024 · DOIDespite evolving conceptualizations over time, a unified definition of TR remains elusive, hindering research and practice in psychotherapy.
This finding suggests that a specific attachment pattern (high avoidance, low anxiety) might explain previous mixed results in the literature.
Attachment Orientations and Treatment Outcomes in Psychotherapy: Does the Alliance Mediate the Association? · 2026 · DOIGiven the little known on the subject, we used a single-case design (94 episodic segments) to explore biologically based regulatory processes in the face of a rupture, contrasting confrontation ruptures versus withdrawal ruptures versus control episodes (emotional and neutral episodes).
Physiological regulation processes differentiate the experience of ruptures between patient and therapist. · 2024 · DOI
Most-cited papers in Psychotherapy Techniques and Applications
- Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. · Journal of Consulting and Clinical Psychology · 1991 · 7,943 citations
- The social constructionist movement in modern psychology. · American Psychologist · 1985 · 2,144 citations
- Relation between working alliance and outcome in psychotherapy: A meta-analysis. · Journal of Counseling Psychology · 1991 · 1,578 citations
- Meta-analysis of psychotherapy outcome studies. · American Psychologist · 1977 · 1,388 citations
- Vicarious traumatization: A framework for understanding the psychological effects of working with victims · Journal of Traumatic Stress · 1990 · 1,372 citations
- The effects of psychotherapy: an evaluation. · Journal of Consulting Psychology · 1952 · 1,146 citations
- The efficacy of psychodynamic psychotherapy. · American Psychologist · 2010 · 1,046 citations
- Comparative Studies of Psychotherapies · Archives of General Psychiatry · 1975 · 1,046 citations
- Toward a unified treatment for emotional disorders · Behavior Therapy · 2004 · 1,044 citations
- Toward an Interactional Description of Depression · Psychiatry · 1976 · 994 citations
Most recent work
- Innovations to improve outcomes and uptake of psychotherapies for mental disorders: a state‐of‐the‐art review · World Psychiatry · 2026
- Does baseline severity interact with the effects of psychotherapy for depression? A meta-analytic review · Journal of Affective Disorders · 2026
- Restricted witness pack: Phenomenon-Interpreter Layer, Schmiede theory, Glaskasten, SLE method names, and related 2026 working notes (Andreas Ehstand) · Zenodo (CERN European Organization for Nuclear Research) · 2026
- PAD-S/CSA as a candidate shared representation layer for computational psychotherapy: minimal architecture and a staged validation roadmap · Frontiers in Psychiatry · 2026
- Psychotherapy treatment manuals for adult populations (1950–2025): A scoping review · Clinical Psychology Review · 2026
- Reframing treatment expectations: a lay theory perspective for understanding individuals’ beliefs about psychotherapy · Psychotherapy Research · 2026
- Psychotherapy Process Dynamics and Their Relation to Treatment Success Do Not Differ Across Diagnoses · Clinical Psychology & Psychotherapy · 2026
- The Essence of Ericksonian Psychotherapy: Toward a Manualized Resource · International Journal of Clinical and Experimental Hypnosis · 2026
- Die Prioritätenordnung des CLS — Zehn Leitprioritäten, Kombinationsprioritäten und die implizierte Priorität · Zenodo (CERN European Organization for Nuclear Research) · 2026
- Why are some cases not on track? An investigation of common obstacles and solutions during feedback-informed psychological therapy. · Journal of Consulting and Clinical Psychology · 2026
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