Table Of Contenti
Flexibility within Fidelity
ii
iii
Flexibility within Fidelity
Breathing Life into a Psychological
Treatment Manual
EDITED BY PHILIP C. KENDALL
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1
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Library of Congress Cataloging- in- Publication Data
Names: Kendall, Philip C., editor.
Title: Flexibility within fidelity: Breathing life into a psychological treatment manual /
[edited by Philip C. Kendall].
Description: New York, NY : Oxford University Press, [2022] |
Includes bibliographical references and index.
Identifiers: LCCN 2021012194 (print) | LCCN 2021012195 (ebook) |
ISBN 9780197552155 (paperback) | ISBN 9780197552179 (epub) |
ISBN 9780197552186
Subjects: LCSH: Psychotherapy. | Adaptability (Psychology) |
Medicine, Empirical.
Classification: LCC RC480.F557 2021 (print) | LCC RC480 (ebook) |
DDC 616.89/14—dc23
LC record available at https://lccn.loc.gov/2021012194
LC ebook record available at https://lccn.loc.gov/2021012195
DOI: 10.1093/med-psych/ 9780197552155.001.0001
9 8 7 6 5 4 3 2 1
Printed by Marquis, Canada
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CONTENTS
Contributors vii
Introduction: Does the Treatment Program Fit for My Case? 1
Philip C. Kendall
1. Cognitive Behavioral Therapy for Social Anxiety Disorder: Being Flexible
While Maintaining Fidelity 5
Rachel M. Butler, Emily B. O’Day, and Richard G. Heimberg
2. Flexible Principles for the Treatment of Adult Worry 25
Amy R. Sewart and Michelle G. Craske
3. Post- Traumatic Stress Disorder Treatment with Adults:
Making Modifications While Maintaining Fidelity 42
Colleen A. Sloan, Scott Litwack, and Denise M. Sloan
4. Being Flexible While Maintaining Fidelity in Cognitive Behavioral
Therapy of Depression 61
Daniel R. Strunk, Abby Adler Mandel, and Iony D. Ezawa
5. Empirically Supported Treatment for Obsessive- Compulsive Disorder:
Core Elements and Adaptive Applications 76
Martin E. Franklin and Sarah G. Turk Karan
6. Being Flexible While Maintaining Fidelity for Medical Patients:
Patient- Centered and Team- Based Strategies 95
Mira Reichman, Victoria A. Grunberg, James D. Doorley, Jafar Bakhshaie,
Ethan G. Lester, Ryan A. Mace, and Ana- Maria Vranceanu
7. Goodness of Fit: Flexing Manualized Treatment for Hoarding Disorder 118
Suzanne Otte, Christiana Bratiotis, and Gail Steketee
8. Treatment of Chronic Pain: Importance of Flexibility and Fidelity 141
John D. Otis
9. Flexible Applications of Family- Based Therapy for Youth with Bipolar
Spectrum Disorders 157
Haley M. Brickman and Mary A. Fristad
10. How to Bend but Not Break an Empirically Supported Treatment for
Anxiety in Youth 175
Lara S. Rifkin, Lindsay Myerberg, Elizabeth A. Gosch, Lesley A. Norris,
Margaret E. Crane, and Philip C. Kendall
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vi CONTENTS
11. The Coping Power Program for Children with Aggressive
Behavior Problems 211
John E. Lochman, Nicole P. Powell, and Shannon Jones
12. Delivering Treatment for Adolescent Panic Disorder with
Flexibility and Fidelity 231
Donna B. Pincus, Laura Nelson Darling, and Ovsanna Leyfer
13. Tourette and Trichotillomania: Adapting Treatment While
Maintaining Fidelity 260
Jennifer R. Alexander, Jordan T. Stiede, and Douglas W. Woods
Index 295
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CONTRIBUTORS
Jennifer R. Alexander, PhD Margaret E. Crane, MA
Postdoctoral Associate Clinical Psychology PhD Student
Department of Psychiatry and Department of Psychology
Behavioral Sciences Temple University
University of Minnesota
Michelle G. Craske, PhD
Jafar Bakhshaie, MD, PhD Professor
Clinical and Research Fellow Department of Psychology
Integrated Brain Health Clinical and University of California
Research Program, Department of
Laura Nelson Darling, MA
Psychiatry
Doctoral Student
Massachusetts General Hospital/
Department of Psychological and
Harvard Medical School
Brain Sciences
Christiana Bratiotis, PhD Boston University
Associate Professor
James D. Doorley, PhD
School of Social Work
Clinical and Research Fellow
The University of British
Integrated Brain Health Clinical and
Columbia
Research Program, Department of
Haley M. Brickman, PhD Psychiatry
Postdoctoral Scientist Massachusetts General Hospital/
Big Lots Behavioral Health Services Harvard Medical School
and Division of Child and Family
Iony D. Ezawa, PhD
Psychiatry
Department of Psychology
Nationwide Children’s Hospital
The Ohio State University
Rachel M. Butler, MA
Martin E. Franklin, PhD
Doctoral Candidate
Director of Clinical Services
Department of Psychology
Rogers Behavioral Health in
Temple University
Philadelphia
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viii Contributors
Mary A. Fristad, PhD Ethan G. Lester, PhD
Director, Academic Affairs and Assistant Director of Clinical
Research Development Innovation
Division of Child and Family Integrated Brain Health Clinical and
Psychiatry/ Big Lots Behavioral Research Program, Department of
Health Services Psychiatry
Nationwide Children’s Massachusetts General Hospital/
Hospital Harvard Medical School
Elizabeth A. Gosch, PhD, ABPP Ovsanna Leyfer, PhD
Professor Research Assistant Professor
Department of Clinical Department of Psychological and
Psychology Brain Sciences
Philadelphia College of Osteopathic Boston University
Medicine
Scott Litwack, PhD
Victoria A. Grunberg, PhD Staff Psychologist and Assistant
Clinical and Research Fellow Professor
Integrated Brain Health Clinical and Mental Health and Department of
Research Program, Department of Psychiatry
Psychiatry VA Boston Healthcare System and
Massachusetts General Hospital/ Boston University School of
Harvard Medical School Medicine
Richard G. Heimberg, PhD John E. Lochman, PhD
Thaddeus L. Bolton Professor Saxon Professor Emeritus of
Department of Psychology Psychology
Temple University Department of Psychology
The University of Alabama
Shannon Jones, MSW
Program Manager Ryan A. Mace, PhD
Center for Youth Development and Clinical and Research Fellow
Intervention Integrated Brain Health Clinical and
University of Alabama Research Program, Department of
Psychiatry
Sarah G. Turk Karan, BA
Massachusetts General Hospital/
Research Assistant
Harvard Medical School
Department of Psychology
Brandeis University Abby Adler Mandel, PhD
Assistant Professor
Philip C. Kendall, PhD, ABPP
Department of Psychology
Distinguished University Professor
The Catholic University of America
and Laura H. Carnell Professor of
Psychology Lindsay Myerberg, MA
Department of Psychology Department of Psychology
Temple University Temple University
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Contributors ix
Lesley A. Norris, MA Amy R. Sewart, PhD
Graduate Student Assistant Professor
Department of Clinical Department of Psychology
Psychology California State University,
Temple University Dominguez Hills
Emily B. O’Day, MA Colleen A. Sloan, PhD
Clinical Psychology Doctoral Clinical Psychologist and Assistant
Student Professor
Department of Psychology Department of Psychology
Temple University VA Boston Healthcare System and
Boston University School of
John D. Otis, PhD
Medicine
Research Associate Professor
Department of Psychological and Denise M. Sloan, PhD
Brain Sciences Associate Director and Professor
Boston University National Center for PTSD and
Department of Psychiatry
Suzanne Otte, MS, MBA, MSW, LCSW
VA Boston Healthcare System and
Lecturer
Boston University School of
School of Social Work
Medicine
Boston University
Gail Steketee, PhD, MSW
Donna B. Pincus, PhD
Professor Emerita
Professor
School of Social Work
Department of Psychological and
Boston University
Brain Sciences
Boston University Jordan T. Stiede, MS
Graduate Student
Nicole P. Powell, PhD, MPH
Department of Psychology
Research Psychologist
Marquette University
Center for Youth Development and
Intervention Daniel R. Strunk, PhD
University of Alabama Professor of Psychology
Department of Psychology
Mira Reichman, BA
The Ohio State University
Clinical Research Coordinator
Integrated Brain Health Clinical and Ana- Maria Vranceanu, PhD
Research Program, Department of Associate Professor of Psychology;
Psychiatry Director, Integrated Brain Health
Massachusetts General Clinical and Research Program
Hospital/ Harvard Medical Department of Psychiatry
School Massachusetts General Hospital/
Harvard Medical School
Lara S. Rifkin, MA
Graduate Student Douglas W. Woods, PhD
Department of Psychology Dean of the Graduate School
Temple University Marquette University
