Collecting and Delivering Progress Feedback: A Meta-Analysis of Routine Outcome Monitoring

Psychotherapy

Volumn 55, Issue 4, 2018, Pages 520-537

  Lambert, Michael J ^a   Whipple, Jason L ^b   Kleinstäuber, Maria ^c  

^a BRIGHAM YOUNG UNIVERSITY   (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c UNIVERSITY OF AUCKLAND   (New Zealand)

Author keywords

Evidence based practice; Outcome Questuionnaire 45; Partners for Change Outcome Management System; Psychotherapy outcome; Routine outcome monitoring

Indexed keywords

ARTICLE; CLINICIAN; DETERIORATION; EFFECT SIZE; FEEDING; HUMAN; HUMAN EXPERIMENT; META ANALYSIS; MONITORING; PHYSICIAN; PSYCHOTHERAPIST; PSYCHOTHERAPY; QUESTIONNAIRE; SYSTEMATIC REVIEW; TREATMENT RESPONSE; MENTAL DISEASE; OUTCOME ASSESSMENT; PROCEDURES; TREATMENT OUTCOME;

HUMANS; MENTAL DISORDERS; PATIENT OUTCOME ASSESSMENT; PSYCHOTHERAPY; SURVEYS AND QUESTIONNAIRES; TREATMENT OUTCOME;

EID: 85055072487     PISSN: 00333204     EISSN: 19391536     Source Type: Journal    
DOI: 10.1037/pst0000167     Document Type: Article

References (82)

1. Amble, I., Gude, T., Stubdal, S., Andersen, B. J., & Wampold, B. E. (2015). The effect of implementing the Outcome Questionnaire-45. 2 feedback system in Norway: A multisite randomized clinical trial in a naturalistic setting. Psychotherapy Research, 25, 669-677. http://dx. doi. org/10. 1080/10503307. 2014. 928756
2. Anker, M. G., Duncan, B. L., & Sparks, J. A. (2009). Using client feedback to improve couple therapy outcomes: A randomized clinical trial in a naturalistic setting. Journal of Consulting and Clinical Psychology, 77, 693-704. http://dx. doi. org/10. 1037/a0016062
3. American Psychological Association Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. American Psychologist, 61, 271-285. http://dx. doi. org/10. 1037/0003-066X. 61. 4. 271
4. Association of State and Provincial Psychology Boards. (2015). Supervision guidelines for education and training leading to licensure as a health service provider. Retrieved on February 16 2018 from https:// c. ymcdn. com/sites/www. asppb. net/resource/resmgr/Guidelines/ Final-Supervision-Guidelines. pdf
5. Baldwin, S. A., & Imel, Z. E. (2013). Therapist effects. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (6th ed., pp. 258-297). New York, NY: Wiley.
6. Barkham, M., Lutz, W., Lambert, M. J., & Saxton, D. (2016). Therapist effects, effective therapists, and the law of variability. In L. G. Castonguay & C. E. Hill (Eds.), How and why are some therapists better than others?: Understanding therapist effects (pp. 13-36). Washington, DC: APA Press.
7. Bludworth, J. L., Tracey, T. J. G., & Glidden-Tracey, C. (2010). The bilevel structure of the Outcome Questionnaire-45. Psychological Assessment, 22, 350-355. http://dx. doi. org/10. 1037/a0019187
8. Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy, 16, 252-260. http://dx. doi. org/10. 1037/h0085885
9. Boyce, M. B., & Browne, J. P. (2013). Does providing feedback on patient-reported outcomes to healthcare professionals result in better outcomes for patients? A systematic review. Quality of Life Research, 22, 2265-2278. http://dx. doi. org/10. 1007/s11136-013-0390-0
10. Carlier, I. V., Meuldijk, D., Van Vliet, I. M., Van Fenema, E., Van der Wee, N. J., & Zitman, F. G. (2012). Routine outcome monitoring and feedback on physical or mental health status: Evidence and theory. Journal of Evaluation in Clinical Practice, 18, 104-110. http://dx. doi. org/10. 1111/j. 1365-2753. 2010. 01543. x
11. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159. http://dx. doi. org/10. 1037/0033-2909. 112. 1. 155
12. Copeland, B. T. (2007). Outcome and process measure feedback as they effect therapy outcome (Doctoral Dissertation). Department of Psychology, George Fox University, Tacoma, WA.
13. Crits-Christoph, P., Ring-Kurtz, S., Hamilton, J. L., Lambert, M. J., Gallop, R., McClure, B., Rotrosen, J. (2012). A preliminary study of the effects of individual patient-level feedback in outpatient substance abuse treatment programs. Journal of Substance Abuse Treatment, 42, 301-309. http://dx. doi. org/10. 1016/j. jsat. 2011. 09. 003
14. Davidsen, A. H., Poulsen, S., Lindschou, J., Winkel, P., Tróndarson, M. F., Waaddegaard, M., & Lau, M. (2017). Feedback in group psychotherapy for eating disorders: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 85, 484-494. http://dx. doi. org/10. 1037/ccp0000173
15. Davidson, K., Perry, A., & Bell, L. (2015). Would continuous feedback of patient's clinical outcomes to practitioners improve NHS psychological therapy services? Critical analysis and assessment of quality of existing studies. Psychology and Psychotherapy: Theory, Research and Practice, 88, 21-37. http://dx. doi. org/10. 1111/papt. 12032
16. de Jong, K., Nugter, M. A., Polak, M. G., Wagenborg, J. E. A., Spinhoven, P., & Heiser, W. J. (2007). The Outcome Questionnaire (OQ-45) in a Dutch population: A cross-cultural validation. Clinical Psychology and Psychotherapy, 14, 288-301. http://dx. doi. org/10. 1002/cpp. 529
17. De Jong, K., Timman, R., Hakkaart-Van Roijen, L., Vermeulen, P., Kooiman, K., Passchier, J., & Van Busschbach, J. (2014). The effect of outcome monitoring feedback to clinicians and patients in short and long-term psychotherapy: A randomized controlled trial. Psychotherapy Research, 24, 629-639. http://dx. doi. org/10. 1080/10503307. 2013. 871079
18. de Jong, K., van Sluis, P., Nugter, M. A., Heiser, W. J., & Spinhoven, P. (2012). Understanding the differential impact of outcome monitoring: Therapist variables that moderate feedback effects in a randomized clinical trial. Psychotherapy Research, 22, 464-474. http://dx. doi. org/ 10. 1080/10503307. 2012. 673023
19. Drapeau, M. (2012). Ten tools for progress monitoring in psychotherapy. Integrating Science and Practice, 2, 1-45.
20. Duncan, B. L., & Miller, S. D. (2008). The Outcome and Session Rating Scales: The revised administration and scoring manual, including the Child Outcome Rating Scale. Chicago, IL: Institute for the Study of Therapeutic Change.
21. Duncan, B. L., & Reese, R. J. (2015). The partners for change outcome management system (PCOMS) revisiting the client's frame of reference. Psychotherapy, 52, 391-401. http://dx. doi. org/10. 1037/pst0000026
22. Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. British Medical Journal, 315, 629-634. http://dx. doi. org/10. 1136/bmj. 315. 7109. 629
23. Ellsworth, J. R., Lambert, M. J., & Johnson, J. (2006). A comparison of the Outcome Questionnaire-45 and Outcome Questionnaire-30 in classification and prediction of treatment outcome. Clinical Psychology and Psychotherapy, 13, 380-391. http://dx. doi. org/10. 1002/cpp. 503
24. Finch, A. E., Lambert, M. J., & Schaalje, B. G. (2001). Psychotherapy quality control: The statistical generation of expected recovery curves for integration into an early warning system. Clinical Psychology and Psychotherapy, 8, 231-242. http://dx. doi. org/10. 1002/cpp. 286
25. Fortney, J. C., Unützer, J., Wrenn, G., Pyne, J. M., Smith, G. R., Schoenbaum, M., & Harbin, H. T. (2017). A tipping point for measurementbased care. Psychiatric Services, 68, 179-188. http://dx. doi. org/10. 1176/appi. ps. 201500439
26. Gondek, D., Edbrooke-Childs, J., Fink, E., Deighton, J., & Wolpert, M. (2016). Feedback from outcome measures and treatment effectiveness, treatment efficiency, and collaborative practice: A systematic review. Administration and Policy in Mental Health and Mental Health Services Research, 43, 325-343. http://dx. doi. org/10. 1007/s10488-015-0710-5
27. Grizzell, S., Smart, J., Lambert, M. J., & Fargo, J. (2016). The use of feedback in group counseling in a state vocational rehabilitation setting. Journal of Applied Rehabilitation Counseling, 47, 10-19.
28. Hannan, C., Lambert, M. J., Harmon, C., Nielsen, S. L., Smart, D. W., Shimokawa, K., & Sutton, S. W. (2005). A lab test and algorithms for identifying clients at risk for treatment failure. Journal of Clinical Psychology, 61, 155-163. http://dx. doi. org/10. 1002/jclp. 20108
29. Hansen, N. B., Lambert, M. J., & Forman, E. V. (2002). The psychotherapy dose-response effect and its implications for treatment delivery services. Clinical Psychology: Science and Practice, 9, 329-343. http://dx. doi. org/10. 1093/clipsy. 9. 3. 329
30. Hansson, H., Rundberg, J., Österling, A., Öjehagen, A., & Berglund, M. (2013). Intervention with feedback using Outcome Questionnaire 45. (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial. Nordic Journal of Psychiatry, 67, 274-281. http://dx. doi. org/10. 3109/08039488. 2012. 736534
31. Harmon, S. C., Lambert, M. J., Smart, D. W., Hawkins, E. J., Nielsen, S. L., Slade, K., & Lutz, W. (2007). Enhancing outcome for potential treatment failures: Therapist/client feedback and clinical support tools. Psychotherapy Research, 17, 379-392. http://dx. doi. org/10. 1080/1050 3300600702331
32. Hatfield, D., McCullough, L., Frantz, S. H., & Krieger, K. (2010). Do we know when our clients get worse? An investigation of therapists' ability to detect negative client change. Clinical Psychology and Psychotherapy, 17, 25-32.
33. Hawkins, E. J., Lambert, M. J., Vermeersch, D. A., Slade, K., & Tuttle, K. (2004). The therapeutic effects of providing client progress information to therapists and patients. Psychotherapy Research, 14, 308-327. http:// dx. doi. org/10. 1093/ptr/kph027
34. Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. San Diego, CA: Academic Press.
35. Higgins, J. P. T., & Green, S. (Eds.). (2011). Cochrane handbook for systematic reviews of interventions 5. 1. 0 [updated March 2011]. The Cochrane Collaboration. Retrieved from www. cochrane. org
36. Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19. http://dx. doi. org/10. 1037/0022-006X. 59. 1. 12
37. Janse, P. D., De Jong, K., Van Dijk, M. K., Hutschemaekers, G. J. M., & Verbraak, M. J. P. M. (2017). Improving the efficiency of cognitivebehavioural therapy by using formal client feedback. Psychotherapy Research, 27, 525-538. http://dx. doi. org/10. 1080/10503307. 2016. 1152408
38. Kendrick, T., El-Gohhary, M., Stuart, B., Gilbody, S., Churchill, R., Aiken, L., Moore, M. (2016). Routine use of client reported measures (PROMs) for improving treatment of common mental disorders in adults. Cochrane Database of Systematic Reviews. Advance online publication. http://dx. doi. org/10. 1002/14651858. CD011119. pub2
39. Knaup, C., Koesters, M., Schoefer, D., Becker, T., & Puschner, B. (2009). Effect of feedback of treatment outcome in specialist mental healthcare: Meta-analysis. The British Journal of Psychiatry, 195, 15-22. http://dx. doi. org/10. 1192/bjp. bp. 108. 053967
40. Krägeloh, C. U., Czuba, K. J., Billington, D. R., Kersten, P., & Siegert, R. J. (2015). Using feedback from patient-reported outcome measures in mental health services: A scoping study and typology. Psychiatric Services, 66, 224-241. http://dx. doi. org/10. 1176/appi. ps. 201400141
41. Lambert, M. J. (2013). The efficacy and effectiveness of psychotherapy. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (6th ed., pp. 169-218). New York, NY: Wiley.
42. Lambert, M. J., Bailey, R. J., White, M., Tingey, K. M., & Stevens, E. (2015). Clinical support tool manual (Brief Version-40). Salt Lake City, UT: OQMeasures.
43. Lambert, M. J., Bergin, A. E., & Collins, J. L. (1977). Therapist induced deterioration in psychotherapy clients. In A. S. Gurman & A. M. Razin (Eds.), Effective psychotherapy: A handbook of research (pp. 452-481). New York, NY: Pergamon Press.
44. Lambert, M. J., Hansen, N. B., & Finch, A. E. (2001). Patient-focused research: Using patient outcome data to enhance treatment effects. Journal of Consulting and Clinical Psychology, 69, 159-172. http://dx. doi. org/10. 1037/0022-006X. 69. 2. 159
45. Lambert, M. J., Kahler, M., Harmon, C., Burlingame, G. M. Shimokawa K., &White, M. M. (2013). Administration and scoring manual: Outcome Questionnaire OQ-45. 2. Salt Lake City, UT: OQMeasures.
46. Lambert, M. J., & Shimokawa, K. (2011a). Collecting client feedback. In J. C. Norcross (Ed.), Psychotherapy relationships that work (2nd ed., pp. 203-223). New York, NY: Oxford University Press. http://dx. doi. org/ 10. 1093/acprof:oso/9780199737208. 003. 0010
47. Lambert, M. J., & Shimokawa, K. (2011b). Collecting client feedback. Psychotherapy, 48, 72-79. http://dx. doi. org/10. 1037/a0022238
48. Lambert, M. J., Whipple, J. L., Bishop, M. J., Vermeersch, D. A., Gray, G. V., & Finch, A. E. (2002). Comparison of empirically derived and rationally derived methods for identifying clients at risk for treatment failure. Clinical Psychology and Psychotherapy, 9, 149-164. http://dx. doi. org/10. 1002/cpp. 333
49. Lambert, M. J., Whipple, J. L., Hawkins, E. J., Vermeersch, D. A., Nielsen, S. L., & Smart, D. W. (2003). Is it time for clinicians to routinely track patient outcome? A meta-analysis. Clinical Psychology: Science and Practice, 10, 288-301. http://dx. doi. org/10. 1093/clipsy. bpg025
50. Lambert, M. J., Whipple, J. L., Smart, D. W., Vermeersch, D. A., Nielsen, S. L., & Hawkins, E. J. (2001). The effects of providing therapists with feedback on patient progress during psychotherapy: Are outcomes enhanced? Psychotherapy Research, 11, 49-68. http://dx. doi. org/10. 1080/ 713663852
51. Lambert, M. J., Whipple, J. L., Vermeersch, D. A., Smart, D. W., Hawkins, E. J., Nielsen, S. L., & Goates, M. (2002). Enhancing psychotherapy outcomes via providing feedback on client progress: A replication. Clinical Psychology and Psychotherapy, 9, 91-103. http:// dx. doi. org/10. 1002/cpp. 324
52. Lo Coco, G., Chiappelli, M., Bensi, L., Gullo, S., Prestano, C., & Lambert, M. J. (2008). The factorial structure of the Outcome Questionnaire-45: A study with an Italian sample. Clinical Psychology and Psychotherapy, 15, 418-423. http://dx. doi. org/10. 1002/cpp. 601
53. Luborsky, L., Diguer, L., Seligman, D. A., Rosenthal, R., Krause, E. D., Johnsons, S., Schweizer, E. (1999). The researcher's own therapy allegiances: A "wild card" in comparisons of treatment efficacy. Clinical Psychology: Science and Practice, 6, 95-106. http://dx. doi. org/10. 1093/ clipsy. 6. 1. 95
54. Lutz, W., Lambert, M. J., Harmon, S. C., Tschitsaz, A., Schurch, E., & Stulz, N. (2006). The probability of treatment success, failure and duration-what can be learned from empirical data to support decision making in clinical practice? Clinical Psychology and Psychotherapy, 13, 223-232. http://dx. doi. org/10. 1002/cpp. 496
55. Miller, S. D., & Duncan, B. L. (2004). The Outcome and Session Rating Scales: Administration and scoring manual. Chicago, IL: Institute for the Study of Therapeutic Change.
56. Miller, S. D., Duncan, B. L., Brown, J., Sparks, J. A., & Claud, D. A. (2003). The outcome rating scale: A preliminary study of the reliability, validity, and feasibility of a brief visual analog measure. Journal of Brief Therapy, 2, 91-100.
57. Miller, S. D., Duncan, B. L., Sorrell, R., & Brown, G. S. (2005). The partners for change outcome management system. Journal of Clinical Psychology, 61, 199-208. http://dx. doi. org/10. 1002/jclp. 20111
58. Murphy, K. P., Rashleigh, C. M., & Timulak, L. (2012). The relationship progress between progress feedback and therapeutic outcome in student counselling: A randomized control trial. Counselling Psychology Quarterly, 25, 1-18. http://dx. doi. org/10. 1080/09515070. 2012. 662349
59. Newham, E., Hooke, G. R., & Page, A. C. (2010). Progress monitoring and feedback in psychiatric care reduces depressive symptoms. Journal of Affective Disorders, 117, 139-146. http://dx. doi. org/10. 1016/j. jad. 2010. 05. 003
60. Okiishi, J. C., Lambert, M. J., Eggett, D., Nielsen, L., Dayton, D. D., & Vermeersch, D. A. (2006). An analysis of therapist treatment effects: Toward providing feedback to individual therapists on their clients' psychotherapy outcome. Journal of Clinical Psychology, 62, 1157-1172. http://dx. doi. org/10. 1002/jclp. 20272
61. Prescott, D. S., Maeschalck, C. L., & Miller, S. D. (2017). Feedbackinformed treatment in clinical practice: Reaching for excellence. Washington, DC: American Psychological Association. http://dx. doi. org/10. 1037/0000039-000
62. Probst, T., Lambert, M. J., Dahlbender, R. W., Loew, T. H., & Tritt, K. (2014). Providing patient progress feedback and clinical support tools to therapists: Is the therapeutic process of patients on-track to recovery enhanced in psychosomatic in-patient therapy under the conditions of routine practice? Journal of Psychosomatic Research, 76, 477-484. http://dx. doi. org/10. 1016/j. jpsychores. 2014. 03. 010
63. Probst, T., Lambert, M. J., Loew, T., Dahlbender, R., Gollner, R., & Tritt, K. (2013). Feedback on client progress and clinical support tools for therapists: Improved outcome for clients at risk of treatment failure in in-client psychosomatic therapy? Journal of Psychosomatic Research, 75, 255-261. http://dx. doi. org/10. 1016/j. jpsychores. 2013. 07. 003
64. Reese, R. J., Norsworthy, L. A., & Rowlands, S. R. (2009). Does a continuous feedback system improve psychotherapy outcome? Psychotherapy, 46, 418-431. http://dx. doi. org/10. 1037/a0017901
65. Reese, R. J., Toland, M. D., Slone, N. C., & Norsworthy, L. A. (2010). Effect of client feedback on couple psychotherapy outcomes. Psychotherapy, 47, 616-630. http://dx. doi. org/10. 1037/a0021182
66. Review Manager. (2014). (RevMan) [Computer program]. Version 5. 3. Copenhagen, Denmark: The Nordic Cochrane Centre, The Cochrane Collaboration.
67. Safran, J. D., Muran, J. C., Samstag, L. W., & Winston, A. (2005). Evaluating alliance-focussed intervention for potential treatment failures: A feasibility and descriptive analysis. Psychotherapy, 42, 512-531. http://dx. doi. org/10. 1037/0033-3204. 42. 4. 512
68. Sapyta, J., Riemer, M., & Bickman, L. (2005). Feedback to clinicians. Journal of Clinical Psychology, 61, 145-153. http://dx. doi. org/10. 1002/ jclp. 20107
69. Schuckard, E., Miller, S. D., & Hubble, M. A. (2017). Feedback-informed treatment: Historical and empirical foundations. In D. S. Prescott, C. L. Maeschalck, & S. D. Miller, (Eds.), Feedback-informed treatment in clinical practice: Reaching for excellence (pp. 13-36). Washington, DC: American Psychological Association.
70. Schuman, D. L., Slone, N. C., Reese, R. J., & Duncan, B. (2015). Efficacy of client feedback in group psychotherapy with soldiers referred for substance abuse treatment. Psychotherapy Research, 25, 396-407. http://dx. doi. org/10. 1080/10503307. 2014. 900875
71. Shimokawa, K., Lambert, M. J., & Smart, D. W. (2010). Enhancing treatment outcome of patients at risk of treatment failure: Meta-analytic and mega-analytic review of a psychotherapy quality assurance system. Journal of Consulting and Clinical Psychology, 78, 298-311. http://dx. doi. org/10. 1037/a0019247
72. Simon, W., Lambert, M. J., Busath, G., Vazquez, A., Berkeljon, A., Hyer, K., Berrett, M. (2013). Effects of providing patient progress feedback and clinical support tools to psychotherapists in an inpatient eating disorders treatment program: A randomized controlled study. Psychotherapy Research, 23, 287-300. http://dx. doi. org/10. 1080/10503307. 2013. 787497
73. Simon, W., Lambert, M. J., Harris, M. W., Busath, G., & Vazquez, A. (2012). Providing patient progress information and clinical support tools to therapists: Effects on patients at risk of treatment failure. Psychotherapy Research, 22, 638-647. http://dx. doi. org/10. 1080/10503307. 2012. 698918
74. Slade, K., Lambert, M. J., Harmon, S. C., Smart, D. W., & Bailey, R. (2008). Improving psychotherapy outcome: The use of immediate electronic feedback and revised clinical support tools. Clinical Psychology and Psychotherapy, 15, 287-303. http://dx. doi. org/10. 1002/cpp. 594
75. Slone, N. C., Reese, R. J., Mathews-Duval, S., & Kodet, J. (2015). Evaluating the efficacy of client feedback in group psychotherapy. Group Dynamics, 19, 122-136. http://dx. doi. org/10. 1037/gdn0000026
76. Spielmans, G. I., Masters, K. S., & Lambert, M. J. (2006). A comparison of rational versus empirical methods in prediction of negative psychotherapy outcome. Clinical Psychology and Psychotherapy, 13, 202-214. http://dx. doi. org/10. 1002/cpp. 491
77. Trudeau, L. S. (2000). Effects of a clinical feedback system on client and therapist outcomes in a rural community mental health center (Unpublished doctoral dissertation). Iowa State University, Ames, IA.
78. Truitt, K. G. (2011). Modeling treatment outcomes in eating disorders: Does therapist feedback support individually tailored service allocation? (Unpublished Doctoral Dissertation), Scholars Repository, Loma Linda University, Loma Linda, CA.
79. Vermeersch, D. A., Lambert, M. J., & Burlingame, G. M. (2000). Outcome Questionnaire: Item sensitivity to change. Journal of Personality Assessment, 74, 242-261. http://dx. doi. org/10. 1207/S15327752JPA7402-6
80. Vermeersch, D. A., Whipple, J. L., Lambert, M. J., Hawkins, E. J., Burchfield, C. M., & Okiishi, J. C. (2004). Outcome Questionnaire: Is it sensitive to changes in counseling center clients? Journal of Counseling Psychology, 51, 38-49. http://dx. doi. org/10. 1037/0022-0167. 51. 1. 38
81. Walfish, S., McAlister, B., O'Donnell, P., & Lambert, M. J. (2012). An investigation of self-assessment bias in mental health providers. Psychological Reports, 110, 639-644. http://dx. doi. org/10. 2466/02. 07. 17. PR0. 110. 2. 639-644
82. Whipple, J. L., Lambert, M. J., Vermeersch, D. A., Smart, D. W., Nielsen, S. L., & Hawkins, E. J. (2003). Improving the effects of psychotherapy: The use of early identification of treatment failure and problem-solving strategies in routine practice. Journal of Counseling Psychology, 50, 59-68. http://dx. doi. org/10. 1037/0022-0167. 50. 1. 59