Treatment manuals in clinical practice

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40 Scopus citations


Hickling and Blanchard (1997) summarize the results of treating PTSD patients with a highly structured treatment manual. Presenting a 'clinician's reaction' they argue fur the added value of modifying treatment manuals based on the therapist's clinical experience and claim that manuals do not provide complete treatment of patients' multiple problems. In response, I reiterate that actuarial prediction is usually superior to clinical judgment, address the treatment of co-morbid psychopathology, underscore the importance of specific therapist skills in implementing manual-based treatment, and point out ways in which manual-based treatment can be more flexible and individualized than Hickling and Blanchard imply.

Original languageEnglish (US)
Pages (from-to)205-210
Number of pages6
JournalBehaviour Research and Therapy
Issue number3
StatePublished - 1997

All Science Journal Classification (ASJC) codes

  • Experimental and Cognitive Psychology
  • Clinical Psychology
  • Psychiatry and Mental health


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