Processes of Change: Integrating Relationality with Cognitive-Behavioral and Acceptance Constructs.

Morgan E Browning, Nathaniel P Van Kirk, Elizabeth E Lloyd-Richardson, Jennie M Kuckertz

Abstract read

In one paragraph

Article in Journal of contemporary psychotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Morgan E BrowningDepartment of Clinical Psychology, Antioch University New England, 40 Avon Street, Keene, NH 03431, USA.

Nathaniel P Van KirkDepartment of Psychiatry, Harvard Medical School, OCD Institute, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA.

Elizabeth E Lloyd-RichardsonDepartment of Psychology, University of Massachusetts, Dartmouth, 285 Old Westport Rd, North Dartmouth, MA 02747, USA.

Jennie M KuckertzDepartment of Psychiatry, Harvard Medical School, OCD Institute, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA.

Funding

Leveraging Machine Learning Approaches to Understand Mechanisms of Exposure Therapy in Real-World SettingsR01MH135899 · NIMH · SAN DIEGO STATE UNIVERSITY · PI Jennie M Kuckertz · 2024 to 2026

$2.3M

NIMH NIH HHS R01 MH135899

6 · The paper itself

Abstract

Over recent decades, the clinical psychology field as a whole has increasingly emphasized treatment manuals and distillation of evidence-based practices down to specific, standardized procedures. While this approach has proven successful in reducing symptoms, we argue that it is vital to remain vigilant to the social and relational context that humans exist in, for both clients and therapists. The focus on relationships and connections amongst people must remain a central focus in order for the field to progress. This can be embedded into treatment in the context of existing integrated models, such as process-based therapy. We propose a road map for considering environmental context, relationships, the whole self of the client and therapist, and the focus on treatment targets and outcomes.

Indexed as

adaptingmindfulnessrelationalitytherapeutic relationshiptransdiagnostic

Identifiers

PMID41624059

DOI10.1007/s10879-025-09670-0

PMCPMC12858098

What OpenQuestion holds

Textmetadata

LicenceTDM

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.